Savvy Caregiver Registration - Jewish Family Services of DelawareJewish Family Services of Delaware

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Please complete the information below and a team member will contact you to complete the registration and payment process. You may also use this form to submit questions about the class to our team.

Are you a non-professional (i.e. family or friend) caregiver of an individual living with dementia?

Yes

Which Savvy Caregiver group are you signing up for?

Tuesday in-person class: 2/25/25 - 4/22/25 | 10:15 am - 11:45 am

Wednesday virtual class: 1/29/25 - 3/5/25 | 5 pm -7 pm

Do you plan to enroll your person with dementia in the concurrent Memory Café?

Yes

Not sure

Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

Email(Required)

Do you prefer to be contacted by phone or email?

Phone

Either

How did you hear about Savvy Caregiver?

Comments/Questions