Future Reflections Convention, 2002
Mail to:
Sandy
Taboada
NOPBC Preregistration
6920 South Fieldgate
Court
Baton Rouge, Louisiana
70808-5455
E-mail:
smerchant@mail.vetmed.lsu.ed
Fees: $10, one adult, no children; $15 one adult, children; $25, two adults, children
Adult Name(s). Please include first and last name of each adult and indicate if the adult is a parent, grandparent, blind parent, teacher, other relative, etc.
1._______________________________________
2._______________________________________
Address__________________________________
City, State, ZIP____________________________
Telephone ( )____________________________
E-mail ___________________________________
Fee enclosed (make checks payable to NOPBC) $___________
REMEMBER TO DEDUCT $5 FOR EARLY REGISTRATION.
Will you be bringing children? [ ] Yes [ ] No [ ] Undecided
If yes or undecided, please list names and birth dates of child(ren); reading mode (Braille, print, large print, non-reader); and brief description of characteristics of which workshop volunteers should be aware. Examples: Mild autism; wears hearing aid; has ADHD; shy— doesn’t talk to strangers.
Finally, check the workshops your child may be interested in attending. Please note the age restrictions. The lower limit on the Braille Carnival is firm. The age limits on the other workshops may go up or down by a year or two depending on circumstances. Youngsters over eighteen who are still in high school may also participate in the appropriate workshops. Please copy this form or add a sheet of paper if you need space to register more children.
1. Name & birth date_______________________________________
Reading mode____________________________________________
Characteristics____________________________________________
Please preregister my child for:__Braille Carnival (4-up) 10:00 – 12:30 p.m.
__Note Taking (blind, 14-18) 10:30 – 12:00 p.m.
__Baby-sitting Clinic (12-18) 11:30/12:00 – 4:30 p.m. (includes lunch)
__I Want to be a Writer (13-16) 2:00 p.m. – 4:00 p.m.
__Braille Is Beautiful (8-11) 2:00 p.m. – 4:30 p.m.
__Exploring Careers in Blindness (16-18) 2:00 p.m. – 4:00 p.m.
__Teen Discussion Groups (blind, 13-18) 8:00 p.m. – 9:30 p.m.
__Touch the Universe Times to be announced
2. Name & birth date_____________________________ ______________
Reading mode________________________________________________
Characteristics________________________________________________
Please preregister my child for:
__Braille Carnival (4-up) 10:00 – 12:30 p.m.
__Note Taking (blind, 14-18) 10:30 – 12:00 p.m.
__Baby-sitting Clinic (12-18) 11:30/12:00 – 4:30 p.m. (includes lunch)
__I Want to be a Writer (13-16) 2:00 p.m. – 4:00 p.m.
__Braille Is Beautiful (8-11) 2:00 p.m. – 4:30 p.m.
__Exploring Careers in Blindness (16-18) 2:00 p.m. – 4:00 p.m.
__Teen Discussion Groups (blind, 13-18) 8:00 p.m. – 9:30 p.m.
__Touch the Universe (9/up) Times to be announced
Please copy this form or add a sheet of paper if you need to register more children