APAP|NYC 2024 Access Request Form

Primary Registrant Name

First NameLast Name

Organization Name

Please provide your organization name

Registrant Email

example@example.com

Organization Role

Please provide the organization role for the individual with accessibility needs.

Registrant Phone Number

Please enter a cell phone number for the individual with accessibility needs.

What accessibility needs do you have?

What specific accessibility services do you require (ASL, open captioning, Wheelchair accessibility, assisted listening, audio description, companion support, etc)?

Do you have a language need outside of the English language? If so, what language(s)

Is there anything we can do to make our time together more successful or comfortable?

If you indicated you need a Companion above, please fill out the below questions.

Please note, a self-provided companion is a person registered for conference who is not there to partake in professional development, buying, selling, performing, or other conference activities besides assisting a registered attendee with their conference experience - examples may include: A person to help you with mobility needs, provide sign language interpretation, etc.

Companion Name

First NameLast Name

Companion Email

example@example.com

Companion Phone Number

Please enter a valid phone number.

Please indicate you understand and agree to the following as it pertains to needing a companion at the conference:

Provided the most up-to-date contact information for your companion
Your companion is not a member of APAP or the performing arts field.
Your campanion is solely attending the APAP|NYC 2024 conference for the expressed purpose of helping you, a paid conference attendee, with your conference experience.
If APAP becomes aware that your companion is actively engaging in professional development, buying, selling, performing, or other non-companion duties as related to conference, APAP will ask you and your companion to become full, paid conference registrants or to leave the conference.

Yes, I agree to the above

APAP|NYC 2024 Access Request Form

Conference Registrant Information