Braille Zoomers - Starter Kits - Application Form

Contact Information
Are you a person with a visual impairment (blind, low-vision, or deafblind)? *
Gender identity *
Are you an adult braille learner? *
Are you primarily anglophone or francophone? *
Braille Learning
Which braille codes are you currently learning? (Check all that apply.)
Do you use standard size or jumbo size braille? *
Do you currently own a slate and stylus? *
Do you currently own a Dymo braille labelling device? *
Do you participate in the Braille Zoomers monthly virtual peer-support program? *