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A day forcaregivers_registrationfinal
1. Thursday August 11
8:30 a.m. - 3:30 p.m.
Paul D. Camp Community College
Regional Workforce Development Center
100 North College Drive, Franklin
Tuesday, August 9
8:30 am - 3:30 pm
Thomas Nelson Community College
Peninsula Workforce Development Center
600 Butler Farm Rd., Hampton
A Day for Caregivers Conference is made possible in part thanks to the generosity of the Camp Family Foundation,
Franklin Southampton Charities, J.L. Camp Foundation, and the Peninsula Community Foundation.
CONTACT US
Alzheimer’s Association Southeastern Virginia Chapter
6350 Center Drive, Ste 102 • Norfolk, VA 23502
Ph: 757.459.2405 • Fax: 757.461.7902 • Email: infoseva@alz.org
An educational conference for family and professional caregivers.
Professionals will receive a certificate of attendance hours. Program costs $10 and includes lunch.
Call 757.459.2405 for more information. Registration form on reverse.
A DAY FOR CAREGIVERS
HOT TOPICS IN DEMENTIA CARE
Compare/Contrast of Different Types of Dementia
Managing Behaviors Preserving Identity
Enriching Engaging Through the Arts
The Trajectory of Alzheimer's Research
Caring for You — The Art of Mindfulness
Community Resources — Help When You Need It
PROGRAM TOPICS:
2. Name_____________________________________________________________
Address____________________________________________________________
City____________________________________ST_______ Zip______________
Telephone_______________________________ Email __________________________________
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I would like to receive your weekly e-news
I would like to be an Alzheimer’s Advocate (requires email address)
I would like more information about:
Walk to End Alzheimer’s®
The Longest Day
Volunteering
Family Support Groups / Classes
Professional Classes
Making a Donation
o
o
o
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Do you require a vegetarian lunch?
Yes No
ATTN: Sherry Warren
Alzheimer’s Association
6350 Center Drive, Suite 102,
Norfolk,VA 23502
Sherry.Warren@alz.org
Ph: 757-459-2405
Fax: 757-461-7902
You may email, fax, or mail this form to:
I am a...
Family Caregiver
Professional Caregiver
o
o
The community colleges are offering general adult continuing
education credits. If you would like to receive credits, please
call Sherry at 757.459.2405 or email infoseva@alz.org (indicate
which conference you will be attending).
Stay in Touch:
For updates on this and other events
“Like” us on Facebook.com/AlzSeva
Find Alzheimer’s Association Southeastern Virginia
Chapter on these social networks
CONTACT US
Alzheimer’s Association Southeastern Virginia Chapter
6350 Center Drive, Ste 102 • Norfolk, VA 23502
Ph: 800-272-3900 • Fax: 757-461-7902 • Email: infoseva@alz.org
Register by
July 29
Please print:
Name on card: _______________________________
Card #: _____________________________________
Exp: ____ /____ CVV# :____________
Registration for the program is $10
and includes lunch.
Payment:
Check enclosed payable to Alzheimer’s Association.
Charge my: o VISA oMC oAMEX oDiscover
o
o
(3 or 4-digit security code)
An educational conference for family and professional caregivers.
A DAY FOR CAREGIVERS
HOT TOPICS IN DEMENTIA CARE
Thursday, August 11
8:30 a.m. - 3:30 p.m.
Paul D. Camp Community College
Regional Workforce Development Center
100 North College Drive, Franklin
oo Tuesday, August 9
8:30 am - 3:30 pm
Thomas Nelson Community College
Peninsula Workforce Development Center
600 Butler Farm Rd., Hampton