Enrol in Activity Coach

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Enrolment form for Transcend Level 2 Award in Leading Inclusive Physical Activities in Inclusive Martial Arts (free trial, when available).

Learner Name *

Please detail any medical conditions *

[Sports equity] What is your ethnicity?

Prefer not to say

Mixed ethnicity

Black or Black British

White or White British

Chinese or other ethnic group

Clear selection

Do you consider yourself to have a disability? If yes, please describe the nature of your disability. *

Health Decleration *

I am in good health and considered capable to take part in this course. I have completed the medical details and consent so that in the event of any illness/accident, a suitably qualified person can administer any necessary treatment to me. I also accept that there are risks associated with taking part in training and sports events and that the coach/tutor will take every precaution to minimise those risks. I give consent to Ikkaido to take photos of the person named on this form and to use them for the purpose of promoting physical activity. I have read & understood the lkkaido's Course Booking Terms & Conditions.

Agree

Disagree

Is anyone else helping or supporting you to complete this course? *

Yes - For example, a parent, teacher or carer is helping me with forms or will be attending the course with me.

No - I am the learner and will be responsible for all of my own course admin.

Email *

This is the email we'll use to contact you about the course.

Phone number *

This is the phone number we'll use to contact you about the course.

Learner Address *

Emergency Contact Name *

Emergency Contact Phone Number *

I am able to use WhatsApp *

Leaders and participants on this course will use WhatsApp to communicate. Let us know if you'd prefer a different method of contact.

Yes

Learner Date of Birth *

YYYY

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