Assistive Technology Fair Registration Form

Please complete the form below to attend the Assistive Technology Exhibitor Fair on June 27th from 9am- 12pm. Products and services that will be featured at the event include:

Adaptive toys
Chicago Hearing Society
Easter Seals Audiological Services
PODD Communication Systems
PRC-Saltillo
Tobii Dynavox

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1. Participant Name (Required.)

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2. Participant Email Address (Required.)

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3. Phone (Required.)

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4. Mailing Address (Required.)

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5. Can we assist with any needed accommodations? Please note that requests for Interpreters or Braille must be made 5 weeks prior to the date of the event. We cannot guarantee availability if made after that time. Please reach out with questions. (Required.)

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6. Please name all of the family members attending. (Required.)

Assistive Technology Fair Registration Form

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* 1. Participant Name (Required.)

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* 2. Participant Email Address (Required.)

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* 3. Phone (Required.)

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* 4. Mailing Address (Required.)

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* 5. Can we assist with any needed accommodations? Please note that requests for Interpreters or Braille must be made 5 weeks prior to the date of the event. We cannot guarantee availability if made after that time. Please reach out with questions. (Required.)

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* 6. Please name all of the family members attending. (Required.)

1. Participant Name (Required.)

2. Participant Email Address (Required.)

3. Phone (Required.)

4. Mailing Address (Required.)

5. Can we assist with any needed accommodations? Please note that requests for Interpreters or Braille must be made 5 weeks prior to the date of the event. We cannot guarantee availability if made after that time. Please reach out with questions. (Required.)

6. Please name all of the family members attending. (Required.)