Please complete the form below to apply for the 2021 Everyone Active Sporting Champions scheme.

CONTACT DETAILS
Title:

First Name:*

Last Name:*

Company:

Address 1:*

Address 2:

City/Town:*

County:

Postcode:*

Country:
Email Address:*

Mobile Number:*

Daytime Phone Number:

Date of Birth:*

Parent email address:*

 
Gender:*

Please select the sponsorship tier you're applying for:*
SPORTING ACHIEVEMENTS


What is your sporting discipline?
*

Which Everyone Active centre would you be intending to use?*

Are you an existing Everyone Active member?*
What are your sporting achievements (max. 200 words)?*

What are your sporting aspirations (max. 200 words)?*

How would you promote the Everyone Active Sporting Champions scheme (max. 200 words)?*

Please give examples of how you have supported your training facility in the past (max. 200 words):*

Have you been on the Everyone Active Sporting Champions scheme before?*
If you are successful in your application, we would like to post a biography for you on our website. Please provide a headshot image here:
Please provide your biography here (max. 100 words):

SOCIAL MEDIA

Your Instagram username:

Your number of Instagram followers:

Your Twitter username:

Your number of Twitter followers:

 
*
You may be able to access additional funding and support through schemes offered by your local council. In order for us to put you forward for these schemes, we need permission to share the information in your application. Everyone Active will manage your data securely and in accordance with all relevant Data Protection laws. We will use your data for managing the services we provide. Full details of how we manage your data can be found in our privacy policy at everyoneactive.com/privacypolicy. If you are happy for us to process your data please tick here.

Click here to view the scheme's Terms & Conditions.
Click here to view Everyone Active's Privacy Policy.