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STATEN ISLAND DEVELOPMENTAL DISABILITIES COUNCIL The Elizabeth Connelly Resource Center 930 Willowbrook Road, Building 41A Staten Island, New York 10314 Phone: (718) 9835276 Email: Contactsiddc@siddc.org

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What is form elizabeth connelly center?

Form Elizabeth Connelly Center is a registration form used by the organization to collect information about participants and their emergency contacts for events and programs at the center.

Who is required to file form elizabeth connelly center?

All participants attending events and programs at Elizabeth Connelly Center are required to fill out and submit the form.

How to fill out form elizabeth connelly center?

Participants can fill out the form by providing their personal information, emergency contact details, and any specific medical concerns or allergies.

What is the purpose of form elizabeth connelly center?

The purpose of form Elizabeth Connelly Center is to ensure the safety and well-being of participants during events and programs by having access to relevant contact and medical information.

What information must be reported on form elizabeth connelly center?

Participants must report their full name, date of birth, address, emergency contact name and phone number, as well as any medical conditions or allergies.

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