YAI LINK Workshop Registration Form
Registration Information
Select a workshop to attend
Event Record ID (Hidden)
Attendee Information
First name
Last name
Please provide an email address
Personal email
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Personal email
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My primary afiliation in regards to the workshop is ("I am a...")
Person with IDD
Caregiver
Professional
Personal
State of residence
New York
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County of residence
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Professional
State where you work
New York
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New York county you work in
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Bronx
Brooklyn
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Nassau
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Westchester
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Albany
Columbia
Dutchess
Greene
Orange
Putnam
Rensselaer
Sullivan
Ulster
Phone Information
Home phone
Work phone
Outreach Preferences
Do you want to sign up to receive updates from YAI?
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Yes
SMS Messaging
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Cell Phone
Which counties/regions are you interested to receive updates and service information from YAI?
Bronx
Brooklyn
Manhattan
Queens
Staten Island
Nassau
Suffolk
Westchester
Rockland
Albany
Columbia
Dutchess
Greene
Orange
Putnam
Rensselaer
Sullivan
Ulster
California
New Jersey