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Search
Park Makers Form
"
*
" indicates required fields
Do you want to apply to the 'Park Makers' scheme?
*
Yes
No
SECTION 1: About you and your Organisation
Name of Organisation
*
Are you
*
Profit
Non for Profit
Are you/your organisation a...
*
Personal Trainer
Community/Voluntary Organisation
Private Organisation
What group size do you deliver to?
*
1 to 1 sessions
Small Group Sessions (2 – 12 people)
Large Groups Sessions (13+ people)
How many instructors do you have?
*
Please select from the dropdown
None
1
2
3
4
5
6
7
8
9
10+
How many volunteers do you have?
*
Please select from the dropdown
None
1
2
3
4
5
6
7
8
9
10+
SECTION 2: Contact information
Contact Name
*
First
Last
Contact Phone
*
Contact Email
*
Enter Email
Confirm Email
SECTION 3: Tell us about your Park Makers activity
Lead instructor
Lead Instructor Name
*
First
Last
Lead Instructor Phone
*
Lead Instructor Email
*
Enter Email
Confirm Email
Activity #1 information
Name of Park and Open Space applying to
*
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Berkeley Square
Bessborough St
Broadley St
Causten St
Cavendish Square
Drury Lane
Edbrooke St
Golden Square
Hanover Square
Leicester Square
Marble Arch
Millbank St
MOD
Mount Street
Norfolk Square
Paddington Gardens
Paddington Recreation Ground
Pimlico Street
Porchester Square
Queens Park Gardens
Rembrandt Gardens
Soho Square
St Annes Gardens
St Georges Square
St Johns Gardens
St Johns Wood Gardens
St Marys / Paddington Green
Sussex Gardens
Tamplin Mews
VEG Main section
Violet Hill
Westbourne Gardens
WGOS
Whitehall Gardens
Type of activity delivered
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Group Fitness Class
Small Group Fitness Class (one to one, or one to two)
HIT Session
Circuits
Boxing (Pad work)
Boxercise
Dance
Zumba
Tai Chi
Team Sport
Football
Basketball
Cricket
Multi-Sports
Other
Other (please be specific)
Target Group(s)
*
Please identify who your activity is aimed at. Please select all that apply.
Children aged 0-3
Children aged 3-5
Children aged 5-7
Children aged 7-11
Children aged 11-14
Young Adults aged 15-18
Adults aged 18+
Adults aged 50+
Parent and child
Disabled people
Women and girls
BAME
Other
Other (please be specific)
Date/time of session(s)
Date/time of activity #1 session
Please click the 'add entry' button. Please note: You can add multiple date ranges and times for the activity.
Start Date
End Date
Time
End time
What days will the activity operate?
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Add another activity
Add another activity
Remove added activity
Activity #2
Lead instructor
Lead Instructor Name
*
First
Last
Lead Instructor Phone
*
Lead Instructor Email
*
Enter Email
Confirm Email
Activity #2 information
Name of Park and Open Space applying to
*
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Berkeley Square
Bessborough St
Broadley St
Causten St
Cavendish Square
Drury Lane
Edbrooke St
Golden Square
Hanover Square
Leicester Square
Marble Arch
Millbank St
MOD
Mount Street
Norfolk Square
Paddington Gardens
Paddington Recreation Ground
Pimlico Street
Porchester Square
Queens Park Gardens
Rembrandt Gardens
Soho Square
St Annes Gardens
St Georges Square
St Johns Gardens
St Johns Wood Gardens
St Marys / Paddington Green
Sussex Gardens
Tamplin Mews
VEG Main section
Violet Hill
Westbourne Gardens
WGOS
Whitehall Gardens
Type of activity delivered
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Group Fitness Class
Small Group Fitness Class (one to one, or one to two)
HIT Session
Circuits
Boxing (Pad work)
Boxercise
Dance
Zumba
Tai Chi
Team Sport
Football
Basketball
Cricket
Multi-Sports
Other
Other (please be specific)
Target Group
*
Please identify who your activity is aimed at. Please select all that apply.
Children aged 0-3
Children aged 3-5
Children aged 5-7
Children aged 7-11
Children aged 11-14
Young Adults aged 15-18
Adults aged 18+
Adults aged 50+
Parent and child
Disabled people
Women and girls
BAME
Other
Other (please be specific)
Date/time of session(s)
Date/time of activity #2 session
Please click the 'add entry' button. Please note: You can add multiple date ranges and times for the activity.
Start Date
End Date
Time
End time
What days will the activity operate?
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Add another activity
Add another activity
Remove added activity
Activity #3
Lead Instructor Name
*
First
Last
Lead Instructor Phone
*
Lead Instructor Email
*
Enter Email
Confirm Email
Activity #3 information
Name of Park and Open Space applying to
*
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the dropdown
Berkeley Square
Bessborough St
Broadley St
Causten St
Cavendish Square
Drury Lane
Edbrooke St
Golden Square
Hanover Square
Leicester Square
Marble Arch
Millbank St
MOD
Mount Street
Norfolk Square
Paddington Gardens
Paddington Recreation Ground
Pimlico Street
Porchester Square
Queens Park Gardens
Rembrandt Gardens
Soho Square
St Annes Gardens
St Georges Square
St Johns Gardens
St Johns Wood Gardens
St Marys / Paddington Green
Sussex Gardens
Tamplin Mews
VEG Main section
Violet Hill
Westbourne Gardens
WGOS
Whitehall Gardens
Type of activity delivered
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Group Fitness Class
Small Group Fitness Class (one to one, or one to two)
HIT Session
Circuits
Boxing (Pad work)
Boxercise
Dance
Zumba
Tai Chi
Team Sport
Football
Basketball
Cricket
Multi-Sports
Other
Other (please be specific)
Target Group
*
Please identify who your activity is aimed at. Please select all that apply.
