ONE Event 2019 Special Needs Request Form
Complete this form if you have a Special Need and/or disability and require our support.
All forms must be submitted by 31st July 2019 for consideration.
Please complete this section with the details of the person with Special Needs and/or disabilities
Date of Birth
Age at Event (August 2019)
Please tell us which venue you plan on attending for main meetings
Big Top (18 yrs+)
Vibe (15-18 yrs)
Infinite (12-14 yrs)
Goo 2 (8-11 yrs)
Goo 1 (5-7 yrs)
Kabloom (3-5 yrs)
Tiny Treasures (0-3 yrs)
Other/My needs are not venue specific
Just in case we need to verify any details with you Church Leader
Please complete this section with details of the Booking Contact
If different from above
Home Phone Number
Are you camping, event pass, residential or day visitor
Does the person with special needs and/or disabilities have a carer? Is so please tell us below, please note we can only supply free carer passes to carers who are only attending the event to care.
Carers Mobile Number
Please confirm if your carer is only attending the event due to your Special Needs?
Yes, they are only attending because of my needs
No, they are attending for their own benefit as well
Page 1 of 8
Never submit passwords through Google Forms.
This form was created inside of Ground Level Network.
Terms of Service