ECG Screening: Sheppey United FC, 12th November 2026
Welcome to the Healthy Heart ECG Booking Page. Delivered in partnership with KIMS Hospital. You are booking an ECG screening for Thursday 12th November at Sheppey United FC. Please complete the form below to secure your appointment. Once your booking is submitted, you will receive a confirmation email outlining the next steps. Important: Payment must be completed within 48 hours of making your booking. If payment is not received within this timeframe, your appointment will be released. The information you provide will be securely shared with our ECG partner, KIMS Hospital, solely for the purpose of carrying out and reviewing your ECG screening. For more details on how we use and protect your data, please see our Privacy Policy:https://www.kentfa.com/public/privacy-policy
Full name of the person having the ECG
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First Name
Last Name
Are you completing this form for:
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Yourself (over 18 years old))
Child under my care (for a child under 18 years old)
Email address (Parent or carer's email address for those under 18 years)
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Telephone number (Parent or carer's telephone number for those under 18 years)
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Date of birth (for example 01/01/2026)
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FAN number
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What is your primary role in Kent football?
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Player
Match official
Coach
Volunteer - must have an active role
If you are a player, coach or club volunteer, please name the club below. If you are a referee or league volunteer, please name the league below.
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Please select your age bracket (or child's if completing on behalf of an under-18-year-old)
8 - 12 years (cost of ECG = £20 plus £1 transaction fee)
13 - 15 years (cost of ECG = £30 plus £1 transaction fee)
16 years and over (cost of ECG = £40 plus £1 transaction fee)
Do you provide consent for us to share your information with KIMS Hospital so they may carry out the ECG screening and assess your results? If consent is withheld, participation in the screening programme will not be possible.
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Yes, I consent for my details to be shared with KIMS Hospital
No, I do not consent
Appointment
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Submit
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