Disability Junior Championship Registration

This form should be completed by the parent and/or legal guardian of the child with a physical disability.

One form should be completed per child.

If you are not sure about any aspects of the form, please contact play@empowerbadminton.org.

Once we have received the form, one of the regional disability coaches will contact you.

DJNC 2024 registration

About parent and/or legal guardian

First name

Last name

Confirm Email

Please re-type email to confirm accuracy

Mobile

Please provide is UK mobile phone number WITHOUT country code +44

Home Address

Address line 1

Address line 2

City

County

Post code

Taster sessions

Which taster session would the player be attending?

Sun 18 Feb 2024 - 12pm to 2pm - Mark Hall Sports Centre, London Rd, Harlow, CM17 9LX

Sat 24 Feb 2024 - 6pm to 8pm - Wimbledon Racquets & Fitness Club, Cranbrook Road, London, SW19 4HD

Sun 3 Mar 2024 - 2pm to 4pm - St Helen’s School, Green Lane, Northwood, HA6 1AF

Sat 9 Mar 2024 - 10am to 12pm - The King's School Recreation Centre, 1 St Stephen's Rd, Canterbury CT2 7HU

Empowerment Day - Sun 21 Apr 2024 - 11am to 3pm - Barnet Copthall Leisure Centre, Champions Way, London NW4 1PX

Select as many sessions as you would like to attend. The session are free to attend.

About the player (aged 9 to 16 years)

Child first name

Child last name

Child Date of Birth

Child gender

Child badminton ability

Name of school attended

School year

Does your child currently play badminton?

Where do they play badminton?

T-shirt size

About player impairment/disability

Para badminton sports classification

Is the player a wheelchair user?

In a few words, please describe the player's impairment/disability?

0 of 500 max words

In a few words, please describe any medication the player's currently takes.

0 of 500 max words

Does the player have a carer?

Carer first name

Carer last name

Carer email

Carer mobile number

Please provide UK mobile phone number WITHOUT country code +44

(Optional) Equality and Diversity question

What is their ethnic group?

Disclaimer

Please confirm you understand that the player details provided are accurate and that by registering an interest to play in the 2024 championships DOES NOT guarantee a place in the Championship.

Yes

Please confirm you understand that data will be shared with Badminton England, in order to organise and run these championships.

Yes

If you are human, leave this field blank.