ACCESSIBILITY FORM
Please complete this form if you have any special requirements and/or would like to book a free Personal Assistant or Essential Companion ticket. All fields marked with * are required and must be completed.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is the best phone number to reach you on?
example (12345) 123456
Format: (00000) 000000.
Have you purchased a ticket for WOMAD Glasgow?
Please Select
Yes
No
Please enter your Nimbus card or Digital Access Pass ID.
If you haven’t yet applied for a free access pass, please do so before completing this form .
What type of ticket do you have ?
*
Please Select
One Day - Friday 3rd July
One Day - Saturday 4th July
Both Days - Friday 3rd & Saturday 4th July
Order Number
1. Are you applying for a free ticket for a Personal Assistant or Essential Companion?
Please Select
Yes
No
Please provide more information about your selection.
2. Are you a wheelchair/mobility device user?
Please Select
Yes
No
Please provide more information about your selection.
3. How will you be travelling to WOMAD Glasgow?
Please Select
Car - I will need accessible parking
Dropped off/picked up
Train
Bus
Other
Please provide more information about your selection.
4. Do you require access to mobility - friendly toilets?
Please Select
Yes
No
5. Do you need a changing places unit with a hoist, changing bed, sink, and toilet?
Please Select
Yes
No
6. Will you be accompanied by an assistance animal?
Please Select
Yes
No
Please provide more information about your selection.
7. Do you require a British Sign Language (BSL) Performance Interpreter?
Please Select
Yes
No
8. Do you use a hearing loop or assistive listening device?
Please Select
Yes
No
9. Would you benefit from a quiet zone or sensory space?
Please Select
Yes
No
Please provide more information about your selection.
10. Do you have any dietary restrictions related to medical conditions?
Please Select
Yes
No
Please provide more information about your selection.
11. Do you need to store medication in a fridge during the event?
Please Select
Yes
No
Please provide more information about your selection.
12. If you need to bring any prohibited items due to medical or accessibility requirements, please tick the appropriate box.
Prescription Medication
Food/Non-alcoholic Drinks
If you have selected any of these options, please provide further information below.
SAVE
Submit
Should be Empty: