Seasonal Car Parking Application
Personal Information
First name (required)
Surname (required)
Date of birth (required)
Customer number (if known)
Please select your gender
Male
Female
Other
Prefer not to say
Are you a current Season Ticket holder?
Yes
No
Contact Information
Address Line 1 (required)
Address Line 2
City (required)
County (required)
Postcode (required)
Email Address (required)
Preferred Telephone Number (required)
Disability Details
Which of the following apply to you? Please select all of the relevant answers.
Dyspraxia
Dyslexia
Hearing impairment (deaf or hard of hearing)
Learning impairment/disability (e.g. Down’s Syndrome, etc.)
Learning Difficulty (e.g. movement co-ordination difficulty
Long term illness (cancer, HIV+, etc.)
Physical impairment ambulant (I do not need a wheelchair)
Physical impairment (wheelchair user)
Visual impairment (blind or partially sighted)
Disability not listed above (please specify)
No disability
Prefer not to say
Please provide details of your disability below:
Are you a Current Member of the Everton Disability Supporter Association (EDSA)?
Yes
No
Vehicle Details
Please indicate the size of your vehicle from the list below:
Small / compact car
Mid-size car
Large / estate car
MPV car
Small SUV
Mid-size SUV
Large SUV / 4x4
Passenger van
Other (please specify)
Please provide details of your vehicle below:
Vehicle registration (required)
Are you a current 'Blue Badge Holder'?
Yes
No
If you selected yes, you need to upload a photograph of your badge using the below link
If you're having difficulty uploading your photo, you can email accessibility@evertonfc.com or call the Fan centre on 0151 556 1878
Contact Information