Request a Parent or DHH Guide
Arizona Hands & Voices is a non-profit organization dedicated to supporting families and their children who are deaf or hard of hearing, as well as the professionals who serve them. We are a parent-driven, parent/professional collaborative group that is unbiased towards communication modes and methods. Our diverse membership includes those who are deaf, hard of hearing, and their families who communicate orally, speak American Sign Language, cue, and/or combined methods. We exist to help our children reach their highest potential.

Guide By Your Side (GBYS) ™is a family support program from Hands & Voices (H&V) that provides emotional support and unbiased information from specially trained Parent Guides or D/HH adult Guides to other families and to the systems that serve them.

Complete this form to have a Guide By Your Side Parent Guide or D/HH adult Guide
assigned to them from Arizona Hands and Voices.

For more information email Heidi at executivedirector@azhv.org
Sign in to Google to save your progress. Learn more
Email *
Your Name *
Your Child's Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Contact Phone Number *
Alternative Contact Phone Number
What type of Guide would you like to request? *
I understand that the Information shared with Arizona Hands & Voices-Guide By Your Side shall not be disclosed to anyone else without written consent of the parent/guardian.
Please indicate your consent to these terms by typing in your name and entering today's date below.
Type Name of Child's Parent/Legal Guardian *
Date of Consent *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Arizona Hands and Voices. Report Abuse
Google Forms