Dragon Dates and Teen Scene Event Survey
The Family Resource Network want to make sure we are hosting events that our participants would like to attend! Please take a few moments to fill out the following survey to let us know what themes, activities or topics you would like to see in our upcoming events. If you are unsure if you are eligible for one of the two groups, please see the descriptions below:

Dragon Dates events are for individuals with OPWDD eligibility living in the family home in Broome, Chenango, Otsego, Delaware, Tioga or Tompkins County.

The age range for Teen Scene events has been expanded and these will be open to any school aged youth in Otsego, Delaware, and Chenango counties.
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Full Name of Participant *
Parent/Guardian/Care Giver's Full Name *
Email Address *
Phone Number *
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