PRN, Inc.

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   Fundamentals
of Caregiving
Training Schedule

*If you need a class in a language not listed above, 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. 

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 in Thurston County, and $146 in Lewis or Mason County payable via money order or cashier's check 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
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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 1/07/2009      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.