Taste of Thanks - 2021 Registration Form
The Taste of Thanks at PRAGNYA is a celebration of everything that we hold dear, Love, Togetherness, Life and the People we hold dear, giving gratitude for us to have been able to enjoy and cherish the time we have with each other and the fact that we are emerging out of a pandemic in a safe manner.  The event will happen on November 20, 2021 between 11am and 1pm.  Entry is Free but Registration is required.  Only registered attendees with their listed family members / caregivers/ friends as outlined in the form below can attend. A Covid 19 safety certification form will need to be filled out at the event.  
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Email *
Name (first and last Name) *
Ethnicity *
Address * (City of Residence) *
Phone *
Do you or someone in your immediate family, that you provide care for,  identify as someone with a disability ?
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Would you like to perform at our event ? If yes, please list the act type (Dance, Song, Instrument, Comedy etc.) *
What type of act will you be performing ? (Please limit it to no longer than 3 mins) *
How many people from your family will be attending? Please provide names of all individuals who will be attending - kindly include Caregivers as well. *
Please enter the name of the RC Consumer here and age. *
Are you aware of supports made available to those with developmental disabilities through the Regional Center system (Dept of Developmental Disabilities)? *
Would you like to learn more about the services and supports available for those with developmental disabilities ? (IEPs, IPPs, SDP, IHSS, MediCAL etc.) *
Please click here  if you would like to learn more about PRAGNYA and how you can be an Ally. *
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