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Add your Club to the Energize Club Directory

To add your club to the Energize Club Directory please complete the 3 simple steps below. Once completed, please either email this form to energize@shropshire.gov.uk or post it to: Energize Club Directory, Sport & Recreation, Shirehall, Abbey Foregate, Shrewsbury, Shropshire, SY2 6ND. Energize will review for approval before putting your details on to the Club Directory.

* Questions with an asterisk beside them indicate data which will be displayed on the website. Please provide as much detail about your club as possible. Responses to the other questions will help us in our work and this data will not be shown on the website.


Step 1 - General Information About Your Club


Club Name: *

What sport or activity does your club offer?: *

Where is your club based: *

Address: *
 

Town: *

Postcode: *

Website Address: *
http://

Age Groups Catered For: *
(e.g. 10-30 )

 year olds

When do you train/meet *
Days (tick any that apply):

Mon   Tues   Wed   Thurs   Fri   Sat   Sun

Times of Sessions: *
(e.g. 8am - 8pm)

Match Days: *
(e.g. Sunday)

Is your club able to cater for participants with specific requirements? e.g. physical impairment, learning disability or difficulty?: *

 Yes   No
If yes, please specify

Is your club accredited? *

 Yes   No
Please enter the name of your accreditation:
   

Step 2 - Membership


Who do new members need to get in contact with? *

Name:
Number
Email

Are there any membership fees? *

Membership Fees:

How many members does your club currently have?

Approximately how many members are children? (16 and under)

How many members are male and how many are female?

Male:
Female:

Do any of your members have a physical or learning disability? If yes, how many?

Do you have any members of a Black or Ethnic minority origin? If yes, how many?

Do you have any capacity for more members to join? If yes, please state approximate numbers?

Junior (16 and under):
Adult:

Step 3 - Events

Do you run sporting events or activities that are open to a wider public, who are not necessarily members of your club?

 Yes   No

If yes to the above, could you provide details and dates so that we could help advertise your event?

If there is any additional information you would like to provide about your club, please detail. *

Step 4 - Update Method

Thank you for completing this questionnaire. To enable us to keep your club details up to date, what would be your preffered method of communication with us as a partnership? Please tick one or more of the methods below.

A: We will send an email to a nominated person from your club every 3 months requesting confirmation about current details.
B: We will send a letter to a nominated person from your club every 3 months requesting confirmation of current details.
C: When details about your club alter, someone from your club will be responsible for contacting us.
D: Using the club login system, your club can log on and update their own details.
   

Step 5 - Newsletter

Please tick here if you would like to receive the weekly Energize e-newsletter