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A $5 per family deposit is required to reserve your space for Fun Camp. ... Please list any ADA or translation accommodations that your family may need: ...

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    “Blueprint for Success” Family Conference Saturday August 27th, 2005 Bayside High School 14405 49th Street North Clearwater 8:30am-3:00pm Registration starts at 8:00am A free conference to assist you in understanding the needs of Children, Youth, and Young Adults with disabilities It’s a Great IDEA IEP’s Families Building Better Readers Autism Spectrum Just some of the workshop topics will include: Conflict Resolution Transition Assistive Technology ADHD For more information about this conference please call: Tara Bremer, ATC for Family Network on Disabilities @ (727)937-9579/(800)825-5736 Tourette Syndrome Association of Florida Building Friendships Behavior and Social Skills Workshops in Spanish D.A.R.E Featuring: Dr. Steven P. O'Brien, Psy.D., P.A. Licensed Psychologist Health Team Consultant for Bay News 9 In Partnership with: Presented by:

    Slide 2:“Blueprint for Success” Registration Form Saturday August 27th, 2005 Bayside High School 14405 49th Street North Clearwater

    For more information please contact: Tara Bremer, ATC for Family Network on Disabilities @ (727)937-9579/(800)825-5736 Send registration form (and money if requesting fun camp) to: Family Network on Disabilities Attn: Blueprint for Success Family Conference 2735 Whitney Rd. Clearwater, Fl 33760 Name_______________________________________________________________ Address_____________________________________________________________ ___________________________________________________________________ Phone_______________________ E-mail_________________________________ **A $5 per family deposit is required to reserve your space for Fun Camp. The deposit will be returned to you the day of the conference when you sign in. Make the checks payable to Family Network on Disabilities. The deadline to register for Fun Camp is August 12th, 2005. You will need to provide snacks and diapers (if needed) for your child. Lunch is provided. Please list any ADA or translation accommodations that your family may need: ______________________________________________________________________________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Will you need Fun Camp for Kids? Yes**___ No___ If yes, How many children:____ Name___________________________ Age_______ Disability____________ Name___________________________ Age_______ Disability____________ Name___________________________ Age_______ Disability____________ Name___________________________ Age_______ Disability____________ Name___________________________ Age_______ Disability____________ How many people in your family will be attending?_____

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