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Lunch and Learn January
Friday
January 24th, 2020
11:30 am-1:30 pm
Family Resource Network
46 Oneida Street
Oneonta, NY 13820
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Email
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Email address
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Last Name
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First Name
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Mailing address
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Phone Number
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County of Residence
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Broome
Chenango
Delaware
Otsego
Tioga
Tompkins
Are you:
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A parent or grandparent of an individual with OPWDD eligibility
Other parent or guardian
Provider or community member
Other:
Name of individual with OPWDD eligibility
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TABS# of individual with OPWDD eligibility (contact your care manager if you are not sure).
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Are you self-directing?
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Yes
No
Other:
How many will be attending this workshop
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