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Day of ADA 30th Anniversary Celebration Registration Form
The ADA Virtual Anniversary Celebration will last one hour and include six different activities in that time period. Attendees who participate in at least 4 of the 6 activities will get a gift card to Chocolate Moose AND the opportunity to receive a $50 Visa gift card (five will be given out).
We need for attendees to provide the  information below as it is necessary for the safety of the Zoom activity. Personal information will not be shared or be put on any list. You will receive more information and the link to the Zoom 24 hours before the event on Thursday, July 23rd, 11:00 a.m. - 12:00 p.m.
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Attendee's First Name *
Attendee's Last Name *
Email Address *
Name of Parent or Guardian if Attendee is Under 18 Years Old  (required)
Parent/Guardian's Email Address
This information is necessary for the delivery of a free ice cream cone from Chocolate Moose (two scoops of homemade ice cream!):
Address *
City *
State *
Zip Code *
Activities and Organizations
Here are descriptions of activities and the organizations facilitating them.
Grooming Daisy Mae
People and Animal Learning Services
Learning how to care for a therapeutic horses used by people with disabilities.
Wheelchair Obstacles
Monroe County Public Library
Find out what it's like to try to maneuver around and past all the many obstacles that confront people who use wheelchairs, even 30 years after passage of the Americans with Disabilities Act.
Kelly's Hollywood
Down Syndrome Family Connection
Learn from "Kelly's Hollywood" Movie Clip:  People with differing abilities have dreams and we all can help those come true! Watch a short clip from the movie and discuss ways you can make positive change a reality.
Kahoot! For Everyone
Stone Belt
Play a Kathoot! game that Stone Belt Advocates have developed for everyone.
ADA Trivia
Indiana Institute on Disability and Community (IIDC)
Play an interactive game that has trivia and fun facts and information.
Done Differently
Safe and Civil City
A disability awareness engagement video and discussion on how people move, work, and live differently.
We look forward to seeing you at 10 a.m., July 23rd!
If you have any questions, contact or 812-349-3471.
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