Taco Bout Self Love June 2024 RSVP Form

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Join us on Friday June 14h, 2024 for Taco Bout Self Love, an afternoon of fun, socializing, and self love for disabled women and girls.

When: Friday, June 14, 2024

Time: 1pm-3pm
Where: Disability Network Washtenaw Monroe Livingston Office- 3941 Research Park Dr Ann Arbor, MI 48108

If you have any questions email Disability EmpowHer Network's Team at  disabilityempowhernetwork@gmail.com

Name of Participant *

Participant's Email *

Participant's Phone Number *

Participant's Age *

Participant's Disability/Disabilities *

Dietary Restrictions or Needs *

Do you need any reasonable accommodations to participate in this activity? if so please list them.
*

Emergency Contact Name (or Guardian name if applicable)
*

Emergency Contact Email (or Guardian Email if applicable)
*

Emergency Contact Phone Number (or Guardian Phone Number if applicable)
*

Additional comments, questions, or concerns? *

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