Wufoo
FASD Proclamation Addition Form
#FASDawarenessmonth
#FASDMonth
Name
*
First
Last
What Organization do You Represent (If you did this all on your own, hey congrats! Just list self.)
(if applicable)
If we are celebrating this proclamation, what social media handles should we tag? For example, FASD United is on Instagram at @FASDUnited
(if applicable)
At what level is this proclamation?
*
School District
City
State
Unsure
Oher
What is the official title of this proclamation?
What is the Full Name of the organization issuing the proclamation?
Please include an image of the proclamation.
Please feel free to elaborate or include any details that might have been missed! If you'd like to add a quote from your organziation for us to use in blog posts etc, feel free!
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