Accessibility Account Form

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Our Accessibility Account Form has been designed to ensure that everyone is able to access and enjoy all aspects of Grand Rapids Civic Theatre's programming. We have a range of services, resources, and advice on hand to assist with a variety of preferences, knowing more about you will help us to tailor our offering, and provide the best possible service each time.

**Please note that this information is saved to your personal account so that our staff can better assist you during your visit. Your personal information is never shared outside of our organization.

Email *

Name (First and Last)

Address

Phone Number

Please select all that apply: *

I require a Wheelchair space

I require assistance in storing my Walker during the performance

I require an aisle seat

I require step-free access to my seat

I require a seat close to an exit

I require a Williams Sound Amplification Device

I will be attending with my Service Dog

I require an ASL Intrepretered performance

I require an Audio Described performance

I require a Relaxed Environment Performance

I require a Low Sensory Night

I require a Sensory Backpack during my visit

I require a physical script to have during the performance

Required

We have a flyer that we send out before each show opens that details all of the Accessibility-Specific programming offered. This can be received through physical mail or through e-mail. *

Yes, please mail me a physical copy!

Yes, please e-mail me an electronic copy!

No, thank-you!

Required

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