"Permission to Share Information"

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The PATHS mission is to foster connections among families of children who are deaf/hard of hearing through their shared journey.

PATHS

PATHS is the parent support group for families with deaf/hard of hearing children in Kansas. It is supported by the Kansas School for the Deaf and SoundBeginnings. Through PATHS, there are several opportunities for families to connect with each other, such as:

PATHS Events: Fun and/or educational events for families of children who are deaf/hard of hearing to attend and meet other families.

Supporting You: A Peer Support Network Program: A joint project with the Kansas Department of Health/Environment to provide individuals the opportunity to gain support from a peer who has experienced a similar situation and/or circumstance in life who can share ideas, resources, and provide a listening ear during a time of need.

Deaf/Hard of Hearing Resources: Kansas School for the Deaf Outreach is the resource center for all families of children who are deaf/hard of hearing in Kansas.

I would like for PATHS to contact me regarding events and resources. *

Yes

Primary Parent/Guardian Full Name: *

Full Address: *

Primary Email Address: *

Primary Phone Number: *

Do you want to add the Secondary Parent/Guardian Information? *

Yes

Secondary Parent/Guardian Full Name:

Does the Secondary Parent/Guardian have the same address as the Primary Parent/Guardian?

Yes

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Secondary Full Address:

Secondary Email Address:

Secondary Phone Number:

Deaf/Hard of hearing Child(ren) Names: *

Parent/Guardian Signature (By typing your name, you agree to allow us to add your name to the email list and share information with you) *

Today's date *

YYYY

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