Friday, September 10, 2010
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CATHOLIC CHARITIES OF MADISON
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Free Caregiver Training Series
Registration for Free Caregiver Training
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Caregiver Training Session
Would you like to register for our caregiver training sessions?
Yes. Please register me for the caregiver training session.
Not yet. I am interested in the training session, but before I register I would like the workshop coordinator to contact me to discuss the training.
Full Name
Address
City
State
Zip
Daytime Phone Number
Evening Phone Number
Email Address
Are you a caregiver for:
Friend
Spouse
Family Member
Please Specify Family Member:
Please select the session you would like to attend.
Select One...
Saturdays: July 10, 17, 24 and 31 from 9:30 am – 1:30 p.m. at the Waunakee Senior Center.
I can not attend the listed session. Please contact me to possibly arrange for another date and time.
These are the dates and times I could participate:
Do you need respite for your care receiver in order to attend the workshops?
Yes
No
How did you hear about the Caregiver Training Series?
Catholic Charities Website
Facebook
Flyer
Friend
Newspaper
Radio
TV
Twitter
Other Website
Other:
Please Specify Other:
Please sign me up for email updates on future trainings.
Yes (Please be sure to provide your email address above.)
No
Please contact Diane Walder at (608) 442-7248 or diane.walder@att.net if you have any questions.
Click here to submit your registration form. Thank you!
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