Parent Workshop Registration
o
(Please check one)
Session One: July 8 - 13, 2017
o
Session Two: July 15 - 20, 2017
Please fill out this form if you are planning to attend the parent workshop. The workshop
fee is $15.00 per person for lunch and materials. If you are not planning to attend,
no further information is needed. Thank you.
General Information (Please print clearly)
Student's Name __________________________________________________________________________
Parents' Name(s) ___________________________________________________________________________
Home Address ___________________________________________________________________________
City/Town _________________________________ State _____________________ Zip Code ___________
Home Phone: o Voice o TTY (_______)____________________________________________________
Number of parents attending __________
Do you require the services of a sign language interpreter?
o Yes
o No
Payment
Please visit www.rit.edu/NTID/EYFPayment to pay online with a credit card.
If you choose to pay by check, please make your check payable to the
National Technical Institute for the Deaf (NTID) and mail it with this form to
Rochester Institute of Technology
NTID Explore Your Future Program
52 Lomb Memorial Drive
Rochester, N.Y. 14623-5604
To receive a full refund, you must cancel by July 1, 2017.