CVRC December Townhall Event Registration

We Welcome All to our Townhall Meeting

Thank you for showing interest in attending the Townhall at our Fresno Office. Please complete the following Registration Form. The event will feature information with a Listening Session and Public Comment at the end. We will be offering Light Snacks and Beverages at this event. Please enter the California Conference Room at the front far end of the CVRC Building indicated by signs.

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* 1. Name

First name

Last name

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* 2. Email

Email address

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* 3. Are you or someone you know served by the regional center? If "Yes", can you share the UCI number?

I am not sure

Yes, but I don't know the UCI number

Yes, and the UCI is ...

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* 4. Will you need Interpretation Services?

Yes, Spanish

Yes, Hmong

Yes, American Sign Language (ASL)

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* 5. Please submit any questions or comments ahead of time below.

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* 6. How did you hear about this event?

My Service Coordinator shared it with me

Social Media page

Friend/Family shared it with me

Another community partner, agency or organization shared it with me

Newsletter

Mail