Register for the January 2018 Dementia Communication Seminar
Register below for the 2018 evening seminar "Communicating with a Person Who Has Dementia" on Thursday, January 11th, from 6:00 p.m. to 8:00 p.m. at The AGE Building, located at 3710 Cedar Street in Austin. Margaret DeVinney from Halcyon Home will discuss communication techniques for caregivers of older adults who have cognitive loss.

After 17 years as a homemaker raising three children across three countries, Margaret DeVinney completed her Masters in Conflict and Dispute Resolution from Southern Methodist University, and has spent her recent career working with senior adults and their families.  She is the Director of Hospice at Halcyon Home, where she pursues her passion of creating beautiful last chapters for patients and families.

Free senior adult respite will also be available during the seminar at AGE's Austin Adult Day Health Center. You must indicate if you want to RSVP for the free elder care respite in this form (walk-ins cannot be accepted that day)..

The seminar is free, but advance registration is required, so we can be prepared with enough materials for all attendees.

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

My First Name *
Your answer
My Last Name *
Your answer
My Email Address *
Your answer
Will anyone be joining you? *
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.
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
Would you like to sign up for AGE's monthly "Caregiver Communique" email newsletter?
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
Will you need any special accommodations to attend the seminar?
Check all that apply, and we will do our best to accommodate your needs.
Would you like to RSVP for the senior adult respite for your loved one during the seminar?
If you plan to use respite, you must indicate this on or before January 9, 2018. Walk-ins are not accepted on the day of the seminar. Respite is provided on-site at AGE's Adult Day Health Center.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service