Name of child *

First Name

Last Name

What level of football does your child play? *

Please select all relevant options

School

Grass roots

Elite

Academy

How many times a week does your child train / play football? *

once

Twice

Three times

Four times

Do you consider yourself to have a disability? *

Yes

No

Please select all the following options where you personally consent for your child's pictures and video clips to appear on / in: *

I don't consent

On the BiG C.I.C. website

On the BiG C.I.C. instagram

On the BiG C.I.C. Twitter

On the BiG C.I.C. Facebook

On the BiG C.I.C. Youtube Channel

On the BiG C.I.C. TiKTok

In BiG C.I.C. promotion material

In BiG C.I.C. training material

All the above

Please also detail below any important information that BiG needs to be aware of to make your experience engaging in the Ball Manipulation Workout session the best it can be

Visual impairment

Hearing impairment

Physical disability

Learning disability

Multiple disability

Other