RSVP

First and Last Name (required)

Email (required)

Phone Number (required)

Your City or Town (required)

Name and date of event you are registering for (required)

Attendee Type (required)
--Select One--Youth with a DisabilityParent of a child with a disability (age 0-2)Parent of a child with a disability (age 3-5)Parent of a child with a disability (age 6-11)Parent of a child with a disability (age 12-15)Parent of a child with a disability (age 16-18)Parent of a child with a disability (age 19-26)ProfessionalOther

Race (Optional)

Ethnicity (Optional)
No ResponseHispanicNon-Hispanic

Do you want to receive our monthly e-newsletter and event notifications? (Optional)
No ResponseYesNo

Michigan Alliance for Families is working with Wayne State University to see how our services benefit families and how we can improve. WSU may contact you for a brief follow-up. Results will be reported as group. I am willing to participate. (Optional)
No ResponseYesNo

Questions? Comments?

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