Program in Aging and Developmental Disabilities (PADD)

Registration Form

To register for any of the conferences/trainings being offered you may either submit the form electronically (see below), or you may print the form, fill it out, enclose your payment, and mail it to:

SCDD/PADD
601 Elmwood Avenue
Box 671
Rochester, NY 14642
Attention: L. Robinson

Completed forms may also be faxed to Laura Robinson at (585) 275-3366. Please indicate payment method on the fax.

Checks, vouchers, and purchase orders are accepted. Unfortunately, we are unable to accept credit or debit cards.

ONLINE REGISTRATION FORM

(Form may be copied. Please use one form per person.)

First Name:
Last Name:
Title:
Agency:
Address:
City:
State:
Zip:
Email:
Phone:
Title of conference:
Date of conference:

Contact Us

Strong Center for Developmental Disabilities
Golisano Children's Hospital
Box 671
601 Elmwood Avenue
Rochester, NY 14642

Phone: (585) 275-6604
Fax: (585) 275-3366