

Saturday, April 19, 2008
Rend Lake Market Place
Mt. Vernon, Illinois
8:45 a.m. - 4:30 p.m.
(Teens with Visual Impairments over the age of 12 are encouraged to attend with their parents. There will be a specific session for them.)
Conference Topics
· Parent Perspective
· Orientation and Mobility
· Daily Living Skills (Adults only)
· Using Body Language (Teens only)
· Student Perspective
CHILDCARE is not provided. Children 12 years or older are encouraged to
register to attend the conference under the supervision of their parent(s).
Assistance with hotel or childcare costs related to attending this conference is
possible (see family funding section below). Some reimbursement for mileage may
also be possible.
FAMILY FUNDING- Families of children attending the South of Seventy conference may be eligible for funding to help pay for lodging expense, mileage and childcare. The ARC of Illinois and the Illinois Council on Developmental Disabilities offers Consumer Involvement Program-Consumer Stipend funds. A parent/guardian can apply for $300 or $500 pre family each year. To request a copy of the application form, please contact the ARC of Illinois at 1-708-206-1930.
Also, each region of STAR NET has fellowships available to eligible families of children aged 3, 4, and 5 with IEPs to help defray the hotel and child care costs of attending conferences. To inquire about this fellowship and eligibility criteria, please contact Sharon Gage at sgage@stclair.k12.il.us or 618-825-3969.
REGISTRATION CONFIRMATION—Upon registration, you will receive a confirmation packet that will include Mt. Vernon hotel information, a map, and driving directions. All registration confirmations will be sent through email unless US mail delivery is requested.
Parents will also be asked to submit a picture of their child. This is optional, but the intent of the photo request is to help parents network and meet one another at the conference by allowing ease in identifying other families with similar age children. The photos will be displayed on a map so that geographic proximity are also easily identifiable.
For more information, please contact—
Mindy Ely, Hearing Vision Connections
125 Webster
Jacksonville, IL 62650
877-731-8184 Mindy.ely@illinois.gov
PARENTS—your child’s provider/teachers are welcome to attend with you as a team. Please contact us to get further information.
PARENTS—PLEASE KEEP THIS SHEET FOR YOUR INFORMATION. MAIL THE SECOND SHEET FOR REGISTRATION. THANK YOU!
South of Seventy Conference
Parents of Children with Visual Impairments
Registration Form
(You may copy this form for other’s use.)
List all
who will be attending the conference. Include their relationship to the child
with a visual impairment. If the attendee is a child, please list their age.
Notice,
children must be at least 12 years old to attend.
Name_____________________________________ Relationship_______________
Name_____________________________________ Relationship_______________
Name_____________________________________ Relationship________________
Address: ____________________________________________________________
Street
____________________________________________________________
City State Zip
Phone: _________________________ Email:________________________
______send registration information via US mail
Name of child you are representing?_________________________ Age? ______
Child’s diagnosis __________________________________
Does anyone require an interpreter or ADA accommodation?
Please be specific: ____________________________________________________
Choose appropriate format for handouts and other printed materials:
_____regular print ____large print ____Braille
I give permission for my photo to be taken at the conference for future educational use.
Sign: ____________________ Sign:_____________________ Date: __________
Please submit a check
for $7.00 to reserve meals along with your application. This
check will be refunded at the time of arrival. If you do not attend without
prior notice,
your check will be cashed to cover the
cost
of the reserved meal.
Make
checks payable to “Shawnee Library System” and indicate “SOS Conference
Fund” in the memo line.
# of individuals attending the conference _____ X $7.00 = __________ Total submitted
Mail registration form and checks to:
Amber Gaddis, Hearing Vision Connections
125 Webster
Jacksonville, IL 62650
877-731-8184 Amber.Gaddis@illinois.gov