Name:
Address:
Telephone:
Fax:
Email:
Mobile:
How would you like us to contact you? Please tick:
The Arts Centre is fully wheelchair accessible. There are designated spaces for disabled drivers. Please let us know if you need any of the following:
Will you be bringing a PA or Support Worker?
Will you be bringing an Assistance Dog?
Do you have any other access requirements? Please give details
Do you have any specific dietary requirements? Please give details
If you would like to talk to us about your access to the workshops, please contact us on:
Tel: xxx xxx
Minicom: xxx xxx
Fax: xxx xxx
Email: xxxxx@xxxxxxx
Postal address: xxx xxx
