Register for the Early Connections Conference

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To help our planning, please provide information about your child’s diagnosis

To help our planning, please provide information about your child’s eye condition

Please select...AlbinismAniridiaAnophthalmia/MicrophthalmiaCataractsCHARGEColobomaCortical/Cerebral Visual Impairment (CVI)DeafblindGlaucomaLeber’s AmaurosisOptic Nerve Hypoplasia/Septo Optic DysplasiaRetinal conditionsROP/RLFUndiagnosed conditionOther

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Recording / Photo Consent: 

I give permission for Perkins, a mission-driven nonprofit organization focused on blindness education, to use individuals’ names above (defined as the person’s first name only) and to publish photographs, audio- or video-recording, written work, artwork or other work produced by the person for external communications and/or promotion. This could include, but is not necessarily limited to, Perkins’ website, publications, publicity, fundraising, Facebook, YouTube or other formats in which Perkins is promoted.

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