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You are here: Home / **Caregivers’ Workshop Registration**

Caregivers’ Workshop Registration

Registration Deadline: Wednesday, November 6, 2024

Caregivers Workshop: Self-Care and Wellness For Caregivers (1)

Registration form for Caregivers Workshop on Saturday, November 9, 2024; 9:00 am - 4:00 pm; at the Church of the Holy Trinity 2300 W Lafayette Avenue Baltimore , MD 21216

Do you plan to attend(Required)

In-person (Forum, Lunch, and Breakout Sessions)

In-person (Forum and/or Breakout Sessions only. No Lunch)

Live-streamed (Forum only)

Please indicate whether you plan to attend the workshop in-person (with or without lunch) or only the Forum (via live-stream)

Name(Required)

First Last

Name on name tag

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Cellphone

Email(Required)

Preferred contact

Cellphone

Email

Are you a

Family caregiver

Friend

Healthcare professional

Lunch preferences (choose one)(Required)

Spaghetti with turkey meat sauce

Spaghetti with sauce (meatless)

Breakout session (choose two)

Practical skills update: vital signs and safe transfer

Self-care and Relaxation: chair yoga and deep breathing

Stress Management*

Hands only CPR and Narcan Administration*

*Session to be held in an area of the church that is not wheelchair accessible.

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