Urban Orientation and Mobility (O&M)
Sydney, NS
Parent/Guardian Name:
*
First Name
Last Name
Email Address:
*
example@example.com
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address:
*
Street Address
Street Address Line 2
City
Province
Postal Code
Learner's Full Name:
*
Learner's Grade:
Education Support Teacher Name:
First Name
Last Name
Education Support Teacher Email Address:
example@example.com
Session Info
Please select the sessions you would like to attend:
*
Social Meet and Greet on May 7th from 6:00-8:00 p.m.
Urban O&M Day on May 8th from 8:30 a.m. - 3:30 p.m.
Parent session on May 8th from 9:00-11:00 a.m.
What topics would you like more information about for this event and in future events:
*
Orientation and Mobility: How to build independence in safe travel
Mentor Support: What is it and how can it help?
Access technology: Technology your child uses and how it helps
Connection with other families/learners
APSEA Programs and Services: How are services and programs developed and supported
APSEA Brigadoon Family Camp and Summer Camp Brigadoon
Scholarships and End of year Awards
Accessing support for in person events/programs
Other
Financial Support
Financial assistance for travel is available to families of learners who qualify for APSEA support.
Request financial support for travel expenses:
Yes
Caregivers
Individual needs: Any learner who requires additional support (washroom, movement/ sensory breaks) are asked to have a support person with them.
How many caregivers are attending:
Please list the names of all the attending caregivers:
Comments
Is there anything else you would like us to know?
Feedback
How did you hear about this program?
*
Please Select
APSEA Website
Facebook
X (Twitter)
APSEA Email
APSEA Event Postcard
APSEA Service Delivery Team Meeting
APSEA Specialist
Word of Mouth
Other
If Other for how you found out about this program, please specify
Register for Event
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