Summer Camp 2019 – Young Leader’s Registration

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  • Location: Mi Camp, Turangi

    Start date and time: Sunday 13th January 2019

    Finish date and time: Friday 18th January 2019

    Please note there are 2 sections to this form. Please ensure both are completed and return to; Heather McGill at hmcgill@blindfoundation.org.nz
  • Section 1: Participant details

    To be completed by parent/caregiver of child
  • Name * Required
  • Emergency Contact Details

    (Please provide at least 2 sets of contact details)
  • Eye Condition

    (please state):
  • Are you partially sighted?
  • Are you totally blind?
  • Do you wear glasses?
  • Contact lenses?
  • Do your child use a cane?
  • Do you use a guide dog?
  • (e.g. email, braille, text, CD, large print etc)
  • (e.g. getting around, steps, poor light conditions)
  • Background information

  • (e.g. are you working, studying or wanting to study etc. - approx. 100 words)
  • If yes please specify
  • If yes please specify
  • (for example – what skills do you think you will bring with you if accepted)