Our Tennis for Mental Health and Wellbeing sessions take place in parks across Bristol.

The sessions are open to adults experiencing mental health conditions.
Carers/support workers are welcome to attend to support their participants.

Sessions are free of charge to attend but you must book a place on the session each week so that we know you are coming. Each session is led by a tennis coach who will support you with different fun tennis activities.

All equipment is provided so we recommend you just need to turn up with a pair of comfy trainers and a drink.

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* 1. Which park are you going to?

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* 2. PLAYERS DETAILS
First name of player

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* 3. Last name of player

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* 4. Email address of player

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* 5. Phone number of player

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* 6. Date of birth of player

Date

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* 7. Gender of player

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* 8. Address of player

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* 9. Emergency contact - Name

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* 10. Emergency contact - Relationship to participant

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* 11. Emergency contact - Phone number

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* 12. CARER, SUPPORT WORKER, ETC DETAILS

First name

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* 13. Last name

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* 14. Email address

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* 15. Phone number

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* 16. Medical information of player
Please select your mental health condition(s)

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* 17. Please explain any specific requirements the player has (If none, please write NA)

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* 18. Does the have any other medical conditions?

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* 19. If Yes, which medical conditions? (If no, write NA)

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* 20. Readiness for exercise of player
Has your doctor ever said you have a heart condition?

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* 21. Do you feel pain in your chest when you do physical activity? *

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* 22. Do you ever lose balance because of dizziness or ever lose consciousness? *

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* 23. In the past month, have you had pain in your chest when NOT doing physical activity? *

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* 24. Do you have bone/joint problems that could be worsened by a change in physical activity?

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* 25. I understand that if I answered YES to any of the above ‘Readiness For Exercise’ questions, I must seek medical advice before I attend a Wesport Mental Wellbeing Tennis activity. I agree I am taking part at my own risk and will update Wesport if there is any change in my health condition/s.

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* 26. Date - Activity Declaration

Date

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* 27. Ethnicity Monitoring Form of players
The following sets out categories for monitoring ethnicity. We ask you to respond to this information as it will help us ensure that our policies and practices do not inadvertently discriminate against you because of your ethnicity. Wesport aims to ensure they reach out to a diverse population and include them in sports sessions (or as employees, coaches if applicable). Please choose the ethnicity which best describes you from the drop-down list

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