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

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Name*

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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.

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Birthdate (MM/DD/YYYY)*

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Ethnicity*

Primary Race*

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Low Income*

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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 for Friday class and Friday at 10:00am for Tuesday class. We are unable to make changes to your meal order after registration. If you registered without ordering a lunch and would like to change that to a meal, please reregister with your meal order. We are unable to accommodate any changes made over the phone or by email. (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*

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

Lunch Order

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