Name: Vision Forward Tech Camp
Start: 2025-08-12T00:00:00-05:00
End: 2025-08-13T23:59:59-05:00
Location: Vision Forward

Step 1 of 3

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Participant's Information

Participant's Name(Required)

First Last

Birth Date(Required)

MM slash DD slash YYYY

Age(Required)

Please enter a number from 15 to 21.

School

Parent/Guardian's Information

Parent/Guardian's Name(Required)

First Last

Parent/Guardian's Address(Required)

Street Address City State ZIP Code

Emergency Contact Information

Name(Required)

First Last

Phone(Required)

TVI/O&M Specialst Information

TVI or O&M Specialist's Name

First Last

Phone

Are you connected with any of the following?

CLTS

DVR

IRIS

(CLTS, DVR, IRIS) Coordinator's name

Apps, software, assistive technology usage information

Devices used (check all that apply).

Smartphone (iPhone, Android)

Tablet (iPad, Android)

Laptop/Computer (Windows, MacBook, Chrombook)

Wearable Devices (smartwatch, smart glasses, wearable magnification)

Other. Please list below.

Other devices used:

Software/Apps used (check all that apply).

Educational apps

Social Media (Facebook, Instagram, Twitter)

Entertainment (Netflix, Youtube, Spotify)

Navigation apps (Aira, BlindSquare)

Gaming apps

Productivity apps (Microsoft Office, Google Docs)

Communicaiotn apps (WhatsApp, Messenger)

Other. Please list below.

Other software/apps used:

Assitive technology used (check all that apply).

Screen Reader (JAWS, VoiceOver)

Braille Display

Magnification Software (ZoomText)

Smart Phone or Tablets

Accessible Smartphone apps (Be My Eyes, Seeing AI)

Smart Glasses (eSight, Meta Glasses)

Other. Please list below.

Other assistive technology used:

Which technology are you interested in exploring? (Check all that apply).

Augmented reality or virtual reality for learning or entertainment

Advanced Braille devices

AI-driven tools for better navigation and independence

Wearable technologies for health and safety

Voice-controlled smart home devices

Other. Please list below.

Other technology interests you'd like to explore.

Which social media platform do you use regularly (Check all that apply).

Instagram

Twitter

Facebook

TikTok

Snapchat

YouTube

Other. Please list below.

Other social media platforms.

What are your biggest challenges when using technology (Check all that apply).

Difficulty navigating apps or websites

Limited accessibility of content (lack of audio descriptions or alt text)

Limited availability of accessible learning sources

Lack of familiarity with certain technologies

Other. Please explain.

Other biggest challenges.

What additional support or resources would be most helpful to you when using technology or assistive devices? (Check all that apply).

Better training and tutorials for using devices and apps

Access to more accessible educational content

Assistance with navigating social media safely

Better integration between different assistive technologies

Peer or mentorship programs for sharing technology experiences

Other. Please explain.

Liability, Medical Permissions, and Photography Release

Liability Agreement(Required)

LIABILITY: I acknowledge that I am bringing my personal items to Vision Forward at my own risk. I understand and accept full responsibility for any risks associated with the use or possession of these items while on Vision Forward premises. I further acknowledge that Vision Forward is not liable for any loss, theft, or damage to my property.

Permissions

PHOTO CONSENT: I grant permission to use photographs and video taken of my minor child at Tech Camp.

PHOTO USE: I grant permission to use photographs and video taken at Tech Camp for Vision Forward's communications.

MEDICAL CONSENT: I agree to my child receiving medical assistance from a staff member or trained volunteer, if needed.

Vision Forward Tech Camp

August 12 - August 13

Tech Camp Registration Form

Participant's Information

Parent/Guardian's Information

Emergency Contact Information

TVI/O&M Specialst Information

Apps, software, assistive technology usage information

Liability, Medical Permissions, and Photography Release

Details

Venue