Carers Form

Please complete the following form to submit application

(incase we need to contact you regarding the application)

Racedays you are applying for:

Enclosure* Raceday Date* Order Number*
(can be found on you email confirmation)

If the criteria is met for the application to be successful we will allocate one ticket for your Carer on each above requested racedays. For additional racedays please complete a new application

I agree to the above details being securely held by York Racecourse until the last raceday of this application.

Yes    No

If you select "No" do not continue with this application as we are not permitted to hold your documentation on file and you should therefore present it on the raceday you are attending along with photographic ID. Please note if your documents do not meet the criteria for the scheme when presented on the raceday a ticket will not be issued.

Type of document being submitted as evidence of qualifying for the scheme:

Document Date
Disability Living Allowance (DLA)
Attendance Allowance (AA)
Personal Independence Payment (PIP)
Armed forces Independence Payment (AFIP)
Proof of Registered Blind (Certificate)

All documents submitted must be current, Award letters to be dated within the last year or to clearly state expiration or next review date.

Carers Scheme Admission Policy

Please confirm you have read the terms and conditions of the scheme

If you are applying on behalf of someone else please confirm you have authority to do this.