National Federation of the Blind of New Jersey 49th ANNUAL STATE CONVENTION
October 23-26, 2025

Welcome! We are so pleased that you will be joining us.
 
This preregistration form must be submitted by or before 5 PM on October 10th, 2025. All convention attendees who pre-register will benefit from a lower registration fee and an opportunity to purchase food at greatly reduced prices. NO food options can be purchased after pre-registration closes.
 
You can obtain assistance with online registration by contacting your chapter president or sending an email to convention@nfbnj.org.
 
If you are registering multiple people for the convention, you MUST fill out a separate form for each attendee.
 
All activities take place at the APA Woodbridge Hotel in Iselin, New Jersey. The hotel phone number is (732) 494-6200 and state that you are attending the NFB of New Jersey state convention to get the group rate of $119/night before tax.
 
Using the arrow keys will greatly improve your ability to view all of the information on this form when navigating with a screen reader.
 
Convention Camp
 
NFBNJ Convention Camp will be available on Saturday, October 25, 2025, from 8:30 a.m. to 12:30 p.m., 1:00 p.m. to 5:00 p.m., and 7:00 p.m. to 10:30 p.m. This program is open to children between the ages of 2 and 12 years old and is designed to provide a safe, engaging, and supervised environment while their parents and/or guardians attend convention sessions and activities.
 
Parents and/or guardians will be responsible for paying a per child, per session fee for each of the three sessions. This fee is separate from convention registration and helps cover the cost of supervision only. The affiliate will help defray the overall cost to make participation more affordable for families. Pricing has not yet been finalized.
 
Convention Camp will only be offered if at least three children are registered for the day. Parents and/or guardians who express interest in the program will receive an invoice sent separately once costs are confirmed. Children will enjoy age-appropriate games, crafts, and social activities, and will be cared for by trusted and qualified volunteers or staff.
 
Each child must bring their own food and drinks. Parents and/or guardians are also responsible for providing any necessary personal items such as diapers, wipes, or comfort items. NFBNJ will not administer any medications during Convention Camp; it is the responsibility of the parent and/or guardian to do so. If a child requires a diaper change during a session, the parent and/or guardian will be notified and must return to handle the change.
 
If you are interested in Convention Camp, you will be able to indicate this directly in the convention registration form. Additional details, including required consent and emergency contact forms, will be shared with interested families closer to the convention. Convention Camp registration will close on September 30, 2025, at 5:00 p.m. For questions, please email convention@nfbnj.org.
 
Disclaimer
 
The National Federation of the Blind of New Jersey (NFBNJ) reserves the right to cancel any registration that is not completed and paid in full by October 10, 2025. Payments made by check or money order must be received by NFBNJ no later than October 10, 2025; please allow ample time for mailing to ensure your payment arrives on time, as late payments will not be accepted or processed. Beginning October 3, 2025, all new registrations must be paid using PayPal, debit card, or credit card; no new check or money order payments will be accepted after this date.
 
Additionally, NFBNJ reserves the right to cancel any pre-registration submitted by current or former members who are not in good standing with the organization. Registration is considered a privilege and may be revoked at NFBNJ’s discretion to maintain fairness and uphold the integrity of the organization.
 
We strongly encourage anyone with questions regarding their membership status or available payment options to contact us well in advance of these deadlines to ensure a smooth registration process.

NAME:  _______________

ADDRESS:  ____________________								
CITY:  ______					   STATE: ____  ZIP: _____	

Best Contact PHONE #: (___)____-__________

E-MAIL:  ______________________			

Will minors under the age of 18 be attending with you? You are responsible for the care of all minors. _____ Yes      _____ No

If yes, please list their first name, last name and age.
_______________
_______________

Would you be interested in NFBNJ Convention Camp on Saturday from 8:30 AM to 12 PM, 1:00 PM to 5:00 PM, or 7:00 PM to 10:30 PM? There will be a charge per child per session separate from convention registration.
_____ Yes      _____ No
In order to hold NFBNJ Convention Camp, a minimum of three children per session must have been registered

