We welcome all people with disabilities and their families to join our programs and services.
Beneficiary registration form
We would like to clarify that this form is confidential and is used solely for the purpose of collecting beneficiary data and preparing programs and activities for the Intilaq Association for People with Disabilities. We are committed to maintaining the confidentiality of all information contained herein and will not share it with any third party.
Therefore, if you agree to provide the association with your data, please choose one of the following options: