Accessible Egg Hunt Event at KYOVA Mall Saturday April 22nd

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* 1. Please enter your contact information

Name of Child *

Name of Parents *

County of Residence *

School District Child Attends

Age of Child (only ages 2-13) *

Email Address *

Phone Number *

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* 2. Please note that this event is structured exclusively for children who are not able to participate in a traditional Egg Hunt due to physical impairments that impede his/her ability to locate or pick up the eggs independently (such as severe vision loss, limited motor abilities, or severe complex needs). Does your child meet this criteria?

Yes

No

I'm not sure