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</font><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'>MARYLAND PARENTS OF BLIND CHILDREN </span></i></b></p><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'>NFB OF MARYLAND</span></i></b></p><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'><font color="#000000">Presents<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></font></span></span></p><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'>"Your Child’s Road to
Independence Begins with You”</span></i></b></p><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'></span></i></b> </p><p style="margin: 0in 0in 10pt 0.75in; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='color: rgb(95, 73, 122); line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-themecolor: accent4; mso-themeshade: 191;'><o:p></o:p></span></i></b> </p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>A
Conference for Parents and Teachers<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>November
8, 2013 </span></p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>&</span></p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'><o:p>NFB MD STATE CONVENTION</o:p></span></p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'><o:p>November 9-10, 2013</o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'><o:p><font size="3" face="Times New Roman"> </font></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>Carousel
Hotel<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>11700
Coastal Hwy</span><span style='color: black; line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt; mso-fareast-font-family: "Times New Roman"; mso-ansi-language: EN;'> <span lang="EN"><o:p></o:p></span></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 20pt;'>Ocean
City, MD</span><span style='line-height: 115%; font-family: "Bauhaus 93"; font-size: 16pt;'>
</span></p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Bauhaus 93"; font-size: 16pt;'></span> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Bauhaus 93"; font-size: 16pt;'></span> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Bauhaus 93"; font-size: 16pt;'></span> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Bauhaus 93"; font-size: 16pt;'><o:p></o:p></span> </p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style='line-height: 115%; font-family: "Arial Black","sans-serif"; font-size: 12pt; mso-bidi-font-family: Andalus;'>MDPOBC Seminar Registration<o:p></o:p></span></i></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Adult #1:<span style="mso-spacerun: yes;"> </span>_______________________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Adult
#2:________________________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Address:_________________________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'><span style="mso-tab-count: 1;"> </span>__________________________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Phone:<span style="mso-tab-count: 1;"> </span>Home
________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; line-height: 150%; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'><span style="mso-tab-count: 1;"> </span>Cell
or Work ________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; line-height: 150%; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Email
address:_________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Check all that apply:<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'><span style="mso-tab-count: 1;"> </span>Parent
___ Family Member ___Teacher ____<span style="mso-spacerun: yes;">
</span>Paraprofessional ______ <o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'><span style="mso-tab-count: 1;"> </span>Administrator
____<span style="mso-spacerun: yes;"> </span>Student ____<span style="mso-spacerun: yes;"> </span>Other ______<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Need Childcare? Yes ____No ____<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><u><span style='background: yellow; font-family: "Arial","sans-serif"; mso-highlight: yellow;'>Please
complete the childcare registration form</span></u><u><span style='font-family: "Arial","sans-serif";'><o:p></o:p></span></u></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Tween 9-13 #___<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Ages_________<span style="mso-tab-count: 1;"> </span><o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Teens 14-18 #____<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;">
</span>Ages_________<i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt 39pt; text-indent: -39pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>Mark number attending the sessions you
plan to attend:<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop I:<span style="mso-spacerun: yes;">
</span>IEP Question and Answer Your rights in The IEP <o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop II:<span style="mso-spacerun: yes;">
</span>Age Appropriate Skills<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop III: Using The IEP for Independence
Skills Goals--I</span><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 12pt;'>nteractive Learning</span><span style='font-family: "Arial","sans-serif";'><o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop IV: YOUR CHILDS INDEPENDENCE STARTS
WITH YOU-hands on <span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>training for everyday activities<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop V: <span style="mso-spacerun: yes;"> </span>Kids in the Kitchen<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style='font-family: "Arial","sans-serif";'>______<span style="mso-spacerun: yes;"> </span>Workshop VI:<span style="mso-spacerun: yes;">
</span>Tactile Graphics: Do your own thing! New capabilities and more
