D/HH Playgroup Registration

NH’s Deaf/Hard of Hearing Role Model Program invites families to join our playgroup to meet deaf and hard of hearing adults as well as other families who have children who are deaf, hard of hearing or deafblind!

Name*

First NameLast Name

Email Address: *

example@example.com

How old is your child who is Deaf, Hard of Hearing or DeafBlind?*

Phone Number*

Please enter a valid phone number.

Are you interested in receiving information about our future programs?

YesNot at this time

Preferred Communication Method

EmailPhone (Voice)Phone (Text)Phone (VP)

Register for:*

January 18th, 2024 10:00-11:30am, NDHHS, 56 Old Suncook Rd, Concord, NH 03301

What questions do you have for our role models/family coordinator?

Any additional comments/questions:

Interpreter or other accommodation requests:

Do you or your child have any food or other allergies we should know about?