Braille Challenge Regional Contest Order Form

Please select your Regional Event and Hosting Agency

Regional sites are ordered first by country, Canadian and then U.S. sites, then by province or state (i.e. Arizona regionals, then Arkansas, then California, etc).

Select the Regional Event and Hosting Agency *

Alberta, Canada Regional -- Alberta Society for the Visually Impaired / 28629
British Columbia, Canada Regional -- Provincial Resource Centre for the Visually Impaired / 28632
Toronto and Ontario South Regional -- CNIB Foundation / 30395
Phoenix Arizona Regional -- Foundation for Blind Children / 28633
Tucson Arizona Regional -- Arizona State Schools for the Deaf and Blind / 28634
Arkansas Regional -- Arkansas School for the Blind & Visually Impaired / 28630
Northern California Regional -- California School for the Blind (Fremont) / 28636
Southern California Regional -- Braille Institute Anaheim Center / 28635
Colorado-Colorado Springs Regional -- Colorado School for the Deaf and the Blind / 28638
Colorado - Littleton Denver Metro Regional BC -- Colorado Center for the Blind / 28637
Florida - East Regional -- FIMC-VI Florida East / 28642
Florida - North Regional -- FIMC-VI Florida North / 28639
Florida - South Regional -- FIMC-VI Florida South / 28641
Florida - West Regional -- FIMC-VI Florida West / 28640
Georgia Regional -- Georgia Academy for the Blind and The Atlanta Braille Volunteers / 28643
Idaho - Boise Regional -- IESDB Region 4 / 28897
Idaho - Gooding Regional -- Idaho School for the Deaf and the Blind / 28645
Idaho - Idaho Falls Regional -- IESDB Region 7 / 28898
Idaho - Post Falls Regional -- IESDB Regions 1 and 2 / 29125
Illinois Regional -- Illinois School for the Visually Impaired / 28646
Indiana Regional -- Indiana School for the Blind and Visually Impaired / 28647
Iowa Regional -- Iowa Braille School and The Iowa Library for the Blind / 28644
Kansas City Regional -- Kansas State School for the Blind / 28648
Kansas - Wichita Regional -- Kansas State School for the Blind / 28649
Kentucky Regional -- American Printing House for the Blind / 28650
Louisiana Regional -- Louisiana School for the Visually Impaired, Baton Rouge / 28651
Maryland Regional -- Maryland School for the Blind / 28653
Michigan Regional -- Michigan Department of Education-Low Incidence Outreach / 28654
Missouri - St. Louis Regional -- Missouri School for the Blind / 28655
Nebraska Regional -- Nebraska Center for the Education of Children / 28658
New England Regional -- The Carroll Center for the Blind / 28652
New Jersey - New Jersey Regional -- VISTAS Education Partners / 29440
New Mexico Regional -- New Mexico School for the Blind and Visually Impaired / 28659
New York Long Island Regional -- East Meadow School District, Westbury, NY / 28661
New York, NY Regional -- Educational Vision Services / 28660
New York - Upstate Regional -- NYS School for the Blind, Batavia, NY / 28662
North Carolina - Eastern Regional -- Eye Shine Foundation / 28656
North Carolina - Western Regional -- North Carolina (Western) / 28657
Ohio Regional -- Clovernook Center for the Blind and Visually Impaired / 28663
Oklahoma Regional -- Oklahoma School for the Blind / 28664
Pennsylvania Regional -- Berks County Intermediate Unit / 30396
South Carolina Regional -- SC Commission for the Blind / 28665
Tennessee Regional -- Tennessee School for the Blind / 28666
Texas - Central Region 13 Regional -- Region 13 Education Service Center / 28670
Texas - Dallas Regional -- Region 10 Education Service Center / 28667
Texas - North Regional -- North Texas Regional Region 11 / 28668
Texas Rio Grande Regional -- Edinburg CISD and Region One Education Service Center / 28669
Utah Regional -- Utah Foundation for the Blind / 28671
Washington - Eastern Washington Regional -- Washington Talking Book & Braille Library / 29064
Northwestern Washington Regional -- Washington Talking Book & Braille Library / 28899
Washington State Regional -- Washington State School for the Blind / 28673
West Virginia Regional -- West Virginia Schools for the Deaf & the Blind / 28676
Wisconsin Regional -- Wisconsin Center for the Blind and Visually Impaired / 28675
Wisconsin - Vision Forward Association Regional -- Vision Forward Association / 28674

Regional Hosting Agency's Contact Information

Coordinator's Name (Enter first name in the first field and last name in the second field) *

First

Last

Please be sure the following address is the correct SHIPPING ADDRESS for all materials.

Shipping Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Coordinator's Phone Number *

Coordinator's Email Address *

Scoring Room Administrator's Name (Enter first name in the first field and last name in the second field)

First

Last

Scoring Room Administrator's Email Address

We will score our contest:

Yes
No

If NO, please inform Rachel Antoine or Matthew Beckwith at the Braille Institute no later than 1 month before your event.

Estimated # of Scorers:

Event Date and Time

Event Date (Enter only digits: 2-digit month, 2-digit day, and 4-digit year, together in the field below) *

Event Start Time *

Event End Time *

Preliminary Round Contest Order

Please indicate the number of contests you would like to order for each level. You do not need to list individual student names. Please order enough contests for all your registered students, plus extras for walk-ins.

Apprentice (Grades 1-2) Contracted UEB:

Apprentice (Grades 1-2) Uncontracted UEB:

Freshman (Grades 3-4) UEB:

Sophomore (Grades 5-6) UEB:

Junior Varsity (Grades 7, 8, 9) UEB:

Varsity (Grades 10, 11, 12) UEB:

Registration Log

Please complete the Registration Log and Scoring Grid (EXCEL DOCUMENT) provided to you. All students taking the Challenge contests must be listed, with all contact information completed. Contact Jacky Garcia at the Braille Institute if you have questions.

Additional Support

Please indicate whether you need Proctor Guidelines and Scoring Guidelines for your blind or visually impaired proctors and scorekeepers. These are not copies for your students. Students will be given verbal instructions when taking the contest.

Quantity of Proctor Guidelines in Braille:

Quantity of Scoring Guidelines in Braille:

Do you need Regional Coordinator materials in Braille:

Yes
No

(Optional) For the Speed &Accuracy section, if you would prefer to receive MP3 files by email in place of SD cards, please check the appropriate grade level(s) below.

Sophomore
Junior Varsity
Varsity

Comments

For questions, please contact:
Rachel Antoine at rantoine@brailleinstitute.org or Matthew Beckwith at mjbeckwith@brailleinstitute.org