EAP Event Signup

This form allows for one event registration at a time. Submit one form per event.


First Name:

Last Name:

Email Address: (required)

To register for an EAP Program, please select from the following list:
UPTOWN: Crocheting for Relaxation and Fun (February 10)
UPTOWN: Affordable Assets Protection - NYS Long-Term Care (February 24)
UPTOWN: EAP Art Break (March 8)

Questions or comments: