White Cane Day 2025

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First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Does the participant currently use any of the following devices:

Glasses or contact lensesHearing aidWheelchairWalker or RollatorCrutches or support caneMobility or "white" caneCommunication system or deviceSmartphone or tabletLaptop or desktop computerOther
Please list any food allergies.
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By entering this event, you acknowledge that photography and videography may be taking place. These images may be used by Signal Centers for promotional, educational, or informational purposes in print and digital media.

If you prefer not to be photographed, please let a staff member at the event know.

Thank you for registering!
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