USSAAC Virtual Game Night Registration
The USSAAC Awareness Committee is excited to host a virtual game night on February 12, 2025 at 7:00 PM EST! It's an opportunity for individuals who use AAC to meet, socialize, and enjoy camaraderie. Please fill out this form to register. 
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Email *
Participant's name *
Participant's age *
Accompanying Parent’s/Guardian’s Name  *
Siblings of participants are encouraged to join game night! Will the participant's sibling(s) be joining us? If yes, please indicate their name(s) and age(s). *
What AAC system does the participant use?  *
What selection method does the participant use to access their AAC system?  *
Does the participant have any sensitivities? If so, please describe.  *
Does the participant have any vision impairments? If so, please describe.  *
Does the participant have any hearing impairments? If so, please describe. 
*
Approximately how long is the participant able to attend attend to one activity?  *
We would like to engage participants as much as possible. Please list two to three of their favorite songs.  *
We would like to engage participants as much as possible. Please list two to three of their favorite things (eg. movies, characters, animals, foods, places, activities, etc.). 
*
A copy of your responses will be emailed to the address you provided.
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