Mobility and Accessibility Register

Please complete the following information designed to support emergency planning for site evacuations at the Southern Ocean Tourist Park.

This information helps us collect basic site details and identify whether guests may require accessibility or additional assistance during an evacuation, ensuring appropriate support can be provided if needed. All information provided will be used for safety and emergency management purposes only.

First name

* required

Maximum 15 characters

0/15

Last name

* required

Maximum 255 characters

0/255

What site/cabin/villa number are you staying at in the park?

* required

Maximum 255 characters

0/255

Check in date

* required

Check out date

* required

Incase of an emergency, do you require special accessibility assistance?

* required

Yes

If yes, please indicate the type of assistance required:

(Select all that apply)

* required

Mobility assistance (e.g. difficulty walking long distances, steps, in a wheelchair)

Vision support

Hearing support

Cognitive or communication support

Assistance for children or dependants

Other

If you selected other, please describe the assistance required

Maximum 255 characters

0/255

Agreement

* required

I acknowledge that the details provided in this survey are accurate and correct to the best of my knowledge. This information is collected to assist emergency planning only and will be used to support your safety during an evacuation.