POWERFUL TOOLS FOR CAREGIVERS REGISTRATION FORM TO REGISTER FOR

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Powerful Tools for Caregivers Registration Form


To register for “Powerful Tools for Caregivers”on [INSERT DATES AND TIMES] at [INSERT LOCATION], complete this form and return it to the address below, OR Call [INSERT PHONE NUMBER] to register over the phone.


Name:

Address:

Phone:

Email:


Return form to:

INSERT ADDRESS



Space is limited.

Register Soon!


Powerful Tools

for Caregivers



A class for family caregivers




After taking this class,

I am a more confident caregiver!

Having tools to resolve problems

is a definite advantage

in becoming a better caregiver

and a happier, wiser, healthier me …

and a healthier “us!”


Peggy, Caregiver

(mother has Alzheimer’s disease)






In this area, insert your return address, agency/organization logo, and list program co-sponsors











The Powerful Tools for Caregivers Program is made possible through funding by the Maui County Office on Aging and a

Partnership between Maui County Office on Aging and the University of Hawaii Cooperative Extension

 




What is Powerful Tools for Caregivers?


Powerful Tools for Caregivers is designed to help family caregivers (not professional caregivers) of frail elders or dependent adults.

Whether you care for a parent, spouse, friend, someone who lives at home, in a nursing home, on another island, the mainland, or in another country, this class is for YOU!


This class offers YOU, the family caregiver, tools to:



What is the Caregiver Helpbook?

The Caregiver Helpbook is a resource book to help family caregivers. Participants can borrow a copy of the book during the series or purchase one to keep for $25. The Helpbook accompanies the class content and includes topics such as:



Where and When is this class held?


Location:

Building Name

Address

Room Number


Time:

Day

Time

Dates


Cost:

There is no charge for attending the class, however if you choose to purchase a copy of The Caregiver Helpbook, the cost is $25. This book is not required but is strongly recommended. The Caregiver Helpbook includes in-depth information on each of the tools mentioned earlier


For more information, contact:

NAME, at ORGANIZATION, PHONE NUMBER, EMAIL ADDRESS





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