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Stichting Lachindezorg
Aanmeldings Formulier
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Aanmeldingsformulier
Naam
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adres
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Postcode
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e-mail
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woonplaats
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Telefoon
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waarom ben je geschikt voor deze workshop ?
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Waar loopt u tegenaan in contact met dementerende naaste ?
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Wat zou u graag willen leren in deze cursus ?
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Wat is uw relatie tot uw dementerende naaste ?
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Wilt u een vergoeding van 20 euro betalen aub ? Rek IBAN nr. NL26 RABO 0149675631 t.n.v. Stichting Lachindezorg
Gelieve betalen over de bank
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