Accessible Accommodation Request Form

Personal Details:

Name:

Email:

Phone:
Please include international dialing code if outside UK

Address:

Town/City:

County/State:

Post/Zip Code:

Country:

Access Requirement Details

I will be using a manual wheelchair:

I will be using a mobility scooter:

I require a fully equipped disabled room:

My carer/caregiver needs their own room near mine:

Please describe your access accommodation needs if different or if you want to clarify the information above.

Hotel Preferences

My first choice of hotel would be:

My second choice of hotel would be:

My third choice of hotel would be:

Please note: If you do not supply a second or third choice you might not get a room allocation, if there are people with a greater need of a room in your hotel of first or second choice.