Yes, I’d Like to Take Part in National AccessAbility Week Activities!

First Name

Last Name

City

Province

Email Address

Phone Number

I am part of a:

SchoolBusinessNon-profit organizationGovernmentN/A

School / Business / Organization (if applicable)

Job Title (if applicable)

Number of people participating in activities: 

I would like to take part in National AccessAbility Week in the following ways (please check all that apply):

Virtual Presentation: Watch a virtual presentation featuring inspiring speakers with disabilities who will share their personal stories, achievements, and challenges.

Buildathon: Receive funding and organize a build event where youth and community members will learn how to make assistive technology solutions.

Walk and Roll: Join a neighborhood walk to show support and allyship for people with disabilities in their communities.

Mailing List:

I agree to be added to your mailing list to receive email communications, and I understand that I can unsubscribe at any time.

If you have any questions, please contact us:

Neil Squire Society

400-3999 Henning Drive

Burnaby, BC V5C 6P9

Telephone: 604 473 9363 | Toll Free: 1 877 673 4636 | Email: info@neilsquire.ca

reCAPTCHA helps prevent automated form spam.

The submit button will be disabled until you complete the CAPTCHA.