Meeting of Families of Children and Young People with Deafblindness 2024

November 9 and 10, 2024 (Saturday and Sunday)

 

Name *

Surnames *

Telephone or cell phone

Email *

Relationship with the deafblind child/young person: *MotherFatherOther

If you checked other, please specify:

Name and surname of the deafblind child/young person:

Age of deafblind child/young person:

Family composition that will attend the activity: *2 people3 peopleOther

If you checked other, please specify:

Indicate if you use assistive equipment:WheelchairsFM TeamOther

If you checked other, please specify:

Companions

1- Name and surname of the family companion who will attend the activity *

Accompanying age:

2- Name and surname of the family companion who will attend the activity

Accompanying age:

3- Name and surname of the family companion who will attend the activity

Accompanying age:

Does anyone in the family need special accommodations and/or assistance?:YeahNoOtherPlease indicate any special aids, services and/or accommodations (e.g. food allergies, special diet, wheelchair use)

If you checked other, please specify:

Will you be using the hotel parking?:YeahNo

Send

If you have any questions, you can contact: msanabria@apnipr.org   Marta (787) 378-0883 or Alicia at (787) 378-4180 / Saramarie (787) 568-9676