Access Membership Form

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Whilst our Access Members scheme is free to all, if you would like to take advantage of discounts available for yourself and a carer, we ask that you fill out the form below and attach a copy of a photograph of your proof of eligibility. Whilst we appreciate this information is personal – it is not our intention to offend – we’re sure that you can understand the need for us to safeguard these discounts for people with access needs. We thank you for your support and look forward to welcoming you to our venues soon.

Access Membership Scheme

Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region Post Code Country
Phone
Email
About your needs
Please tell us a little about your specific needs and requirements
Are you D/deaf or hearing impaired?
- Yes
- No
Are you blind or do you have a sight impairment?
- Yes
- No
Will you be bringing an assistance dog with you?
- Yes
- No
Do you require an essential companion to accompany you?
- Yes
- No
In the event of an evacuation, would you require additional support from staff in order to leave the building safely?
- Yes
- No
Will you be attending using a wheelchair or mobility scooter?
- Yes
- No
Is it powered or manual?
- Powered
- Manual
Please give details of wheelchair dimensions
- Up to 33"/77cm wide
- 31 to 49”/78-125cm wide
This helps us to advise on the best spaces for your needs
Are you able to transfer to a theatre seat?
- Yes
- No
Would you prefer to transfer to a theatre seat?
- Yes
- No
In the event of an evacuation, are you able to transfer to an evacuation chair or sledge?
- Yes
- No
Patrons sit in (evacuation chair) or lie on (evacuation sledge) and trained staff can carry or slide them safely up or down stairs and out of the building in an emergency.
Please give us any other information that you think may help us assist you in your visit.
I am happy for my information given here to be shared with Opera North Limited for the purposes of their Access Membership Scheme*
- Yes
- No
Please select which supporting materials you are providing as proof of eligibility for discounted tickets.
- Personal Independence Payment (PIP) Award Letter
- Disabled Railcard
- Cinema Exhibitors Association (CEA) Card
- Attendance Allowance
- Social Services Care Package Award Letter
- CredAbility Access Card (Nimbus)
- Disability Living Allowance (DLA) Award Letter
- Certificate of Vision Impairment
- Disability Blue Badge
- War Disablement Pension Award Letter
- Armed Forces Independence Payment (AFIP) Award Letter
If you do not wish to claim any discounts or do not have any of the supported documents listed here, please check other.
Please upload your proof of eligibility to receive discounts. A photograph of the document is fine.
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Access Membership Scheme

About your needs