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Access Membership Scheme Application
Please select 'Next' to begin your application.
Who are you completing this form on behalf of?
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If you have previously joined the Access Membership Scheme and are looking to renew, please add your Access number below (this can be found on your card).
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Details of person completing on behalf of someone else
(To be completed only if you are joining on behalf of someone else)
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Daytime telephone number
Email
Facilities that I am interested in accessing
Please tick all that apply:
Captioning
Audio Description
British Sign Language
Touch Tours
Guided Building Tours
Relaxed Performances
Relaxed Room
Wheelchair Accessible Seating
Wheelchair Transfer Seats
Assistance Dog Sitting Service
Large Print Brochures
Braille Brochures
Audio described brochure
Infra-red Hearing Enhancement Equipment
Information/advice on seating
Storage of mobility aids
Aisle Seating (left leg near aisle)
Aisle Seating (right leg near aisle)
Other (please give details below)
Do you wish to apply for free companion tickets (eligibility criteria applies)
*
Yes
No
Application for free companion tickets
Please read through the following sections carefully.
Free companion tickets
A free companion ticket per performance is available to customers who are unable to attend the theatre unaccompanied. To ensure we can offer this facility to those who need it, eligibility criteria will apply. A copy of one of the documents listed on the next page will need to be submitted alongside your completed Access Membership Form. Those who are eligible will be issued with a card which will need to be presented at the theatre at the time of your visit. The cards are valid for 2 years and the cardholder must be present at the theatre at the time of your visit. At the end of the 2 years you will be contacted about renewing.
Free companion tickets for group bookings
Proof of eligibility for each individual making up a group booking made by an SEN School, Carehome or Charity Support Group is not required but you will still need to join the membership scheme. We will require a letter from your organisation on branded letterhead that states how many free companion tickets are needed for one to one support for any of the individuals within your group.
Your data & documents
If you are submitting your Access Membership Form in printed form please only submit copies of your supporting documentation as all evidence will be securely destroyed once your application has been processed. Newcastle Theatre Royal holds personal and access information about our customers in order to provide the best possible service to you. We will always ask for your consent to hold your details and we will never release any details held on the Access Membership Scheme to outside organisations.
Receiving your free companion card
Please allow 14 days for digital applications to be processed and please be aware that forms posted to our freepost address may take longer to arrive and it may take up to 5 weeks to process your application.
Making a booking whilst your application for a free companion ticket is being processed
If you would like to book tickets for a performance while awaiting your Access Membership being processed, our Box Office team will be able to place your tickets on reservation for 14 days by which time you should receive your membership. If the performance is imminent, please email access@theatreroyal.co.uk
Consent
*
I agree to the free companion ticket conditions of use.
Please tick to state which documentation is being submitted/uploaded
*
Award letter for Personal Independence Payment – Enhanced Rate Daily Living or Mobility Component
Award for Disability Living Allowance – Highest Rate Care Component/Higher Rate Mobility Component or Middle Rate Daytime Care Component
Award letter for Attendance Allowance – Higher Rate
A certificate of Vision Impairment (CVI)
Sending Alternative Evidence – We understand that there may be instances where customers who are not in receipt of any of the criteria listed above may still require a free companion ticket. Please submit any alterative supporting evidence and one of our access team will be in touch.
Letter on branded letterhead detailing one to one support requirements for group attendees (applicable for SEN School, Carehome, Charity support group)
Upload supporting documents
*
Max. file size: 10 MB.
Additional information
Please feel free to provide us with any additional information that you feel would help us deliver a better service and would help facilitate your visit to Newcastle Theatre Royal.
Contact preferences
We want to ensure we can best support your visit to the Theatre Royal and provide you with information about shows, facilities and services available to enhance your experience.
Please tick here if you would to hear from us about Access at the Theatre Royal.
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