What kinds of things/activities would you like to see this space used for?

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* 1. What kinds of things/activities would you like to see this space used for?

Do you know anyone with a disabiliity?

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* 2. Do you know anyone with a disabiliity?

Are you familiar with any of the following?

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* 3. Are you familiar with any of the following?

Do you have any special skills or talents that you would like to share?

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* 4. Do you have any special skills or talents that you would like to share?

If you answerered yes to the last question, would we be able to contact you?

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* 5. If you answerered yes to the last question, would we be able to contact you?

Is there anything you would like to know about us?

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* 6. Is there anything you would like to know about us?

Address

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* 7. Address

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