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Dementia Caregivers Support Group & Group Activities for People Living with Dementia — Registration *Lunch Provided
Event Timing: Monthly (Every 4th Saturday) from 12:00pm to 2:00pm
Event Address: 2200 S. Rancho Dr. Suite #130 Las Vegas, NV 89102
Contact us at (725) 256-0006 or
luminalv@soleraseniorliving.com
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* Indicates required question
Name of Caregiver
*
Your answer
Email
*
Your answer
Phone Number
Your answer
Names of any other caregivers in your party who will be attending
Your answer
Name of Person Living with Dementia (if attending)
Your answer
Dietary restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
I understand that Lumina Las Vegas will not perform any caregiving duties and is not liable for any injuries inflicted upon participating parties.
*
Yes
Required
I understand that all group members and myself have a right to privacy. I agree that I will not share what is said during our group meetings outside of our group.
*
Yes
Required
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