Braille Reading Pals Parent/Guardian Consent Form If You Are

braille reading pals parent/guardian consent form if you are a teacher or other professional, you must provide the following signed con

Braille Reading Pals
Parent/Guardian Consent Form
If you are a teacher or other professional, you must provide the
following signed consent form from the parent/guardian of each child
participating in the program. Please print out additional consent
forms if necessary. The consent form may be mailed, faxed, or
e-mailed. Contact information is provided at the bottom of the page.
**************************************************************************************************************************
PARENTS
_____ I give permission for my child to participate in the Braille
Reading Pals, a program of the National Federation of the Blind.
Printed Name of Parent/Guardian
____________________________________________
Printed Name of
Child_____________________________________________________
Address
________________________________________________________________
City ___________________________________ State _________ Zip
______________
E-mail address ___________________________________________________________
Phone (please circle if home, cell, or work phone #) _______-________-____________
Signature of Parent/Guardian
_____________________________________________
Date_________________
**************************************************************************************************************************
Please mail your consent form to:
Braille Reading Pals
1800 Johnson Street
Baltimore, MD 21230.
Or please fax your consent form to:
Fax Number: (410) 659-5129
Or please e-mail your consent form to:
[email protected]