UNC Athletics Accessibility Request Form
Please complete this form to request reasonable accommodations for programs and events at UNC athletic facilities. Accommodations will be provided to the extent possible as determined by availability, the individualís request, and UNCís assessment of individual needs.

Required Fields in Bold

 
Ticketholder/Person Requesting Accommodations

Name
 
Street Address
 
City
 
State
 
 
Zip Code
 
Phone Number
 
Email address
 
 
Game or Event Attending

Month of Event
 
Day of Event
 
Year of Event
 
Sport (*For sports other than men's basketball, guests requiring ADA seating should purchase a regular ticket to the game and make the gate supervisor aware of their disability seating needs upon entry, at which time they will be directed to ADA seating.)
 
Opponent
 
Current Ticket Location: Section
 
Current Ticket Location: Row
 
Current Ticket Location: Seat
 
 
Disability-Based Accommodation Requested

Accommodation Requested
 
Accessible (wheelchair) seating
Accessible (non-wheelchair/limited mobility) seating
Assistive listening device
Companion Seating
Other
 
Description of Needs

Please describe your needs, using as much detail as possible.
 
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