Register for SAU1 Speak Up Day! at KenCCID in Philadelphia on 5/31/24

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Use this form to sign up for SAU1's Speak Up Day event at 10:00am on 5/31/24 at KenCCID, 9650 Ashton Road, Suite 202, Philadelphia PA 19114 . To save your seat, please register at least 15 days before the event!

Email *

Your First Name *

Your Last Name *

Your Phone Number *

We will be serving food and snacks! If you have food allergies or other dietary restrictions, please check the boxes that apply below or type your needs in the OTHER line:

Vegan (no animal products of any kind)

Vegetarian (no meat, fish, or seafood, but may include dairy, egg, or other animal products)

No seafood

No gluten

No nuts

No dairy

Other:

Would something help you be part of our event?

If you select any of the items below, you must register at least 15 days before the event to give us time to plan.

Braille materials

Large Print materials

CART (live captioning)

Sign Language

Other:

Will there be anyone else coming with you? *

If there are more than 4 people in your group, please contact Carla at carla@sau1.org or 814-201-6061.

Yes

Yes, but there are more than 4 of us, so I will contact Carla!

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