Southern Flyerz Fest 2023

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Please complete the below information for the individual taking part. Please fill out a separate form for each child, young adult or coach/volunteer attending. Accompanying adults/carers do not need t complete a form, however please specify how many accompanying adults will be attending on this form.

We are bringing together our Flyerz clubs to play hockey at our Southern Flyerz Fest 2023. We are also inviting local hockey clubs that don't currently have a Flyerz section and new Flyerz to try hockey for the first time.

The event details are as follows:

11:00am - 15:00pm

Lee Valley Park,

Leadmill Lane,

E20 3AD

The event is open to families of disabled and neurodivergent children and young adults. You do not need to have any experience playing hockey, and the event is inclusive of all abilities.

If you need any support in completing this form or have any questions, please contact Sarah on Sarah.Jones@AccessSport.org.uk or 07528 618 122

The information you enter into this form will be collected and stored by Access Sport and England Hockey. Tick the Tickbox below to confirm you understand. *

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Email Address (of best person to contact regarding the event) *

Emergency Contact Name and Phone Number *

Relationship to participant *

Name of main participant attending *

Number of additional adults attending *

I am a: *

Coach/Volunteer (at a current Flyerz club)

Coach/Volunteer (at a non-Flyerz hockey club)

Current Flyerz player at a Flyerz Hockey club

A disabled or neurodivergent child or young adult who does not currently attend a Flyerz Hocky club

A sibling of a participant

Other:

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