Training Registration • Simplifying Life for Seniors

Registration Form

The trainings take place on one Sunday each month from 8am-3pm. You must attend the full session to get your certificate and be eligible for CEU credits.

Don’t see a date that works for you?

Stop back soon or contact Loretta for more upcoming dates!

The cost of the training is $185.00 (plus $35 for a hard copy of notebook). Once you submit this form, you will be prompted to a payment page. PLEASE NOTE: Payment is due in full when you register in order to be enrolled in the course.

Note: Attending the 8-hour in-person or virtual Alzheimer’s Disease and Dementia Seminar is a requirement for certification as a Certified Dementia Practitioner (CDP) In addition to the course cost, the NCCDP charges an application fee/certification fee. Please see NCCDP.org for more information. For eligibility requirements, training information, and NCCDP application instructions, please visit this link.

This certification is open to all healthcare professionals and front-line staff who work in healthcare settings.

First Name *

Last Name *

Email *

Street Address *

Address Line 2

City *

State *

Zip Code *

Cell Phone *

Job Title *

Company *

Name for Certification of Attendance *

Training Dates - 8am-3:00PM EST *

Sunday, May 26, 2024

Sunday, June 30, 2024

Sunday July 28, 2024

The course includes a comprehensive notebook in digital format. A spiral-bound notebook is available for an additional $35. (Please allow one week for shipping) *

Yes, I would like a spiral-bound notebook.

No, I plan to use the digital notebook.

I understand that once I click submit on this form I will be prompted to a new page to make payment. I also understand that I will not be registered unless I complete the payment. *

Yes

Would you like to opt-in to the Simplify Senior Living newsletter?* *

Yes

How did you hear about our Dementia Care Seminar? *