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Experience Dyslexia Simulation Request Form
What is Experience Dyslexia®?
This simulation allows participants to experience some of the challenges and frustrations faced by people with language-based learning differences. Participants are guided through three to six learning tasks commonly encountered in the classroom or workplace. These activities are followed by a group discussion tailored to your needs, focussed on experiences shared and lessons learned.
DenCoKID is pleased to offer dyslexia simulations to Denver schools, organizations, community groups, and families.
90-120 minutes (recommended timeframe)
20 to 60 participants
allow 4 weeks to schedule
$250 materials fee (FEE WAIVED FOR 2026-27 SCHOOL YEAR)
scholarships available
Contact us with questions or to learn more: denverkidgroup@gmail.com 720-222-4704
“If you don’t walk in their shoes, you really don’t understand how to help them.”
— Maria, Special Educator
“If you don’t walk in their shoes, you really don’t understand how to help them.”
— Maria, Special Educator
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Name of Group/Organization Making Request:
Name of Group/Organization Making Request:
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Address of Group/Organization:
Address of Group/Organization:
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Name of Contact Person:
Name of Contact Person:
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Contact Person Email:
Contact Person Email:
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Contact Person Phone:
Contact Person Phone:
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EVENT INFORMATION
EVENT INFORMATION
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Requested Date of Event:
Requested Date of Event:
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Attendee Type: (check all that apply)
Attendee Type: (check all that apply)
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classroom teachers
specialists
administrators/leaders
families
community members
elementary
middle
high school
other
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Number of Attendees:
Number of Attendees:
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Event start time:
Event start time:
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Event end time:
Event end time:
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Location of event (street address and room #):
Location of event (street address and room #):
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Would your group like to apply for a need-based scholarship to help cover some of the costs of the simulation materials?
Would your group like to apply for a need-based scholarship to help cover some of the costs of the simulation materials?
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Yes (someone will reach out to you with more information)
No
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Name and contact information for person at your organization responsible for payment:
Name and contact information for person at your organization responsible for payment:
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Other comments/questions:
Other comments/questions:
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Thank you! After review, we will contact you soon with confirmation of your request.
Thank you! After review, we will contact you soon with confirmation of your request.
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