Name* First Last Phone*Email Date of Event* MM slash DD slash YYYY Name of Event*Event Location* Charlotte Hall Library Leonardtown Library Lexington Park Library Virtual Event What accommodations do you need?*Check all that apply Sign language interpreter Seating near the front for attendees with low vision or who lip read Alternate seating options for mobility, balance, or comfort Alternate-format copies of materials, eg. individual copy of a storytime book, large print or braille copies of handouts, etc. Use of assistive technology Closed captions (for virtual event) Other What type of interpreter do you need?*American Sign LanguageCertified Deaf InterpreterCued Speech TransliterationLow VisionPSEOral TransliterationSigned Exact EnglishTactile InterpretingPlease describe the alternate seating option you are requesting*What kind of alternate-format materials are you requesting?* Individual copy of a storytime book Handouts in braille Handouts in large print Handheld storytime guide Other Please describe*What assistive technology do you use and how can we accommodate?*Please describe the accommodations needed*PhoneThis field is for validation purposes and should be left unchanged.
