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.)
1.______________________________________2.__________________________________
3.______________________________________4.__________________________________
Address____________________________________________________________________
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.
1.
2.
3.
4.
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