Register for the January 2018 Dementia Communication Seminar

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Register below for the 2018 evening seminar "Communicating with a Person Who Has Dementia" on Thursday, January 11th, from 6:00 p.m. to 8:00 p.m. at The AGE Building, located at 3710 Cedar Street in Austin. Margaret DeVinney from Halcyon Home will discuss communication techniques for caregivers of older adults who have cognitive loss.

After 17 years as a homemaker raising three children across three countries, Margaret DeVinney completed her Masters in Conflict and Dispute Resolution from Southern Methodist University, and has spent her recent career working with senior adults and their families. She is the Director of Hospice at Halcyon Home, where she pursues her passion of creating beautiful last chapters for patients and families.

Free senior adult respite will also be available during the seminar at AGE's Austin Adult Day Health Center. You must indicate if you want to RSVP for the free elder care respite in this form (walk-ins cannot be accepted that day)..

The seminar is free, but advance registration is required, so we can be prepared with enough materials for all attendees.

If you need help completing your registration, please call Becky McGinnis at 512-600-9275.

My First Name *

My Last Name *

My Email Address *

Will anyone be joining you? *

We do not require you to individually register each additional person who is planning to attend with you, as we will use this number for the purposes of our headcount. However, if your friend or family member has a loved one they would like respite care for during the seminar, they must register separately to RSVP for respite.

Just Me

Required

Have you ever attended one of AGE's caregiver seminars or conferences before?

Yes!

No, this is the first seminar I've attended, but I've heard of AGE and/or used other services at AGE before.

No, and I had never heard of AGE before finding out about this seminar.

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How did you hear about this seminar?

Select from the list below

From AGE's 'Caregiver Communique' or other email

On the AGE website

AGE's ENGAGE Newsletter

AGE's Facebook page

AGE's Twitter page

From a friend

From another organization

Other:

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Would you like to sign up for AGE's monthly "Caregiver Communique" email newsletter?

Yes

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What county do you live in?

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What is your ZIP code?

Type your five-digit ZIP code

Will you need any special accommodations to attend the seminar?

Check all that apply, and we will do our best to accommodate your needs.

American Sign Language (ASL) interpreter

Wheelchair access

An assistant will be accompanying me

A service animal will be accompanying me

Other:

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Would you like to RSVP for the senior adult respite for your loved one during the seminar?

If you plan to use respite, you must indicate this on or before January 9, 2018. Walk-ins are not accepted on the day of the seminar. Respite is provided on-site at AGE's Adult Day Health Center.

Yes

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