Access Request Form

Access Request Form

For In-Person and Virtual EYP Activities

Please use this form to share any access requests, care considerations, or questions you may have about your upcoming activity. If possible, we kindly ask that you submit your information at least 5 days in advance so we have time to follow up and prepare 😊

If you have any questions about this form or would prefer to connect directly, feel free to reach out to Scout at scoutheckel@expressiveyouth.ca 💛

For a list of access supports available at every EYP event, please see our Access and Care Guidelines (at the link in our Instagram bio)

Contact Information

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number

Please enter a valid phone number.

Preferred Method of Communication

EmailPhone CallText MessageOther

EYP Activity

What type of activity are you attending?

In-PersonOnline

Please select the date of your upcoming activity

Date

Access Request

Please select the additional access supports you are requesting, or select “Other” and share what would help support you best

Support Person/AideASL InterpreterLive CaptioningOther

Are there any details you'd like to add that would help us better understand your request?

If you have a preferred ASL interpreter or Support Person/Aide you would like to use, please provide their name and contact information here.

Additional Comments/Questions/Information

If there is anything else you'd like us to know, please share it here!