Be The Voice- Register Your Event!

First Name *

Last Name *

Address *

Address

City

State/Province

Zip/Postal

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Phone *

Email *

Is this your first interaction with Apraxia Kids? *

How would you describe yourself? *

How best would you describe your community? *

Suburban

Rural

Metropolitan Area

What is your relationship to apraxia? *

To better serve you, please provide a short description about your awareness efforts. Consider including information about the event type, audience/attendees, or how many people will be impacted. *

If your event is on a particular day, please provide the date:

I would like to receive email communication from Apraxia Kids.

Your Be the Voice Awareness Kit will include these resources listed below. Shipped for FREE to residents in the U.S. & Canada.

For residents outside the U.S. or Canada, an Apraxia Kids staff member will be in touch about different shipping and digital options regarding your request.

Awareness Rack Card (QTY: 20) - an informational card to help others understand why talking is hard for children with apraxia

New to Apraxia Brochures (QTY: 10) - a trifold brochure with resources and tips on how best to support children with apraxia of speech

“I Made the Choice to Be the Voice” Stickers (QTY: 30) - pass out for others to wear at your event

Digital Support Materials provided via email - a PDF of Talking Points, Social Media Graphic, Zoom Background, Coloring Pages, and links to more printable resources to share at your event!

OPTIONAL ADD-ONS: Further customize your kit. The following resources can be added to your kit for a small fee to cover the cost of shipping. These will be in addition to the items you receive above.

IGNORE

IGNORE: $2.50

Blue Apraxia Kids Rubber Bracelets - Pack of 5 for $2.50

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IGNORE: $2.50

Awareness Rack Cards - Pack of 10 for $2.50

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IGNORE: $2.50

New to Apraxia Brochures - Pack of 10 for $2.50

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IGNORE: $2.50

Program Brochures - Pack of 10 for $2.50

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IGNORE: $2.50

Free Resource Flyers - Pack of 10 for $2.50

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IGNORE: $2.50

Parent Portal Flyer - Pack of 10 for $2.50

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IGNORE: $2.50

Stickers - Pack of 30 for $2.50

I would you like to make a donation to help support the Be the Voice program and other resources available by Apraxia Kids.

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Be The Voice – Register Your Awareness Event!

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