Woolwich Inclusive Yoga Sign Up

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Thank you for registering your interest, please take five minutes to fill out the below form.

If you are registering on behalf of somebody else to attend the session, please fill the below form with their details.

Autumn Term 2021 Dates
14th, 21st and 28th September
5th, 12th, 19th October
2nd,9th,16th and 23rd November

Your information will be kept and used in line with Access Sports GDPR policy, which you can find out more information on our website: www.accesssport.org.uk/policies.

We will be hosting the inclusive yoga sessions in line with COVID-19 government guidelines, if you would like further details, please get in contact.

Any other questions, please contact ignite@accesssport.co.uk or call 020 7993 9883.

Your name *

Date of Birth *

YYYY

Postcode (Not full address) *

Ethnicity/Background *

Black/Black British/Black African/Black Caribbean

White/White British/White Other

Asian/Asian British/Asian Other

Mixed/Multiple Ethnic Background

Prefer not to say

Other:

Gender *

Male

Female

Non-Binary

Transgender

Prefer not to say

Other:

Impairment/Long-term health condition *

None

Blind/Visual Impairment

Deaf/Hearing Impairment

Learning Disability/Difficulty

Mental Health Condition

Autism Spectrum Disorder

Physical Impairment

Long-term Health Condition

Prefer not to say

Other:

Required

Email address *

Emergency Contact Name and Number *

Have you taken part in sport and/or physical activity, outside school/college/work, atleast once per week for 30 minutes or more over the past 4 weeks? *

Yes

Thinking about the past week, please tick the days you were physically active for 30 or 60 minutesor more (this is in and outside school/college/work)** *

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

I was physically active for 30 minutes on…

I was physically active for 60 minutes on…

When attending the session, will you be accompanied by a parent/carer or friend to support you during the session?

Yes

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Would you like to register for the Ignite Newsletter, keeping you up to date about disability inclusive activities and resources across London?

Yes please!

No thank you

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Photo/Video permissions - Photos may be used for our printed/online publicity, as well as within the charity to support funding applications and reports. *

I give permission as the parent/carer/guardian (under 18 only)

I give permission as the participant (over 18 only)

I do not give permission

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