Braille Readers Are Leaders Registration

Please complete and submit this form to be registered for the 2020-2021 Braille Readers Are Leaders contest that takes place from December 1, 2020 to January 18, 2021. For questions please contact BrailleReadingContest@actionfund.org or call 410-659-9315.

Note: All fields with an asterisk (*) are required.

Contestant Information

First Name

Last Name

Date of Birth

Contest Category (Grade in School or Adult)

Is this your first time participating in the contest?

How did participating in the contest previously benefit you?

Parent(s)/Guardian Name

Address Line 1

Address Line 2

City

State

Zip Code

Gift bags and prizes should be mailed to this address.

Phone

School Type Contestant Attends

Student’s Teacher of Blind Students

Name

Phone

Certifying Official Information

Teachers, librarians, and parents/guardians may serve as certifying officials. Each participant only needs one certifying official.

Name

Address

Phone

Relationship to Contestant

Breaking Reading Limits Award

In addition to awards in the five grade and adult categories, Breaking Reading Limits Awards of $25 will be given to students who face barriers to learning Braille and demonstrate great determination in their journey to literacy such as an English learner or having multiple disabilities. See the contest rules for a complete description of those eligible.

If a certifying official would like to nominate a contestant for this award, please present a short explanation below.

Gift Bags

Gift bags are provided after the contest. If T-shirts are awarded, what size would the participant need?

Administered by the American Action Fund for Blind Children and Adults in partnership with the National Federation of the Blind.