Register - Active Norfolk

Calling all coaches...
Please tick this box if you'd like to register with Active Norfolk as a coach today?

E-Mail address:

E-Mail confirmation:

Password:

Password confirmation:

These are the details you'll use whenever you login to Active Norfolk

Personal details

Title:

Firstname:

Lastname:

Gender:

Age:

Ethnicity:

Do you have disability:

Nature of disability:

Privacy:

Learning Support Requirements (DDA):

Facilities

Training

Other:

How did you hear about us:

In the past 4 weeks on how many days have you done 60 minutes sport and recreational physical activity outside of work or education when the effort was usually enough to raise your breathing rate? Include activities such as brisk walking or cycling:

These details are to help improve how we communicate with you and the services we provide for you and will only be used by Active Norfolk.

Your privacy

Your information is strictly confidential. We will find this personal data useful for monitoring the success of our programmes, to help us with planning future sports and activities and we would like to be able to send you details of any further sports opportunities that may be of interest. You may also be invited to take part in a survey conducted by consultants working on behalf of Sport England. We will collect and process all personal data in line with the Data Protection Act 1998. Please tick this box if you are happy for this to happen.

Are you happy for us to share your data with our partners (Local Authorities, National Governing Bodies of Sport, Norfolk School Sport Partnerships).

To complete your registration please type both the words you can see below, and separate the words with a space. If you cannot read both of them just type the one you can read.

The captcha system we use also offers an audio alternative for people with visual imparment. The audio file contains some words to input, please follow the instructions provided in the audio, and input the words you hear read out separated by a space.

If you cannot read the text in any of the images or hear the number clearly then click the refresh link to load a new captcha.