Future Reflections                                                                                          Spring, 2002

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NOPBC 2002 Activities Preregistration

Deadline: Must be postmarked no later than June 15, 2002

Because of the special activities on the campus of the Kentucky School for the Blind, we strongly urge families to pre-register. We will take registrations at the door, but unless you pre-register, we cannot guarantee that you will be able to participate in the activities of your choice.

Adult Name (Please include first/last name and indicate relationship; e.g. parent, grandparent,
guardian, teacher.)




City _____________________________________State ________ Zip __________________

Telephone _____________________________E-mail ______________________________Please list children who will be attending NOPBC activities: 1. Braille Carnival (BC), ages 4 and up. 2. Kentucky School for the Blind activities (KSBA), all ages. Please note any special needs or accommodations.

Example: Sally Doe Jan 4, 94 Sally has albinism. Low vision, sensitive to light. Uses sunscreen. Will attend BC and KSBA.





Fee enclosed. $ _______ (Make checks payable to NOPBC.)

$15, 1 adult plus (child)ren       

$25, 2 adults plus (child)ren

$10, 1 adult

$35, 3 adults (parents plus grandparent or other family member) plus (child)ren

$5 Discount for early registration (mail payment by June 1, 2002)

Full refund available if requested before June 28, 2002, or under special circumstances.

Mail registration and payment to:                      Questions? Contact;           

NOPBC Preregistration                                      Barbara Cheadle, President, NOBPC
c/o Marla Palmer                                                 Day: (410) 659-9314 ext. 360
442 West Creekview Drive                                  E-mail: [email protected]
Centerville, Utah 84014                                        Fax: (410) 685-5653

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