[4alabama] Fw: Registration form for E E R 2012

[Robert Kelly]

Subject: Registration form for E E R 2012

 

Extreme Experience Retreat – September 30-October 3rd, 2012 

Andalusia, Alabama

Hosted by the Covington Blind & Low Vision Outreach Group

 

`Registration information needed:

$20 with each application

Name & Address

beVisually acuity-example (total,low vision, high partial)

Mobility:  Most areas are wheelchair accessible

*Bring a list of your medications in case of emergency

Emergency contact information

Age group:  

 

20-35  

35-55

55-75  over 75

You will need to sign a waiver form when you arrive that we are not responsible for any accidents

Experience Retreat for the Blind/Visually Impaired        September 30-October 3, 2012

Send  registration form as soon as possible with a $20 registration fee (checks payable to Blue Lake Camp) to:  Attention EER for the Blind      8500 Oakwood Lane         Andalusia, AL 36420    

Executive director -Phyllis Murray   www.bluelake.com  (334) 222-5407 (The Camp website is not accessible for registration)Wanda Scroggins, is the dean for the upcoming Extreme Experience Retreat

 

email Wanda Scroggins  wareaglewanda at gmail.com     or contact by phone (334) 428-3335 for more information.

This is an all inclusive vacation package designed for blind adults for 3 nights, 4 days, all meals, lodging, workshops, entertainment, and activities for only $190.00 , Sunday September 30 thru Wednesday, October 3rd, 2012.

*Please fly into the Destin, Florida airport.  Airport code is:  VPS