Be a part of the
Imagine the PossABILITIES
Display @ the Buddy Walk
During the Buddy Walk for 2009, we are spotlighting and applauding the gifts, smiles, achievements and personalities of people of all ages who have Down Syndrome. We will be sharing photographs, videos and stories that will inspire the crowds! If you were able to witness this amazing effort last year, you will be thrilled with the additions and new ideas we are bringing for this year.
Please be aware that the information submitted will be on display during the Buddy Walk event. Displays will be in the forms of posters and/or a video montage. Pictures and video files will not be returned.
Submissions must be in by September 1st if you would like the information displayed at the event!! Don’t miss out on this great opportunity.
Email submissions ONLY please to: Stefanie Farhat () OR Katie Ramchand ()
NEW** There are two different questionnaire formats available this year - a Self Advocate/Child Questionnaire and the “I CAN“ Questionnaire. Please fill out only ONE Questionnaire of your choice per submission.
SELF ADVOCATE/CHILD QUESTIONNAIRE
**PLEASE PRINT**
Name to be displayed (last name optional):Age:
Family Info (Brothers, Sisters):
Where do you live?
Is there a recent accomplishment you would like highlighted?
What are you involved in?
(school, sports, workplace, groups)
What are your hobbies and talents?
Is there anything else you would like us to know about you?
What future goals do you have?
Contact Information, Parent or Self Advocate Name:
Phone Number:
“I CAN” QUESTIONNAIRE
**PLEASE PRINT**
Name/Nickname to be displayed (last name optional):Age:
Family Info (Brothers, Sisters):
Where does your child live?
“Your Child’s Name” Can…..
(PLEASE LIST NO MORE THAN 5) (e.g. clap, run, laugh, climb, color, write my name, count to ten, ect. ) / 1.
2.
3.
4.
5.
Contact Information, Parent Name:
Phone Number:
Note: contact information will not be printed on the display.