Cuyahoga DD Family Fun Fair Registration

Thank you for registering for Cuyahoga DD’s Family Fun Fair. Please complete these questions to help us make sure you have a great experience.

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Email *

Please select the date for which you are registering. Please only register for one event at a time. If you would like to register for more that one event, please complete another google form. Thanks.

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First name of child receiving services from Cuyahoga DD *
Last name of child receiving services from Cuyahoga DD
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Parent/Guardian First Name *
Parent/Guardian Last Name *
Phone Number *
Number of People Attending This Event *
Age of Children attending *
Required

Please check the types of accommodations that would benefit you or your family at this event.

If you checked one or more of the above boxes, please tell us more so we can help your family at this event.

Please check the types of language accommodations that would benefit you or your family at this event.

If you checked one or more of the above boxes, please tell us more so we can help your family at this event.

Family Fun Fair Photo/Video Release for All Members in Your Group

I hereby gives permission to the Cuyahoga County Board of Developmental Disabilities and its assigns including, but not limited to, public media outlets, to utilize in part or in whole, for instructional or institutional purposes, the photograph/videotape herein indicated.

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Required

I hereby give my permission to use our full names.

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I hereby give my permission to use our first names only.

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Would you like to be connected with other parents and families who receive services from Cuyahoga DD?

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A copy of your responses will be emailed to the address you provided.
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