Application Form, KS3 EBD Leadership Event

This event is for young people in KS3, identified as having emotional or behavioural challenges, who are taking their first steps into sports leadership in their high school. They should be accompanied by an adult who has been identified to continue to work with them on their leadership activity until the end of the year

School:

School Sport Partnership:

William Beamont SSPLymm SSPSandbach SSPCrewe and Nantwich SSPMacclesfield SSPVale Royal SSPEllesmere Port SSPChester SSP

Names of pupils attending (max 2):
1.
2.

Please confirm whether you have received permission for your students to have their photograph taken at our events:
YesNonot yet, but will have by the date of the event

Accompanying Staff Name (required)

Staff Contact Email (required)

Staff Contact Number (required)

Does anyone attending have any dietary, access or other specific needs?