Wufoo

Name * First Last
What state do you live in? Two letter abbreviation please. *
Are you a parent, adult with hemiplegia, therapist, physician, or researcher? *
Are you a member of the CHASA Facebook group? *
If you have a Facebook page, please list the name you use. If no Facebook page, just type no page. *
Be an Active Member of Our Hemi-Kids Family

As a member of our Hemi-Kids email group, we ask that you send at least one email a week to the group. You could ask a question, share information, or reply to another email. In order to make the group work, we need participation from group members. If you don't feel that you can make this commitment to other group members, we suggest you join our Facebook group.
Your Email Address *
How do you want to receive Hemi-Kids Email Messages? Digest or Individual emails? *
Please share the year your child was born. *
Check all that apply. Does your child have: *
hemiparesis or hemiparesis (difficulty using or weakness on one side of the body) diplegia (difficulty using or weakness in both legs) triplegia (difficulty using or weakness in both legs and one arm) quadriplegia (difficulty or weakness in all four limbs) none of the above
Please tell us why you'd like to join our Hemi-Kids group and how you found us. *
CHASA Newsletter

CHASA has a newsletter and the questions below pertain to the newsletter.

Examples of topics: coping, new research articles, how to adapt a bike, finding a shoe that works with your child's orthotic, tips on working with your child's school to develop an education plan, adaptive sports, activities in your state for children and young adults with a disability, articles written by professionals in the field.

Newsletter emails sent to you will be appropriate for your child's age group.

We do not sell or share your email address.

You may opt out at any time and we anticipate sending less than 2 email newsletters a month.
Check topics of interest to you. Information on these topics will be sent via email. You can opt in to or opt out of receiving email newsletters below. *
Early intervention and therapies Hand therapies Foot therapies Adapting toys Adapting clothing Orthotics, braces and splints Transition to preschool Tips on daily living skills Transition to elementary school Transition to middle school Transtition to high school Transition to college Transition to work Transition to life after school for young adults with cognitive differences Living life with one hand Driving Helping my child make friends Dating Communication - Speech and Language Social skills Neuropsychological testing Global developmental delays Feeding tubes Epilepsy Homeschooling Independent Living Sports Healthy Lifestyles Advocacy in the schools Advocacy in the community Volunteering for CHASA Fundraising for CHASA Writing for CHASA website and newsletter Disability Rights Connecting with others who have different types of disabilities Other
Choose yes if you'd like to receive the CHASA Newsletter (via email).

Choose no if you do not want to receive the CHASA Newsletter. *
What are some topics you'd like to see in the CHASA Newsletter?
Learn More

You can find Help and Hope at chasa.org

Our goal is to help children and young adults with hemiplegia become happy and healthy adults. And, along the way, we'll show some amazing support to their famlies, too.

The Children's Hemiplegia and Stroke Association (CHASA) is a 501(c)(3) nonprofit organization founded in 1996. We make life happier and healthier for children, teens and young adults who have hemiplegia or hemiparesis.

Connect with other families at our national CHASA Family Retreats. Scholarships are available. Go to We Can Help at CHASA.org to learn more about how we can help your family.
Any other questions or comments
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Wufoo

Be an Active Member of Our Hemi-Kids Family

CHASA Newsletter

Learn More