WheelPower – British Wheelchair Sport

In2 Sport Camp 31st May– 1st June 2014

WheelPower – British Wheelchair Sport

Second Stoke Mandeville In2 Sport Camp

Saturday 31st May and Sunday 1st June2014

Stoke Mandeville Stadium, Aylesbury

The In2 Sport Camp is for those aged 18 – 30 with a physical impairment. The camp will provide the opportunity to receive coaching in a number of sports. Provisional sports include archery, athletics (field), cue sports, shooting, table tennis, tennis, wheelchair racing and zone hockey.

Timings for the weekend are Saturday 09:30 – 16:45. There will be social activities from 19:00 – 21:00. Sunday 09:00 – 15:00. The weekend will conclude with a short presentation at 15:15.

The entry fee is: / Saturday and Sunday / £15.00
Saturday only / £ 9.00
Sunday only / £ 7.00

Please note that the entry fee is per person and also applies to anyone attending with you.

Lunch will be provided free of charge. Breakfast and dinner are available at an extra charge. There is a café and vending machines at the Stadium.

Accommodation will be available at an extra charge per room, on Friday and Saturday night at the on-site Olympic Lodge.

Forfurther information please contact WheelPower on 01296 395995 or e-mail

Entry forms can be completed and returned by post or email by Friday 16th May

We look forward to welcoming you to the Camp.

Stewart Jeeves

Sports Development Officer, WheelPower

March 2014

1

Please complete entry form and return by Friday 16th May to:

WheelPower – British Wheelchair Sport

Guttmann Road, Stoke Mandeville, Buckinghamshire HP21 9PP

Tel 01296 395995 Fax 01296 424171 Email

WheelPower – British Wheelchair Sport

In2 Sport Camp 31st May– 1st June 2014

Map of Aylesbury

  • A marks Stoke Mandeville Stadium
  • Please note that the train station located near the centre of the map is Aylesbury Station. The station northwest is Aylesbury Parkway Station.

Stoke Mandeville Stadium

Guttmann Road

Stoke Mandeville

Aylesbury

Buckinghamshire

HP21 9PP

Travelling to Stoke Mandeville Stadium by train

Please note that all stations shown are wheelchair accessible

  1. Aylesbury Station, Aylesbury, HP20 1RU
  • 8 minutes driving distance to Stoke Mandeville Stadium
  • A bus runs from the station to Stoke Mandeville Hospital, a 10 minute walk to Stoke Mandeville Stadium
  • Wheelchair accessible taxis: Hackney cabs

Please visit information on bus times from Aylesbury Rail Station to Stoke Mandeville Hospital.

  1. Aylesbury Vale Parkway, Aylesbury, HP18 0PS
  • 16 minutes driving distance to Stoke Mandeville Stadium
  • Wheelchair accessible taxis:

ABC Taxis – 01296 423232

Falcon Taxis – 01296 580000

Tiger Cabs – 01296 431412

Please visit for information on bus times from Aylesbury Vale Parkway to Stoke Mandeville Hospital (Please note that buses on this route may not all be wheelchair accessible).

  1. Milton Keynes Central, Milton Keynes, MK9 1LA
  • 40 minutes driving distance to Stoke Mandeville Stadium
  • The 150 bus run from MK Central to Aylesbury Bus Station, a 10 minutetaxi ride to Stoke Mandeville Stadium
  • Wheelchair accessible taxis:

Skyline Taxis – 01908 222111

Raffles – 01908 222222

Bill’s Minibuses – 01908 613000

Please visit information and accessibility for busesfrom MK Central to Aylesbury Bus Station.

Entry Form

Please complete LEGIBLY

Title: ______

First name: ______

Surname: ______

Address:______

______Post Code: ______

Telephone: ______D.O.B: ______Age: ______

Email: ______

Brief details of impairment:

Do you have any allergies / dietary requirements?

______

How did you hear about the WheelPower In2 Sport Camp?

What is your level of mobility when playing sport?

Ambulant Manual wheelchair Powered wheelchair

How regularly do you participate in disability sport?

At least once a week Monthly Fortnightly Never

Would you like to be kept informed about future WheelPower events? ______

Contact details of anyone accompanying you at the camp

Title: ______

First name: ______

Surname: ______

Address: ______

______Post Code: ______

Telephone: ______Mobile Number: ______

Email: ______

Do you have any allergies / dietary requirements?

______

Medical / Photo consent

GP’s Name: ______

GP’s Address: ______

______Post Code: ______

Telephone: ______

Do you give consent to receive emergency medical treatment?

Yes Signature: ______

Do you give consent for your photo to be used for promotional purposes?

Yes No

Any other information: ______

______

Sports at the In2 Sport Camp

Please tick the sports in which you would like to take part at the In2 Sport Camp:

*List of sports is provisional on 18thMarch 2014

1

Please complete entry form and return by Friday 16th May to:

WheelPower – British Wheelchair Sport

Guttmann Road, Stoke Mandeville, Buckinghamshire HP21 9PP

Tel 01296 395995 Fax 01296 424171 Email

WheelPower – British Wheelchair Sport

In2 Sport Camp 31st May– 1st June 2014

Archery

Athletics field

Snooker/Pool

Zone Hockey

Shooting

Tennis

Table tennis

Wheelchair racing

1

Please complete entry form and return by Friday 16th May to:

WheelPower – British Wheelchair Sport

Guttmann Road, Stoke Mandeville, Buckinghamshire HP21 9PP

Tel 01296 395995 Fax 01296 424171 Email

WheelPower – British Wheelchair Sport

In2 Sport Camp 31st May– 1st June 2014

Accommodation at the In2 Sport Camp

Do you require accommodation at the camp? ______

Date of arrival: ______/______/______

Date of departure:______/______/______

Name(s) for accommodation:

Special requirements:

Payment Form

Fees must be paid in full with the Entry Form and received by Friday 16th May 2014. Registration cannot be confirmed until payment has been received. Refunds cannot be issued unless 1 week’s notice of cancellation is received prior to the start of the event unless there are exceptional circumstances.

Cost / Amount / Total
Entry fee
*Price per person / Saturday and Sunday / £15.00
Saturday only / £9.00
Sunday only / £7.00
Accommodation & Meals
*Accommodation = price per room. Meals = price per person. / One night / £12.50
Two nights / £25.00
Breakfast (per meal) / £3.00
Dinner (per meal) / £5.00
Overall Total / £

Payment Options

  • Cheque / Postal Order made to WheelPower

Enclosed with this entry form is a cheque for £ ______

  • Credit / Debit card

Please complete the following in block capitals:

Card number: ______

Name on card: ______

Expiry date: ______Issue no: ______

Security code (last 3 digits below the magnetic strip): ______

Please debit my account £ sterling in payment

Signature: ______Date: ______

Thank you, we look forward to seeing you at the In2 Sport Camp 2014

1

Please complete entry form and return by Friday 16th May to:

WheelPower – British Wheelchair Sport

Guttmann Road, Stoke Mandeville, Buckinghamshire HP21 9PP

Tel 01296 395995 Fax 01296 424171 Email