EV-042710-QN        EARLY INTERVENTION EVALUATION, ASSESSMENT & ELIGIBILITY DETERMINATION
 
Dates Time Location Cross Street

4/27/10

 9:00 am 
 to 
4:30 pm

Challenge Early Intervention Center
 649 39th Street
Brooklyn, NY  11232

 6th and 7th Avenues

Directions

Car See Mapquest or Google Maps
Subway D Train to Ninth Avenue/38th Street Station
Bus

B35 to 6th Avenue

To register on-line, enter the information on the form below and click on the Submit button to request registration in this course by e-mail. Multiple names may be registered IN THIS CLASS at one time - simply put commas between names on the Registrant Name line.

Course Number

Registrant Name
Agency
Contact Person
Contact E-mail Address or Fax Number