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Get Saratoga County Special Needs Registry Form

County of Saratoga Office of Emergency Services Registration Request Form for the Special Needs Registry Name Home Address Apt. City/Town/Village Zip Code Home Telephone Mailing Address if different Male Female Apartment/Condo Mobile Home Residence Type Private Home Retirement Home Other Are you a year-round resident Yes No - If no from to Date of Birth Sex Check all that apply Mobility Impairment Major Respiratory Illness Receive servic.

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