AQA GCSE Physical Education (8582)

Teacher Network Group

Membership Form

Please complete in block capitals.

Centre number
Centre name
Centre address
Phone number
Teacher
Email address
Teacher
Email address
Teacher
Email address
Signature
Date / 14/06/2016

We will use the above information to help administer the Teacher Network Groups and to send you updates on appropriate support services and initiatives.

Full details on how your personal information will be used, stored and protected can be found on our privacy statement. http://www.aqa.org.uk/about-us/privacy-policy

PLEASE TURN OVER AND COMPLETE THE NEXT PAGE

Please indicate which activities you are planning to offer.

Please note, this is to provide a list of other teachers who might be offering similar activities. This is not a commitment to offer these activities and other teachers in the group may be offering different activities than those listed depending on their cohort and individual students.

Activities / ☐ Rowing
☐ Amateur boxing / ☐ Rock climbing
☐ Association football / ☐ Rowing
☐ Athletics / ☐ Rugby League
☐ Badminton / ☐ Rugby Union
☐ Basketball / ☐ Sculling
☐ Camogie / ☐ Skiing
☐ Canoeing/kayaking (slalom) / ☐ Snowboarding
☐ Canoeing/kayaking (sprint) / ☐ Squash
☐ Cricket / ☐ Swimming
☐ Cycling (road) / ☐ Table tennis
☐ Cycling (track/velodrome) / ☐ Tennis
☐ Dance / ☐ Trampolining
☐ Diving / ☐ Volleyball
☐ Equestrian / Specialist activities
☐ Gaelic football / ☐ Blind cricket
☐ Golf / ☐ Boccia
☐ Gymnastics (artistic) / ☐ Goal ball
☐ Handball / ☐ Powerchair football
☐ Hockey / ☐ Polybat
☐ Lacrosse / ☐ Table cricket
☐ Netball / ☐ Wheelchair basketball
☐ Rock climbing / ☐ Wheelchair rugby

To be returned to:

Email /
Post / GCSE PE TNG
AQA Sociology Department,
Stag Hill House, Guildford, Surrey GU2 7XJ

Full details on how your personal information will be used, stored and protected can be found on our privacy statement. http://www.aqa.org.uk/about-us/privacy-policy