WheelPower SussexPrimary Sports Camp

Schools Entry Form

WheelPower – British Wheelchair Sport

Sussex ‘Feel Inspired’ Primary Sports Camp

Tuesday29th November 2016

WheelPower - British Wheelchair Sportwill be hosting a ‘Feel Inspired’ Primary Sports Camp at The Triangle, Triangle Way, Burgess Hill, West Sussex, RH15 8WA. Entry forms are attached. Completed forms should be returned by Tuesday 22nd November 2016.

The Primary Sports Camp is open to children with physical or mild sensory impairments between the ages of six and eleven years old. We shall also accept entry forms from those children who would not traditionally fit within ‘disability sport classification’ such as those with dyspraxia, epilepsy or some form of internal organ dysfunction or absence. The aim of this broader definition is to make some form of provision for those children who are unable to ‘fit in’ to mainstream PE/Sport Provision but who also do not qualify for disability provision. Entry to the camp is free.

All are welcome to attend the camp and coaches will attempt to include parents, teachers and escorts in the activities. Registration will commence at 10:30am and participants are asked to be prompt. The Camp will end at 2:30pm.

Activities will include: Boccia, Golf and Tennis with other sports to be confirmed.

Please return entry via email to or via post to the below address. If you require any further information please do not hesitate to contact WheelPower – British Wheelchair Sport on 01296 395995 or email

We look forward to welcoming you to the Camp.

Ed Pearse

Feel Inspired Events Officer, WheelPower

School Name:

Participant Details (Please use duplicate form for additional entries):

Name / DOB / T-Shirt Size (S,M, L, XL) / Photo consent / Impairment
Ambulant / Manual Wheelchair / Electric Wheelchair
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Names of members of staff attending:

Allergies:

Please indicate any participants or staff allergies

Conditions of Entry:

  1. I confirm that the information provided on the entry form is accurate.
  2. I confirm that we hold and will bring to the event medical consent records and emergency contact details for the named participants.
  3. I confirm that we hold permission for the named participants to receive any emergency treatment in the event of an accident.
  4. In the event of an accident I confirm that I will take responsibility for providing medical details and contacting the emergency contact.
  5. I confirm, unless indicated I have photo consent forparticipants for WheelPower to take photographs during the event and permit them to use the images for promotional purposes, including its website.

Signed / Date
Print Name / Position
Email / Contact number

Please complete entry forms and return by Tuesday 22nd November 2016 to:

WheelPower – British Wheelchair Sport

Guttmann Road, Stoke Mandeville, Buckinghamshire HP21 9PP

Tel 01296 395995 Fax 01296 424171