EBD Leadership Event

Please use the form below to apply for places on this Leadership Event for young people with EBD challenges.

Day – 19th July; Time – 9am til 230pm; Venue – William Beamont CHS, Long Lane, Orford, Warrington, WA2 8PX

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 from September. Please note the deadline for applications is 5th July.

School:

School Sport Partnership:

Complete the table below with your pupil information. If you have more than 5 pupils, please complete a second form.

Firstname	Surname	Age	Pupil Needs	Dietary	Other info

Please confirm whether you have received permission for your students to have their photograph taken at our events:

Accompanying Staff Name (required)

Staff Contact Email (required)

Staff Contact Number (required)

Is there any other information about those attending we need to be aware of?

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