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2024 Virginia Deafblind Family Day
Please complete the form to confirm your interest in attending the first annual Virginia Deafblind Family Day on Saturday July 13th at the in Richmond, VA.
***Family members should fill out one form for each family member interested in attending***
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Email
*
Your email
Untitled Title
Name (first and last)
Your answer
Phone/text number
Your answer
Which option best describes your role in the 2024 Virginia Deafblind Family Day?
*
Deafblind Individual
Family
Volunteer
Agency Partner/Collaborator
Communication/Access Accommodations Needed (select all that apply)
*
Closed Captioning
American Sign Language (ASL) Interpreter
Cued Speech
Pro-tactile interpreter
FM System
Voice Interpreter
Printed Materials in Large Print
Printed Materials in Braille
Electronic Copies of Printed Materials
No Accommodations Needed
Required
Dietary Restrictions/Allergies
Your answer
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