Clinic Registration

Registration Form

Disability-Centered Advance Planning Clinic: June 6th 1:00-5:00 PM ET
Advance registration is required to attend this clinic! Space is limited, and the registration form will close once we've reached 20 attendees.

If this form is inaccessible for any reason (or if you have questions or concerns), please email sarah@projectlets.org and they'd be more than happy to find another way to communicate that is more accessible.
Basic Information
Name

First NameLast Name
Email
We will use this email to send you an access guide as well as pre- and post-materials for the clinic!
What state do you live in? States each have their own laws regarding advance planning, so we would like to tailor the clinic materials based on who is attending!

Other
[Optional] Why would you like to attend this clinic? What are you hoping to get out of it?
[Optional] Do you have any questions you would like us to answer during the clinic?
Access Information
The event will be hosted at 55 Cromwell Street, Providence, RI 02907.

We will provide an access guide including pictures of the space and parking instructions via email prior to the event.

Access practices we are already incorporating:
- This is a mask-required event (we will provide high-quality - KN95 and N95 masks - for those who do not have them!)
- There will be an air purifier on-site and turned on when using indoor areas.
- We ask that everyone take a rapid test for COVID 24 hours or less before attending the clinic. We can provide the rapid test at no cost if you don't already have one easily accessible.
- We ask that people refrain from using scented products on the day of the clinic (for example, perfume and scented lotions).
- All foods and beverages will have ingredients labeled/easily accessible.
- There will be access to an outdoor space to eat.
- The space is wheelchair/mobility aid-accessible.
- We will provide interpretation services upon request.
- We will assist with transportation to the clinic location if you need financial or logistical assistance.
Do you need us to deliver/mail a COVID rapid test to your home in advance of the event? (we require that attendees test negative within 24 hours of the event)

Other
If yes, what is your address?
Do you have any food allergies, intolerances, or preferences we should be aware of?
Do you require interpretation services? (for example, ASL interpretation)
Do you need any transportation assistance getting to and from the event?
We acknowledge that finding accessible transportation can be logistically and financially challenging. We are happy to work with you to make sure you can get here! If there is a financial barrier or otherwise, let us know and we can talk further.
Do you have any additional access needs that you would like to communicate to us?
Should be Empty:

Registration Form

Basic Information

Access Information