Request Form for IDAKY Dyslexia Simulations or Presentations
Please complete the following form and submit. If you have any questions, please email IDAKY at Thank you.
Email *
I would like to request that an IDAKY representative provide one of the following: *
Please check all that may apply.
3 Possible Dates *
Contact Name *
Contact Phone Number *
Name of Organization (if applicable)
Address Where Simulation or Presentation Will Be Held *
Approximate Number of Attendees *
Description of Audience (check all that apply) *
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.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy