Christmas Cookie Fun Registration Form
You’re invited to join us for some
Christmas Cookie Fun!!
Join other families of deaf or hard of hearing kids
for an afternoon of food, fun and friends.

December 4, 2021, 2:00 pm
Cedar Lakes - Jackson Hall
82 FFA Drive, Ripley, WV 25271

The event is free of charge and presented by West Virginia Hands & Voices.


This program is being presented with financial assistance as a grant from the West Virginia
Department of Health and Human Resources.
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Email *
Contact Person *
Address *
City, State, Zip Code *
County of Residence *
Phone Number *
Please indicate how many people in your group will be attending?
Adults *
Children (Birth to Three) *
Children (Ages 4-12) *
Teens (Age 13-17) *
Name and age of each deaf/hard of hearing child
Name and age of each additional child
Refreshments will be served. Please indicate any allergies of which we should be aware. We want to be make our event safe for everyone. *
Are there any additional accommodations your family needs in order to participate?
Additional comments or questions...
A copy of your responses will be emailed to the address you provided.
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