Shape Up – NCL Emergency Services Registration Form

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At the Tottenham Hotspur Foundation we want our participants to have an enjoyable and safe experience with us. That's why it's very important for us to have clear and accurate information about people taking part. Please fill in the details below and take time to read the privacy notice and where we are asking for consent. 

For participants under 18, this form must be completed by a person with parental responsibility (legal authority) for them. 

PRIVACY NOTICE: This privacy notice tells you how we will use your information in line with the law and your rights. We collect personal information from you so that we can give you the services you have signed up for and to make sure that these services are run in a safe, fair and equal manner. We will keep your information secure and will not share data with anyone outside the Foundation unless requested by service providers and unless we are required to do so by law or to prevent abuse or harm. We will keep your personal information for the length of the course and a one year follow up period, after which we will anonymise so you can’t be identified any longer. 



You can read our full Privacy Notice - Click here

If you have any queries please contact us on foundation@tottenhamhotspur.com.

PARTICIPANT INFORMATION
MEDICAL DETAILS


CONSENT AND CODE OF CONDUCT
Image and case study consent

Images (photographs and/or video) may be taken on programmes and used to promote Tottenham Hotspur Foundation (The Foundation) or Tottenham Hotspur Football Club (The Club). Case study questionnaires or interviews may be conducted to celebrate achievements of the participants and demonstrate the positive impact of the Foundation and Club in the community.

These case studies and images may be used in internal reports and also appear in the public domain: in our printed publications (such as matchday programmes), on our website tottenhamhotspur.com, local or national media and used for other promotional material purposes by the Foundation and the Club.

All images will show participants in a positive manner. The Foundation will not permit case studies or images of participants to be used without their consent, or where appropriate, the consent of their parents or guardians.

Code of Conduct

Please read our Code of Conduct here.
EMERGENCY CONTACTS
EMERGENCY CONTACT 1 EMERGENCY CONTACT 2
Name
Relationship to Participant
Mobile
Alternative phone number

Feedback: If you have any comments or suggestions about our services, 

please email us at foundation@tottenhamhotspur.com. 

By doing this we will be able to continually improve our service.   



Safeguarding is Fundamental to the success of all that we do.

Tottenham Hotspur is committed to safeguarding children and adults at risk


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PHYSICAL READINESS
If you have answered YES to one or more questions:

You should consult your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

If you have answered NO to all questions:

It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels.
Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the 7 questions.

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ACTIVITY QUESTIONNAIRE
Question 1

Question 2

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If you have recently taken any of the measurements below, could you please complete, if not this will be taken by our coaches if possible at the session.
PARTICIPANT MEASUREMENTS
     Pre
Height (cm)           
Weight (kg)
Waist (cm)  
Hip (cm)  

THIS IS THE END OF THE QUESTIONNAIRE. THANK YOU FOR PARTICIPATING. 


PLEASE CLICK THE SUBMIT BUTTON BELOW. 

Contact Information