Caregiver Registration Form
Deadline for your expression of interest is June 30, 2017

Please fill in. All the information must be answered. Incomplete submission will not be reviewed and eligible for a subsidy.
  • How to send the Letter of Support:
    1. By regular mail addressed to the Society for the Arts in Dementia Care, #205 – 3609 30th Avenue, Vernon, BC, V1T 2E6
    2. Scan and attach file to this form below
    3. Send by E-mail: dr.daliagt@gmail.com
    Please label your mail: Workshop/retreat 2017
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