2023 Community Access Ticket Request Form

Name of Organization *

Address *

City *

Province *

Postal code *

Is your organization a not-for-profit or registered charity?

Please provide brief details about the purpose of your organization and the people it serves, and/or a link to your website.

Name of primary contact *

Pronouns

Phone number *

Alternate phone number

Email address *

Will the primary contact be attending the show? *

Please confirm who will be attending to coordinate the group if not the same as primary contact

Pronouns

Cell phone number of coordinator in attendance

If any additional coordinators will be attending, please list their full names below.

Names of additional coordinators in attendance, if any.

Preferred production *

Preferred month *

All requests are subject to availability.

Preferred week * Preferred week

All requests are subject to availability.

If we cannot fulfill your preferred week, would you like to provide us with a second choice? *

Yes

Second choice month

All requests are subject to availability.

Second choice week Second choice week

All requests are subject to availability.

Adult age/s

Youth age/s Youth age/s

Total number of tickets requested, including coordinators.

How many in your group have accessibility needs?

Please list any and all possible accessibility needs in your group (e.g. wheelchair seats, guide dog, bus stop greeter etc.)

For more information, please visit: https://bardonthebeach.org/about-us/accessibility/

Is there anything else you would like us to know?