PLYMOUTH SPORTS CLUBS DATABASE. 4. Main Contact Names Chair/Main Contact Secretary Treasurer Name Address

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1 PLYMOUTH SPORTS CLUBS DATABASE 1. Sport 2. Name of your Club 3. Club Website Address 4. Main Contact Names Chair/Main Contact Secretary Treasurer Name Address Postcode Home Number Work Number Mobile Number Please indicate which persons details you wish to displayed on our website 5. Training Venue Name of Venue Space used eg sports hall, gym, dance studio, astro etc Address Post code Telephone 6. What days and times do you meet? Can you specify which sessions, if any, are open to beginners, are junior only or adult only etc. Please feel free to forward any information/promotion literature in lieu of this section. 7. How much does it cost to be a member? Annual Weekly Monthly other

2 8. Are there any other costs? 9. Is your club funded in any other ways? E.g. grant aid or sponsors etc. 10. Does your club play in any leagues and competitions, if so please give details 11. Current Membership Details Does your club session(s) include activities for Under 8 s Mixed Junior Boys 8-11 years Junior Boys years Junior Girls 8-11 years Junior Girls years Junior Disabled 8-11years Junior Disabled years Men years Women years Disabled years Men 56+ Women 56+ Disabled 56+ Number of current participants 12. Please state your current membership numbers per Ethnic Origins A Asian B Asian British C Black D Black British E Chinese F Other G White H Mixed I Unknown

3 13. Number of current members from each post code (approximate numbers) PL1 PL2 PL3 PL4 PL5 PL6 PL7 PL8 PL9 other 0-18 yrs Have your club been involved in any of the following Sports Development Unit initiatives (please tick) A Holiday Coaching Schemes B Local Public Service Agreement (LPSA) C Devon Youth Games D Central venue Schools League E Annual Football and Netball Competition F Sports Bug G Special Schools Games H Plymouth City Council Sport & Recreational Grant Aid Scheme I Plymouth City Council Club Accreditation Scheme J New Opportunities Fund (NOF) PE & Sport Initiatives 15. We are interested to know if your club is involved with any other organisations eg School Sports Co-ordinators, Plymouth Sports Forum, etc if so please give details below 16. Has your junior section increased because of this involvement If yes approximately how many juniors have joined your club as a direct result of these initiatives 17. Is your club looking for new members (please tick which age groups) 8-11years 12-18years 19-55years Is your club interested in delivering a coaching programme in local schools 18 a Would you be interested in forging closer links with local schools to the mutual benefit of both the club and the school(s) If you answer yes to questions 18 and 18a we will consider this to be consent for a member of the Sports Development Team or a colleague from the School Sports Partnership Team to make contact with you in the near future to discuss further opportunities.

4 The following questions below have been designed to aid your club in assessing current practice and identifying areas for possible support. 19. If achieved, what date did your club achieve the following Plymouth City Council s Good Practice Accreditation Plymouth City Council s Club Development Accreditation National Governing Body Accreditation Other, please state If you have answered yes to any of the above please continue to number 21 everyone else please continue. 20. Does your club have the following? A A club constitution B A club committee C A club bank account D Relevant insurances E An equity policy F A code of conduct for all coaches, officials, volunteers and players G Affiliation to your National Governing Body (if so please state full name of NGB) H Suitably qualified coaches relevant to the ages and playing standard within your club I An appointed child protection officer(s) J Child Protection policy and procedures K A procedure for checking the suitability of adults left in charge of children via the Criminal Records Bureau L A Qualified First Aid Person present during all activities M Registration forms for all young people including contact details of parents/carers, emergency contact numbers and medical details including a Data Protection Statement N A club welcome letter 21. Do you have a Club Development plan? Yes No If yes please enclose a copy 22. Would you like more information / advice on achieving our Club Accreditation Scheme? Yes No

5 Please share any additional information that you feel is relevant here: Please include any barriers you have encountered in trying to increase the membership numbers at your club and any issues you feel we might be able to help you with. The information you have provided will be stored on Plymouth City Council s Sports Development Unit Sports Club Data Base, and your clubs name and contact details will also be listed on Plymouth City Council s website with a link to your club s/organisation s own website (should you have one). By signing this form you are consenting to the Council using the information which you have supplied in the manner stated above. The data controller for Plymouth City Council is the: Head of Legal Services, Civic Centre, Plymouth PL1 2AA. Signed Date Name please print Please return in the enclosed envelope to: Stuart Dudley Sports Development Unit, Culture, Sport and Leisure, Community Services Plymouth City Council, PL1 2AA

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