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* 1. First name

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* 2. Last name

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* 3. Contact e-mail

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* 4. Contact phone number

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* 5. Please let us know if you have any access requirements (e.g. interpreter, large print text, subtitles)

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* 6. Will you be bringing a companion/PA?

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* 7. Which club do you support?

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* 8. Are you a member of your club's Disabled Supporters Association (DSA)?

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* 9. Are you a member of any other supporter organisations? (e.g. Supporter's Trust)

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* 10. Do you or your companion have any dietary requirements, including any allergies? (please list all)

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* 11. Do you require parking?

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* 12. If you require parking, please provide your vehicle registration number

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* 13. You can sign up to Level Playing Field's fan membership, free of charge, to receive our fan newsletter. Would you like to join?

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