Paul V. Sherlock Center on Disabilities

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Register below for one or both sessions of the Sherlock's Center's Empowerment Through Technology event.

You must register for each session that you plan to attend.

Note that session 2 is an interactive workshop and is limited to 50 participants. Let us know if you are inviting a support person to attend with you.

1. Enter your contact information

First Name *This question is required.

Last name *This question is required.

Title

Organization

Address 1 *This question is required.

Address 2

City *This question is required.

State *This question is required.

Zip Code *This question is required. This question requires a valid number format.

Phone (XXX-XXX-XXXX) *This question is required.

Email Address *This question is required. This question requires a valid email address.

Re-enter Email Address *This question is required. This question requires a valid email address.

Accommodation Request Use the space below to request a reasonable accommodation (e.g., seating for wheelchair/electric wheelchair, ASL interpreter, large print, special dietary request for medical reasons) or to request information in a language other than English. To make a request after submitting this form, contact Tracy Miller at tmiller1@ric.edu or 401-456-8072.

2. Select your session/s (check all that apply). NOTE: If you attend both sessions, a boxed lunch will be provided.
*This question is required.

Session 1: March 12, 2026, 10 a.m.-12:30 p.m. - Supporting Independence Wherever You Are
Session 2: March 12, 2026, 1:30-4 p.m. - Switch It Up: DIY Assistive Technology

3. You can register one support person to attend with you. If more people want to come, each person must fill out their own form. After you submit this form, you’ll see a link on the 'Thank You' page to register another person.

Will a support person (i.e., family member, DSP, etc.) be attending with you? *This question is required.

YOUR DEMOGRAPHICSThe Sherlock Center collects demographic data to include in state/federal reports and grant applications. The Sherlock Center reports data in a non-identifying manner. Participation is voluntary.

What other term do you use to describe your gender?

Support Person's Information

Support Person's First Name *This question is required.

Support Person's Last Name *This question is required.

Support Person's Phone (XXX-XXX-XXXX)

Support Person's Email Address *This question is required. This question requires a valid email address.

Re-enter Support Person's Email Address *This question is required. This question requires a valid email address.

Support Person's Accommodation Request Use this space to request a reasonable accommodation (e.g., ASL interpreter, large print, special dietary request for medical reasons) or to request information in a language other than English. To make a request after submitting this form, contact Tracy Miller at tmiller1@ric.edu or 401-456-8072.

SUPPORT PERSON'S DEMOGRAPHICSThe Sherlock Center collects demographic data to include in state/federal reports and grant applications. The Sherlock Center reports data in a non-identifying manner. Participation is voluntary.

Affiliation:

Fee Waived Explain:

PAYMENT AGREEMENT: I understand registration* to this workshop holds me responsible for payment of the $XXX registration fee.

*Note: Registration fees will not be refunded for registrations processed or cancelled after XXXX, however, you may transfer the registration to another member or your organization or family.

Billing Contact:

Billing Information:

Billing Agency:

Billing Address:

Billing City:

Billing State:

Billing Zip Code:

Billing Email Address: This question requires a valid email address.

Confirming Billing Email Address: This question requires a valid email address.