Class of 2021 Graduation Ceremony Accessibility Request Form

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Accessible seating space and a sign language interpreter will be available, if requested, for the graduation ceremony at Middletown High School stadium on June 2 @ 10:00 AM, 2021. If you have a family member or guest who requires accessible seating space and/or an interpreter for the deaf and/or hard of hearing, please complete this form by May 17, 2021.

Email *

Graduate's Name *

Number of Individuals Requesting Accessibility *

Number of Attendees with a Wheelchair *

Number of Attendees with a Walker/Cane *

Number of Attendees with an Oxygen Tank *

Number of Attendees Requiring an ASL Interpreter *

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