Get Involved

Please complete this form to indicate how you would like to participate in our 2021 Speak Only with Your Heart Campaign this month!  Your participation will bring awareness, acceptance, and critical funding to allow us to continue supporting students and families experiencing complex communication challenges in innovative ways during the continued COVID-19 pandemic.

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* 1. How would you like to participate?

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* 2. Please provide your contact information:

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* 3. If you chose to NOMINATE someone to "Speak Only with Your Heart", please provide the name and contact info for your NOMINEE here:

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* 4. Do you have more people you would like to NOMINATE? (We will contact to collect additional nominations, if needed.)

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* 5. If you chose to VOLUNTEER, please indicate a date (between October 24-30) you would like to begin your 12 Hours of SILENCE:

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Time

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* 6. Is there a ACCESS student's team you are joining! (Student Name)

Thank you so much for your participation in Speak Only with Your Heart 2021!!  You are truly making a difference and giving a voice to a child who longs to be heard. We will be in touch soon with more information.

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