Venue Registration Form
1- Basic Information
Name of Venue: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Venue Type (Required question ONLY IF modality is in-person or hybrid)
Museum
Theater
Outdoor park
Conference center
Official buildings
Other Textbox]

Address: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Address 2:(Required question ONLY IF modality is in-person or hybrid)
[Textbox]

City/Town: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

State/Province: (Required question ONLY IF modality is in-person or hybrid)
[Dropdown Menu]

ZIP/Postal Code: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Borough: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

City Council District: (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Maximum capacity (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Number of entrances (Required question ONLY IF modality is in-person or hybrid)
[Textbox]

Number of bathrooms (Required question ONLY IF modality is in-person or hybrid)
[Textbox]
2- Event Accessibility
Public Transportation Options:
Please provide general public transportation instructions that participants can follow (nearest accessible subway/transit stop, distance from transit stop, accessible drop-off/pick-up location, number of accessible parking spaces…)
[Textbox]

Parking Information:
Please provide general parking instructions related to your venue that participants can follow
[Textbox]

3 - Access Accommodations

Lead time and procedure to request auditory access accommodations:
[Textbox]

Name and contact information of disability inclusion coordinator. (Required question)
Name: [Textbox]
Email Address: [Textbox]
Phone Number: [Textbox]

What accessibility supports are available at this venue?
(Required question)
Check all that apply
Physical
Communication
Visual
Sensory
Other (please specify) [Textbox]

Access Accommodations with No Advance Request for this Venue (Required question)
Check all that apply
Wheelchair-accessible entrance/routes
Accessible restrooms
Reserved or flexible seating
Seating/rest areas throughout the venue
Step-free access/elevators
ADA parking or nearby accessible transit access
Clear signage and wayfinding
Service animal access
Scent-aware or low-sensory spaces/areas
Live captions/CART (sometimes for larger events)
Assistive listening systems
Large-print or digital materials
Staff trained in disability access/support
Other (please specify) [Textbox]

Contact information to request accommodations in advance: (Required question)
[Textbox]

Access Accommodations with No Advance Request for this Venue (Required question)
Check all that apply
Accessible entrance
Accessible restrooms
Designated seating areas for wheelchair users (e.g., for performances)
Portable stools available
Reserved parking for people with disabilities
Seating throughout event space (e.g., benches in museum galleries)
Universal Design/Barrier Free Design
Valet parking available
Walkers available for use at event/venue
Wheelchairs available for use at event/venue
Wheelchair access throughout event space (Universal Design/Barrier Free Design)
Wheelchair Access through Main Entrance
Other (please write) [Textbox]

Physical Access Accommodations with Advance Request for this Venue (Required question)
Check all that apply

Accessible entrance
Accessible restrooms
Designated seating areas for wheelchair users (e.g., for performances)
Elevators available
Portable stools available
Reserved parking for people with disabilities
Seating throughout event space (e.g., benches in museum galleries)
Universal Design/Barrier Free Design
Valet parking available
Walkers available for use at event/venue
Wheelchairs available for use at event/venue
Wheelchair access throughout event space (Universal Design/Barrier Free Design)
Wheelchair Access through Main Entrance
Other (please write) [Textbox]

Lead time and procedure to request physical access accommodations:
[Textbox]

Are there jarring sounds in your event/program? (Required question)
Yes
No

Are there flashing/strobe lights in your event/program? (Required question)
Yes
No

Sensory, Environmental and Time Accommodations with No Advance Request for this Venue (Required question)
Check all that apply
Accommodations available upon request for jarring sounds or strobe lights
Multi-sensory or interactive activities
Noise-canceling headphones available upon request
Sensory breaks built into performance
Sensory breaks provided during activity if requested
Stim toys available upon request
Other (please write) [Textbox]

Advance Request Sensory, Environmental and Time Accommodations with Advance Request For this Venue (Required question)
Check all that apply
Accommodations available upon request for jarring sounds or strobe lights
Multi-sensory or interactive activities
Noise-canceling headphones available
Sensory breaks built into performance
Sensory breaks provided during activity if requested
Stim toys available upon request
Other (please write) [Textbox]

Lead time and procedure to request sensory, environmental, and time accommodations:
[Textbox]

Visual Access Accommodations with No Advance Request for this Venue Required question)
Check all that apply
Audio-described media
Audio description/verbal description, live
Audio description/verbal description, recorded
Audio guides
Augmented environments
Braille materials
Guided touch tour available
Haptic displays
Large-print labels
Navigational support - early start available to assist navigation
Tactile graphics or diagrams
Tactile incorporated - utilizing everyday objects found at home
Three-dimensional (3-D) print-out specifications included
Trained sighted guide available
Other (please write) [Textbox]

Visual Access Accommodations with Advance Request for this Venue (Required question)
Check all that apply

Audio-described media
Audio description/verbal description, live
Audio description/verbal description, recorded
Audio guides
Augmented environments
Braille materials
Guided touch tour available
Haptic displays
Large-print labels
Navigational support - early start available to assist navigation
Tactile graphics or diagrams
Tactile incorporated - utilizing everyday objects found at home
Three-dimensional (3-D) print-out specifications included
Trained sighted guide available
Other (please write) [Textbox]

Lead time and procedure to request visual access accommodations:

[Textbox]

Auditory Access Accommodations with No Advance Request for this Venue (Required question)
Check all that apply

Tours or events conducted in ASL
Assistive listening systems
Interpretation CART (Computer Aided Real-Time Translation)
Closed captioning
Induction loop or FM transmitters
Notepad & pencils or other spontaneous written communication method available
Open or live captioning
Qualified American Sign Language Interpretation
T-coil compatible ALDs and audio-guides
Transcripts for audio - Materials
TTY (Teletypewriter)
Other (please write) [Textbox]

Auditory Access Accommodations with Advance Request for this Venue (Required question)
Check all that apply

Tours or events conducted in ASL
Assistive listening systems
Interpretation CART (Computer Aided Real-Time Translation)
Closed captioning
Induction loop or FM transmitters
Notepad & pencils or other spontaneous written communication method available
Open or live captioning
Qualified American Sign Language Interpretation
T-coil compatible ALDs and audio-guides
Transcripts for audio - materials
TTY (Teletypewriter)
Other (please write) [Textbox]

Lead time and procedure to request auditory access accommodations:
[Textbox]

4 - Arrival
If late, will entry to the program be denied or delayed? (Required question)
Yes
No

Phone number to call day-of if late (Required question)
[Textbox]

Are there any accommodations for late arrival? (Required question)
[Textbox]

5 - Contact
Name and contact information of disability inclusion coordinator. (Required question)
Name: [Textbox]
Email Address: [Textbox]
Phone Number: [Textbox]

6 - Complementary Accessibility resourcess
Please upload any maps, guides, photos, or additional accessibility resources that may help participants better navigate or prepare for the venue/event.
Examples may include : venue map, accessible entrance maps transit directions, sensory guides, photos of entrances or pathways, virtual tour links …
[Choose File]
Requirements: One file only. 100 MB limit.
Allowed types: gif, jpg, jpeg, png. , .pdf
High Resolution Image (approximately 730 x 305 pixels, oriented horizontally)