Week 1 Deliverers Monitoring Form * Required Field Club Name*: Club Location*: How many NEW 14-16 year old people have attended your Satellite Club?* How many NEW 17-19 year old people have attended your Satellite Club? Total Number of Males attended*: Total Number of Females attended*:* Total number of White British*: Total Number of White Non British*: Total Number of Asian/ British Asian*: Total Number of Black/ Black British*: Total Number of Mixed Race*: Number of participants with a disability*: Any comments: USE OF DATA This information will be used to help us develop and improve our programmes. Your personal information will be stored securely and destroyed at the end of the Satellite Clubs programme. It will not be shared with anyone else. Anonymised data will be used to understand and show people’s activity preferences locally.