Next of Kin Details: (If no next of kin available, please speak to Sporting Force staff)
Confidential Impact and Effectiveness Questionnaire
Over the last 6 weeks, how often have you:
If you responded 'Yes' to any of the above, how much of a problem did this cause you? EG being unable to work, losing close family links, money or legal troubles.
If not signed, registration cannot be processed.
Here at Sporting Force we take your privacy seriously and will only use your personal information to administer your account and to provide the support and services you have requested from us. However, from time to time we would like to contact you with details of further training or opportunities we provide. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you:
We are required at times to pass your details onto other charities, organisations or sports clubs so that they can contact you regarding the services that they will be providing you. If you consent to us passing on your details for that purpose please tick to confirm:
I understand by printing my name on the signature line provided, this counts as my signature
Please note that all data is treated with the strictest confidentiality and will be held in accordance to the Data Protection Act.