The words Idaho Assistive Technology Project and an icon of a person in a wheelchair form the shape of the state of Idaho. Idaho Assistive Technology Project

Registration Form
 

IATP Registration Form For Events and Trainings

* Indicates Required Fields

*Name:
*Organization/School Name:
* Address:
*City
*State:
*Zip:   
 *Phone:     XXX-XXX-XXXX
*Organization/School Phone:      XXX-XXX-XXXX
*Organization/School Fax::      XXX-XXX-XXXX
ADA Accessibility Needs Please Indicate: Large Print   Sign Language Translation Assistive Listening Device   Braille
*Please use Comment Area below to list Special Dietary Needs *
Comments/Special Needs:
*Email:
*Please describe yourself:

Parent Student Teacher Professional

 

 Please enter training/event you would like to attend: 

 

Questions or Comments email Kristen Hagen.