Personal Emergency Evacuation Plan

All ceremony areas in the Town Hall can be accessed by ramps or lifts for step free access. If you or any of your guests have a disability, you will need to complete this form before the ceremony so that we can plan for a safe evacuation in case of emergency.

PLEASE NOTE: there is no need to complete this form unless someone attending your ceremony has a disability.

Personal Emergency Evacuation Plan

Name of person who the plan is for*
Name of person completing this form (if different)
Contact telephone number*
Email Address*
Date of ceremony being attended*
Time of ceremony being attended*

: Hours

Minutes
First names and surnames of the couple whose ceremony you are attending*
Room the ceremony is taking place in*
Are you visually impaired?*
If yes, please state if and how you require assistance to evacuate.
Are you hearing impaired?*
If yes, please state if and how you require assistance to evacuate.
Do you use a wheelchair?*
If you use a wheelchair, do you use a manual or powered chair?
If you use a wheelchair, can you transfer from the wheelchair to an evacuation chair?
Do you use any other mobility aids?*
If you have chosen 'other', please describe your mobility aid
Are you able to get down stairs and out of exits safely in an emergency?
Please note below anything else our staff should be aware of that may affect your ability to evacuate the building during fire alarm activations
Verify you are human

You are about to book a registrar for this venue only!

Personal Emergency Evacuation Plan

Personal Emergency Evacuation Plan