Carers'  Course/Workshops Reply Form

 

Carers in Hertfordshire Privacy & Copyright Statement

   
Name:  
Address:  
Post Town:  
Postcode:
Telephone number:
Email:

Please indicate below which workshops/courses you would like to attend:

Back Awareness 28th November 2008 Cheshunt
Relaxation 4th December 2008 Bishops Stortford
Back Awareness 17th February 2009 Ware
Back Awareness 5th March 2009 Bishops Stortford
Medicines Management 18th March 2009 Cheshunt
   
Please note my dietary requirements  
     
I would like help with transport to the event/course
I would like help with the cost of alternative care for the person I care for
Please be aware that I have a sight/hearing disability

We will contact you to confirm arrangements as most courses have a limited number of places