Disablity Awareness Day 2012 Organization Registration Form

E-Mail Form

Disability Resource Center Sacramento City College 3835 Freeport Boulevard Sacramento CA, 95822 916-558-2087

Disability Awareness Day Attendance Registration Organization Name

Contact Person

Phone

Fax

Email

# of Tables requesting

# of Chairs requesting

Special Accommodation (if any)

Yes, we will be attending Disability Awareness Day at Sacramento City College on April 19, 2012 from 10am - 2pm. (Event will be held indoors if it rains on day of event) No, we will not be attending Disability Awareness Day Please complete and return this form by April 16, 2012 via email to: vangF@scc.losrios.edu or fax to: 916-650-2781.

For more information, please contact Fong Vang at 916-650-2792 or vangF@scc.losrios.edu .