How many children for NFBNJ Convention Camp? _____

Which session(s) for NFBNJ Convention Camp?
_____ 8:30 AM to 12:00 PM _____ 1:00 PM to 5:00 PM _____ 7:00 PM to 10:30 PM

Name and age for each child being registered for NFBNJ Convention Camp
_______________
_______________

Will you be bringing an Aid, PCA or SSP. There will not be a registration fee. ______ Yes _______No

If yes, please provide their name.
_______________

Which days of the convention do you plan to attend?
______ Thursday
______ Friday
______ Saturday
______ Sunday

Which nights are you staying at the hotel?
______ Wednesday
______ Thursday
______ Friday
______ Saturday
______ I’m not staying at the hotel

I will attend the following:
______ Tech Seminar: Thu., 12:30 to 3:30 PM
______ Affiliate Mix & Mingle: Thu., 7:00 PM to 11:00 PM, hors d’oeuvres at 8:00 PM (must be registered for convention and staying at the hotel)
______ POBC Meeting: Fri. & Sat., times TBD
______ Student Gathering: Sat., 12:15 PM
______ None

Preferred agenda type _____Braille _____Large print_____ electronic

Would you like your pre-purchased meal tickets in Braille?
______ Yes _______No

What if any mobility devices will you be bringing?
______ White Cane
______ Guide Dog
______ Wheelchair/Scooter
______ Other
______ None

Will you be bringing any assistive devices in order for you to fully experience the Convention? ______ Yes _______No

If yes, please explain.
____________________
______________________			

Do you require any space accommodation needs, such as special seating?
______ Yes _______No

If yes, please explain.
____________________
______________________			

Are there any other accessibility needs or questions that you have pertaining to the state convention? If so, a member of the accessibility committee or the state board will reach out to you to discuss. ______ Yes _______No

Registration Fees & Payment Method

Please note that due to circumstances beyond our control, menu items and offerings may be subject to change or substitution by the hotel without prior notice. We appreciate your understanding and will do our best to ensure a delightful dining experience despite any necessary adjustments. While we cannot guarantee specific items, every effort will be made to provide high-quality meals that meet the expectations of our attendees. To view the descriptions for each meal option, please visit www.nfbnj.org/state-convention/meal-options.

Convention Registration:
_____ Adult 18 & Up )$25 each)
_____ Child Under 18 ($0 each)
_____ Aid/PCA/SSP Only ($0 each)
_____ I’ve already registered

Meal Selection (enter the quantity of meal tickets you are purchasing):
_____Friday Breakfast Buffet ($22 each)
_____ Friday boxed Lunch: Salad ($25 each)
_____ Friday Boxed Lunch: Mesquite Smoked Turkey Breast Sandwich ($25 each)
_____ Friday Boxed Lunch: Tuna Salad on Whole Wheat Bread ($25 each)
_____ Federation Family Meal: Chicken roulade ($60 each)
_____ Federation Family Meal: Vegan/Veggie Cauliflower Steak ($60 each)
_____Saturday Breakfast Buffet ($22 each)
_____ Saturday boxed Lunch: Salad ($25 each)
_____ Saturday Boxed Lunch: Mesquite Smoked Turkey Breast Sandwich ($25 each)
_____ Saturday Boxed Lunch: Tuna Salad on Whole Wheat Bread ($25 each)
_____ Banquet: Crispy Chicken Milanese ($60 each)
_____ Banquet: Vegan Mediterranean Ravioli ($60 each)
_____ Sunday Breakfast Buffet ($22 each)

Convention Contribution:	$__________

Total:  $____________

Payment Method:
_____ Check or Money Order

If you want to pay using a credit card, debit card, or PayPal account, please complete the online registration form found at www.nfbnj.org/state-convention.

