Medway Sports Club Directory Registration
There are more than 500 sports clubs and teams in Medway. If people wish to find a club to join, they can use the online club directory at
www.medway.gov.uk/sport
Are you a single team or part of a club?
Single Team
Club
Team details - for single teams not part of a larger club
Name of team:
Sport:
Club details - For clubs with more than one team
Name of club:
Sport:
Does your club have Clubmark status or NGB equivalent?
Yes
No
Do you have plans to work towards accreditation?
Yes
No
An officer from the Medway sports team will be able to support you to achieve accreditation
Membership details - for clubs and teams to complete
What is you club or team's total adult membership?
What is you club or team's total Junior (under 16) membership?
Do you have a senior/masters section?
Yes
No
Do you have a disability section / team at your club?
Yes
No
Coaching and Volunteering details - for clubs and teams to complete
How many qualified coaches does your club have?
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How many volunteers does your club have?
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Contact Details
Please provide details for your Primary contact (whose name and details will appear on the online sports club directory)
Name:
Position:
Public Information (for public dissemination or publication)
Public address: (for public dissemination or publication)
Contact number: (for public dissemination or publication)
Email: (for public dissemination or publication)
Club website:
Disclaimer
Do you consent to the data provided to be used on our website, social media, email and any other appropriate channels to help promote your club/team to the general public?
I consent to
having my information used to promote our club/team to the general public
I do not wish
for my information to be used to promote our club/team to the general public
Unfortunately we are unable to continue with your request as we require your consent to use your data through our relevant channels. We will remove all of your current details from our database and you will receive no further contact from us. If you wish to add your club/team to our database in the future then you can do so by visiting our website
www.medway.gov.uk/sport
Do you consent to receiving information from Medway Sport sending you information on future projects, events and opportunities?
I consent to
having my information used to contact me regarding future sporting events
I do not wish
for my information to be used to contact me regarding future sporting events
Do you consent to the data provided to be used by Medway Council’s public health team, to help in the understanding the physical activity and sports participation of the local community?
I consent to
having my information shared with Medway Council's Public Health team
I do not wish
for my information to be shared with Medway Council's Public Health team
Medway is committed to consulting with all its residents and so, to ensure that all groups within the community have the opportunity to participate, we would appreciate it if you could provide us with the following information. The information provided will remain private and confidential and will not be used for any other purpose. You are under no obligation to provide the following information and it will not affect your input if you choose not to.
Are you? (please tick one box only)
Male
Female
I prefer not to say
In which of the following age bands do you fall? (please tick the appropriate box)
Under 16
55-64
16-24
65-74
25-34
75+
35-44
I prefer not to say
45-54
Do you have any long-standing health problem or disability? Long-standing means anything that has lasted, or is expected to last, at least 12 months. (please tick the appropriate box)
Yes
No
I prefer not to say
If yes, what is the nature of your health problem or disability? (please tick the appropriate box)
Health Diagnosis
Physical Impairment
Hearing Impairment
Sight Impairment
Learning Disability
I prefer not to say
Mental Health
Other
If other please specify
What is your ethnic group?
White - English/ Welsh/ Scottish/ Northern Irish/ British
Any other mixed / multiple ethnic background
Asian / Asian British - Chinese
White - Irish
Black / Black British - African
Any other Asian background
White - Gypsy or Irish Traveller
Black / Black British - Caribbean
Other - Arab
Any other White background
Any other Black / African/ Caribbean background
Any other ethnic background
Mixed - White and Black Caribbean
Asian / Asian British - Indian
I prefer not to say
Mixed - White and Black African
Asian / Asian British - Pakistani
Mixed - White and Asian
Asian / Asian British - Bangladeshi
If other please specify
In which area do you live? (please tick one box only)
Chatham
Rainham
Rochester
Rural areas of Medway
Gillingham
Outside the Medway area
Strood
I prefer not to say
Post code or County
Protecting your personal information.
Medway Council will keep the information provided above as confidential. Access to, retention and disposal of this information will be strictly in accordance with data protection requirements. It will be used solely to ensure that Medway Council meets obligations under equality legislation. Individuals will not be identifiable in any reporting. Your personal data will be processed in accordance with Medway Council’s
Data Protection notice
.
Thank you for taking the time to update your details
Please follow us on social media @medwaysport for event and opportunities updates
or visit our website:
www.medway.gov.uk/sport
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