Participant Registration - Peabody and Access Sport Thamesmead SEND Summer Programme for Disabled Children and their families only
Peabody Thamesmead and Access Sport are excited to share the details of the SEND Summer Inclusive Programme, 26th July - 26th August 2021.

Thank you for registering your initial interest, please take five minutes to fill out the below form. Please fill the below form with the details of your child, not yourself.

These sessions are prioritised for Thamesmead, SE28 families. Please tick which sessions/sports you would like to attend and on what days. This is not for definite as once you have registered, a member of the team will be in touch to confirm your attendance for your selected sessions. Sessions are first come first serve. Siblings are welcome to attend the sessions with 1 adult accompanying.

If you are unable to make a session which you have confirmed attendance for, please let us know as soon as possible so we can offer the space to the next family.

Sessions are for disabled children and young people with their families. Sessions across these 4 weeks are free.

Your personal information will be used for monitoring and evaluation purposes by Access Sport, Peabody and Waterways Children's Centre and be stored on a secure database only accessed by trusted staff members of those organisations. Please find Access Sport and Peabody's GDPR policies here - www.accesssport.org.uk/policies and https://www.peabody.org.uk/terms-conditions/privacy

If you do not wish for your child's name to be shared, please contact Sophie (sophie.epsley@accesssport.co.uk)

If you have any questions, please contact Sophie (sophie.epsley@accesssport.co.uk) or Uduak (Uduak.Jesuthasan@peabody.org.uk) or call 020 7993 9883 and ask for Sophie.
Sign in to Google to save your progress. Learn more
Email *
Name *
Date of Birth *
MM
/
DD
/
YYYY
Postcode (not full address) *
Ethnicity/Background *
Gender *
Impairment/Long term health condition *
Emergency contact name and number *
Thinking about the past week, please tick the days you were physically active for 30 or 60 minutes or more (this is in and outside school/college/work)**
Mon
Tues
Weds
Thurs
Fri
Sat
Sun
I was physically active for 30 minutes on…
I was physically active for 60 minutes on…
Email address *
Please tick all the activities you would like to register for (you will be contacted by the team to confirm your attendance and place once you have registered. To book for the Wingz BMX sessions, please register here - https://club.spond.com/landing/signup/bexleybikeclub *
Required
Is there anything you would like to tell us about your child and their needs the coaches should be aware of during the session?
When attending the session, will you be accompanied by a parent/carer or friend to support you during the session? *
How many siblings will be attending the session and what are their ages? *
Photo/Video permissions - Photos may be used for our printed/online publicity, as well as within the charity to support funding applications and reports. *
Would you like to be signed up to our Ignite London Newsletter with details of inclusive sport and physical activity opportunities, events and other resources.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy