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Registration Form

Instructions

  • Complete the following information and click the SUBMIT button for online registration.
  • Submission of the online registration form sends an email request to The Boggs Center and is not a confirmation of registration. When your form is received, Boggs Center staff will register you for the sessions requested, based on space availability.
  • A confirmation email will be sent when your registration has been reviewed and approved. If you do not receive an email, please contact deborah.mahovetz@rutgers.edu.
  • An Admission Pass will be sent to you by mail two weeks prior to each session. If you have registered for a session and cannot attend, please email deborah.mahovetz@rutgers.edu or call 732-235-9543 to cancel.
  • Please complete the “Accommodations needed” section for sign language interpreters, alternate
    formats, or other accommodations.
  • If you have any questions, please contact Debbie Mahovetz:
    Phone: 732-235-9543
    Email: deborah.mahovetz@rutgers.edu

All fields followed by an asterisk(*) must be filled in.

Training Participant Name and Contact Information

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Registration Contact (Person submitting registration if different from above)

 
 

DDLS Sessions
Please check the box(es) to indicate the session(s) you would like to attend:

Accommodations Needed
For planning purposes, please let us know if you are a wheelchair user, or if you need Braille handouts, a Sign Language Interpreter, or other accommodations.

Continuing Education
Continuing education recognition is available to Developmental Disabilities Lecture Series participants from the following organizations. Refer to the Developmental Disabilities Lecture Series page to confirm Continuing Education program approvals. Approvals vary by session. For additional details, see the Continuing Education page.

If you are interested in receiving Continuing Education credit for eligible sessions, please click on the checkbox below.

 


Additional Information
Please complete the following if you are not on our mailing list or wish to update your information






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Sends your application by email to The Boggs Center
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