ECBDD Presents a Transition Day!
You are registering for the April 7th transition day for teens and families held at the ECBDD. Please complete all fields below.
Please contact your SSA or Jennifer Yingling at 419-502-4124 with any questions.
Name(s) of Parent(s) or Guardian(s) Attending.
Attendee contact information (phone, address)
If youth is attending, please provide youth name.
Please describe any support accommodations your child may request or need during the Transition Day. This includes any dietary needs or restrictions, behavior support needs, communication, or other assistance with things such as writing, cutting, pasting, etc.
Age appropriate siblings are welcome to join youth activities. Please indicate if siblings are attending. They may attend with or without their sibling. Please list name(s) and age(s) of siblings if attending.
Option childcare based on need at registration. Please indicate if you are requesting childcare.
Yes, if available
No childcare is needed
If childcare is requested, please list the name(s) and age(s) for all youth requiring childcare. Registration is required for childcare.
Do Not Fill This Out