Future Reflections Winter/Spring 1998, Vol. 17 No. 1

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1998 Teen Baby-sitting Course Registration Form

Discipline and Disability Issues

Age: 12 to 18

Date: Saturday, July 4

Time: 10:00 a.m. - 5:30 p.m

Fee: $10 (includes lunch)

Registration

Name Age

Address

City State Zip

Phone

Name of parent(s)

Amount enclosed

(Make check payable to NOPC)

Teen is:

[ ] blind/visually impaired

[ ] a sighted sibling

[ ] a sighted child of a blind parent

[ ] other

Teen reads/writes [ ]Braille [ ]Regular print [ ]Large print Briefly describe any previous baby-sitting training or experience.

If none, write "none."

 

Send payment and registration to:

Carla McQuillan, NFB of Oregon

5005 Main Street

Springfield, OR 97478

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