CVIers Discussion Group Interest Form
We are a community of mostly CVIers and parents of CVIers with a few teachers, clinicians, and scientists. We warmly invite you, especially parents of children with CVI, to fill out this form so we can learn about you and keep you updated about future meetings.

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Email *
Name *
Location (city, country) *
Why would you like to attend the CVIers Discussion Group meeting? *
If you are a parent or caregiver to someone with CVI, please provide the age of your child. 
Tell us a little about you and why you would like to attend the CVIers Discussion Group. (if you are a  professional, who referred you to the group?)  *
Some parts of the meeting will be recorded. If you did not wish to be recorded, you may switch off your video or leave the meeting . I acknowledge that parts of the meeting will be recorded. *
Required
In order to keep the meeting as secure as possible, please do not distribute the Zoom links for the meeting and do not distribute, download or copy its content at or after the meeting. *
Required
A copy of your responses will be emailed to the address you provided.
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