RI Parent Information Network
Caregiver Conference 2018

Professional Caregivers

Registration is currently only open to families, but we are accepting applications from professionals to be considered for attendance.

Please complete the survey below and we will be in touch as seats become available.

Question Title

* 1. Contact information

Name

Organization

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Please describe your professional role

Question Title

* 3. Please describe the populations you serve in your professional role.

Question Title

* 4. How did you hear about the RIPIN Caregiver Conference? (Please check all that apply.)

RIPIN Staff

Social media post

Printed flyer

At a meeting

Email message

RIPIN Website

Word of mouth

Other (please specify)

Thank you for your interest in attending the 2018 RIPIN Caregiver Conference.
We will contact you by April 4, 2018 to confirm your registration.
Please call Tammy Russo at: 401-270-0101 x 116 with any questions or concerns.