Starbridge Summer Kick Off!

Location: Autism Nature Trail at Letchworth State Park Cost: $25 per Family The Starbridge Summer Kickoff is an inclusive, family-centered gathering designed to bring families together in a welcoming outdoor space. Hosted at the Autism Nature Trail at Letchworth State Park, the event celebrates connection, nature, and community while highlighting Starbridge programs and services that support people with disabilities and their families. Family Registration Each Family Receives: Food for the whole household to enjoy together Access to the Trailside Pavillion and family gathering space Participation in all family- friendly activities Opportunities to connect with staff and community partners One Starbridge branded- family item Accessibility Commitment No family will be turned away due to cost. Fee waivers and scholarships are available upon request. If you are in need of a scholarship, please email: jsciacchitano@starbridgeinc.org Register for the Event FacebookThis field is for validation purposes and should be left unchanged.Name(Required) First Last Total Number of Attendees(Required)Names of family members who will attend(Required)Email(Required) Phone(Required)Phone Type Home Work Cell Phone Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Accommodations neededI am a/an Family of individual with disability Individual with a disability Other Please check Other if you are an Education or Human Services Professional, Student, or attending in some other capacityDo you or your family member have OPWDD eligibility?(Required) Yes No Unsure N/A Care Manager/Coordinator's Name First Last Care Manager/Coordinator's PhoneCare Manager/Coordinator's Email Primary language spokenPrimary language for writing/readingPublicity PermissionI hereby grant permission to Starbridge to use any and all in any official publicity pieces consistent with Starbridge's mission. Publicity pieces include (but are not limited to) print or digital publications, news releases, videos, brochures, promotional materials, and web use. I understand that signing this release does not guarantee publication of selected items and that I am not being compensated for my participation. I understand that participation in a publicity project - or refusal to participate - will not affect or harm any services my child/dependent/self receives from Starbridge now or in the future. I grant permission to Starbridge to use any and all of the following: (please check all that apply) photographs of my child/dependent/self name of my child/dependent/self story of my child/dependent/self Family Price Price: Financial Assistance Request a fee waiver or scholarshipTotal Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ NYS Parks IndividualAccessPassApplicationDownload