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Do you agree to ensure the tickets you purchase are used by the people they are intended for*?
(required)
*
People from low-income households, older people and people with additional needs or disabilities
Yes
No
Do you agree to encourage at least 25% of your ticket holders to complete a short survey after their visit?
(required)
Yes
No
Organisation details
Your first name
(required)
Your last name
(required)
Your email address
(required)
Phone number
(required)
Organisation name
(required)
Department or team name
Role at organisation
(required)
Organisation address
(required)
Organisation postcode
(required)
Where are your service users based?
(required)
- Select -
Luton & Dunstable Council
Bedford Borough Council
Buckinghamshire Council
Hertfordshire county council
Central Bedfordshire
Which of the following best describes the group of service users your Organisation works with?
People from low-income households
People with additional needs or disabilities
Older people
Please give an estimation of how many people you will be purchasing dated CAS tickets for (you will be booking these after your application has been processed and you have received your welcome email)
How many "People from low-income households - Adult"?
How many "People from low-income households - Children (3-16 years old)"?
How many "Older people"?
How many "People with additional needs or disabilities - Adult"?
How many "People with additional needs or disabilities - Children (3-16 years old)"?
How many "People with additional needs or disabilities - Carer"?
What date do you plan to visit?
Please tell us about your organisation (include details about your organisation and the people you support)
(required)
How will these tickets benefit the people you work with?
(required)
Time with the family
Improved health and wellbeing
Education
Social interaction
Entertainment
Other
Please list any other benefits below
Are you ready to make payment for the tickets or will you be raising funds?
(required)
(This will not affect your application)
I have the funds ready to pay
I will need to raise funds for the tickets
How did you hear about the scheme?
Community events and access
(required)
Please tick the box if you consent to receiving regular updates from the Community Engagement Team, via email.
Yes
No
I have read and agree to the
privacy policy
and
terms & conditions.
(required)