Recognizing Elder Abuse (In-Person) 3-17-23

March 17, 2023

10:00 am – 11:00 am

Location: Grants View Library – 9700 Musick Ave, St. Louis, MO 63123

Presentation Description: Be able to identify the warning signs of abuse, neglect and financial exploitation and know what to do to stop it.

Registration: Please REGISTER BELOW or call the Library at (314) 994-3300. Lunch donations are appreciated https://www.agingahead.org/donate/

CHOICE EVENT REGISTRATION FORM

"*" indicates required fields

Name*

First Last

Email*

Phone*

Are you a CHOICE member?*

Yes, I am a CHOICE member.

No, I need to sign up for the free CHOICE program.

Check Yes, if you have already filled out our 10 questions like address, birthday, primary race, etc. Check No, if you need to answer these additional questions.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Birthdate (MM/DD/YYYY)*

Gender*

Ethnicity*

Primary Race*

Medicaid Eligible*

Rural*

Low Income*

Yes

Unknown

Use this chart to determine if you are low income - [1 in household: $1,040.83/month] [2 in household: $1,409.17/month] [3 in household: $1,777.50/month] [4 in household: $2,514.17/month]

Number in Household?*

Lunch Order

Lunch must be ordered 48 hours in advance, by Wednesday at 10:00am. (Please note the program has a 5 lunch order minimum and lunches may not be available.)

Box Lunch Options (No Substitutions)*

Side Salad or Entrée Salad Dressing*

Milk*

This field is for validation purposes and should be left unchanged.

Recognizing Elder Abuse (In-Person) 3-17-23

Lunch Order

Translate Website

Donate