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City of Wollongong

Sample Accessibility Registration Form

An Accessibility Registration Form can be used as a tool to assist with event planning. It lets you speak directly with people who have access requirements before your event, so you can plan ahead to support them.

This can help people interested in your event who have access requirements feel confident in attending.

Below is some sample text which you can adapt to create your own Accessibility Registration Form.



We are committed to making [event] a safe, inclusive, and enjoyable event for everyone.

This is a booking form for people with disability or mobility support requirements wishing to come to [event].

If you, a friend or relative have access requirements, please complete the form below.

If you need help completing this form, contact [email and / or phone number].

If you need to contact us through an interpreter, call the National Relay Service on .......

Voice Relay number 1300 555 727 or SMS relay number 0423 677 767 and ask them to call ..........

Form fields:

  • First name
  • Surname
  • Contact phone number and / or email
  • What are your access requirements?
  • How many guests will be attending in total?
  • What is your planned mode of travel to the event?
  • Additional comments / questions.


Send completed form to [email or postal address - or use a 'submit' button for an online form].

We will contact you with confirmation of your booking.