Stepping Stone registration form
What is Stepping Stone?
Stepping stone is about supporting young people and adults with additional needs, to take part in sport. The aim is to help individuals gain entry to regular sporting activities as a participant through the provision of information support and/or financial aid. This will be achieved by working with individuals with additional needs directly or through supporting sports clubs to become more accessible.

What we can provide for individuals
• Information about what sports you could do
• Information about where you can go to do sport
• Funding for items such as uniform, equipment, membership and taster sessions (max £50 bursaries)
• Short term support to attend sessions (subject to volunteer availability)
• Specialist training offered to clubs and providers to support your needs

What is an additional need?
This could be a mental, physical or health related need. These can include but are not limited to:
• Long term health conditions e.g Chronic pain, arthritis, severe asthma or angina
• Physical impairments such as Cerebral Palsy, spinal injuries or amputations
• Sensory impairments
• Learning disabilities
• Autistic Spectrum disorder
• Behavioural difficulties e.g ADHD
• Mental Health issues  

Anyone with an additional need can access this service; all you have to do is register, by completing the form below. Your needs will then be discussed with you and support will be given where possible.
• You must be able to self certify your additional needs
• You must be able to commit to regularly attending a recognised sporting activity
• You must be able to demonstrate a commitment to self fund the activity in the long term
• We cannot fund individuals already accessing activities, unless they wish to take up a new role in the club. i.e a  participant becoming a coach (in which case there are other bursaries available)

To receive support you must agree to complete the monitoring information we send to you during your time with the project.

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Personal Details
Name *
Date of Birth *
Gender *
Ethnicity *
Address *
Contact number *
Email address *
Emergency Contact details *
Main contact name and relationship to the participant
Medical, disability / additional needs information
Type of disability/additional need? *
Please give us details of your impairment. *
Is there anything we need to be aware of that might affect your ability to participate in sporting activities?
i.e. medication, behaviour support, communication, mobility requirements etc. NB. We will pass this information on to the club for you so you only have to complete once
Sporting Interests
Do you currently take part in any sporting activity? *
If yes, please give details
If no, have you taken part in sport in the past, if so please give details  
What are your current challenges to taking part in a sporting activity?     *
What sporting activities would you like to take part in? *
How will you be involved in your chosen sport? *
Where are you willing to travel in order to participate? *
Required
What support do you think you need? *
Required
Why do you need this support? *
Do you have any exisiting support or disability allowance?
How did you hear about the project? *
Do you have any additional comments?
Would you like to subscribe to the monthly Living Sport Disability Sport Newsletter? *
Terms and conditions
Living Sport do not accept any liability for any incidents that may occur as a result of attendance at the sporting activity, this remains the responsibility of the sport provider and service user.
By providing the requested information, you consent to Living Sport to use your personal data. The information about you will be used to monitor the success of the Stepping Stone project and help us plan future activities. We will pass on statistical results to the Cambridgeshire Community Foundation and the funder John Stewart Memorial Fund and Healthy Fenland Fund but will ensure you cannot be identified from these statistics. To do this we will request attendance information from individuals and will ask for feedback and progress on your sporting activities, you will be required to complete this monitoring information when requested. We will also use your contact details to let you know about relevant activities and products that maybe of interest to you.
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