Facilitated Travel to Para Football Partially Sighted Futsal Open Trials Day

VICTA is offering facilitated travel to St. George’s Park National Football Centre for a Para Football Partially Sighted Futsal Open Trials Day.

The event is open to partially sighted male players aged 16 or over. The players registration link is here.

N.B You must register with this link to confirm attendance at the event. The VICTA travel offer is a separate application form and is not to be used as the event registration form.

Any further questions about the event itself can be directed to Will Perkins will.perkins@thefa.com

Any questions about the travel offer can be sent to sports@victa.org.uk

VICTA Facilitated Offer

• VICTA will cover travel expenses up to £50 for those taking part in the Para Football Open Trials on Saturday 2 August
• This offer only applies to the cost of the travel for a young person aged 16 to 29 with a vision impairment
• Please also note that this is a limited offer and VICTA reserves the right to close it once we reach capacity

To benefit from this offer, you must:

• Be eligible for the age category identified for the Para Football Open Trials
• Be registered or registerable blind or partially sighted (VICTA may ask for a copy of your/your child’s registration documents or a letter from an ophthalmologist as confirmation).

Payment of travel expenses is subject to proof of attendance at the relevant event (a simple photo of you enjoying the event) and travel receipts/mileage claim. Funds are limited so please get your applications in early. Reimbursement will be processed after the event.

Contact sports@victa.org.uk for more information.

Apply now

Note for applicants completing this form After completion, if you have successfully submitted the form, you should receive a successful submission message. If you do not it may be because you have not completed a required field. After your form has successfully gone through you will also receive notification via email. If you do not receive an email please contact the office on 01908 240 831 as there may have been a problem with your application.

Applicant details

First name *

Last name *

Gender *

• Male
• Female
• Other

If you have selected other, how do you currently describe yourself?

Date of birth *

Would you describe yourself as blind/partially sighted? *

• Blind
• Partially Sighted

Do you use a long cane?

• Yes
• No

Do you have a guide dog? *

• Yes
• No

Contact details

Email *

Phone (please provide us with the most convenient number to contact the activity applicant on) *

Address 1 *

Address 2

City *

Post code *

Emergency contact (EC)

EC full name *

Relationship to participant *

EC address *

EC primary number *

EC secondary number

EC email *

Eye condition

Name of eye condition? *

If this is the first VICTA activity that you are applying for, please note that applicants must be registered sight impaired or severely sight impaired, or be able to provide proof that they are registerable. Any information or documents supplied must include the applicant’s name, date of birth and visual acuity.

Confirmation of vision impairment *

• I confirm I am/the applicant is registered or registerable Sight Impaired or Severely Sight Impaired

Supporting documentation
If the applicant is registered, please include a copy of one of the following registration documents: - Certificate of Visual Impairment (CVI) - Blind Registration Card issued by local authority If the applicant is not registered, please provide: - a letter from an ophthalmologist confirming visual acuity. Please note, applications cannot be processed without these documents.

Uploading documents

If you would like to upload any supporting documents such as a copy of your registration document, you can do so here (please supply a jpg or pdf). If supplying a CVI, please include Parts 1 & 2. If you are including a copy of a Blind Registration Card, please remember to include both sides. Only files saved as a jpeg or pdf formats will be accepted by the upload. Alternatively, you can email them to activities@victa.org.uk

Click or drag files to this area to upload. You can upload up to 5 files.

Declaration, privacy and consent

Applicants must be aged 16 to 29 years *

• I confirm that I/my child will be 16 to 29 years old at the time of this activity

Signed (insert name) *

Date *

My relationship to the applicant (if applicable)

• Parent
• Legal guardian
• Other

If 'other' please state

Would you like to be added to our email database to receive occasional email updates about other VICTA activities? *

• Yes please
• No thank you
• I'm already signed up

Submit