Bexley North Inclusive Football Program
Expression of Interest Form
Thank you for your interest in Bexley North’s Inclusive Football Program launching in 2026. This program is designed to provide a fun, supportive environment for children with neurodiversity or disabilities to build confidence, develop social skills and enjoy being part of a team. Please complete the form below and we will be in touch with more information.
Parent / Guardian Details - Name, email, preferred contact number
Childs name and age
Please tell us about your child’s disability, neurodiversity, or support needs
What are some things your child enjoys or strengths they have?
Are there any situations or environments that may be challenging for your child?
Does your child require any additional support to participate in football activities?
Will a parent, guardian or support person attend with your child if needed?
Are there any medical considerations, allergies or safety information we should be aware of?
Which parts of the program interest you most? - (Select all that apply)
Weekly 45-minute training session
Being involved in weekend game days
Social connection for my child
Building confidence and skills
Meeting other families
What helps your child feel comfortable and enjoy activities like this
Is there anything else you would like us to know that would help us support your child?
Submit
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