March Registration

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March Registration

Social Activities for Seniors

Locations: Summerside, Montague, O'Leary and Charlottetown

Please call 902-628-2257 if you have any questions.

Introduction

These dementia-friendly events for seniors help foster social connection through activities like arts and crafts, music, personal sharing and relating games, and health and wellness education.

Registration is required to secure your spot as materials are limited.

First Name and Last Name *

Is this registration for yourself or another person? *

Myself

For another person who will participate with me (Please fill out a form for yourself as well)

For another person who will participate on their own

Phone number *

Email *

Age of the participant being registered *

Under 25

Ages 25-34

Ages 35-44

Ages 45-54

Ages 55- 64

Ages 65+

Self-identified gender of the participant being registered: *

Male

Female

Other

Prefer not to disclose

Which of the following events will you be attending? (Select all that apply) *

Knit Dishcloth Creations | Summerside | Summerside Library, 57 Central St

Birdhouse Making Workshop | O'Leary | O'Leary Community Complex, 18 Community Street

Birdhouse Making Workshop | Summerside | Inspire Learning Center, 57 Central St

Birdhouse Making Workshop | Charlottetown | Alzheimer Society of PEI, 166 Fitzroy Street, Charlottetown

Birdhouse Making Workshop | Montague | Rotary Library, 21 Sullivan Lane, Montague

Required

Which of the following apply to you, or the person you are registering?

Has a medical concern that may impact participation

Requires a wheelchair accessible location

Living with a cognitive impairment or diagnosis of Alzheimer's or dementia

Other:

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