FLAA Hearing Technology Day Talking Teams
Thank you for joining Florida Academy of Audiology in Tallahassee on Jan 15 to spread awareness in the capitol about hearing health and hearing aid access legislation. Please complete this form to help us customize visit lists and prepare for your visit.
Name (Please include names and ages of any children attending)
Phone Number (We use text msg to coordinate in the capitol on Jan 15)
Email Address (Important training and logistics information will be emailed to ensure you are well equipped for the day and know where to go and what to do.)
Home Address (For connecting with your legislators),
Secondary Address (For students or others who are from another part of Florida, this will help us connect with the home districts of more legislators.)
Do you have any connections with current legislators that would be helpful for us to know?
Please check all that apply
Parent of a child with hearing loss
Other relative of a child with hearing loss
Adult with pediatric onset hearing loss
Adult with late onset hearing loss
Other Professional in the Field
Are you attending with a school or group? Please indicate the school or individual's names below. Note that you will NOT be visiting offices alone. We ask this to try to keep you with someone you know. The teams will be 4-6 people to cover the most legislators and because offices are small.
If you or your child (attending) have hearing loss, please indicate your method of communication.
Are you willing to participate in a training call to lead a talking team in Tallahassee?
Yes, I would love to help.
Not this time.
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