Citizen Preparedness Training - Mt. Zion Lutheran Church - 01/12/2025

Location: Mt. Zion Lutheran Church, 421 West 145th Street, New York, NY 10031

When: Sunday, January 12, 2025, at 2:00PM

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Home Address

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* 6. County of Residence

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* 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

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* 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