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LCity0f <br />Louisville <br />COLORADO SINCE 1878 <br />Equity, Diversity & Inclusion <br />Task Force <br />Louisville EDI Task Force: Participation/ Accessibility Requests <br />It is a priority for the City of Louisville to provide necessary accommodations that will allow <br />EDI Task Force members to fully participate in all Task Force meetings. We recognize the <br />historic and systemic barriers that exist for marginalized communities to participate fully in <br />voluntary efforts like this and we are committed to providing the resources necessary to ensure <br />your full participation. Please complete the accommodation form below (all services are FREE <br />of charge): <br />Name: <br />Email: Phone: <br />To fully participate in Task Force meetings, I need the following (check all that apply): <br />❑ American Sign Language (ASL) Translation <br />❑ Interpretation in a language other than English. Language: <br />❑ Internet hot spot (Accessible at the Louisville Recreation Center) <br />❑ Wheelchair Access or Wheelchair Accessible Tables (If using the recreation center) <br />❑ Accommodation of my service animal (If using the recreation center) <br />❑ Assistive Listening Device <br />❑ Laptop or web accessible device to use the internet <br />❑ Closed captions on Zoom during the meeting <br />❑ Childcare (Accessible at the Louisville Recreation Center) <br />If you need childcare, please list the number of children and their ages below: <br />❑ Snacks or Food Support During Meetings (If you check this box, the City of Louisville <br />will contact you to arrange delivery of snacks or a meal during the meeting.) <br />❑ Other accommodations needed: <br />749 Main Street I Louisville CO 80027 <br />303.335.4536 (phone) 1303.335.4550 (fax) <br />www.LouisvilleCO.gov <br />