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Request for Modification

All of our programs and facilities are designed with inclusion in mind. If you or your family member would like to participate in any program or use our facility, we can make modifications to meet your needs. Requests for modifications must be made at least one month before participation.

Date/Time*
:  
Name of person requesting modification*
Address*
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ADA Coordinator Assessment/Recommendation

In-person/Phone Assessment Needed*
Date/Time Assessment Occurred*
:  
ADA Coordinator Approval/Denial*
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R&F Director Approval

R&F Director Approval/Denial*
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CCPR Assistant Director Approval

CCPR Assistant Director Approval/Denial*
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1235 Central Park Drive East, Carmel, IN 46032 | 317.848.7275 | InTrac: 711 | carmelclayparks.com