Group Short Course Registration Form
Thank you for your interest in the Wisconsin Center for the Blind and Visually Impaired Short Courses Consultants work in conjunction with each student's Teacher of the Visually Impaired (TVI) and/or Orientation and Mobility Instructor (O&M). The TVI and/or O&M will be contacted following submission of a Short Course Registration form! If you prefer to not utilize the following Google Form for Short Course registration, you can download a paper copy of the registration packet using the link below; once you have downloaded, printed, and filled out the forms, you can fax or mail them to the contact information listed below:

If you need assistance filling out this form please contact Meghan Fredel at 608-758-4926.

After completing and submitting this form, you will be contacted by an Outreach team member. We will be happy to provide you with Short Course program details and to assist you with anything you need. At the end of this registration, form links are provided that will take you to necessary Health and Consent forms that need to be submitted to us via fax or mail.

Please mail or fax the completed packet to:
Mail: Karly Clenney
1700 W. State St.
Janesville, WI 53546

Fax: 608-758-6169

Has your student attended a Short Course? *
Which Short Course(s) would you like your student to participate in? *
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