Disability Training for Clubs: Journey to Inclusion

Disability Training for Clubs:

Journey to Inclusion

Please complete the form below to register your place at a Disability Training for Clubs: Journey to Inclusion workshop.

About you

Please complete the questions below so we can communicate with you, pre- and post-workshop delivery.

Name*

Email Address*

Contact number*

Which is your Parent County FA?*

Select

Which AFA club are you part of?*

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Which Bedfordshire FA club are you part of?*

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Which Berks & Bucks FA club are you part of?*

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Which Birmingham FA club are you part of?*

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Which Cambridgeshire FA club are you part of?*

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Which Cheshire FA club are you part of?*

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Which Cornwall FA club are you part of?*

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Which Cumberland FA club are you part of?*

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Which Derbyshire FA club are you part of?*

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Which Devon FA club are you part of?*

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Which Dorset FA club are you part of?*

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Which Durham FA club are you part of?*

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Which East Riding FA club are you part of?*

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Which Essex FA club are you part of?*

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Which Gloucestershire FA club are you part of?*

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Which Guernsey FA club are you part of?*

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Which Hampshire FA club are you part of?*

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Which Herefordshire FA club are you part of?*

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Which Hertfordshire FA club are you part of?*

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Which Huntingdonshire FA club are you part of?*

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Which Isle of Man FA club are you part of?*

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Which Jersey FA club are you part of?*

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Which Kent FA club are you part of?*

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Which Lancashire FA club are you part of?*

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Which Leicestershire FA club are you part of?*

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Which Lincolnshire FA club are you part of?*

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Which Liverpool FA club are you part of?*

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Which London FA club are you part of?*

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Which Manchester FA club are you part of?*

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Which Middlesex FA club are you part of?*

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Which Norfolk FA club are you part of?*

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Which North Riding FA club are you part of?*

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Which Northamptonshire FA club are you part of?*

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Which Northumberland FA club are you part of?*

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Which Nottinghamshire FA club are you part of?*

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Which Oxfordshire FA club are you part of?*

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Which Sheffield FA club are you part of?*

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Which Shropshire FA club are you part of?*

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Which Somerset FA club are you part of?*

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Which Staffordshire FA club are you part of?*

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Which Suffolk FA club are you part of?*

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Which Surrey FA club are you part of?*

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Which Sussex FA club are you part of?*

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Which West Riding FA club are you part of?*

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Which Westmorland FA club are you part of?*

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Which Wiltshire FA club are you part of?*

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Which Worcestershire FA club are you part of?*

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If not listed, write club/organisation name below:

Club ID number

Please enter your clubs 'Organisation ID'. This is a 5-digit number which can be found in the top right hand corner of your Club Portal Account.

Main role within club/organisation*

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If other, please specify*

Which workshop would you like to attend?*

You can attend any workshop you chose even if it is being delivered outside your County FA.

Select

Additional information

To help us prepare, please answer any of the questions below that are relevant to you

Please tell us about any additional access or communications requirements you may have

If you have any dietary requirements, please list them below

Additional information

If you have any additional comments that can aid us in the planning of the event, please outline below

Journey to Inclusion... where are you now?

Please answer the following questions to support our understanding of where your club is on its Journey to Inclusion.

Do you know if you have any disabled members at your club?*

Yes

No

Don't know

If Yes, what do they do

Select

What do you currently have in place to support disabled people at your club? Please tick all that apply*

Club equality policy

Disability officer role to champion this area of work

Club disability plan

A club vision and mission that is inclusive of disability

Do you have disabled players within your mainstream offer?*

Yes

No

Don't know

Do you currently deliver a pan-disability football offer at your football club?*

Yes

No

Don't know

Do you currently deliver an impairment specific offer at your football club?*

Yes

No

Don't know

What is your clubs' ambition in relation to becoming an inclusive club and offering a disability provision?*

Just in case!

In the case of an emergency, we'll need someone to contact. Please provide a name and contact number below.

Emergency contact name*

Emergency contact number*

Phone

Send me a copy of my responses

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