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Club Details

Activity Type

Club/Activity Name

Sports

Description

Genders Catered For

Min. Age

Max. Age

Running Times

Venue Name

Venue Address Line 1

Venue Address Line 2

Venue Town

Venue District

Venue County

Venue Postcode

Contact Details

URL

Facebook URL

Twitter Account

Contact Name

Contact Role

Contact Email

Contact Daytime Phone

Contact Evening Phone

Impairment Support

Lower Limb Impairments

Upper Limb Impairments

Manual Wheelchair Users

Power Wheelchair Users

Learning Disabilities

Autism/Asperger's

Hearing Impairments

Visual Impairments

Complex Needs

Actively Seeking Disabled Participants

Yes

No

Qualifications and Certifications

Club Mark/NGB Equiv.

EFDS Club Hub Completed?

Qualifications

Your Details

First Name

Last Name

Do NOT Contact

Yes

No

Phone

Email