Nova Sports Care Packages - NORTH SOMERSET ONLY
We are supporting families with children who have disabilities during the coronavirus pandemic. We hope this helps you!

Families living in Bristol follow this link: https://forms.gle/TJ2xKkSwDYZiTsVu7

Families living in South Glos follow this link: https://forms.gle/TtqsNGoxWgsedCeE9

Families living in Bath and North East Somerset follow this link: https://forms.gle/NDZw4dpnEnRb6FYs5

We are no longer taking applications for families living in Somerset.
Do you live in North Somerset? If you complete the wrong order form we may miss your order. *
Contact Name (parent/carer) *
Contact Phone Number *
Contact Email Address *
You must be referred by a professional or organisation to access a Sports Care Package. Please state who has referred you (name and profession/organisation) *
Delivery Address (please include house number/name, street, town & postcode) *
Child's First and Last Name *
Child's Gender *
Child's Date of Birth *
Child's Ethnicity *
Child's Disability *
Would you like to sign up to the Access Sport newsletter that will provide information on all the latest disability inclusive sport opportunities through the pandemic and in the local area going forward? *
Would you like to hear from Nova Sports and Coaching, via email, about inclusive and disability specific sports clubs and holiday activities? *
Pick'n'Mix Selection - 5 CHOICES PER FAMILY (please note all boxes come with 6 cones as standard)
Any specific delivery instructions
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