Multi-Sport, Health & Wellbeing Festival Sign Up Form
Please complete the below information for the main participant, there will be an opportunity to add siblings/parents/carers/friends details at the end.

As part of the funding that allows us to deliver this event we are required to gather this information to help analyse our impact.

As a thank you for signing up before the event we'll enter you into the prize draw to win an exciting prize!!

First Name *
Your answer
Surname *
Your answer
Gender *
Date of birth *
MM
/
DD
/
YYYY
Postcode *
Your answer
Email Address *
Your answer
Emergency Contact Number *
Your answer
I give permission for images/footage to be taken of me whilst taking part. I understand that the images/footage may be used to promote the work of Cerebral Palsy Plus & Access Sport, for example on our website or in authorised publications *
Ethnicity *
Do you have a disability or long term limiting illness? *
Do you participate in sport and/or physical activity, outside of school or work? *
Required
Have you taken part in 30 minutes of sport and/or physical activity, outside of school or work, at least once in the past 4 weeks? *
How many additional people are you expecting to bring on the day? E.g. Carers, parents, siblings, friends
Your answer
How did you hear about the event? If through Social Media, please list which page/organisation
Your answer
Are you a Cerebral Palsy Plus member?
What activities are you interested in? Please tick all that apply
Are you happy for us to pass on your contact details to the providers that are delivering activities on the day so they can provide more information if required?
Would you like to sign up to the Access Sport Ignite Bristol newsletter that will provide information on all the latest disability inclusive sport opportunities in the local area? We will not share your contact details with any third party organisations.
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