Inclusive Gamers Night

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Join us for an evening of adaptive video gaming. We will have several gaming platforms
available to try, along with adaptive equipment to ensure accessibility. Come enjoy gaming on Xbox, PlayStation, Nintendo Switch, and more.

This event is ideal for someone who loves video gaming, and has autism, attention-
deficit/hyperactivity disorder (ADHD), or physical disabilities. Ages 14 to 30 only please.

Please submit this registration form to participate in the Gaming Night held on April 13th, 2023 from 6-7:30pm at Disability Network Eastern Michigan, 4351 24th Ave., Suite 1, Fort Gratiot, MI 48059.

This class is fully accessible and individuals of all abilities are welcome.

A reminder email will be sent to you prior to class.

Email *

Please choose what time slot you would like to participate in *

6pm-7:30pm

Required

Name (First and Last) *

Address *

City *

Zip Code *

Phone Number *

Date Of Birth (needed for federal grant reporting purposes only)
*

YYYY

DNEM offers free programs to people with disabilities. Please assist us with accommodating your needs by identifying any disabilities you have:
*

Arthritis or Orthopedic Condition

Asthma

Autism/Aspergers

Back Injury

Blind/Low Vision

Cerebral Pasly

Deaf/ Hard of Hearing

Depression/Anxiety/Mental Health Condition

Cognitive Disability or Dementia

Auto-Immune Disorder

Cardiovascular/Stroke

Spinal Cord Injury

Diabetes

Obesity

Other:

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