Shape Access Card

Page1 / 1

Shape’s Access Card has been developed for deaf and disabled Londoners.
If you have a visual impairment or a learning disability you can still enjoy the arts.

You can use your Free Access Card when buying tickets at theatres or to gain entry to exhibitions and museums. The Access Card will identify you as person with access requirements and/or as someone who is entitled to a discount or concession where they already exist.

Shape aims to have the Access Card accepted in all London venues by the end of 2011, such as museums, galleries, theatres, arts centres, concert halls and many more exciting places. Giving Londoners a better service!

If you have any questions about the Access Card, please contact us on 0207 7424 7333 between 2:30 and 5:30pm, Monday to Friday or email us on bookings@shapearts.org.uk

Shape’s Access Card is now available!

Question Title

* 1. Please fill in your contact details

First Name: *

Surname: *

Address: *

Address 2:

City/Town: *

Postal Code: *

Email Address:

Phone Number:

Question Title

* 2. Borough

	Please choose one of the following
Please provide details of your London Borough	Please provide details of your London Borough Please choose one of the following menu

Outside London? Please give us your county

Question Title

* 3. Do you consider yourself to be disabled?

Yes

Question Title

* 4. Please give us some detail about the kinds of access requirements you might have e.g. lift access, no steps, captioned performances, BSL interpreter, room for your guide dog etc:

Question Title

* 5. In which format would you like to receive information from Shape?

Standard print (size 14 pt font)

Large print (size 18 pt font)

Braille

Other (please specify)

Question Title

* 6. Would you like to join access lists and schemes run by London venues?

If YES, this will allow Shape to share your details with London venues. They will then send you details direct about their special offers. Venues can also be better prepared to meet your access requirements when you wish to visit them.

If NO, we will not share your details with other London venues.

Yes

Question Title

* 7. Equality and diversity monitoring:

	Please choose one of the following
Ethnicity:	Ethnicity: Please choose one of the following menu

Other (please specify)

Question Title

* 8. Equality and diversity monitoring

	Please select one of the following:
What is your employment status?	What is your employment status? Please select one of the following: menu

Question Title

* 9. Equality and diversity monitoring

	Please select one of the following:
Are you currently in receipt of any benefits?	Are you currently in receipt of any benefits? Please select one of the following: menu

If so which?

Question Title

* 10. How did you hear about Shape?

Website (which?)

From a Shape Tickets member (who?)

Leaflet at theatre/arts venue (where?)

Other

Please specify

Question Title

* 11. I agree to your Ts and Cs

Yes

Thank you for completing your details. We will be in touch very soon with details about your new Access Card!

Best wishes, Shape