PW37 » Preparing for Pennsic » Disability Services » Disabilities Camping Request

Disabilities Camping Area Registration Form

Please note that this form will ONLY be used by Disabilities Services for space planning. You MUST STILL PREREGISTER with the Coopers after you receive confirmation from our office. Space in the area is limited and reservations are on a first-come, first-served basis.

Camping in the disabilities camping area is limited to disabled individuals and those persons camping in the same tents as them. Campers and RVs are not permitted in the disabilities camping area, but there are a limited number of electrical outlets to use for essential medical devices.

Please contact the Disability Services Coordinator at disability@pennsicwar.org if you have any questions.

 

About You
Modern Name:
 SCA Name:
Address:
Phone number:
Email:
Estimated date of arrival:
Do you have a disability? Yes     No

Tent Info
Number of Tents:
Total people in all tents:
Modern names of other people in your tent(s):
Tent size(s) - Must be exact! Please note length of side with tent door:
Does tent have external ropes? Yes   No

Dining shade/sun fly size:
(Due to space limitations, please be aware we may not have sufficient room for dining/sun shades.)
Attached to tent? Yes   No
Placement Left of Tent    Right of Tent    Front   Doesn't matter

Additional Info
Do you plan to use Disability Parking? Yes    No

Do you use and plan to bring to Pennsic a scooter or wheelchair to assist movement? Yes    No

Do you need electricity for a medically-necessary device? Yes    No

If yes, please list the device:

Please note any questions or comments you have here:





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