IRF

«Firstname»«Surname»Player Id No: «Player_ID»

EQUALITY MONITORING

BWB is committed to making our services accessible to all. This will be accomplished by upholding the principles of equality in all aspects of our work. We will audit and monitor our business activities regularly, and take appropriate steps if it appears that our commitment to equality is not being delivered effectively.

Your cooperation in helping us to gather this monitoring information will greatly aid our efforts to ensure that all staff (paid and unpaid) / board / ambassadors/ service users are treated fairly regardless of age, race, disability, sex, sexual orientation, religion or belief, gender reassignment, marital status or civil partnership and those on maternity.

Without this data, it will not be possible to identify any current areas of under-representation or potential inequalities, and as such, it will make it much more difficult for us to tackle these issues.

This work is being carried out as part of our responsibilities under the Equality Act 2010 and as part of the accreditation process for the Equality Standard for Sport.

How your personal information will be treated

Responses will be treated in the strictest confidence, in line with the principles of the Data Protection Act 1998. This means that:

How your personal information will be treated

  • Your information will be stored securely with restricted access;
  • Information will be combined in the form of summary reports which will be reported to our board and published on our website.

Caring Responsibility

Are you the primary caregiver to a child or children, or other dependents including disabled, elderly or sick adults?

Description / Tick / Description / Tick
Yes / No
I would prefer not to answer this question

Disability

The Equality Act 2010 defines disability as:

“A person has a disability if she/he has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities.”

Do you consider yourself to be disabled:

Description / Tick / Description / Tick
Yes / No
I would prefer not to answer this question

If so, please identify the nature of your disability:

Description / Tick / Description / Tick
Auditory impairment or partial hearing loss / Mental health condition
Visual impairment or partial sight loss / Long term illness
Learning Disability / Other – Please write
Developmental disorder
Physical disability
I would prefer not to answer this question

Ethnic Group - Please indicate your ethnic group by ticking one of the boxes below

White
Tick / Tick
Scottish / Welsh
Irish / English
Other British / Gypsy Traveller
Polish / Any other white ethic group, please write in:
Mixed or multiple ethnic origin, please write in
Asian, or Asian British
Tick / Tick
Pakistani or Pakistani British / Indian or Indian British
Bangladeshi or Bangladeshi British / Chinese or Chinese British
Other, please write in:
African
Tick / Tick
African or African British / Other, please write in
Caribbean or Black
Tick / Tick
Caribbean or Caribbean British / Black or Black British
Other, please write in:
Other Ethnic Group
Tick / Tick
Arab or Arab British / Other, please write in:
I would prefer not to answer this question

Religion or belief

What religion, religious denomination or body do you belong to:

Description / Tick / Description / Tick
None / Church of England
Roman Catholic / Other Christian, please write in
Muslim / Buddhist
Sikh / Jewish
Hindu / Other religion or body, please write in
I would prefer not to answer this question

How would you identify your gender

Gender
Tick / Tick
Male / Female
I would prefer not to answer this question

Have you ever been identified as transgender:

Transgender
Tick / Tick
Yes / No
I would prefer not to answer this question

Sexual orientation:

Sexual Orientation
Tick / Tick
Bisexual / Gay Man
Gay Woman/Lesbian / Heterosexual/Straight
Other please write in
I would prefer not to answer this question

Additional Information – You may want to indicate whether you represent any of the following characteristics

Additional Information
Tick / Tick
Marriage and Civil partnership / Maternity
Pregnancy and breastfeeding status

JUNIOR LEAGUE INDIVIDUAL REGISTRATION FORM

SEASON 2013/2014

PERSONAL INFORMATION
Data Held on BWB Database
(If there is information missing in this column or it is incorrect please write your additions/correction in the Amendments column). / AMENDMENTS
(Please write your additions/corrections in this column)
Name:
Address:
Date of Birth: / (please note the format
month, day, year) / Month ...... Day ...... Year ......
Nationality:
Country of Birth:
Tel. No. – Home
Tel. No. – Mobile
Tel. No. – Work
Preferred Email Address:
Gender:
Junior League Club:
Classification:
Disability:
To be completed by New Players Only / “I confirm that I have never been previously registered by a club to play in any BWB organised competition”.
Signed …………………………………………….. Name Block Capitals …………………………………….
PLEASE MAKE SURE THAT YOU EITHER ATTACH A PASSPORT PHOTO TO THIS FORM OR YOU EMAIL AN ELECTRONIC JPG PHOTO TO () THIS IS TO ENABLE AN ID CARD TO BE PROCESSED FOR YOU

Declaration - I agree to play for above club during the 2013/2014 Season

Member / Witness
Signature / Signature:
Print Name: / Print Name:
Date: / Date:
ADDITIONAL INFORMATION
*Please note, failure to fill in this information will result in you not being appropriately insured/not approved to fulfil the role. Qualification information must be completed in order for your insurance and ID card to be processed.
Role / Yes/No / Qualification (Please Tick)
Referee / Level
1 / Level 2 / Level 3 / IWBF Zone / IWBF
Table Official / Level
1 / Level 2 / Level 3
Statistician / N/A
Coach / Grade 2
Assistant Coach / Grade 1
MEMBERSHIP FEE DETAILS
Details
Junior (Under 19 on 31/12/13) / Fee / Please tick the category that applies to you
Junior League Only / £15
Junior already registered in NL / £10

PLEASE RETURN THIS FORMTO YOUR CLUB SECRETARY WHO WILL FORWARD IT ON TO THE BWB.

Players who were registered with a club to play in the Junior League in the 2012-2013 season must be registered for a club by the Friday May 17th 2013. Failure to register by this date will result in the player not being eligible to play in the first two games following their registration. Players who have not been registered in the league before may sign up at any time without penalty. Please allow at least two weeks for processing licenses (Player Id Cards).

A player or guardian signing this form accepts that the player submits to the rules, policies and regulations of the BWB. Please note this also commits athletes over the age of 16 to the anti doping programme of the BWB. Please see the BWB website ( for more information.

NO PLAYER MAY PLAY IN THE LEAGUE WITHOUT POSSESSION OF A VALID LICENSE!

The confidentiality of member information is of paramount importance to the BWB. To this end, BWB fully complies with Data Protection Legislation and Medical Confidentiality Guidelines. Information held will only be used for the promotion of wheelchair basketball. All personal information held on record by the BWB will not be disclosed to any third party without first obtaining approval from the member.

Players signing this form agree to allow photographic images to be taken of them playing wheelchair basketball, which may be used for the sole purpose of promoting the sport. Appropriate safeguards will be taken to ensure that any photographer employed by the Association for this purpose is suitably accredited.

If you do not wish to receive promotional material from our partners or sponsors please tick this box

17 September 2018 - Pg 1 of 5

d/ci/r/r2012-2013/ IRF JL 2012 2013 Mailmerge - «CLUB»