Registration

Once you complete the registration information below and click the "Done " button, you are registered. You will not receive a confirming e-mail. For further information, contact lauras@pbohio.org. 

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* 1. First Name

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* 2. Last Name

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* 3. Job or Volunteer Title

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* 4. Organization

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* 5. E-mail address

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* 6. Daytime Phone number

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* 7. Periodically, we take photos or videos to share with funders, social media, in reports or press releases. Your permission to do so is requested, but not required to participate in the training.    I grant permission to Prevent Blindness to use photographs and/or video of me taken at this training in publications, news releases, online, and in other communications.

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