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* Indicates required question
First Name
(U
se your own first and last name if applying on somebody's behalf)
*
Your answer
Last Name
*
Your answer
Name
and
Date
of show you wish to book for
*
Your answer
Email
*
Your answer
Telephone
*
Your answer
Address
*
Your answer
Contact Permission
*
Check the box to confirm we can contact you to discuss your application.
Required
Please select all the access requirements that apply:
*
Transferable Wheelchair User
Non-Transferable Wheelchair User
Assistance Dog
Step-Free Access
Aisle Seat
Extra Leg Room
Reduced Mobility
Visual Requirements
Personal Assistance Ticket Required
Other:
Required
If you chose
other
above, please tell us more here:
Your answer
If you're
applying on behalf of somebody else,
please tell us the
name
of the
applicant and
your relationship
to them:
Your answer
In a few words, please could you let us know how a
Companion
or
Personal Assistant
helps you to access theatre?
Your answer
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