SWERVE: Registration Form

Complete this form to register for our SWERVE football session.

We have sessions for girls (4.30pm - 5.30pm) and boys (5.30pm - 6.30pm) aged 14-18.

Session begin on Tuesday 4th June.

If you need support in completing this form, please contact:

E: harry.goodall@bcfccommunity.co.uk

T: 01274 706850

Participant personal details:

First name

Last name

SWERVE session

Participant Medical Conditions

Does the participant have any medical conditions (please select all that apply)

No medical conditions

Asthma

Diabetes

Other

Medical Conditions: If 'Other' has been selected, please provide additional details:

Does the participant require medication to safely take part? Please select all that apply

No medication

Inhaler

Epipen

Other

Medication: If 'Other' has been selected, please provide additional details:

Participant gender

Participant ethnicity

Does the participant have a disability?

Disability: If 'Other' has been selected, please provide additional details:

Main Contact Details:

Main Contact Full Name

Relationship to Participant

Phone

Street Address

Street Address Line 2

City

County

Postcode

Country

Secondary Contact Details

Secondary Contact Full Name

Relationship to Participant

Phone

Please say if you consent for the participant to attend Bradford City FC Community Foundation's SWERVE project. If you do consent, you are committing to:

Making sure the participant can travel safely to and from our SWERVE provision sites.
Managing the participant's medical needs before, during and after site visits. (Foundation staff will not administer medication to children without formal consent - please email office@bcfccommunity.co.uk for more information or with any questions).
Letting us know should any of your information change (you can email any changes to office@bcfccommunity.co.uk)
Agreeing that the participant can take part in all SWERVE projects, both online and in-person.
Making sure that you have read and agreed to the legal terms at the bottom of this form.

Please indicate that you consent for the participant to take part in the SWERVE project by ticking 'Yes', entering your name and providing a signature:

I grant consent to attend

I grant media consent

Full name of person granting consent

Your Signature

تم تحديد وضع الرسم. يتطلب الرسم استخدام الماوس أو لوحة اللمس. لإمكانية الوصول إلى لوحة المفاتيح، حدد كتابة أو تحميل.

Legal Terms and Conditions

Bradford City FC Community Foundation excludes any and all liability other than those which cannot be excluded by law.

Media

Sometimes, we and the partners we work with, take photos, film video and record the voice of your child. We call this media consent. We use this consent for marketing, publicity and TV broadcast purposes. When we do this we own all rights to the consent and will use it and share with external media. We will only show your child in a positive way. We will share media consent with Morrison's Foundation, McDonald's and West Yorkshire Police. Find out more about how we use media consent: https://www.bradfordcitycf.org.uk/privacy-policy

Safeguarding

We believe that it is unacceptable for a child, or an adult at risk to experience any kind of abuse. We are responsible for the safety and welfare of your child when they visit our projects. We won't publish information about a child who is subject to family, care or legal proceedings. Find out how we keep your child or adult at risk safe at our projects:

Data Protection Notice

We use the information you have written on this form to safely run our projects. We also use personal details to take registers and improve the quality of our projects. We often gather statistics to show how our work makes a difference to children. We are also required to share personal information with our funding partners. Find our about how we store and process statistics and data: https://www.bradfordcitycf.org.uk/privacy-policy.

Bradford City FC Community Foundation is a registered data controller with the Information Commissioners Office, reference no: Z2849212.