Medically Complex Pediatric & Young Adult Conference 9/27/25 cohosted by NYDBC & St. Mary's Healthcare System for Children

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Event: Medically Complex Pediatric & Young Adult Conference

Date: Saturday, 9/27/25

Saturday, 9/27/25 10:00am-5:00pm (Parents & Professionals)

Saturday, 9/27/25 5:30-6:30pm (Parents ONLY social)

Location: St. Mary's Healthcare System for Children

29-01 216th St, Bayside, NY 11360

Additional Details/Activities Forthcoming

This event includes lunch and opportunities to connect with other parents and professionals.

FREE to attend!

(Childcare is not provided.)

Role *

Parent

Professional

Name (First & Last) *

Name of individual registered with NYDBC (First & Last, age)

*Type "N/A" if individual is not registered with NYDBC *

Name of child receiving services through St. Mary's Healthcare System for Children (First & Last, age)

*Type "N/A" if individual is not receiving services through St. Mary's Healthcare System for Children *

I would like to be contacted by someone from NYDBC to learn more about their services *

Yes

I would like to be contacted by someone from St. Mary's Hospital for Children to learn more about their services *

Yes

Phone Number *

Email *

What region do you live in? *

Long Island: Nassau, Suffolk

Lower Hudson: Putnam, Rockland, Westchester

New York City: (Citywide): Bronx, Kings, New York, Queens, Richmond

Other:

Please note any accessibility needs: *

Sign Language Interpreting

Spoken Language

Large Print

Braille

Other

If 'other' selected above please indicate below:

List any known allergies here (or write "none"): *

Dietary restrictions *

None

Vegetarian

Vegan

Kosher

Gluten-free

Other:

I will attend the Parent social from 5:30-6:30pm

If you are a professional please choose option "N/A" *

Yes

N/A

Total Number of adults attending the Parent social from 5:30pm - 6:30pm.

Please type "N/A" if not attending *

Hold Harmless Waiver

1) I am aware that there will not be an on-site medical provisions and that I am responsible for any medical emergencies for myself and any of my family members/attendees while we are attending this conference.

2) There will not be any childcare available for this event. This event is open to parents/caregivers and professionals only.

This statement holds NYDBC and its sponsors harmless. Type your name below as your acknowledgement.

Photos will be taken throughout the event for educational and outreach purposes. Please indicate your response below. *

Yes, photos can be taken of myself participating at the conference

No, photos cannot be taken of me participating at the conference

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