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Adapted Breaks – Accommodation registration
Adapted accommodation form
Name
This field is for validation purposes and should be left unchanged.
Your property name
(Required)
Contact Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Website
(Required)
Where can we find out more about your property?
Property location (town, village, city)
(Required)
Property location (region)
(Required)
Number of guests
(Required)
1
2
3
4
5
6
7
8
9
10+
Number of bedrooms
(Required)
1
2
3
4
5
6
7
8
9
10+
Number of bathrooms
(Required)
1
2
3
4
5
6
7
8
9
10+
Do you accept pets?
(Required)
Yes
No
Property features / adaptations
(Required)
Widened doorways
Level access
Ramps
Mobile Hoist
Track Hoist
Profiling bed
Wet room
Shower chair
Shower trolley
Changing plinth
Safe space bed
Secure windows
Secure doors
Secure outside space
Parking
Sensory room
Autism friendly environment
Accessible hot tub or pool
Select All
Please detail your cancellation policy.
Would you consider offering a discount to Time Away
(Required)
Yes
No
Would you consider donating time in your property completely free of charge?
(Required)
Yes
No
Notes / Additional information
Please use this space to provide any further information or details about your property.
