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Parasports Festival Day Application Form
On Friday 19th August, British Blind Sport, UK Deaf Sport & Sport Birmingham will be hosting an exciting Commonwealth Sports Day as a part of the See My Voice Programme. This will give all young people with a disability and their siblings a chance to participate in a variety of different sports while having a great time! Best of all this event is completely FREE!
A variety of sports will be available throughout the day and each young person will be given the opportunity to participate in running, jumping and mixed athletics events, tennis and more!
This event will be held at Nechells Wellbeing Centre, Rupert Street, Birmingham, B7 4AR. The event will be running 11am - 4pm.
Parents and guardians must stay at the event for those aged under 18. We plan to start at 11am, so please arrive 30 minutes prior to the event start so we can register and identify which sports each young person would like to participate in.
This event is for all 10-20 year olds with a disability along with their brothers or sisters. All participants must be within the same age range. For more information please contact Connor at connor@britishblindsport.org.uk or call 07983497787.
Please bring a packed lunch and sunscreen! There are areas to fill up water bottles in the building and bottled water will also be available however this will be limited so it is recommended to bring your own bottle if possible.
Name
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First
Last
Date of Birth (Day/Month/Year)
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Gender
*
Male
Female
Unspecified
Address
*
Street Address
Address Line 2
City
State / Province / Region
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United States
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Norway
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Poland
Portugal
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Country
Email
*
Confirm Email
*
Contact Number
*
Which of the following best describes your ethnicity?
Please select from below
White British
White Other
Mixed
Asian/Asian British
Black/Black British
Other
Prefer not to say
If other please specify
Could you please specify your disability (e.g. visual impairment, hearing impairment, wheelchair user etc).
*
In order to provide the right support, please provide any information regarding your disability that you believe may be helpful for us.
Are there any requirements you need to access sport? This will help us to adapt accordingly
*
Guide Dog/Assistance User
Wheelchair Access
A Guide
A BSL Interpreter
Other
None needed
If other please specify
Have you ever been a part of the See My Voice Programme, run by British Blind Sport, UK Deaf Sport and Sport Birmingham?
Yes
No
If no, would you like to be contacted with further information about this programme to potentially take part in the future?
Yes
No
Undecided
If you are attending with a friend or a sibling, you can state their name(s) here for the process of grouping so you can be grouped together.
Emergency Contact Details
Please give any emergency contact information so we know who to contact in the case of an emergency.
Name
*
First
Last
Relationship to Participant
*
Emergency Contact Number
*
Does the participant require any medication or have any allergies?
*
Yes
No
If yes, please specify
I provide permission for photographs and promotional video to be taken of the participants during the event, and for British Blind Sport and partners to use the photographs or videos for future business.
*
Yes
No
Do you give permission for emergency first aid to be administered in an event of an injury occurring?
*
Yes
No
Sibling Information (if applicable)
If attending with a sibling or friend please give the necessary details below. Siblings do not have to have any disability and can join in with the activities to have fun and support their sibling.
Sibling/Friend Name
Sibling/Friend Age
Does the participants sibling have a disability? If so please specify?
Does the participants sibling have a disability? If so please specify?
If applicable, please provide any information regarding your disability that may be helpful to us to provide the right support.
Is the emergency contact information the same for both siblings?
Yes
No
If no, please give any emergency contact name.
Emergency Contact Number
British Blind Sport Terms & Conditions
These terms and conditions must be read and approved. If the participant is under 18 years old, parental/guardian consent must be obtained.
In order to ensure that activities are adequately staffed we need full and accurate information about all participants. Declaring any additional needs will enable us to put appropriate support in place.
a. I/the applicant confirm(s) to have read all information provided, and agree(s) to taking part in the organiser’s activity.
b. I/the applicant understand that all activities I participate in at this event are done out of my own risk and I accept all responsibility.
c. I/the applicant acknowledge(s) the need to behave responsibly at all times during the activity and that children must be accompanied by an adult throughout the duration of the event.
d. I/the applicant confirm(s) that this form has been completed accurately and have declared all the support needed. I/the applicant undertake(s) to update the organisers should any information contained on the form or personal circumstances change.
e. In the event of an emergency/accident, the parent or guardian accompanying the participant will be made responsible for making a decision on any emergency dental, medical or surgical treatment as considered necessary by the medical authorities present.
Accept Terms
*
I am over 18 and agree to the above stated terms and conditions
As the parent/guardian of the under 18 participant, I agree to the above stated terms and conditions
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