FUTURE CHAMPIONS APPLICATION FORM

INCREASING PARTICIPATION IN SPORT AND PHYSICALACTIVITY

COACHES, LEADERS AND VOLUNTEERS

THE LASTING LEGACY

PERFORMANCE SPORT

Tees Valley Sport is a Partnership comprising of five unitary authorities – Darlington, Hartlepool, Middlesbrough, Redcar & Cleveland and Stockton-on-Tees – national

governing bodies of sport, Sport England, sports coach UK, equity partners and further and higher education.

Our mission is “to improve the quality of life of all residents in the Tees Valley by increasing participation in sport and physical activity.”

FUTURE CHAMPIONS IS FOR ALL YOUNG PEOPLE AND WE ARE SEEKING APPLICATIONS FROM DISABLED AND

NON DISABLED PERFORMERS

Angling, Archery, Athletics, Badminton, Baseball / Softball, Basketball, Boccia, Bowls, Boxing, Canoeing, Cricket, Cycling, Equestrian, Fencing, Football, Goalball, Golf,

Gymnastics, Handball, Hockey, Judo, Lacrosse, Modern Pentathlon, Mountaineering, Movement and Dance,

Netball, Orienteering, Rounders, Rowing, Rugby League, Rugby Union, Sailing, Shooting, Snowsport, Squash,

Swimming, Table Tennis, Taekwondo, Tennis, Triathlon, Volleyball, Water Skiing, Weightlifting, Wrestling.

Unfortunately option 1 is currently not available in Hartlepool. Option 2 is available across all 5 districts in the Tees Valley.

Tees Valley Sport, Teesside University, Middlesbrough, Tees Valley TS1 3BA

T: 01642 342287 Web: www.teesvalleysport.co.uk Logo

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THE LASTING LEGACY

If you have ambitions to play your sport at the highest level Future Champions may be able to help you achieve your goal.

Working together, partners in the Tees Valley - national governing bodies of sport, Darlington, Hartlepool, Middlesbrough, Redcar and Cleveland and Stockton-on-Tees councils, Tees Active and Tees Valley Leisure trusts and Teesside University – want to help all young people achieve their sporting potential.

Future Champions aims to support athletes participating in regional and national squads, led by their sport’s national governing body. * Athletes currently receiving support from other programmes, for example, the world class programmes will not be supported.

Two options are provided

1 free or subsidised access to selected local sports facilities in Middlesbrough, Darlington, Stockton-on-Tees and Redcar and Cleveland

2 high quality support to enhance the physical development which underpins top class sport performance, delivered by Teesside University

Applicants can be considered for one or both options.

Applications can be made at any time and will be considered four times each year. The closing dates for applications are as follows;

30 September • 31 December 31 March • 30 June

Application process

• Athletecompletesapplicationform

• TeesValleySportseeksendorsementfromapplicant’s national governing body of sport

• Panelconsidersapplications

• Athletesinformedofdecision;including invitation to find out more about the performance support prior to final selection where relevant

For more information visit www.teesvalleysport.co.uk or telephone 01642 342287

* for eligible sports refer to the back of the leaflet

FUTURE CHAMPIONS

TEES VALLEY FUTURE CHAMPIONSThis form is to be completed by the athlete. Completing this form does not guarantee support.

1. PERSONAL INFORMATION

2. SPORTING DETAILS – Your application will need the support of your coach

3. ATHLETE DECLARATION

Applications to: Tees Valley Sport, Brittan Building, Teesside University TS1 3BA Applications close: 30th September - 31st December - 31st March - 30th June

Personal data provided will be stored in accordance with the Data Protection Act 1998

Surname: First Name:

Gender: Male Female Date of Birth:

Home Address:

Postcode:

Contact Number:

Email Address:

(If Under 18 please provide guardian details below)

Name: Relationship:

Contact Number:

Do you consider yourself as disabled? Yes No Please provide further information

Sport: Club:

Name of coach:

Tel:

Address:

Email:

Current performance level: Regional National Name of Squad:

Current support (please detail any support you currently receive in relation to your participation/training/competition)

What are your sporting goals?

Which option would you like to apply to: Option (1) Option (2) You can apply for either or both options.

Declaration (signature): Date:

Do you want to be a Champion?Are you aged 12 – 18 and live in the Tees Valley?Are you competing in your sport’s regional or national squad?