Registration

2020 Registration PDF

2020 Registration

Director

Wellness G.I.F.T.S.
7531 County Route 13
Bath, NY 14810

Phone: 607 . 684 . 3243
Fax: 607 . 776 . 9218

Choose one or more retreat dates. *

October November December

Number of family members to attend *

In which county do you reside? *

If you live in Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne, Wyoming, or Yates counties, Please answer yes if you have: Notice of Decision, Letter of Enrollment in NYS Cares, Acceptance letter for OPWDD, Care-At-Home waivers III, IV, and VI, OR Notice to receive Medicaid Service Coordination. *

Yes No Not Sure

Please provide information or ask questions here to help us address your needs better. Thank you! *

Please let us know how you heard about us! *

Registration

Want more information? Fill out this form and we will email you. If you prefer, send us an email or give us a call with your questions.

Want more information?
Fill out this form and we will email you.
If you prefer, send us an email or give us a call with your questions.