Parent and Family Network Chapters
Thank you for being a valued member of the Parent and Family Network (PFN). Taking the next step as a Chapter member means you are ready to help lead and shape PFN programs, initiatives, social gatherings, and educational opportunities for people with I/DD, their loved ones, and team members. Your ideas, creativity, participation, and commitment to philanthropy help guide the direction of the PFN, strengthen community connections, and spread awareness of Springbrook’s mission across New York State, advancing meaningful engagement for families throughout our communities.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please select one of the following statements
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I currently or previously received services through Springbrook
The person(s) I care for, am related to, am an advocate for or am friends with receives or previously received services through Springbrook
Name of loved one receiving/who received services(or self)
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First Name
Last Name
Program Affiliation
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Please Select
Community Homes
Self-Direction
Southern Tier Connect
Kids Unlimited Preschool
Springbrook Residential Campus/School
HCBS
Other
If other, please specify
Please select the PFN Chapter you would like to join. You can participate in more than one chapter. Chapters meet bi-monthly and rotate on a hybrid model between zoom and in person.
Broome Chapter
Otsego Chapter
I understand that by submitting this form, I will be contacted by a member of the Parent and Family Network team. I will also be asked to complete an attestation outlining topics including but not limited to the expectations of professionalism, respect, and HIPAA compliance in accordance with Springbrook policy.
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I Understand
Submit
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