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Autism Awareness Training for First Responders

Please fill out the form below if you plan to attend.

Date: April 20, 2018
Time: 9:00am - 2:00pm
Where: Department of Emergency Response, 392 Creek Road, Room 113, Poughkeepsie

* = Required Field

1.Name(Required.)
2.Address(Required.)
3.Title(Required.)
4.Email(Required.)
5.Phone
6.Email*(Required.)
7.Telephone Number
8.Names and titles of other staff attending from your agency (up to 3):
9.Please indicate service you provide (all that apply):(Required.)
10.If you answered "Security Department" in question number 9, please specify the following:
11.Sign Language interpreter (Seven days notice is required to secure this service).
12.Reasonable Accommodation needed (please specify)
13.I would like to receive email notifications from Dutchess County ThinkDIFFERENTLY
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