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Elizabeth Manley - NJ Children's System of Care Event

  1. Elizabeth Manley Event Registration Form

    Ms. Manley will be spending the day in Bergen County to tell us about changes in the system, answer our questions and talk about plans for the future. This event is brought to you by the Bergen County Mental Health Board’s Children’s Interagency Coordinating Council (CIACC) and will be held at two separate times and locations on Tuesday, March 31st in order to accommodate more residents. You have the opportunity to attend this event in Paramus from 1:00 pm - 3:00 pm at the Community Services and Police Building on 327 East Ridgewood Ave. or in Oradell from 6:00 pm - 8:00 pm at the River Dell High School Auditorium, on 55 Pyle Street, Oradell.

  2. Please fill out and submit the registration form below to attend this event.

  3. Which event time and location would you like to attend?*

    There are two times and locations for this event: 1:00 pm – 3:00 pm at the Community Services and Police Building, 327 East Ridgewood Ave, Paramus and 6:00 pm – 8:00 pm at RiverDell Regional High School in Oradell. Please choose which event you would like to attend.

  4. If you are representing an agency, school or other provider, please specify

  5. What is your home zipcode or the zipcode of the school/entity you represent

  6. Your Role

    How would you best describe your role? [check all that apply]

  7. If you chose other please describe your role

  8. Do you have a specific question or concern that you would like Ms. Manley to address?

  9. Leave This Blank:

  10. This field is not part of the form submission.