Request Form for IDAKY Dyslexia Simulations or Presentations
Please complete the following form and submit. If you have any questions, please email IDAKY at kentuckybranchida@gmail.com. Thank you.
Email address *
I would like to request that an IDAKY representative provide one of the following: *
Please check all that may apply.
Required
3 Possible Dates *
Your answer
Contact Name *
Your answer
Contact Phone Number *
Your answer
Name of Organization (if applicable)
Your answer
Address Where Simulation or Presentation Will Be Held *
Your answer
Approximate Number of Attendees *
Your answer
Description of Audience (check all that apply) *
Required
Are any hosts of this event members of the International Dyslexia Association? *
Thank you. An IDAKY representative will contact you via email or phone within 7 days.
A copy of your responses will be emailed to the address you provided.
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