B:Music Access Scheme Application Form
Customer Accessibility Information Form
About this form
Completing this form will help us to help you book the most appropriate seats for you to enjoy concerts and events at Town Hall and Symphony Hall, Birmingham. Please Note: completing this form on its own does not constitute booking any tickets, and it does not guarantee availability of appropriate seating, parking or admittance to any events or concerts. Full details of our Access Scheme can be found on our website: www.bmusic.co.uk/your-visit/accessibility-information
Please complete this form before placing your next booking
Once we have received your form we will let you know by your preferred contact method, and you will be able to book Access Scheme tickets. We aim to process forms as quickly as possible, however it can take up to 3 working days during peak periods.
Your Details
Please provide this information so that we can update your details on our system. You can review our privacy policy by visiting our website: www.bmusic.co.uk/this-website/privacy-policy
Are you completing this form on behalf of someone else?
Yes, (please provide your own details when prompted)
No
Name of person completing the form
First Name
Last Name
Landline Phone Number of person completing the form
-
Country Code
-
Area Code
Phone Number
Mobile Phone Number of person completing the form
Please enter a valid phone number.
Email of person completing the form
example@example.com
Please confirm that you have permission from the below named to complete this form on their behalf
Yes
Name of person applying to join the Access Scheme
*
First Name
Last Name
Landline Phone Number
-
Country Code
-
Area Code
Phone Number
Mobile Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How do you prefer to be contacted? (please tick all that apply)
by landline phone
by mobile phone
by email
via the person completing this form on my behalf (as above)
via the person authorised to make bookings on my behalf (see below)
Do you require someone else to be able to book tickets on your behalf?
Yes - the person completing this form on my behalf (as detailed above)
Yes - someone else (please provide their details when prompted)
No
Please confirm you have permission from the below named to provide these contact details:
Yes
Name of person authorised to book on your behalf
First Name
Last Name
Landline Phone Number
-
Country Code
-
Area Code
Phone Number
Mobile Phone Number
Please enter a valid phone number.
Email
example@example.com
Access Card Holders
B:Music are pleased to accept the Access Card (sometimes referred to as the CredAbility Card or a Nimbus Card) from Nimbus Disability. If you are an Access Card Holder please provide your card number and we will update your B:Music account with the relevant information. Further information about the Nimbus Disability Access Card can be found on the dedicated website: www.accesscard.online
Do you have an Access Card via Nimbus Disability?
Yes (please provide number when prompted)
No (please complete the next page)
Please provide your Access Card number:
Click 'Next' to skip the form and go directly to the final page and submit your form.
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Your Access Requirements
Please provide as much information as you are comfortable with so that we can to help you to find the most appropriate seats and provide any assistance when you visit us.
We may be able to provide a complimentary essential companion ticket if you need substantial, significant or frequent, support in excess of what could be reasonably expected of family/friends already accompanying you, directly related to your needs.
Do you need to bring an essential companion to be able to attend events at our venues?
Yes
No
Do you need to bring an assistance animal to be able to attend events at our venues?
Yes
No
Is standing or queuing for long substantially difficult for you?
Yes
No
Tell us about where you need to be seated. We will do our best to help you find somewhere appropriate, however seating is always subject to availability at time of booking, and due to the layouts of the venues, some combinations might not be possible (for example we cannot seat you near an exit and near to the stage in Symphony Hall stalls).
Will you be using a wheelchair to attend?
I will use a manual or transit wheelchair (self-propelled or attendant propelled)
I will use an electric or powered wheelchair
I will not be using a wheelchair
If you will be using a wheelchair larger than 70cm/28" wide by 115cm/46" long, please tick this box
My wheelchair is larger than 70cm/28" wide by 115cm/46" long
Do you need or prefer to remain in your wheelchair or would you like to transfer to a seat (subject to suitable seating being available)?
I need/prefer to remain in my wheelchair
I would like to transfer to a seat
Do you need level access to your seat (please select one option)?
I need access with no steps
I need access with few steps
I do not need level access
What are your seating requirements?
I need to be seated near an exit
I need to be seated near the stage
I need to be seated with the stage to my left
I need to be seated with the stage to my right
I need to be seated at the end of the row (aisle on my left)
I need to be seated at the end of the row (aisle on my right)
I need to be seated appropriately for urgent access to toilet facilities
Audio & Hearing - Please let us know about your hearing requirements:
I have difficulty accessing or processing audible information
I would like to use the infra-red hearing enhancement system at Symphony Hall
I would like to use the induction loop hearing enhancement system at Town Hall
I would like to use captions (where available)
I would like to use a BSL interpreter (where available)
I have no specific audio or hearing related requirements
Visual & Sight - Please let us know about your sight requirements:
I have difficulty accessing or processing visual information
I need to know about flashing or strobe lighting (photo sensitivity)
I would like to use Audio Description (where available)
I have no specific visual or sight related requirements
If you have any other access requirements, please tell us about them here:
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Accessible Parking
At Symphony Hall we have limited accessible parking that is free to book for main hall events. This facility is available to Blue Badge holders on B:Music's Access Scheme, must be booked in advance of the day of performance, is subject to availability and allocated on a first-come, first served basis. We recommend that parking is booked at the same time as your tickets to an event. If you would like to be able to book Blue Badge parking at Symphony Hall please provide the following details:
Blue Badge Number:
Vehicle Registration:
Data Protection
B:Music is committed to protecting your privacy. Any information we collect from you will be used in accordance with, the Privacy and Electronic Communications Regulations 2003 (PECR), the Data Protection Act 1998 (DPA) and any replacement laws, and from May 2018, the General Data Protection Regulation (GDPR). To read our full Data Promise, please visit bmusic.co.uk/this-website/data-promise
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