Register for the 2017 Caregiver Lecture Series on April 1st, 15th, & 29th
Register below for the 2017 "Caregiver Lecture Series" seminars -- presented by AGE of Central Texas on April 1st, 15th, and 29th at The AGE Building (3710 Cedar Street, Austin, TX 78705). The free seminar series will cover legal, financial, and healthcare issues that caregivers often encounter when caring for an older loved ones.

This year's lecture series will include:
- April 1st: "5 Documents Every Caregiver Should Have” with attorney and senior adult legal expert Mark Tarrant
- April 15th: "Long-Term Care Financing and Issues” with elder law attorney and senior caregiving expert Virginia Sampson
- April 29th: "Understanding Veterans Benefits and Aid & Attendant Services” with long-term care experts Vee Cee Spears and Tami Martin

You can sign up for one or more seminars in the series, or register for all three presentations. Each seminar is free, but advance registration is required, so we can be prepared with enough materials for all attendees.

You must indicate if you want to RSVP for the free elder care respite in this form (walk-ins cannot be accepted that day).

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

My First Name *
Your answer
My Last Name *
Your answer
My Email Address *
Your answer
Workshop #1, April 1, 2017, 10:00 a.m. to Noon: "5 Documents Every Caregiver Should Have” with attorney and senior adult legal expert Mark Tarrant
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.
Would you like to RSVP for respite for your loved one during the April 1st seminar? *
If you plan to use respite, you must indicate this on or before March 29, 2017. Walk-ins are not accepted on the day of the seminar. Respite is provided on-site at AGE's Austin Adult Day Health Center.
Workshop #2, April 15, 2017, 10:00 a.m. to Noon: "Long-Term Care Financing and Issues” with elder law attorney and senior caregiving expert Virginia Sampson
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.
Would you like to RSVP for respite for your loved one during the April 15th seminar? *
If you plan to use respite, you must indicate this on or before April 12, 2017. Walk-ins are not accepted on the day of the seminar. Respite is provided on-site at AGE's Austin Adult Day Health Center.
Workshop #3, April 29, 2017, 10:00 a.m. to Noon: "Understanding Veterans Benefits and Aid & Attendant Services” with long-term care experts Vee Cee Spears and Tami Martin
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.
Would you like to RSVP for respite for your loved one during the April 29th seminar? *
If you plan to use respite, you must indicate this on or before April 26, 2017. Walk-ins are not accepted on the day of the seminar. Respite is provided on-site at AGE's Austin Adult Day Health Center.
Have you ever attended one of AGE's caregiver seminars or conferences before?
How did you hear about this seminar?
Select from the list below
Optional Questions
In order to help AGE of Central Texas to continue bringing you our caregiver seminars, workshops, and conferences at no cost to participants, please take a moment to answer these voluntary demographic questions. You are not required to answer these questions in order to register for this event. but your responses will help us to acquire funding to support our caregiver education programs. You answers will remain anonymous, and the information will be combined with all the other registrants' information and only used for reporting of our community services on upcoming grant applications.
What county do you live in?
Select from one of the following
What is your ZIP code?
Type your five-digit ZIP code
Your answer
What is your gender?
Select from one of the following
What is your age?
Select from one of the following
What is your ethnicity?
Select from one of the following
What is your combined annual household income?
Select from one of the following
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms