A Tapestry for Learning

PUTTING ON YOUR TOP HAT The Many Hats We Wear 2013 Conference on Visual Impairments and Blindness Sponsored by AER: Virginia Chapter, Virginia Department of Education and VA Deaf-Blind Project February 27- March1, 2013 Wyndham Virginia Crossings Hotel and Conference Center 1000 Virginia Center Parkway, Glenn Allen (Richmond), VA 23059 888-444-6553

Name: ______AER Membership #______expiration date ______Last First

Mailing Address: ______City :______State:_____ Zip:______

School/Agency Affiliation:______/ seeking credits: ___ AVCREP______CEU

Current position (check all that apply): ___TVI ___O & M ___RT ___VR Counselor ___Infant Program Specialist

___Administrator ___Student ___Parent/Family Member ___Other (please specify) ______

Contact phone #: (___ )_____ - ______TTY: Y N E-mail address:______

Special accommodations (please submit with registration)

___Braille ___large print ___orientation to hotel ___Interpreter ____bringing guide dog ___other (please specify):______dietary needs (please specify):______

Full registration includes lunch in the Glen Restaurant on Wednesday and Thursday. Day registration includes lunch for either Wednesday or Thursday. Continuous refreshments will be available during breaks on all days. Parents and students pay the AER member rate.

EARLY BIRD REGISTRATION (postmarked by November 21, 2012)

AER Members with membership Non-AER Members Rates: current through February 2013 ___ $105.00 full conference ___ $145.00 full conference ___ $90.00 per day for __Wed; __ Thur ___ $130.00 per day for ___Wed; __ Thur ___ $75.00 per ½ day Friday ___ $115.00 per ½ day Friday

Regular REGISTRATION (postmarked by January 4, 2013)

AER Members with membership Non-AER Members Rates: current through February 2013 ___ $135.00 full conference ___ $175.00 full conference ___ $120.00 per day for __Wed; __ Thur ___ $145.00 per day for ___Wed; __ Thur ___ $105.00 per ½ day Friday ___ $130.00 per ½ day Friday . Late REGISTRATION (postmarked February 11, 2013)

AER Members with membership Non-AER Members Rates: current through February 2013 ___ $165.00 full conference ___ $205.00 full conference ___ $150.00 per day for __Wed; __ Thur ___ $175.00 per day for ___Wed; __ Thur ___ $135.00 per ½ day Friday ___ $160.00 per ½ day Friday

Make check or money order payable to VA AER Chapter and send to Julie Durando per instructions on the online registration link. VA AER cannot accept purchase orders or credit cards for this conference LODGING: Call Wyndham Virginia Crossings Hotel and Conference Center at 888-444-6553 to reserve your guest room in the AER block rate of $83.00 + tax per night group rate. This rate is guaranteed through January 28, 2013. The block of rooms held is limited so make your reservation as soon as possible. Please request specific lodging accommodations directly with the hotel. Participants are responsible for all lodging costs and arrangements.

Opportunities to invest in the conference: ___ I would like to be a host for a session ___ I would like to help at the registration table ___ I would like to greet attendees ___ I am an O&M Specialist and will be available to orient guests to conference site ___ I would like other opportunities to be of assistance