Make and Connect | Patchwork | June 16 2023
Please provide information about any access requirements/support needs that we should know in advance. If you are a support worker, or similar, completing this on behalf of a group, please provide access information for each person attending (where applicable).
Name
*
Organisation (if applicable)
Email address
*
example@example.com
Phone Number
-
Area Code
Phone Number
Total number of people hoping to attend (including friends, family members, and support staff)
*
So we can support you throughout the session, please describe you access requirements.
Do you have any sensory preferences/triggers?
For example, any specific colours, textures, materials, environments (noise/light) that may cause distress
How do you prefer to communicate?
Do you have any medical conditions you would like us to know about?
How can we best support you if you are feeling unhappy or upset during the session?
Submit
Should be Empty: