DARRI Program Registration Form
All participants must register for the Disability Advocacy Rights Reading Initiative (DARRI) by completing the form below.
Reader's Name
First Name
Last Name
Best Email Address
example@example.com
May we send information about the DARRI program and the Disability Rights Center of the Virgin Islands (DRCVI) to the email address that you provided?
Yes
No
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Where do you live?
St. Croix
St. John
St. Thomas
How old are you?
3 - 7
8 - 12
13 - 17
18 - 22
23 - 27
28 - 32
33 +
Student Information (if applicable)
Fill out this section if you are a student or if you are signing up a student. If the reader is older than 18, skip and hit the green "submit" button below.
School or University Currently Attending
Current Grade / Year
Parent / Guardian Authorization (if the reader is under 18 years old)
By providing your name below, you give permission for your child to participate in the DARRI program. If the reader is older than 18, skip and hit the green "submit" button below.
Parent / Guardian Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Submit
Should be Empty: