Attendee

First Name

Last Name

Phone

Address

Apt/Unit

City

State

Age

Grade in fall 2026

Guardian (if under 18)

First Name

Last Name

Relationship to Attendee

Emergency Contact

First Name

Last Name

Relationship to Attendee

Emergency Contact Phone

What is your current level of vision?

Fully blind (no usable vision)

Low vision (some usable vision)

I use assistive devices (e.g. glasses, magnifiers) to support my vision

I have other vision challenges (please specify)

*If you selected fully blind, please note: Transition Talks are specifically designed for individuals with low vision. While we are committed to supporting all participants, those who are fully blind will be considered on a case-by-case basis, and appropriate accommodations will be discussed. *Please be aware that we may not have specific resources such as braille materials or a one-on-one staff ratio to assist participants with no usable vision. Our goal is to create an environment that best supports those with low vision. If you are fully blind, please reach out to discuss how we can best meet your needs.

Other vision challenges:

Do you require any specific support or accommodations to ensure a positive Transition Talks experience? (If none, please indicate "none.")

Are there any medical or additional needs we should be aware of to provide the best care for you for the day? (If none, please indicate "none.")

Transition Talks topics can include any of the following. Please indicate which topics you are specifically interested in

Access Technology

Phone Apps

Social Media (content creators with low vision)

Transportation (Driving &/or Public Transportation)

Self-Advocacy in College/Scholarships

Kitchen Tips

Self-Advocacy in Life

IDHS State Services

Is there anything within these topics that you have specific questions about?

Lunch and snacks will be provided. Do you have any dietary restrictions including food allergies or sensitivities?

How did you hear about Transition Talks?

I give permission to be photographed by Spectrios Institute and grant the right to use photographs for marketing efforts

Yes, I can be photographed.

No, do not photograph me.

Would you like to sign up for our newsletter and keep up with all the happenings at Spectrios Institute for Low Vision?

Yes, I would like to sign up for the newsletter.

No, thank you.

If you are human, leave this field blank.

Transition Talks Registration Form