ADA35 Rally and March 2025 Accessibility Request Form

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This purpose of this form is to collect information about accessibility needs for people that want to participate in the ADA35 Rally and March. This form contains 11 questions. The deadline to fill out this form and request accessibility accommodations is Friday, July 18. The 2025 ADA35 Rally and March is on Saturday, July 26.

First name *

Last name *

What are your prefered pronouns? *

Phone number (this question is optional)

What is the best way to contact you? *

Phone

Text

Would you like a sighted guide to accompany you? A sighted guide is person who helps someone with a visual impairment navigate the world by offering their arm for support and providing verbal cues about the environment. *

Yes

Would you like to sign up to borrow a wheelchair? *

Yes, and I would also like someone to assist me with my wheelchair during the march.

Yes, but I do not need someone to assist me with my wheelchair during the march.

No, but I would like someone to assist me with my own wheelchair during the march.

No, I do not need a wheelchair.

What size wheelchair do you prefer?

Standard

Not sure

Clear selection

Would you be interested in marshaling? Marshals help ensure the safety and health of participants. Training on how to be a marshal will be available. *

Yes

Other:

Any other questions or concerns?

Submit

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