If you prefer, you can Obtain a paper copy of the Registration Form from your local Relief Society President.

REGISTRATION FORM

NAME		CONTACT NUMBER
ADDRESS
EMAIL ADDRESS
WORKSHOP CHOICE, MORNING SESSION (Please select one option)	BUILDING SELF ESTEEM	MOLLY MORMON, MOTHERHOOD AND PERFECTIONISM	THE EFFECTS OF DEMENTIA ON THE CARER AND SUFFERER
WORKSHOP CHOICE, AFTERNOON SESSION (Please select one option	AN OFFICER AND A GENTLEWOMAN	RETURNING TO LEARNING	DOMESTIC ABUSE
*DO YOU REQUIRE A CERTIFICATE OF ATTENDANCE? (Please tick relevant boxes)	Our Developing Brain
	Domestic Abuse
	Building self Esteem
	The effects of dementia On the carer and sufferer
DIETARY REQUIREMENTS (Lunch and light refreshments/soft drinks are provided free of charge. Please note that we do not provide tea or coffee)
Do you have any mobility concerns which we can help you with?