ADA Needs at Backwoods 2023
If you are in need of ADA services at Backwoods 2023, please fill out this form.
Email *
Full Name *
Phone Number *
Email Address *
Do you have valid government issued handicap placard plates or sticker?  *
What date will you be arriving to Backwoods ADA camping? *
MM
/
DD
/
YYYY
What day do you intend to leave the festival? *
MM
/
DD
/
YYYY
Do you require wheel chair accessible shower unit? *
Will you have any companions with you?  *
If you answered yes to the previous question, will any of your companions need ADA accommodations? (If you answer yes to this question, please share this questionnaire with your companion and have them fill it out as well.)
Clear selection
If your companion doesn't need ADA accommodations, would you like them to have access to ADA areas so you can be together?
Clear selection
If you answered yes to the previous question, please list your companion's name and email address.
Will you require access to a tour guide when you arrive at the festival and/or a guide during the event? *
If you answered yes to the previous question, please elaborate on your needs and desires.
If you are planning to camp, are there any extra accommodations you'll need? For example, extra space or spaces close to the festival grounds?
Will you need ADA shuttle services to or from the airport/hotel? *
If you answered yes to the previous question, please give details on flight information or hotel stay.
Do you have any communication requests? For example, brail, large font, closed captioning, and/or ASL interpreter? If so, please specify your specific needs. *
Will you have a registered service animal with you? *
If you answered yes to the previous question, please provide information about your animal including registration information.
Let us know who you're most excited to see while attending Backwoods! *
Are there any other needs or requests you would like to communicate to our ADA Manager that we haven't covered in this questionnaire? 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Backwoods Music Festival. Report Abuse