Self-Care for the Caregiver Workshop
REGISTRATION

DATE & TIME: October 17, 2019 from 1:00-3:00 PM
LOCATION: Orange County Southern Human Services Center - Board Room
2501 Homestead Road, Chapel Hill, NC 27516

For questions contact Ivelisse Colón, FCS Agent, at (919) 245-2055 or via email at ivelisse_colon@ncsu.edu

**Email addresses are collected in order to send a confirmation for your registration. If you don't have one, please include an email address of someone that can provide you with your confirmation.
Email address *
First and Last Name (example: Joe Torre) *
Your answer
Phone Number *
Example: 123-456-7890
Your answer
County *
Your answer
How did you know about this workshop? *
Required
REMINDER: This workshop is free of cost, so we appreciate your support for the UNC Horizons program by bringing a donation of any of the items listed below.
Women’s Sanitary Supplies
Diapers (any size)
Baby Wipes
Nightlights
Baby No-Scratch Mittens
Baby Monitors
A copy of your responses will be emailed to the address you provided.
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