The Places We Call Home

Registration Form

This is not a "secure" transaction. If you are uncomfortable sending your credit card number by e-mail, use the registration from the printed flyer — or print out, fill out, and mail the Web version of the registration.

Name

Address

Agency

Position

Phone, day

Phone, evening


Fees

Full day, includes morning and afternoon sessions and lunch — $40.00

Half day, with lunch — $27.50

morning sessions only

afternoon sessions only

Half day, without lunch — $20.00

morning sessions only

afternoon sessions only

Continuing education unit (CEU) certificate — $10.00
       (Full day registrants only.)


Please indicate choices for the concurrent sessions. Check one box in each group.

Concurrent Sessions I, 10:20–11:30 a.m.

Assessing Housing and Health Care Needs of Community-Dwelling Older People

Making Communities "Livable" for Older People

Cohousing: An Option for People of All Ages

none

Concurrent Sessions II, 1:50–3:00 p.m.

Elderdesign: Ten Design Principles for Aging in Place

The Challenge of Naturally Occurring Retirement Communities

Integrating Diverse Populations into Senior Housing

none

Concurrent Sessions III, 3:20–4:30 p.m.

The Mod Squad: Philadelphia’s Team Approach to Home Modifications

The New York State Health Department Report on Assisted Living

Housing and Neighborhood Satisfaction among Older Adults: The Pathways to Life Quality Study

none


Credit card authorization form

Card: MasterCard Visa

Name as it appears on card

Credit card number

Expiration date

   

 

Registration deadline: May 13, 1999