Skip to Main Content
Home
Services
Workshops
Parent Member Training
Calendar
Resources
News
Links
Documents
Media
About Us
Contact Us
Special Education
Home
> Contact Us
Contact Us
Family School Partnership
At The Advocacy Center
590 South Avenue
Rochester, NY 14620
Voice and TDD: (585) 546-1700
Toll Free (N.Y.S. only) (800) 650-4967
View Larger Map
Javascript is required!
This form requires javascript in order to work, please enable it and reload the page.
First Name:
Last Name:
Phone Number:
Email:
Child's Age:
Child's Grade:
School District:
School Name:
Child's Disability/ Classification on IEP:
Please choose Child's Disability
Autism
Deafness
Deaf-blindness
Emotional disturbance
Hearing Impairment
Learning disability
Mental retardation
Multiple disabilities
Orthopedic impairment
Other health-impairment
Speech or language impairment
Traumatic brain injury
Visual impairment
Other Disability or Suspected Disability:
Your Message:
Security Check
(This test prevents spam)