When

Tuesday, August 16, 2022 from 5:00 PM to 7:00 PM MDT
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Contact

Katie Greene
Utah Parent Center
801-272-1051
katie@utahparentcenter.org

EHDI Utah County Summer Splash Day

Utah County families come meet and enjoy some time at the park this summer! For Families with deaf/hard of hearing children using ALL communication modalities.

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Participant Contact Information

  • Please provide the following information as part of the registration. This information is needed to help us better serve you and to document our services for our funders. This information will be kept strictly confidential. Thank you.

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Participant Demographic Information

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    What is your role?

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    What is your race/ethnicity?

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    What is your primary language?

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    Does your child qualify for:

Child Demographic Information

  • Please include your child's demographic information below, if you have more than one child please list the child you are primarily attending this event for. If you are a professional, please use NA or choose the "I am a professional" option.

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    Child's Race/Ethnicity

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    Child's Primary Disability

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    Child's Insurance:

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    Services:

Guest Information

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