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Holiday Accommodation - Registration form
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Holiday Accommodation - Registration form
Please enter your accommodation details below
Address Details
Name
(Required)
Address
(Required)
Address Line 2
Town/City
(Required)
Post Code
(Required)
Website
Email address
(Required)
Contact phone number:
(Required)
Type of Accommodation
Star rating
(Required)
1
2
3
4
5
Sleeps
Please supply approx 5 quality photographic images to promote your business (Max file size 2MB per photo)
Image 1
Image 2
Image 3
Image 4
Image 5
Detailed Info
Accessibility Statement
Yes
No
Parking
Space provided
Within 50m of entrance
Drop off point
Entrance surface material
Gravel
Solid surface
Cobbles
Grass
Other
Access to entrance
Level
Ramp
Lift
One Step
Well lit
Minimum door width (entrance, living area, bedroom, bathroom - Measure your narrowest door (cm))
Level access (no steps or access by ramp or lift) to:
Toilet and bathroom
One bedroom
Two bedrooms
Lounge
Kitchen
Dining room
Garden/patio
Good contrast between walls & floors (visually impaired)
Yes
No
Aids for visually impaired
Yes
No
Aids for hearing impaired
Yes
No
Kitchen sink taps have lever handles
Yes
No
Adjustable height
Worksurface
Sink
Bedroom has non allergic bedding available
Yes
No
Bathroom
Wetroom
Level access shower
Bath with shower over
Bathboard available
Shower with 1 step into unit
Other info
Equipment
Electric profiling bed
Shower chair
Shower chair on wheels
Portable Hoist
Memory mattress
Cot sides
Bed raisers
Recliner chair
Clear space of at least 150mm under bed for hoist
Yes
No
Other special equipment
Special services (i.e. oxygen)
Special outdoor/activity equipment
Facilities
Facilities for washing/drying laundry
Broadband/WI-FI
Phone line available
TV with subtitles
TV with remote control
Staff available on site
Care agency support available
Removable/flexible furniture
Adjacent bedroom for carer/companion
Distance available at one side of bed for wheelchair access (cm)
Accessible local public transport nearby
Yes
No
Wheelchair turning space in bedroom
Bedroom - Independent (1200mm x 1200mm)
Bedroom - Assisted (1500mm x 1500mm)
Bathroom - Independent (1200mm x 1200mm)
Bathroom - Assisted user (1500mm x 1500mm)
Living Area - Independent (1200mm x 1200mm)
Living Area - Assisted (1500mm x 1500mm)
Pre-bookable mobility equipment hire available
Yes
No
Any other information you wish to include
VisitEngland Accessibility Guide URL
(Required)
required field