Power Up!

There are six parts to this referral. By pressing Proceed you are taken to the next part. On each occasion the page will refresh and the next part will appear. When you complete the sixth part - Additional Information - and press proceed the form will automatically arrive in our mailbox and you will see a thank you message on the screen with a reference number. We will be in contact after that. One of the questions asks about your body mass index (BMI). This is a fairly simple calculation which you can make following the NHS website guide - BMI calculator | Check your BMI - NHS | Please fill in your details (www.nhs.uk)

Child/young person's details

Note: Questions marked by * are mandatory

*This is a mandatory field. First name

Middle name

*This is a mandatory field. Last name

NHS number

*This is a mandatory field. Date of birth

*This is a mandatory field. Email address

*This is a mandatory field. Address

*This is a mandatory field. Post code

*This is a mandatory field. Gender assigned at birth

Preferred pronouns

*This is a mandatory field. Height

*This is a mandatory field. Weight

BMI

Religion

Please Select An Option AtheismBuddhismChristianityJudaismHinduismIslamSikhism OtherAgnosticPrefer not to say

Employment

Please Select An Option Single EmployedSingle Unemployed1 parent Employed and 1 parent UnemployedBoth parents EmployedBoth parents Unemployed1 student and 1 unemployed1 student and 1 employedSingle studentOtherNot-stated

Ethnicity

Please Select An Option White UK or BritishWhite- IrishWhite- Gypsy or Irish TravellerWhite- RomaWhite- European MixedWhite- KurdishWhite- TurkishWhite-Turkish CypriotWhite- Eastern EuropeanWhite- Western EuropeanWhiteJewishCharedi JewishBlack BritishBlack- CaribbeanBlack- AfricanAsian - IndianAsian- PakistaniAsian- ChineseAsian- BangladeshiAsian- Sri LankanAsian- VietnameseAsianMixed- White & Black CaribbeanMixed-White & Black AfricanMixed- White & AsianMixed- OtherArabSouth AmericanPrefer not to sayOther

* Spam Guard: Is water wet or dry?

Hackney Ark – Downs Ark Road, E8 2FP – call to book in at 02070147000 

GP surgeries – Book appointment with registered GP surgery to get hight and weight measurements taken

GLL Leisure Centres

Britannia leisure centre
Pitfield Street
Hackney
London
N1 5FT

Clissold Leisure Centre
63 Clissold Road
Hackney
London
N16 9EX

Kings Hall Leisure Centre
39 Lower Clapton Road
Hackney
London
E5 0NU

 

Feedback

Feedback from physical activity sessions	Feedback from nutrition sessions
What they enjoyed most	What they enjoyed most
“The HIIT session” “Variation of exercises” “The warm up” “playing tag, running” “The dancing” Mum happy child was very much engaged in the exercise	“kids enjoyed activities” “getting to put equipment away” “Practical activities” “the content of applying healthy smart techniques to achieve the desired goal” “goal setting” “learning about foot labelling”

 

Click the links to find information of local venues and services offering either cheap or free physical activity sessions in City and Hackney

Free Swimming for Under 18s

Junior Parkrun London Field

Parkrun Hackney Marche

Parkrun Finsbury Park

Access to sport – Term time activities

Access to sport – School holidays activities

Cycle Training

Young Hackney:

Young Hackney – The Edge

Young Hackney – Stoke Newington

Young Hackney – Forest Road

Young Hackney – Concorde

 

Adventure playgrounds & sports hub:

Hackney Marsh Adventure Playground

Shoreditch Adventure Playground