opportunities for blind Students.<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'><o:p><font size="3" face="Times New Roman"> </font></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'><o:p><font size="3" face="Times New Roman"> </font></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'><o:p><font size="3" face="Times New Roman"> </font></o:p></span></p><font face="Times New Roman">
</font><span style='background: yellow; font-family: "Arial","sans-serif"; font-size: 9pt; mso-highlight: yellow;'>Mail to MDPOBC1886 Mosser Rd, McHenry, MD<span style="mso-spacerun: yes;"> </span>21541, email </span><a href="mailto:tlpickrel@hotmail.com"><span style='background: yellow; font-family: "Arial","sans-serif"; font-size: 9pt; mso-highlight: yellow;'>tlpickrel@hotmail.com</span></a><span style='background: yellow; font-family: "Arial","sans-serif"; font-size: 9pt; mso-highlight: yellow;'> 301-501-1818</span><span style='font-family: "Arial","sans-serif"; font-size: 9pt;'><o:p></o:p></span><BR><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'>MDPOBC
Workshop <span style="background: yellow; mso-highlight: yellow;">Free</span> But
you need to also register for The State Convention</span></p><p style="margin: 0in 0in 10pt; text-align: center; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'></span> </p><p style="margin: 0in 0in 10pt; text-align: center; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'>-----------------------------------------------------------------------------------------------------------------------------------------------------------<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center; tab-stops: 39.0pt 1.0in 1.5in 2.0in 2.5in 3.0in 3.5in 4.0in 4.5in 5.0in 5.5in right 6.0in;" class="MsoNormal" align="center"><span style='line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;'><o:p><font size="3" face="Times New Roman"> </font></o:p></span></p><font face="Times New Roman">
</font><p style="text-align: center;" align="center"><span style="font-size: 9pt;"><font face="Times New Roman">Convention
Child Care(Provided by the Maryland Parents of Blind Children)<o:p></o:p></font></span></p><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Child-care for
(name)________________________________ age_______<o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman"><span style="mso-spacerun: yes;"> </span>2nd
Child__________________________________________ age_______ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">3rd Child __________________________________________
age_______ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Times: (please check) <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">_____Friday 10:00- 6pm<span style="mso-spacerun: yes;"> </span>childcare is available only to parents
attending parent workshops <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">_____Saturday: 8:30 am – Noon _____ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">_____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. <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Please note if the child has any food
allergies:_______________________________________
____________________________________________________________________________ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">_____Saturday, 2:00 pm -5:00 pm <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">_____Saturday Banquet, (includes supper) 6:30
pm until 10:00 pm <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Name of parent/responsible adults who are
allowed to pick up child from the child care room (No more than 2 names): <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">1.____________________________________________________________________________
<o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">2.
___________________________________________________________________________ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Home phone: _____________________________ Cell
phone:___________________________ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Email:
________________________________________________________________________ <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Special considerations/needs/anything we
should know about your child/children (allergies, blind/visually impaired,
sighted, difficulty walking, etc) _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
<o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Recommended fee/donation per child** <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Friday: $10/single child, $ 20 two or more
children <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">All day Saturday including lunch and the
banquet: $30/single child; $40 two or more <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">1/2 day no lunch: $15/single child; $25 two or
more <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">Banquet only: $10/single child; $20 two or
more <o:p></o:p></font></span><BR><font face="Times New Roman">
</font><span style="font-size: 9pt;"><font face="Times New Roman">**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@hotmail.com<o:p></o:p></font></span><BR><font face="Times New Roman">
</font><font face="Times New Roman"><span style="background: yellow; font-size: 9pt; mso-highlight: yellow;">Please
make checks (for child care only) payable to MDPOBC and mail to MDPOBC 1886
Mosser Rd, McHenry, MD<span style="mso-spacerun: yes;"> </span>21541</span></font><BR><font face="Times New Roman"><span style="background: yellow; font-size: 9pt; mso-highlight: yellow;"></span><span style="font-size: 9pt;"><o:p></o:p></span></font> <BR><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b><span style="line-height: 115%; font-size: 14pt;"></span></b> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b><span style="line-height: 115%; font-size: 14pt;"></span></b> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b><span style="line-height: 115%; font-size: 14pt;">--------------------------------------------------------------------------------------------------------------------------------</span></b></p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b><span style="line-height: 115%; font-size: 14pt;"></span></b> </p><p style="margin: 0in 0in 10pt; text-align: center;" class="MsoNormal" align="center"><b><span style="line-height: 115%; font-size: 14pt;">WALKING TOUR OF ASSATTEAGUE STATE
