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Please review the requirements below before submitting an application. Once you have determined if you meet the requirements please fill out the form and submit the required documentation. 

Province of residence: Ontario or New Brunswick

Minimum age: 3 years old

There is a financial need for help to obtain an iPad for communication purposes.

Child must be minimally verbal or non verbal and have supporting documentation (school evaluation, diagnosis report, doctors note, SLP, etc)

DISCLAIMER

By completing this form you acknowledge that your child has met all requirements and all information provided is true and accurate. Your completion of the form and signature at the bottom are giving Liam's Voice Foundation permission to contact your child's medical professional for verification of speech abilities if needed. Any falsification of information on the form will result in immediate disqualification of this application.