Provider Registration Form

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About you / your organisation

Your / organisation name*

Main contact email address*

Your / organisation Post Code*

Select Address*

Organisation address*

Address Line 1*

Address Line 2*

Town / City*

Main contact name*

Main contact number*

Organisation website

Does your organisation use social media?*

Facebook link*

Twitter link*

Instagram link*

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You have told us that you / your organisation doesn't deliver activities to children, young people or vulnerable adults

Does your organisation deliver activities to children, young people or vulnerable adults?

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You have provided contact information for your safegarding / wellbeing lead

Who is the safeguarding or wellfare lead for your organisation?

Safguarding / Wellfare Lead Name*

Safguarding / wellfare lead contact number*

Safguarding / wellfare lead Contact email*

I agree. View more

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You have told us that you are an organisation or individual that delivers or instructs sport or physical activity

Which of these categories best describes your organisation?

An organisation, company or individual delivering or instructing sport or physical activity.

An organisation or individual delivering an un regulated activity.

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You have provided the documentation of your organisation

Does your organisation have the following documentation?

A Safeguarding policy

Text on the documentation

A procedure document for reporting concerns

Procedure Document For Reporting Concerns

Are all staff delivering your activities DBS checked?

An up to date DBS is required to prevent unsuitable people from working with vulnerable groups.

Do all staff delivering activities hold, or deliver the activity with someone that holds a valid first aid qualification?

This is required to ensure that first aid can be delivered, when necessary, to support the sessions you deliver.

Do all staff hold qualifications relevant to the activity being delivered (if applicable?)

If you are delivering an activity that has a recognised accreditation you must hold a relevant qualification to deliver the activity. If the activity that you are delivering doesn’t have any accreditation, then you should select Not Applicable.

Do all staff delivering activities hold a valid safeguarding qualification?

This is required because you have indicated that your organisation will be delivering activities to children, young people or vulnerable adults.

Do you have appropriate personal / public liability insurance in place?

Appropriate Personal / Public Liability Insurance

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You have told us that your organisation is not a club or group

Is your organisation a club or a group?

Are you a club or group?*

Select activities delivered by club / group *

Where is the non-residential address you operate from?*

Enter Your Post Code*

Select address*

Address Line 1*

Address Line 2*

Town/City*

Is your club / group currently accepting new participants ?*

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You have reviewed and accepted the policies

Review and accept the xtest 2020 policies

Review and accept the xtest 2020 privacy statement

This policy outlines our views and practices regarding your personal information and how we treat it.

Review and accept the xtest 2020 code of conduct

This policy outlines how we expect all xtest 2020 providers to act and conduct their sessions and events.

Review and accept the xtest 2020 data sharing agreement

This policy outlines how we store and use your data, the data of your participants, as well as stipulating your responsibilities regarding data generated via our platform.

Complete your registration

I can confirm that the information that I have provided true to the best of my knowledge, and I understand that xtest 2020 reserve the right to the request evidence of any documentation and / or qualification that I have specified that my organisation has.

Useful Links

Review and accept the xtest 2020 privacy statement

Enter your full name*

Enter your position within the organisation*

Do you have authority to accept this policy on behalf of *

Review and accept the xtest 2020 code of conduct

Enter your full name*

Enter your position within the organisation*

Do you have authority to accept this policy on behalf of *

Review and accept the xtest 2020 data sharing agreement

Enter your full name*

Enter your position within the organisation*

Do you have authority to accept this policy on behalf of *