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Accessibility Form
Please fill out the form below with your accessible requirements.
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Contact Number
Your answer
Name of Event
*
Your answer
Date of Event
*
Your answer
Do you require a seat or wheelchair space?
*
Wheelchair Space
Yes
No
Required
Do you require a free companion ticket? - Only available accompanied by 1 full price ticket
Yes
No
Clear selection
Please state any other accessible requirements you may have below.
Your answer
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This form was created inside of Leeds University Union.
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