Santa Barbara Arts and Crafts Show

805-897-2519

Santa Barbara Arts and Crafts Show

Request for Accomodation

Member's Name

Member's Phone Number

What is the nature of the disability? (i.e. condition name)

Briefly describe the effects of your disability and how it impacts your function in the Arts and Crafts Show.

Are you requesting an ADA-designated space?

Yes

Which space are you applying for and how does this space address your specific needs?

Are you requesting accommodation by allowing flexibility for one or more of the Show rules?

Yes

Which rule are you requesting accommodation with, what is the specific accommodation you're requesting and how does this address your specific needs?

Is this request for accommodation due to a temporary or permanent disability?

Temporary

Permanent

Until what date are you expecting the accommodation request to last for your temporary disability?

Upload file(s); for supporting documents including physician's recommendations. If this accommodation is for a temporary disability, ensure the physician's note has a date range for when accommodation is needed through.

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First Name

Last Name

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