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Request Form for IDAKY Dyslexia Simulations or Presentations
Please complete the following form and submit. If you have any questions, please email IDAKY at
kentuckybranchida@gmail.com
. Thank you.
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I would like to request that an IDAKY representative provide one of the following:
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Please check all that may apply.
Dyslexia 101 Presentation: In this hour and a half event, learn about what dyslexia is and how it can be addressed in schools.
Dyslexia Simulation: In this hour and a half event, participants will experience activities that show what it is like to have dyslexia.
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3 Possible Dates
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Contact Name
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Contact Phone Number
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Name of Organization (if applicable)
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Address Where Simulation or Presentation Will Be Held
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Approximate Number of Attendees
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Description of Audience (check all that apply)
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Teachers, tutors or school personnel
Family members, friends or guardians
Community members
Students or children
Other:
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Are any hosts of this event members of the International Dyslexia Association?
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No
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Thank you. An IDAKY representative will contact you via email or phone within 7 days.
A copy of your responses will be emailed to the address you provided.
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