Project for New Mexico Children and Youth Who Are Deafblind Inroduction to Deafblindness Registration Form

Project for New Mexico Children and Youth Who Are Deafblind

Introduction to Deafblindness: Course Registration Form

Name
Address
City	State Zip
Day Phone	Evening Phone
Email
Occupation
Employer

I will be taking this course:
For Credit
CEU's
Non-Credit

Do you currently work with children who are deafblind?
Yes
No

If so, in what capacity?

I am interested in this course because:

Project for New Mexico Children and Youth Who Are Deaf-Blind
(877) 614-4051

For information concerning the website contact roseh@unm.edu