civicrm - Families Together in NYS

Please answer all of the questions below. We cannot award scholarships to applicants who do not fully complete this application. Please note that individuals who have received a scholarship from us in the past are not eligible to apply again. The registration deadline is March 16, 2026.

2025 Annual Conference Registration

First Name *

Last Name *

Email *

County *

Organization/Agency/Business

Race/Ethnicity

Do you identify as a youth, parent, professional or other? *

Youth (12-25)

Parent/Caregiver

Parent/Caregiver of a child receiving services

Family Peer Advocate

Youth Peer Advocate

Other Professional

Other

Military Status *

Photo/Video Release *

I Agree

I give permission to Families Together to photograph and/or videotape this registered attendee and to use his or her image in photographs, video, and/or film for the purpose of promoting the mission, activities, and programs of Families Together. I understand that this registered attendee and his/her parent/guardian/legal authority is not entitled to any compensation or rights in these materials, and I release Families Together from any liability for the use of this registered attendee's image for the above stated purpose. Please check.

Dietary Restrictions: *

Gluten Free

Kosher

Vegan

Vegetarian

Other (Please specify in special requests field below)

None

Special Requests/Accommodations

Please answer the questions below, We cannot award scholarships to anyone who does not fully complete this application. Answers must be provided by the applicant.