Application for Assistance Pass

Please complete the following form to apply for an Assistance Pass

First name

Last name

Email

Ticket Code

Assistance Required for:

Mobility / Standing for long periods

Visual / Hearing

Neurodiversity / Cognitive

Additional Assistance Requested from Siren Events:

Supporting Documents:

Front page of PIP or DLA Award Letter

Access Card

Disabled Persons Bus or Rail Pass / Blue Badge

BD8 or Certificate of Visual Impairment (CVI)

Medical Letter from your Doctor or Consultant

International Equivalent

Other

Please upload a picture, scan or photocopy of your supporting document

If there is any other information we may need for your assistance request, please let us know here.

I declare that the info I’ve provided is accurate and complete.

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