2024 VTrans O&D Summit Registration Form
This is the registration form for the 2024 VTrans Statewide Older Adults & Persons with Disabilities (O&D) Summit which will be held on Friday, June 07, 2024 from 10 AM - 3 PM at the Vermont State University - Randolph Campus (124 Admin Drive, PO Box 500, Randolph Center, VT  05061). For more information about the event, including the agenda, please visit https://vtrans.vermont.gov/public-transit/O-and-D or contact Rita Seto at rseto@trorc.org.
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What is your first name?
What is your last name?
Pronouns (Optional if you'd like this displayed on your name tag)
Email
Which O&D Committee(s) do you regularly attend?
How long have you been participating with your O&D Committee?
Clear selection
What organization will you be representing?
What is your affiliation?
Clear selection
We strive to host inclusive, accessible events that enable all individuals, including individuals with disabilities, to engage fully. To request an accommodation or for inquiries about accessibility, please let us know here, and tell us what your best contact information is. We will then reach out to you for additional details.
What form of transportation will you use to arrive in Randolph (to help us manage parking)?
Clear selection
Do you need physical/financial assistance getting to the Summit?
Clear selection
LUNCH
We will be serving a catered buffet lunch consisting of the following cuisine: choice of mini sandwiches, side salad, dinner roll with butter, fruit tray, dessert, condiments and selection of cold beverages. The choice of mini sandwiches include:

1.     Grilled Chicken Caesar Wrap

2.     Ham & Gruyere Slider

3.     Lemon Basil Roasted Vegetable Slider
Please list any dietary restrictions we should be aware of.
Submit
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