The Family Olympics - Registration Form

The Family Olympics with Chelsea FC Foundation Tuesday 6 August.

An Olympics-inspired sports day and healthy living inspiration for families in Hammersmith, provided free by Chelsea FC Foundation. Collaboration with Livat Hammersmith.

Location: Lyric Square, King Street, London, W6 0QL.

By completing this registration form, you confirm that you: Consent to us collecting, processing and storing your special category data, that you have provided. Collection of this special category data is for health and safety purposes, as well as reporting on our Charitable impact.

Which Session would you like to sign up to?

Full Name*

First NameLast Name

Date of Birth*

Date

Identifying Gender*

Identifying Gender: Other

Ethnicity*

Ethnicity: Other

Participants Home Postcode*

Example: SW6 1HS

Key Contact Email Address*

Does the participant have any of the following physical or mental health conditions or illnesses lasting or expected to last 12 months or more? (please select all that apply)*

If you ticked any of the above, please provide details

Does the participant have any of the following medical conditions?*

If you ticked any of the above medical conditions, please provide details

The Family Olympics with Chelsea FC Foundation - Registration Form

Participant Information

Medical Information

Emergency Contact Details

Consent