Request for Scholarship
This form is to be filled out by any AAC user requesting a scholarship to attend IV Live 2022. If anyone has difficulty filling out this form, please send an email to info@impaactvoices.org. We can find an alternative means of gathering the information. 
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First and Last Name *
Address: city and state *
Are you new to AAC? *
Are you an AAC user? *
What days will you be attending? *
Required
Will you need to reserve a hotel room at the venue?  Must make hotel reservations by September 9 to get a discounted rate, use the link here. *
Age if under 18?
Email address *
Personal Care Attendants: Will you need a complimentary registration for a personal care attendant? 

There is not a fee for personal care attendants for attendees with a disability. ImpAACt Voices will provide personal care attendants with a complimentary registration and ask that they be registered, and they will get a badge at the event. Seats at tables, food & drinks are for attendees that purchased a ticket. Food and drinks will be available to purchase onsite.
 *
Personal Care Attendant's First and Last Name
Personal Care Attendant's Email
What is your t-shirt size? *
What would you like to take away from this conference? *
Would you like to be added to our email list? *

Would you be interested in joining our monthly virtual hangouts?

 *
Please leave a comment. We'd love to hear from you!
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