Citizen Preparedness Training - First Centennial Missionary Baptist Church - 12/14/2024

Location: First Centennial Missionary Baptist Church, 273 High Street, Buffalo, NY 14204

When: Saturday, December 14, 2024, at 12:00PM

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Phone Number

Question Title

* 5. Home Address

Question Title

* 6. County of Residence

Question Title

* 7. Do you require reasonable accommodations?
*Please allow at least 14 days to allow seamless implementation of your request.

Wheelchair Access

Hard of Hearing - Seat near speaker

Assistive Listening Device

American Sign Language (ASL)* You will be contacted to confirm this request.

Language Interpreter

Question Title

* 8. If you have a disability and require accommodations not mentioned above in order to fully participate in this training, describe your requirements here. Please allow at least 14 days to allow seamless implementation of your request. If you have questions please email: NY.Prepare@dhses.ny.gov