FunFit Application Form
In order to establish if your child is suitable to be offered a place to on an upcoming FunFit programme in Cork, it is necessary to gather some important information. The programme team will review the information collected and will be in contact with you to discuss your application further. Your child may or may not be offered a place on the course depending on suitability and availability. All information collected below is confidential and will only be accessed by the FunFit programme team. Thank You.
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent Guardian Contact Number
*
Please enter a valid phone number.
Parent/Guardian Email Address
*
example@example.com
Source - How did you hear about FunFit?
Child Information
Child Name
*
First Name
Last Name
Child Date of Birth
*
Preferred FunFit location
Cork
Kerry
Child Home Address
Class in School (eg. 2nd Class)
*
Does your child require any of the following
Hearing Aids
Glasses
Orthotics
Inhaler
Other
If other, please detail below
Physical Activity & Motor Skills Assessment
Does your child have any diagnosed conditions that affect their gross motor skills development? If yes, please specify.
Children are recommended to be active at a moderate to vigorous intensity for at least 1 hour per day (every day) of moderate-to vigorous-intensity. How would you describe your child's level of physical activity?
*
Very Active
Moderately Active
Seldom Active
In the past week, on how many days has your child done a total of 60 minutes or more of physical activity?
*
0 Days
1 Days
2 Days
3 Days
4 Days
5 Days
6 Days
7 Days
Has your child previously participated in any physical activity classes or sports? If yes, please provide brief details below
Social and behavioural assessment
FunFit is a group activity programme where your child will be expected to participate & interact with other children of a similar age & ability level. In sessions, children will be expected to share equipment, show respect to the tutors & other children, and sometimes get involved in team activities. Please note - Tutors and the FunFit team will actively work to support every child's participation in class. If your child is offered a place but is unable to effectively participate in the class or is a disruption to the class as a whole your child may be withdrawn from the group.
How does your child typically react to being in a new group setting with peers?
*
Can your child follow instructions during activities?
*
Yes
No
Don't Know
If answering No, please provide further detail below
Does your child find it difficult to concentrate or have a poor attention span?
*
Regularly
Occasionally
Rarely
Never
Does your child cope well with a busy, noisy environment?
*
Yes
No
If answering No, please provide further info below
Is there any additional support or accommodations your child might need to participate effectively in a group setting?
*
Has there ever been a concern that your child was a danger to themselves or to others?
*
Yes
No
Don't Know
Class commitments and logistics
The FunFit programme consists of a 1 hour class, once per week, for a term of 10 weeks. Can you commit to bringing your child consistently throughout the term?
*
Yes
No
Are there any particular concerns or expectations you have regarding this programme?
Additional Information
Please use this space to share any other relevant information about your child that can help us ensure they receive the most benefit from the FunFit programme.
Please share any other relevant information here
Thank you for completing this questionnaire. A member of the FunFit Team will be in touch as soon as possible to discuss your application further.
FunFit is a collaborative programme from the HSE and Cork Sports Partnership.
Submit
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