SSP Request Form for DBCTX Events for DB only
This is for only DeafBlind individuals needing SSPs.

Filling this form means you understand SSPs will not provide interpreting services and agree to not hold anyone liable including transportation.

Email address
Which of the following event(s) are you attending?
(you can choose more than 1)
First and Last Name
Your answer
Phone Number (Optional)
Your answer
Communication Preference
How do you prefer the SSP to communicate with you?
Additional details or instructions to help you or us? (Optional)
Your answer
Do you need a ride?
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