General Accommodation Request
Bloomington Parks and Recreation is committed to an inclusive approach to recreation. Reasonable accommodations are individualized techniques and resources used to enhance program participation without fundamentally altering the program. We request at least two weeks notice prior to the program registration deadline. Some reasonable accommodations may take longer.
Name of participant
*
First Name
Last Name
Date of Birth of participant
*
-
Month
-
Day
Year
Date Picker Icon
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of program
*
Program date(s)?
*
Reason for accommodation request
*
Accommodation(s) requested (Please be as specific as possible.)
*
Any other helpful information
Submit
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