Support Group Sign Up

Time:

Support Group Meetings are on Mondays-once a month.

Next meeting will be July 19th, @ 6:30 p.m. 

No meeting in June due to our Patient Reunion "Picnic in the Park"
June 6th, 2010 see events page for more information.

Location of meetings:

Waiting area of the Vascular Birthmark Institute of New York, 126 W. 60th Street, New York, NY 10023

For more information contact:

Sherri Foster at 917-703-1903 or sfoster@wanerkids.org

First Name: *

Last Name: *

Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Email: *

 

---

 

Meeting date you are attending:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year2009201020112012

How many attending: *

Reason for attending:

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

What code is in the image?: *

Enter the characters shown in the image.