Access Requirements

Please complete this form after you have booked on to one of our events.

Arts Connect wants to ensure that you can focus on enjoying the event. We will use this form to help us identify the best ways to provide the support you need.

There are 4 sections:

Page 2.    Communication and Hearing Support

Page 3.    Physical Support

Page 4.    Environmental Support

Page 5.    Sight Support

Please complete the sections relevant to you.

Provide as detailed answers as possible.

The information you provide will be processed in accordance with our Privacy Policy.

This form may take between 2 - 10 minutes to complete.

If you have any questions please contact Felicity Martin

F.Martin@wlv.ac.uk

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* 1. Name of the event you have booked to attend

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* 2. Date of the event you have booked to attend

Date / Time

Date

Access Requirements

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* 1. Name of the event you have booked to attend

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* 2. Date of the event you have booked to attend

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* 3. Your name

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* 4. Your email address (or another preferred method of contact)

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* 5. If you will be bringing your own personal assistant, please provide their name and contact details: