Please note that for the purposes of this form, "accommodations" means an adjustment to the lessons/work environment that makes it possible for an individual with a disability to participate. These will be made up to the point of undue hardship for the business.

Relevant staff/teachers will need to be informed of your accommodation plan so that it will be possible to accommodate you.

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1. Your name:

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2. Phone number:

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3. Your condition (optional):

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4. Please list your requested accommodations below:

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