Budget Advocacy Day RSVP
Please complete this registration form for the Consumer Directed Action of New York (CDANY) and NY Association on Independent Living (NYAIL) Budget Advocacy Day happening on Monday, February 12.
Sign in to Google to save your progress. Learn more
First name? *
Last name? *
E-mail address? *
ILC or Organization Name *
Street Address? *
City? *
State? *
ZIP Code? *
Phone number? *
Are you a member of Consumer Directed Action of NY (CDANY) or the NY Association on Independent Living (NYAIL)? *
If you are registering on behalf of a group roughly how many people are you planning on bringing?
Please let us know of any reasonable  accommodations which would help you or the group you are bringing participate in Budget Advocacy Day. *
Do you need accessible parking? Because accessible parking is limited at the Empire State Plaza please reach out to Nicole Mastroianni (nmastroianni@ilny.org) by Monday, January 29.
Clear selection
CDANY will have t-shirts available at their registration table. If you would like a shirt please indicate your size and they will do their best to accommodate.

If you are registering for a group, please contact Laura Cardwell (laura@cdpaanys.org) regarding shirts.
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy