Cane Quest 2023 PNW Contest Application Form for Tiny Travelers Route

Richland School District Attn: Vision Dept.

Email: Linda.Mcfall@rsd.edu or Amanda.Carpenter@rsd.edu 

Any questions, please call: (509) 967-6384 or (509) 967-6597

**The deadline for registration is September 15th**

**This form must be completed by an Orientation & Mobility Specialist to validate  the student’s skill level and visual acuity. A separate form must also be signed by a parent or legal guardian for a student to participate.**
Cane Quest seeks to motivate blind and visually impaired youth to practice proper safe travel techniques and  overall orientation and mobility skills. It’s designed to promote a student’s confidence in any surrounding and build  true mobility independence.

The Pacific Northwest Regional Cane Quest will be held in person on October 6, 2023. 
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Email *
Contest Description

1. Cane Quest, a program of Braille Institute, is open to visually impaired students in grades 3-12 who have received instruction in the use of the white cane, and who are both cognitively and physically able to walk independently for an hour at a time. 

2. A student should be familiar with the skills on the checklist, but does not have to have mastered all of them. 

3. A student’s visual acuity must fall within the B1, B2, LV1, and LV2 classification ranges as defined below.

4. Students who use a white cane, AMD, or pre-cane should bring it, and contestants must wear closed-toe shoes. 

5. Cane Quest will be held in-person.

6. Students will compete in one of five groups, in the following categories:
  • Tiny Travelers: ages 2-5
  • Scouts: grades 3-6
  • Pathfinders: grades 3-12*
  • Explorers: grades 7-9
  • Trailblazers: grades 10-12
*Pathfinder participants are in Grades 3+ with additional disabilities or needs.

7. Students will complete the route or checklist in partnership with a parent or other sighted volunteer, who will be under blindfold for sections of the route. 

8. All participants will be monitored at all times throughout the program.

9. Points are earned for accurately completing each stage using proper travel techniques and procedures within the assigned time slot.

10. All judging is performed by certified O&M specialists.
Visual Acuity Classification Definitions

• Class B1 - No light perception in either eye up to light perception, but inability to recognize the shape of a hand at any distance or in any direction. 

• Class B2 - From ability to recognize the shape of a hand up to visual acuity of 20/600 and/or a visual field of less than 5 degrees in the best eye with the best practical eye correction.

Class LV1 - Visual acuity from 20/200 to 20/500 and/or a visual field of less than 20 degrees in the best eye with the best practical eye correction 

Class LV2 - Visual acuity from 20/70 to 20/200 

Contestant's Name
O&M Specialist's Name
O&M Specialist's Address  *
O&M Specialist's Telephone Number *
O&M Specialist's Email Address *
Name of School District or Birth to Three/ESIT Agency *
Student's Visual Acuity Classification *
Student's Age *
Skills Checklist for Cane Quest
Each of the following skills should be assessed on a scale of 1-4, with 1 representing a beginning skill level and 4 representing a proficient skill level, and based on average expectations for a student at grade level. Students are not required to be proficient in all skills to participate. Skills will be observed through games and play-based activities. Contestants are encouraged to seek assistance at any time during the contest if they are not confident performing any task.
Uses hands to discriminate, manipulate, and explore objects *
Beginner
Proficient
Touches top, bottom, front, back, and sides of an object on request *
Beginner
Proficient
Locates a named shape or object on a page *
Beginner
Proficient
Turns to face object or person on request *
Beginner
Proficient
Uses textures (soft, hard, rough, smooth) to match, sort, and name objects *
Beginner
Proficient
Places objects over or above, under or below, inside, through, and away from other objects on request *
Beginner
Proficient
Aware of body including body parts, function and movement. *
Beginner
Proficient
If applicable, maintains a grip on a device (cane, AMD, pre-cane). 
Beginner
Proficient
Clear selection
If applicable, maintains a device (cane, AMD, pre-cane) in front of body.
Beginner
Proficient
Clear selection
If applicable, stops when the device (cane, AMD, pre-cane) contacts an obstacle.
Beginner
Proficient
Clear selection
O&M Specialist's Signature (type full name, this will act as your signature) *
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