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Virtual Convention Registration

This registration form is specifically for individuals tuning into the general sessions of the state convention. If you wish to participate in person, please go to the In Person Registration Form.

If you encounter any difficulties in submitting this form, please email Jacki Bruce.

For notice of which convention sessions will be made available online, please visit the convention landing page for the agenda when it becomes available in early October.

This registration form will remain open through November 3.

Registration Form

1 Start 2 Complete

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Email *

Primary phone number: *

Please use only numbers, no dashes or parentheses.

Which of these categories describe you? *

Please check all that apply.

Blind or low vision student

Blind or low vision working adult

Blind or low vision senior

Teacher of the blind

Rehabilitation counselor

Orientation and mobility professional

Assistive technology professional

Sighted parent of a blind child

Blind parent

Other

Are you a current member of the NFB of Virginia? *

Yes

Would you like information about Senior Empowerment Weekend Programs? *

Yes

Would you like information about our Pre-employment transition programming for students 14-21? *

Yes

In what professional field do you work? *

Would you be willing to serve as an informational resource for a high school or college student?

Yes

Leave this field blank

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For more information about the National Federation of the Blind of Virginia, please contact your closest chapter, or connect with our affiliate president:

Tracy Soforenko, President
Phone: 202-285-4595 | Email: president (at) nfbv.org