PRN, Inc.

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    Fundamentals
of Caregiving
Training Schedule

*All classes are taught in English except those printed in bold.  If you need a class in a language not listed in bold, please make notes on the bottom of form.

For classes after the above dates, please complete the registration form below, leave the spaces for class choice blank, and make a note on the form requesting a schedule of classes that will be held later.

You will receive confirmation of registration by mail. We shall make every attempt to get you into one of the classes, in the order you’ve indicated. If you do not receive a confirmation, then you are not scheduled for the class. PRN plans to provide every class listed, but periodically, due to unforeseen circumstances such as bad weather and road conditions, or few registrations, PRN has no alternative but to notify scheduled attendees that the class cannot be held as planned.

DO NOT GO TO A CLASS IF YOU HAVE NOT RECEIVED A CONFIRMATION.

TUITION: Tuition is paid by WA State for AASA or DDD caregivers providing services under the MPCS, COPES or Chore programs only twice, after which the caregiver is responsible for the tuition. Therefore, it is important to notify PRN if you will not be able to attend your scheduled class for any reason. For all other students, the tuition is $121 payable via money order only to: Professional Registry of Nursing, Inc. PRN will gladly accept payment by VISA or MasterCard - please call 1-800-776-1101 x3 to pay for classes with your credit card.

PRN: 1-800-776-1101 x3..    Toll Free: 1-800-776-1101
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REGISTRATION: Fundamentals of Caregiving
Please complete and mail to: P.R.N., 310 N. Meridian, Suite 210, Puyallup, WA  98371

Name (First, MI, Last): ___________________________________________________________

Address: ______________________________________________________________________

City: ____________________________________  State:  ________  Zip:  __________________

Day Phone:  _________________________  Evening Phone:  ___________________________

Client’s Name:  _________________________________________________________________

Case Manager’s Name___________________________________ County___________________

Class choices in order of preference (Ex: K18)  #1 _________    #2  _________    #3  __________
Revised 1/06/2009        PLEASE FILL IN ALL THREE CHOICES

This project received State and General funding from Aging and Disability Services of King County, Pierce County Human Services Aging and Long-Term Care, the Lewis-Mason-Thurston Area Agency on Aging and the Southwestern Agency on Aging.