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Inclusion Aid Request Form

Submit this form to request inclusion support for a participant in an SSSRA program. The information provided helps our team understand individual needs, coordinate with your park district, and determine the appropriate level of assistance, accommodations, or resources required for a safe and successful experience.

Participant Information
Park District *
Program Information
Program Season *
Has the park district contacted the parents? *
Has the family requested an Inclusion Aide? *
Type of Service or Assistance Needed from SSSRA *