PARK<o:p></o:p></span></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><b><span style="line-height: 115%; font-size: 14pt;">Saturday,
November 9<sup>nd</sup> in connection with the NFB of MD State Convention<o:p></o:p></span></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><b><span style="line-height: 115%; font-size: 14pt;">For youth
ages 9 -18. <u><o:p></o:p></u></span></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><b><span style="line-height: 115%; font-size: 14pt;">Advanced
registration is required by October 17, 2013<o:p></o:p></span></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><b><span style="line-height: 115%; font-size: 14pt;">Registration
is limited to 15 youth. </span></b><span style="line-height: 115%; font-size: 12pt;">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.</span><b><span style="line-height: 115%; font-size: 14pt;"><o:p></o:p></span></b></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">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.<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">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. <o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;"><span style="mso-spacerun: yes;"> </span>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</span><span style="line-height: 115%; font-size: 14pt;"> </span><span style="line-height: 115%; font-size: 12pt;">walking tour which will occur rain or
shine. <u>Appropriate clothing and shoes</u> <u>should be worn. Participating
blind youth must use their canes.</u> 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.<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">Register by
returning this form seperately to: <span style="mso-spacerun: yes;"> </span><span style="background: yellow; mso-highlight: yellow;">MDPOBC, 1886 Mosser Rd, MCHenry,
MD<span style="mso-spacerun: yes;"> </span>21541. You may also register by
calling Trudy at 301-387-4182 or email at </span></span><a href="mailto:tlpickrel@hotmail.com"><span style="background: yellow; line-height: 115%; font-size: 12pt; mso-highlight: yellow;">tlpickrel@hotmail.com</span></a><span style="line-height: 115%; font-size: 12pt;">. 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]. <b>Cost per student<span style="mso-spacerun: yes;"> </span>$3.00 for lunch and Drink(<span style="background: yellow; mso-highlight: yellow;">bring with you</span>)<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span></b><o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><u><span style="line-height: 115%; font-size: 12pt;">Name of
child/children: __________________________________________________________</span></u><b><span style="line-height: 115%; font-size: 12pt;"><o:p></o:p></span></b></p><font face="Times New Roman">
</font><div style="border-width: medium medium 1.5pt; border-style: none none solid; border-color: currentColor currentColor windowtext; padding: 0in 0in 1pt; mso-element: para-border-div;"><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; padding: 0in; border: currentColor; mso-border-bottom-alt: solid windowtext 1.5pt; mso-padding-alt: 0in 0in 1.0pt 0in;" class="MsoNormal"><u><span style="line-height: 115%; font-size: 12pt;">______________________________________________________________________________<o:p></o:p></span></u></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt; padding: 0in; border: currentColor; mso-border-bottom-alt: solid windowtext 1.5pt; mso-padding-alt: 0in 0in 1.0pt 0in;" class="MsoNormal"><u><span style="line-height: 115%; font-size: 12pt;"><o:p><span style="text-decoration: none;"><font face="Times New Roman"> </font></span></o:p></span></u></p><font face="Times New Roman">
</font></div><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">Paid: yes
___________<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>no ___________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">Signature
parent/guardian: _______________________________________________________<o:p></o:p></span></p><font face="Times New Roman">
</font><p style="margin: 0in 0in 10pt;" class="MsoNormal"><span style="line-height: 115%; font-size: 12pt;">Date:<u>
__________________<o:p></o:p></u></span></p><font face="Times New Roman">
</font><o:p><font face="Times New Roman"> </font></o:p><BR><o:p><font face="Times New Roman"></font></o:p> <BR><o:p><font face="Times New Roman">-----------------------------------------------------------------------------------------------------------------------------------------------</font></o:p><BR><font face="Times New Roman">
</font><br><br><font color="#5f497a" size="3" face="Comic Sans MS"><strong>Trudy L. Pickrel</strong></font><br><strong><font color="#5f497a" face="Comic Sans MS">President</font></strong><br><strong><font color="#5f497a" size="3" face="Comic Sans MS">Maryland Parents of Blind Children </font></strong><br><font color="#5f497a" size="3" face="Comic Sans MS"><strong><a href="http://www.mdparentsofblindchildren.org" target="_blank">www.mdparentsofblindchildren.org</a></strong><a href="http://www.mdparentsofblindchildren.org" target="_blank"></a></font><a href="http://www.mdparentsofblindchildren.org" target="_blank"></a><br><strong><font color="#5f497a" size="3" face="Comic Sans MS">TLC by the Lake's Standard Poodle's</font></strong><br><strong><font color="#5f497a" size="3" face="Comic Sans MS"><a href="http://www.tlcbythelake.com" target="_blank">www.tlcbythelake.com</a></font></strong><br><strong><font color="#5f497a" size="3" face="Comic Sans MS">301-501-1818</font></strong><br><strong><font color="#5f497a" size="3" face="Comic Sans MS"></font></strong> <br><strong><font color="#5f497a" size="3" face="Comic Sans MS"></font></strong> <br><br><br> </div></body>
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