Share Your Story

Your Details

Name *

Address

Email *

Home Telephone

Mobile Telephone

Tell us about you

Please give us a brief background of your disability.
How did your disability come about?

Q1 - Please give us a brief background of your disability. How did your disability come about? *

How did you come to hear about WheelPower and the activities we offer?

Q2 - How did you come to hear about WheelPower and the activities we offer? *

Please let us know which WheelPower events you have attended

Q3 - Please tick which sports event(s) you took part in this year (if any): Other...

What did you enjoy most about the WheelPower Sports Event / Course(s) / Fundraising event?
How do these activities make you feel?

Q4 - What did you enjoy most about the WheelPower Sports Camps / Course(s) / Fundraising event? How do these activities make you feel?

Why do you think that it’s important to take part in sport and physical activity?

Q5A - Why do you think that it’s important to take part in sport and physical activity? *

What are your goals/dreams for the future?

Q6A - What are your goals/dreams for the future? *

Has the WheelPower sports or fundraising event helped you develop any skills (e.g. confidence, team work etc) or provided you with opportunities which may help you achieve your goals in future?

Q7A - How do you think WheelPower and the sports camp(s) / course(s) / fundraising event you have attended will be able to assist you in developing any skills (e.g. confidence, team work etc) or provide you with opportunities which may help you achieve your goals in future?

What message do you want to pass on to other disabled people who are nervous or worried about becoming more physically active?

Q8A - What message do you want to pass on to other children/adults who have a disability and who are nervous/worried about taking part in sport or physical activity?

Keep in touch

Your support transforms lives, and we’d love to keep you posted with our news, events, activities and appeals. Your details will only be used by WheelPower – we will never give your information to other organisations to use for their own purposes. You are free to change your mind at any time.

Please tell us if you would be happy for us to contact you:

By Email

By Phone

By Text

Your privacy

We take your privacy seriously and will never sell or swap your details with third parties. We’ll only use your data to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. You can withdraw your consent to be contacted at any time by calling 01296 395995 or by emailing info@wheelpower.org.uk. Information about how we protect and use your personal data is set out in our privacy policy at wheelpower.org.uk/privacy

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