Essential Companion Individual Application Please complete with details of the person with a disability. Name First line of address Postcode Email Telephone Which of the following preferences would you like us to assist you with in future bookings? Aisle Seat Wheelchair Space Large Wheelchair Space Stalls Seat Induction Loop Please provide as much information as possible as to why you require an Essential Companion: Please tick to confirm you have read the terms and conditions of becoming an Essential Companion (required)