2012 Workshop Registration Form

2012 Workshop Schedule

(directions sent after registration)

Workshop	Date	Location
Understand and Manage Dementia in People with Developmental Disabilities: Down Syndrome and Alzheimer's Disease	March 2, 2012	Worthington
Outdoor Activities and Programming for People with Developmental Disabilities	May 27, 2012	Worthington
The Brain 101	May 18, 2012	Worthington
Finding Meaningful Activities for People with Mild/Moderate Developmental Disabilities	June 29, 2012	Worthington
Mental Health in People with Developmental Disabilities	July 27, 2012	Worthington
Understand Ohio Medicaid Waivers	September 28, 2012	Worthington

Complete and mail form to:

A.I.D. Training, Activities and Interventions for People with Dementia and Developmental Disabilities
P. O. Box 1363
Medina, Ohio 44258
Telephone: 330-723-8838
www.dementia-help.com
4aid@dementia-help.com
Email Us

NAME:_________________________________________________________________________________________________

EMAIL:_________________________________________________________________________________________________

COMPANY:______________________________________________________________________________________________

ADDRESS:______________________________________________________________________________________________

PHONE:_________________________________________________________________________________________________

WORKSHOP TITLE:__________________________________________________________________________________________

LOCATION OF WORKSHOP:___________________________________________________________________________________

DATE(s) ATTENDING:______________________________________________________________________________________

Make your check payable to A.I.D., PO Box 1363, Medina, Ohio, 44258.