Section 1 of 1 in this document
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
No
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
No
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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