Want to Join the Club?

Fit for All Club is a club for children and young people aged 4 to 18 years old that says no child or young person should be left out. We organise inclusive events and opportunities that welcome and involve:

• disabled children and young people, their siblings and families
• children and young people who are vulnerable for a number of other defined reasons
• children and families affected by child poverty.

Please enable JavaScript in your browser to complete this form.

Young Person's Name *

First

Last

Young Person's Date of Birth *

Young Person's Gender *— Select Choice —FemaleMaleOtherPrefer Not to Say

Ethnicity Mobile School

SEND Support and Making You Welcome *

Please tell us a bit about the SEND Support you get at school or relevant diagnoses. Are there things we need to do to make you feel welcome at Club events?

Tick those that apply: *

• Autism (ASC)
• Moderate Learning Difficulty
• Severe Learning Difficulty
• Profound and Multiple Learning Difficulty
• Social, Emotional and Mental Health Needs
• Speech, Language and Communication Needs
• Hearing Disability
• Visual Disability
• Multi-sensory Disability
• Physical Disability
• Other

Ethnicity *— Select Choice —White BritishPakistani or Pakistani BritishBlack Caribbean or Black BritishBlack African or Black BritishIndian or Indian BritishBangladeshi or Bangladeshi BritishArab or Arab BritishOther

We collect data on ethnicity so that we can show funders the range of young people that come.

Other Ethnicity

You can use the box above to describe your ethnicity in your own words.

Home Postcode *

Name of School (or Home Educated or Not in School) *

For a directory of schools see Birmingham City Council’s Directory of Schools

Are you entitled to Free School Meals *— Select Choice —Not sureYesNoNot in school education

For information see Birmingham City Council Free School Meals

Responsible Adult's Name *

Mobile Number *

Email Address *

Consent *

• I am the person with parental responsbility named above and I give my consent for my child to become a member of the Fit for All Club; for my child’s personal data to be used and stored by Childrens Quarter and DENS of Equality and organisations working with them to run the Fit for All Club and provide opportunities to young people who are members of the club; and for Fit for All Club to contact me about this and future opportunities. I understand that I can cancel this membership and withdraw this consent at any time; that I will be given a copy of the data held by the Fit for All Club that relates to my child; and that this data will be stored securely and processed and used responsibly.

Submit