If paying via check or money order, please make payable to NFBNJ with state convention 2025 in the memo field, and mail to:
National Federation of the Blind of New Jersey
PO Box 2202
Vincentown, NJ 08088

Important Reminder: To secure your registration, your check or money order must be received by October 8, 2025. Failure to have payment received by this deadline will result in cancellation of your pre-registration form. Please ensure your payment is mailed early enough to arrive on time.

Additional Convention Registration Information

If your convention contribution is $75 or more, do you want to be listed as a sponsor?      _____ Yes      _____ No

I prefer to make my contribution anonymously:     _____ Yes     _____ No

Sponsorship Level:
Please view the full sponsorship level descriptions found at www.nfbnj.org/state-convention/sponsor-registration 
_____ Entry Level ($75)
_____ Vendor Level ($150)
_____ Banquet Table ($500)
_____ Scholarship ($1,500)
_____ Convention Partner ($3,000)
_____ Champion ($5,000)

Preferred recognition name for your contribution/sponsorship:  ____________________

Are you a guide dog user? _____Yes _________ No

Are you a first-time attendee? _____Yes _________ No

Are you a current dues paying member of a National Federation of the Blind of New Jersey chapter or the state affiliate? ____Yes ______No

Are you blind/low vision? ____Yes ______No

Are you the parent of a blind/low vision child? ______ Yes _______No

Are you a blind parent? _____Yes _________ No

Are you a blindness professional? ______ Yes _______No

Are you a blind student? ______ Yes _______No

Consent Agreements

Code of Conduct Agreement:
As an attendee at our convention, you not only represent yourself but also represent our greater organization. We want you to enjoy our time together and to make new friends and renew old acquaintances. Although we encourage members to socialize and have fun, the convention also provides a valuable opportunity to come together to continue the work of our organization, to learn about the important initiatives that we are involved with on local and national levels, and to plan our work for the future.

The National Federation of the Blind seeks to provide a convention environment in which diverse participants, including members, speakers, exhibitors, staff, and volunteers, may learn, network, and enjoy the company of friends and colleagues in an environment of mutual respect and professionalism. We recognize a shared responsibility to create and uphold that atmosphere for the benefit of all. Some behaviors are therefore specifically prohibited:

•	harassment or intimidation based on race, religion, ethnicity, language, gender, sexual orientation, gender identity/expression, disability, physical appearance, or other group identity
•	sexual harassment or intimidation, including unwelcome sexual attention, stalking (physical or virtual), or unsolicited physical contact
•	public drunkenness and associated behaviors (e.g., belligerence, yelling, hostility, destruction of property)

Participants are expected to abide by these rules and behaviors in all convention venues, including online arenas, social media, and social events. Participants who are asked to stop a behavior that the recipient considers hostile or harassing are expected to comply immediately. We are committed to diversity, equity, and the free expression of ideas. Please visit https://nfb.org/code-conduct for more information.
___By checking this checkbox, I fully acknowledge and verify that I read and understand the Code of Conduct of the National Federation of the Blind; and will abide by its policies, standards, and principles during this National Federation of the Blind sponsored event.

Fragrance Free Policy:
The National Federation of the Blind of New Jersey's goal is to be sensitive to members with perfume and chemical sensitivities who, as a result, may suffer potentially serious health consequences. In order to address this concern, members and participants at conventions and other meetings should refrain from wearing scented products, including, but not limited to perfumes, colognes, aftershave lotions, or similar products. We want to ensure full participation in all of our state-wide activities.
___By checking this checkbox, I agree to/ abide by the National Federation of the Blind of New Jersey’s Fragrance Free Policy and understand that if my fragrance is too sensitive to others that I will be moved to a different location within the convention space.

Registration Cancelation Policy Agreement:
_____ I understand that my registration must be completed and paid in full by October 8, 2025. If paying by check or money order, I will ensure payment is received by NFBNJ by that date. Late payments will not be accepted, and no refund will be issued if my registration is canceled due to non-payment. I acknowledge that registration is a privilege and may be revoked at NFBNJ’s discretion, including for current or former NFBNJ members not in good standing. No refunds will be given if my registration is canceled.