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MSC FORUM 2018: REGISTRATION
Pace University, 3 Spruce Street, Upper Level
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Note: Still finalizing some details but he Forum will be FANTASTIC!
MSC WILL RECEIVE CONTINUING TRAINING CREDITS FOR THIS FORUM. CERTIFICATE MAY ONLY BE PICKED UP AT THE END OF THIS FORUM.
YOUR REGISTRATION IS NOT COMPLETE UNTIL $25.00 PAYMENT IS RECEIVED.
SEE PAYMENT DETAILS AT THE END OF THIS FORM
Any Concerns or Questions Regarding Registration Contact:
Carol Lincoln: 718-859-5420 ext 225, clincoln@adaptcommunitynetwork.org (formerly UCP NYC)
NAME: *
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EMAIL: *
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AGENCY: *
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MORNING PRESENTATIONS: NO SELECTION NECESSARY
10:00 AM – 11:00 AM
Keynote Speaker

11:00 AM – 12:00 PM
SPECIAL PANEL PRESENTATION
Panel will consist of representatives of the 3 downstate CCOs, PHP and Family/Individuals
Moderated by Marco Damiani

SELECT ONE (1)WORKSHOP FROM AFTERNOON CHOICES: *
KOSHER LUNCH?
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OTHER ACCOMMODATIONS?
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STOP! PRINT THIS FORM BEFORE PRESSING THE SUBMIT BUTTON
Print as usual OR Print from your Browser: File -> Print -> (If you are NOT completing in Google Form)
YOU MUST SEND A COPY OF THIS FORM WITH A $25.00 CHECK, PER PERSON, TO: Manhattan DD Council
Mail To: Jessie Backe, Incident Review Coordinator, AHRC NYC, 83 Maiden Lane, 11th Floor, New York, NY 10038
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