Active for Life Brighton & Hove Menu Container Image

Home
About Us
Latest News
Training & Resources
Health & Wellbeing
Clubs, Coaches & Volunteers

Quick Search

Search activity nearest to you:

Advanced Search

Registration Form

For help or advice, please contact - Active For Life (01273) 292724 Contact Us by email
Do you organise physical activity or sport in Brighton & Hove? Would you like more members, coaches or volunteers? Do you need training, funding or any other kind of help? Then let us know about it by taking part in the most comprehensive survey of physical activity and sport ever carried out in the City. Active For Life is funded by Brighton & Hove City Council and Brighton & Hove City Teaching Primary Care Trust to support local activity groups. As well as telling us how we can support you, the survey will result in the creation of an online community directory which is just one way that we aim to get more people, more active, more often. Inclusion in the database is completely free. You can choose whether details of your activity are kept Confidentially by Active For Life or are available to the general public. More information.

Please tell us about yourself and your activity by completing this form. * Please note fields marked with an asterisk (*) are required to submit the form.
Are you authorised to provide information about your group? * Yes No
If ‘No’, please get authorisation before continuing or ask someone who has the authority to complete this form. Thank you.
Please say whether or not you would like to be included in the on-line directory: *
Yes, I would like our group to be in the directory. I will use the check boxes to indicate which information may be made available publicly and which is to be kept Confidential. I understand that Brighton & Hove City Council and Primary Care Trust will handle all my information, both public and Confidential, in accordance with the Data Protection Act.
No, I do not wish our group to be included in the on-line directory. The information I provide is Confidential. It may be used only by Active For Life to plan and provide me with support in the form of training, information or advice. I understand that Brighton & Hove City Council and Primary Care Trust will handle all my information in accordance with the Data Protection Act.

Section One – Contact Details
What is the name that your group or sessions are known by? *

Is there anyone else that members of the public should contact to find out about your activities? If so, please provide their name and contact details here Leave blank if same as for main contact above
Name
Position
Address
Town/City
County
Post Code e.g. BN1 1NB
Tel No
Fax No
Mob No
Email


Section Two – About your group
What sport or physical activity do you offer? *
Please choose a general category (first 8 in list) or a specific category:
other (please specify)
Please provide a single sentence to introduce your sessions or group. This will appear under your group’s name if you have chosen to be in the directory.

Do you have a quote or recommendation from a previous participant? This will appear under your group’s name if you have chosen to be in the directory. For privacy, please change the name of the contributor. If a child has provided the quote, please indicate their age. (30 words maximum)

Details of main contact:
Name *			Public Confidential
Position

Address			Public Confidential
Town/City
County
Post Code * eg BN1 1NB

Tel No *			Public Confidential
Fax No

Mob No			Public Confidential

Email *			Public Confidential

Web Site


Section Three – About your participants
What is the age range of your participants (tick all that apply) 0-4 5-9 10-14 15-17 18-49 50-59 Over 60's	Public Confidential

Are your sessions: For everyone in the age group(s) you have specified. Specifically for people from particular backgrounds. If you run both types of session, please tick both boxes.	Public Confidential
If any or all of your sessions are for people from particular backgrounds please select these from the list below.
(tick all that apply) Girls/women Boys/men Older people People from black and minority ethnic groups People with disabilities Unemployed adults Specific neighbourhood(s) or residential area(s) (please specify) Refugees or asylum seekers People who are lesbian, gay, bisexual or transgender Low income families People with a history of drug or alcohol dependency Young people at risk of exclusion Ex-offenders People who are overweight or obese People with cardio-vascular disorders People recovering from stroke People with mental health problems People who have sedentary lifestyles other (please specify)


Section Four – About your sessions
Do you use a single or multiple venues?
Single Venue If you select 'Single Venue' then please enter the address, including post code, below. Multiple Venues If you select 'Multiple Venues' then please leave the address section blank.

Address	Public Confidential
Town/City
County
Post Code e.g. BN1 1NB

When do your sessions take place? Are you an afterschool club? Yes No Are you a holiday scheme? Yes No Are your sessions: By arrangement i.e. people should contact you for details? A combination of regular and arranged sessions? At regular times?

