Request for Accommodation
Parkway-Rockwood Community Ed is committed to an inclusive approach to programs and services. Reasonable accommodations will be made to afford individuals with disabilities an equal opportunity to participate. Accommodations are made as needed and can be flexible and creative, so long as not fundamentally altering a program.
Today's Date *
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Participant Name: *
Program(s) Requesting Accommodations For: (check all that apply) *
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Support/Accommodation Requested: *
Required
Has participant previously participated in Community Education programs? *
Primary Contact Name (if participant is under age 18, list parent/guardian): *
Primary Phone
Email: *
Preferred Method(s) of Contact (check all that apply): *
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This form was created inside of Rockwood R-6 School District.