#EMPOWER - Women's Football Sessions Registration

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Leeannas Wish CIC provides support for protected groups living in and around St Albans, dedicated to combatting inequality. Our mission is to engage, empower and to promote social interaction and friendships through our programmes, by tackling systemic barriers, improving access to services, and providing targeted intervention in communities with the most need.

The aim of this project is to empower women in our local community, through football.

Register your interest and be part of our growing community. Together we can be healthier, fitter, stronger. Minimum age 30+.

All skill sets & levels of fitness welcome
No footballing experience necessary
No judgement, just fun
Our ultimate aim is to improve confidence, fitness and cultivate camaraderie in our local community

Cottonmill Dates: Every Saturday (with FA Qualified Coach)

Time: Meet-up from 1pm, practice 1.15PM - 2.15PM

Session location: Cottonmill Community & Cycling Centre (playing pitch) AL1 2EF

Cotlandswick Dates: every Thursday, 5-a-side

Time: 7PM-7.55PM

Session location: Cotlandwick Leisure Centre (pitch 8) AL2 1EB

Please Note: kit is not provided so please wear appropriate clothing and trainers / boots. For any questions or concerns, please leeannaswish@gmail.com and we will do our very best to help.

This project is made possible thanks to the support of Herts Sport Partnership & The National Lottery Community Fund.

Email *

Which session are you interested in? *

Saturday from 1pm (with FA qualified female coaches)

Thursday from 7pm (5aside game)

Required

First Name *

Last Name *

Date of birth *

Participant must be 18+

YYYY

Postcode *

Email *

Phone number *

Would you like to be added to our football whats app group? This is so we can communicate information re our sessions in a quick efficient manner *

Yes

Ethnicity *

Arab

Asian or Asian British : Indian

Asian or Asian British: Pakistan

Asian or Asian British: Bangladeshi

Asian or Asian British: Chinese

Asian or Asian British: Other

Black or Black British: African

Black or Black British: Caribbean

Black or Black British: Other

Hispanic or Latinx

Mixed: White and Black Caribbean

Mixed: White and Black African

Mixed: White and Asian

Mixed: White and Hispanic/Latinx

Mixed: Other

White: British

White: Irish

White: Gypsy or Irish Traveller

White: Other

Other Ethnic Group

Prefer to self-describe

Other:

Do you have any medical conditions we need to be aware of? *

Emergency Contact Name & Number *

What is your level of football experience? *

I have barely kicked a football

I played at school

I have played as part of a team outside of school

I played at university / semi professional level

Other:

What you would like to get out of the sessions? For example do you just want to give football a try, meet new friends, or perhaps you are keen to simply get fit while meeting new people? *

Alongside playing, we will be organising some social workshops, seminars and activities this year at the centre. Is there anything in particular that you would like us to organise ? *

I understand that during activities, photos and videos will be taken of the participant. I consent to these being used in media distribution relating to Leeanna’s Wish CIC *

Yes

Signature (printed is ok) *

Please note, this data will be used for research and monitoring purposes. Please email us at leeannaswish@gmail.com if you wish to decline

Time

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