Children aged 0-3
Children aged 3-5
Children aged 5-7
Children aged 7-11
Children aged 11-14
Young Adults aged 15-18
Adults aged 18+
Adults aged 50+
Parent and child
Disabled people
Women and girls
BAME
Other
Other (please be specific)
Date/time of activity #3 session
Please click the 'add entry' button. Please note: You can add multiple date ranges and times for the activity.
Start Date
End Date
Time
End time
What days will the activity operate?
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Add another activity
Add another activity
Remove added activity
Activity #4
Lead Instructor Name
*
First
Last
Lead Instructor Phone
*
Lead Instructor Email
*
Enter Email
Confirm Email
Activity #4 information
Name of Park and Open Space applying to
*
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Berkeley Square
Bessborough St
Broadley St
Causten St
Cavendish Square
Drury Lane
Edbrooke St
Golden Square
Hanover Square
Leicester Square
Marble Arch
Millbank St
MOD
Mount Street
Norfolk Square
Paddington Gardens
Paddington Recreation Ground
Pimlico Street
Porchester Square
Queens Park Gardens
Rembrandt Gardens
Soho Square
St Annes Gardens
St Georges Square
St Johns Gardens
St Johns Wood Gardens
St Marys / Paddington Green
Sussex Gardens
Tamplin Mews
VEG Main section
Violet Hill
Westbourne Gardens
WGOS
Whitehall Gardens
Type of activity delivered
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Group Fitness Class
Small Group Fitness Class (one to one, or one to two)
HIT Session
Circuits
Boxing (Pad work)
Boxercise
Dance
Zumba
Tai Chi
Team Sport
Football
Basketball
Cricket
Multi-Sports
Other
Other (please be specific)
Target Group
*
Please identify who your activity is aimed at. Please select all that apply.
Children aged 0-3
Children aged 3-5
Children aged 5-7
Children aged 7-11
Children aged 11-14
Young Adults aged 15-18
Adults aged 18+
Adults aged 50+
Parent and child
Disabled people
Women and girls
BAME
Other
Other (please be specific)
Date/time of activity #4 session
Please click the 'add entry' button. Please note: You can add multiple date ranges and times for the activity.
Start Date
End Date
Time
End time
What days will the activity operate?
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Add another activity
Add another activity
Remove added activity
Activity #5
Lead Instructor Name
*
First
Last
Lead Instructor Phone
*
Lead Instructor Email
*
Enter Email
Confirm Email
Activity #5 information
Name of Park and Open Space applying to
*
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Berkeley Square
Bessborough St
Broadley St
Causten St
Cavendish Square
Drury Lane
Edbrooke St
Golden Square
Hanover Square
Leicester Square
Marble Arch
Millbank St
MOD
Mount Street
Norfolk Square
Paddington Gardens
Paddington Recreation Ground
Pimlico Street
Porchester Square
Queens Park Gardens
Rembrandt Gardens
Soho Square
St Annes Gardens
St Georges Square
St Johns Gardens
St Johns Wood Gardens
St Marys / Paddington Green
Sussex Gardens
Tamplin Mews
VEG Main section
Violet Hill
Westbourne Gardens
WGOS
Whitehall Gardens
Type of activity delivered
Please note: You will need to add a new activity if delivering more than one activity type/park location.
Please select from the drop down
Group Fitness Class
Small Group Fitness Class (one to one, or one to two)
HIT Session
Circuits
Boxing (Pad work)
Boxercise
Dance
Zumba
Tai Chi
Team Sport
Football
Basketball
Cricket
Multi-Sports
Other
Other (please be specific)
*
Target Group
*
Please identify who your activity is aimed at. Please select all that apply.
Children aged 0-3
Children aged 3-5
Children aged 5-7
Children aged 7-11
Children aged 11-14
Young Adults aged 15-18
Adults aged 18+
Adults aged 50+
Parent and child
Disabled people
Women and girls
BAME
Other
Other (please be specific)
*
Date/time of activity #5 session
Please click the 'add entry' button. Please note: You can add multiple date ranges and times for the activity.
Start Date
End Date
Time
End time
What days will the activity operate?
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
SECTION 4: ActiveWestminster Mark accreditation
Are you/your organisation currently ActiveWestminster Mark accredited
*
Yes
No
Have you started the ActiveWestminster Mark accreditation process?
Not started
In process
Do you have any of the following (please select all that apply):
*
Public Liability insurance
Industry recognised qualifications
Disclosure and Barring Service Check (DBS)
First Aid Certified
Risk Assessments
Safeguarding certificate
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