[Mdpobc] MD POBC Seminar Nov 8, Registration Now

Wed Oct 9 16:23:30 UTC 2013

MARYLAND PARENTS OF BLIND CHILDREN NFB OF MARYLANDPresents"Your Child’s Road to
Independence Begins with You”  

A
Conference for Parents and Teachers

November
8, 2013 &NFB MD STATE CONVENTIONNovember 9-10, 2013

Carousel
Hotel

11700
Coastal Hwy 

Ocean
City, MD

MDPOBC Seminar Registration

Adult #1:   _______________________________________________________

Adult
#2:________________________________________________________

Address:_________________________________________________________

             __________________________________________________________

Phone:  Home
________________________________

             Cell
or Work ________________________________

Email
address:_________________________________________

Check all that apply:

             Parent
___ Family Member ___Teacher ____  
Paraprofessional ______ 

             Administrator
____    Student ____   Other ______

Need Childcare? Yes ____No ____

Please
complete the childcare registration form

Tween 9-13 #___         Ages_________         

Teens 14-18 #____      
Ages_________

Mark number attending the sessions you
plan to attend:

______   Workshop I: 
IEP Question and Answer Your rights in The IEP 

______   Workshop II: 
Age Appropriate Skills

______   Workshop III: Using The IEP for Independence
Skills Goals--Interactive Learning

______   Workshop IV: YOUR CHILDS INDEPENDENCE STARTS
WITH YOU-hands on                                       training for everyday activities

______  Workshop V:  Kids in the Kitchen

______   Workshop VI: 
Tactile Graphics: Do your own thing! New capabilities and more
opportunities for blind Students.

Mail to MDPOBC1886 Mosser Rd, McHenry, MD  21541, email tlpickrel at hotmail.com 301-501-1818

MDPOBC
Workshop Free But
you need to also register for The State Convention -----------------------------------------------------------------------------------------------------------------------------------------------------------

Convention
Child Care(Provided by the Maryland Parents of Blind Children)

Child-care for
(name)________________________________ age_______

 2nd
Child__________________________________________ age_______ 

3rd Child __________________________________________
age_______ 

Times: (please check) 

_____Friday 10:00- 6pm  childcare is available only to parents
attending parent workshops 

_____Saturday: 8:30 am – Noon _____ 

_____Saturday: Noon - 2:00 pm Includes lunch
for your child. This is only available to parents who attend one of the special
luncheons sponsored by our state divisions. 

Please note if the child has any food
allergies:_______________________________________
____________________________________________________________________________ 

_____Saturday, 2:00 pm -5:00 pm 

_____Saturday Banquet, (includes supper) 6:30
pm until 10:00 pm 

Name of parent/responsible adults who are
allowed to pick up child from the child care room (No more than 2 names): 

1.____________________________________________________________________________

2.
___________________________________________________________________________ 

Home phone: _____________________________ Cell
phone:___________________________ 

Email:
________________________________________________________________________ 

Special considerations/needs/anything we
should know about your child/children (allergies, blind/visually impaired,
sighted, difficulty walking, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Recommended fee/donation per child** 

Friday: $10/single child, $ 20 two or more
children 

All day Saturday including lunch and the
banquet: $30/single child; $40 two or more 

1/2 day no lunch: $15/single child; $25 two or
more 

Banquet only: $10/single child; $20 two or
more 

**The MDPOBC will make every effort to provide
childcare for members who need it regardless of ability to pay. For more
information please contact Trudy Pickrel at 301-501-1818 or by email at tlpickrel at hotmail.com

Please
make checks (for child care only) payable to MDPOBC and mail to MDPOBC 1886
Mosser Rd, McHenry, MD  21541

  -------------------------------------------------------------------------------------------------------------------------------- WALKING TOUR OF ASSATTEAGUE STATE
PARK

Saturday,
November 9nd in connection with the NFB of MD State Convention

For youth
ages 9 -18. 

Advanced
registration is required by October 17, 2013

Registration
is limited to 15 youth. I give permission for my child \children to participate in The Walking
Tour of Assatteague, a Maryland Parents of Blind Children (MDPOBC) sponsored
event on Saturday, November 9, 2013.

I release
the Maryland Parents of Blind Children, its Officers, Board of Directors, and
Volunteers from responsibility should my child be injured in any way while
participating in this event.

Youth and
chaperones will meet in the hotel lobby at 11:00, and go to Hospitality Room
for Lunch, then leave Hotel at 1:00 PM to go Assatteague State park for the
tour. 

 The tour will be guided by a park ranger,
starting at the Marsh/Board Walk and ending with at the touch tank. This is a 1
hr walking tour which will occur rain or
shine. Appropriate clothing and shoes should be worn. Participating
blind youth must use their canes. Age appropriate siblings and other age
appropriate youth attending convention may also register. Youth will be
supervised by adults who will be encouraging good cane technique and offering
pointers along the way.

Register by
returning this form seperately to:  MDPOBC, 1886 Mosser Rd, MCHenry,
MD  21541. You may also register by
calling Trudy at 301-387-4182 or email at tlpickrel at hotmail.com. If you register by phone or email a
signed permission form will need to be received prior to the event [can be
signed the day of the event]. Cost per student  $3.00 for lunch and Drink(bring with you)                     

Name of
child/children: __________________________________________________________

______________________________________________________________________________

Paid: yes
___________       no ___________

Signature
parent/guardian: _______________________________________________________

Date:
__________________

-----------------------------------------------------------------------------------------------------------------------------------------------

Trudy L. Pickrel
President
Maryland Parents of Blind Children 
www.mdparentsofblindchildren.org
TLC by the Lake's Standard Poodle's
www.tlcbythelake.com
301-501-1818

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