APH Zero Registration

ANNUAL REGISTRATION OF VISUALLY IMPAIRED STUDENTS

AGENCY/DISTRICT ADVISEMENT OF ZERO REGISTRATION

ATTN: Anne Freitag, Ex-Officio Trustee-Alaska

Please be informed our school district/agency does not have any visually impaired students enrolled at this time.

School District, school or agency name:

Today’s date:

Name (Signature):

Please enter your name. This will act as your signature.

Job Title:

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Thank you!