If your sessions are regular, please enter times/days/months below. (If your sessions are by arrangement, please leave this section blank). Morning Afternoon Evening If you can give specific times, please do so: Monday Tuesday Wednesday Thursday Friday Saturday Sunday All year round Seasonal (please give details below)	Public Confidential

Which of the following are available at your activity venue? Bike stands Bus stop - please give route number(s) if known - Free on-road parking Free off-road parking Voucher / Pay display parking Creche Cafe/Refreshments

Please select one of the following statements to tell people how to get involved: Prior booking required. Contact for details. Drop in at any session.	Public Confidential

Do people pay to take part? Yes No If yes, please provide details of membership and/or charges, including any discounts or concessions you offer:

Please provide details of access to your sessions for people with disabilities: e.g. transport arrangements, toilets, access ramps, hearing loop, large print leaflets, audiotapes, volunteer assistance etc. Would you be happy for someone to contact you to discuss his or her particular needs? Yes No	Public Confidential


The information in the following sections will not appear in the directory. The answers you give us will help us find out what providers of sport and activity in Brighton & Hove need, so we can respond accordingly.
Do you have a quality mark or have you been inspected according to any recognised standards in your particular sport or activity? Yes No If yes, please provide details:
In what year was your group formed? (please give full year e.g. 1998)
Are you: (tick all that apply) self-employed, a sole trader or partnership? a club, association or community group? a registered charity? a limited company? a public sector service? other (please specify)
If you work with young people or vulnerable adults, please tell us for which staff you carry out CRB checks? all staff, including those not directly involved in activities all activity staff only activity staff who work without direct supervision other (please specify)
Please tell us about each of the following in relation to your group:
	In place	Would like info	Would like training
Child Protection Policy
Coaching Courses
CRB Checks
Development plan
Employment Contracts
Equal Opportunities Policy
First Aid Training
Fund Raising
Health & Safety Policy
Liability Insurance
Management Committee
Monitoring & Evaluation
Own website
Partnerships
Publicity
Quality Marks
Is there any other area in which you would like advice or training?
Getting useful partnerships up and running and letting people know about ‘free stuff’ are also things that Active For Life can do. Please look at the list below and, in each case, tell us whether you already know about it or would like some information.
		Know about it	Information please
Active Sports
Awards for All (Lottery small grants scheme)
Brighton & Hove Business Community Partnership
Brighton & Hove City Council Community Sports Development Team
Brighton & Hove City Council Grants & Voluntary Sector Support
Brighton & Hove City Primary Care Trust Health Promotion Team
Brighton & Hove Community & Voluntary Sector Forum
Brighton & Hove Cycling & Walking Strategy
Brighton & Hove Resource Centre
Brighton & Hove School Travel Plan
Brighton & Hove Volunteer Bureau
Brighton and Hove Millennium Volunteers
Green Gym
Health Walks
Positive Activities for Young People
Working Together Project (training providers)
Scarman Trust
Sussex Sports Partnership
How do people find out about your sessions? Please tick all that apply, then say which one most people use:
Word of mouth
Local newspaper or magazine			Which one?
Yellow Pages/Thomson's
Internet
Community Newsletter
Leaflets/Posters at venue
Active For Life printed directory
Other		(Please specify)
Most people find out about us by:
Thank you very much for your time filling in this form. Please take a moment to check your answers before submitting the form.

Quick Search

Registration Form

Please tell us about yourself and your activity by completing this form.

Section One – Contact Details

Section Two – About your group

Section Three – About your participants

Section Four – About your sessions

The information in the following sections will not appear in the directory. The answers you give us will help us find out what providers of sport and activity in Brighton & Hove need, so we can respond accordingly.

Thank you very much for your time filling in this form. Please take a moment to check your answers before submitting the form.

The information in the following sections will not appear in the directory.
The answers you give us will help us find out what providers of sport and activity in Brighton & Hove need, so we can respond accordingly.

Thank you very much for your time filling in this form.
Please take a moment to check your answers before submitting the form.