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Yes, a child with cognitive delays and poor fine motor skills can learn to sign functionally using American Sign Language (ASL) as their main form of communication. It may require extra time, patience, and specialized teaching methods to support their learning. Visual and physical cues may help facilitate their understanding and expression.

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Q: Can a child that is significantly cognitively delayed with poor fine motor skills learn to sign functionally using ASL as his only form of communication?
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