Accessible Church Signup

Church Name*

Church Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Contact Person at the Church*

**Must only be added with their permission**

Are you*

The named contact person at the church
A member of the church
Visiter to the church/ not connected with the church

Church Denomination*

Please select the church denomination

If other, please specify:

Church Email*

Church Phone No.*

Church Website

Facilities/ provision for accessibility*

Other:

If you have selected 'Other' in the tick box above, please let us know what other provision you have available. Also, if you have selected 'Accessible Service' or 'Autism Friendly', please could you let us have more information as to how this is 'Accessible' or 'Autism Friendly'.

Church Information

Please give us as much information about your church as possible, as this will help people to make a better informed decision if they wish to visit your church.

Name

This field is for validation purposes and should be left unchanged.

Accessible Churches