2022 IowAbility Fair Registration

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Thank you for your interest in the 2022 IowAbility Fair featuring Walk-N-Roll! We are excited to host this two-day event at the Easterseals Iowa campus on October 1-2. Please take a few minutes to fill out this registration form so we can plan this amazing event to fit your needs.

First name *

Last name *

Email *

Phone number *

Street Address *

City *

State *

Zip code *

County *

How many people will be attending with you? Please list all names and ages (if 18 or younger). *

Please tell us more (so we can plan for participation accordingly) *

I have spina bifida

I have spinal cord injury

I have another mobility-related disability

I am a family member of a person with a mobility-related disability

I am a caregiver

Other:

Required

Which day(s) are you planning on attending? *

Saturday, October 1

Sunday, October 2 - Walk-N-Roll day!

Required

How many people in your group will want a grab and go lunch on Saturday? Please note how many gluten-free or vegan lunches your group will need. *

How many people in your group will be eating lunch on Sunday? Please note how many gluten-free or vegan lunches your group will need. *

Are you planning on staying overnight? (Please note: You must provide your own caregiver, if needed.)

Overnight accommodations are available at Easterseals Camp Sunnyside free of charge. This includes a fully-accessible, dorm-style living space in temperature- controlled buildings with single beds in rooms with multiple beds.

Includes pizza dinner on Saturday night and continental breakfast on Sunday morning and fun activities! For more information about the overnight facilities, please visit iowabilityfair.com.

Yes

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