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Sports Database Data Entry Form

If you would like your club's details added to the Sussex Disability Sports Database, please fill in this online form, and click the Send button at the end. Completion of this form assumes that you give permission for your details to be published online.

Name of club or organisation

Address (including postcode)

Name of contact person (if appropriate)

Phone

Fax

Text phone

Email

Web address

Brief description of your activities or service

Geographical location of your activities

Whom does your club serve?
Open to all     Disabled people only     Mostly non-disabled people, but open to all     Mostly disabled people, but open to all     People with a specific disability     People of a specific age or gender     People living in a specific location

Venue address (if different from contact address)

What accessibility features does your venue have?
Level access throughout     Wide doorways     Wide corridors (minimum width 1.2m)     Accessible toilet     Lift with room for wheelchair     Ramps     Handrails     Stair lift     Loop system     Mixed changing rooms     Accessible shower     Brailled or large print information     Audible information     Sign language interpreter     Other specialist equipment, eg a hoist

Please give brief details of your sports activities (for instance a list of sports covered, specific activities for age groups, or special clubs)

Please indicate what level of support you can offer for a person with a physical difficulty (if no support is available go on to the next question)
High     Medium     Low

Please indicate what level of support you can offer for a person with a visual impairment (if no support is available go on to the next question)
High     Medium     Low

Please indicate what level of support you can offer for a person with a hearing difficulty (if no support is available go on to the next question)
High     Medium     Low

Please indicate what level of support you can offer for a person with a communication difficulty (if no support is available go on to the next question)
High     Medium     Low

Please indicate what level of support you can offer for a person with a learning difficulty (if no support is available go on to the next question)
High     Medium     Low

Please give brief details of your level of internal or external competitions, or occasional events (if any)

Please give details of specialist equipment available (if any)

Please give brief details of other services you offer, for example, coaching or training, sports advisory service, transport to and from events, equipment hire or sale

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