26/27 Seasonal Accessible Car Parking Application
Personal Information
First Name:
Surname:
Date of Birth:
Supporter Number:
Seat Details
Block:
Row:
Seat:
Contact Information
Address Line 1:
Address Line 2:
City:
County:
Postcode:
Email Address:
Preferred Telephone Number:
Disability or Condition Information
Which of the following apply to you? Please select all of the relevant answers.
A wheelchair user (manual, powerchair or mobility scooter)
Have reduced or limited mobility (non-wheelchair user, mobility aid user i.e. crutches, walker etc)
Intellectually disabled (i.e Down Syndrome, Fragile X Syndrome)
Neurodiverse (i.e autism, sensory processing disability, ADHD, dyslexia)
Have a neurological condition (i.e dementia, epilepsy, multiple sclerosis)
Have a mental health condition (i.e bipolar, schizophrenia, post-traumatic stress disorder)
Deaf / Hard of hearing
Blind / partially sighted
Have a long-term health condition (i.e heart condition, epilepsy, diabetes, person with a stoma, chronic pain, cancer, long-covid)
Prefer not to say
Other: please state
Please provide details of your disability below:
Are you a current member of the Everton Disabled Supporters' 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
Wheelchair accessible vehicle (WAV)
Other (please specify)
Please provide details of your vehicle below:
Car Make
Car Model
Vehicle Registration:
Please upload a photograph of your valid Blue Badge:
If you're having difficulty uploading your photo, you can email accessibility@evertonfc.com or call the Fan centre on 0151 556 1878
Which type of parking do you require?
Accessible space with extra space at the side and rear for ease of entry / exit for wheelchair and mobility aid users.
Standard sized parking space but nearer to the entrance of the stadium.
Will you be car sharing with any other disabled supporters? If so, how many?
Contact Information