Waves of Opportunity Workshop
Registration and Medical Release: DUE May 31, 2019

ALL REGISTRATIONS MUST BE COMPLETED ONLINE!!!
This form must be completed for EACH participant...

Once Submitted:
1. You will receive an email with an attached form
2. Print off form and sign
3. Send in signed form with money to:
Kelly Shaw
Talladega Regional Center
P.O. Box 698
Talladega, AL 35161
Fax: 256-761-3693
Email: Shaw.Kelly@AIDB.org
(Make Checks Payable to AIDB)

If you do not have internet access, a paper form may be used but it is your obligation to have someone enter it online at www.AIDB.org/WOW

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