Making Connections: September 2024

Please sign up for one month at a time. Once weekly timeslots are for new participants or additional caregivers accompanying a participant.

Packages

Participant Name *
Does the participant have any Dietary Restrictions? If yes please list (new participants only) *
Caregiver Name *
Contact email for caregiver (if different from buyer) *
Contact Phone number for caregiver *
Does the caregiver have any Dietary Restrictions, if yes please list (new participants only) *

Name *
Email *
Contact Phone number for caregiver *
Does the caregiver have any Dietary Restrictions, if yes please list (new participants only) *

Product total

Options total

Grand total