Future Reflections Winter/Spring 2008
Mail to: Sandy Taboada, NOPBC Registration 6960 South Fieldgate Court Baton Rouge, LA 70808-5455
NOPBC Conference Fees
NOPBC Fees, including dinner tickets to the Sunday night, June 29, anniversary buffet: $25 per adult, $15 per youth (ages 12 and up), and $7 per child (ages 6-11), ages 5 and under, free. Tickets for the buffet dinner may not be available at registration, so PLEASE register early.
NOPBC Fees, no dinner tickets: $20 per adult, no charge for children and youth accompanied by family members. Teens accompanied by chaperones, $15 per teen.
Fee enclosed (make checks payable to NOPBC) $________________
Make checks or money orders payable to NOPBC.
You can either register for specific workshops online at <www.nfb.org/nopb>,
or request a hardcopy registration form.
Please check your choice: [ ] online [ ] send hardcopy
Adult Name(s). Please include first and last names of each adult and please
check relationship or interest in the NOPBC:
1. _______________________________________________________________________
[] parent [] relative [] professional [] blind parent [] chaperone for teens
[] other
2. ____________________________________________________________________________
[] parent [] relative [] professional [] blind parent [] chaperone for teens
[] other
Address ______________________________________________________________________
City __________________________ State________________________ Zip________________
Telephone(s) ____________________________ E-mail _____________________________
Do you already receive Future Reflections? [] YES [] NO
Are you a member of your state POBC chapter? [] YES [] NO
Is this your first NFB Convention? [] YES [] NO
Please list names (first and last), birth dates, and grades of all children attending the convention with you. Please include a brief description of the child�s vision and any additional disabilities.
Name Birth Date Grade Vision/other
1. ______________________________ ________ ____ _________________
2. ______________________________ ________ ____ _________________
3. ______________________________ ________ ____ _________________
4. ______________________________ ________ ____ _________________