This registration form requires that JavaScript is enabled in your browser! Please enable JavaScript in your browser, or switch to a compatible web browser, so you can use the registration form. For more information on how to resolve this problem, see Google Help Parkinson's Walking Football PLEASE NOTE: Payments are temporarily offline, please revisit later to complete your booking Mondays3.00pm-4.00pm (followed by a cuppa and a chat in the café)Sessions will commence on 14th October 2024 and run weekly until 24th March 2025Free sessions, free parking and easily accessible facilityParticipant will require astroturf trainers or football bootsThe walking football programme for people with Parkinson’s disease provides a safe space for physical activity, socialising and receiving support. The sessions are also open to those who support people living with Parkinson’s disease. It is for adults of all ages and abilities and will cater to individual needs. It will provide a fun and effective session for people to exercise in a controlled environment, facilitated by health & wellbeing coaches. Location Cefn Hengoed Leisure Centre (Indoor Barn & Café) Cefn Hengoed Road, Bon-y-maen Swansea SA1 7JF Get Directions Contact Details Robin O'Brien [email protected] Online Booking Form First Name * Last Name * Contact Number * Email Address * Address 1 * Town * County * Postcode * Date of birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 * Ethnicity White - Welsh/English/Scottish/Northern Irish/British White - Irish White - Eastern European White - Other Black/African/Caribbean/Black British - African Black/African/Caribbean/Black British - Caribbean Black/African/Caribbean/Black British - Other Asian/Asian British - Indian Asian/Asian British - Pakistani Asian/Asian British - Chinese Asian/Asian British - Bangladeshi Asian/Asian British - Other Mixed/multiple ethnic groups - White and Asian Mixed/multiple ethnic groups - White and Black African Mixed/multiple ethnic groups - White and Black Caribbean Mixed/multiple ethnic groups - Other Other ethnic group - Other * Gender Male Female Prefer not to say Other * Disability Yes No * Does you suffer from any medical conditions/allergies that the Foundation staff should be aware of, including any current medication? Yes No * Please use the space below to state if you require any extra support at the session and how we could do this: Emergency Contact Name * Emergency Contact Number * Second Emergency Contact Name * Second Emergency Contact Number * I consent to Swansea City AFC Foundation / Swansea City AFC taking and using photographs / video of me for the purposes of publicising the Foundation's projects or for use as part of a report to funders. Tick the box if you want your details to be added to the mailing list to receive marketing information from the Swansea City AFC/Swansea City AFC Foundation such as information about tickets, merchandise, future soccer camps and other general news. I consent to Swansea City AFC Foundations Privacy Notice & Code of Conduct * I accept the Terms and Conditions and Privacy Policy of Participant UK Ltd. (Participant UK Ltd provide the booking and payment platform to this organisation). * Once registered, you will receive a confirmation email with further information (might go to junk folder).Please Note: The Swans Foundation or associated organisers accept no responsibility for loss, damage or injury caused by or during attendance on any of the clubs organised activities except where such loss, damage or injury can be shown to result directly from the negligence of the Club or the Organisers. Participants are required to take responsibility for their own belongings, any loss or damage of property will not be covered by the Swans Foundation. × Off