Cancer: Thriving and Surviving Leader Training Cancer: Thriving and Surviving Leader Training This is an evidence-based program from Stanford University and trains leaders to facilitate the Cancer: Thriving and Surviving class for cancer survivors. Community classes are facilitated by two trained leaders and the topics covered include: 1) techniques to deal with problems such as frustration, fatigue, pain, isolation, poor sleep and living with uncertainty, 2) appropriate exercise for regaining and maintaining flexibility, and endurance, 3) making decisions about treatment and complementary therapies, 4) communicating effectively with family, friends, and health professionals, 5) nutrition, 6) setting priorities, and 7) relationships. Successful participants of this 4-day Leader Training will: illustrate following the Leader Manual content and process; recognize how to handle problem people appropriately; use positive reinforcement techniques with group members; apply strategies to encourage group participation and use effective modeling strategies, and do two practice teaching activities. The class includes a Leader Manual, a reference book and CD. Successful participants will receive a certificate and may co-offer this class in the community, under the licensure of the Consortium for Older Adult Wellness. CEU transcripts are available 2 weeks after the completion of the training. Contact Pam Allen, [email protected] or 303-9841845 to request your transcript. As an IACET Authorized Provider, COAW offers CEUs for its programs that qualify under the ANSI/IACET Standard. September 10-13, 2015 8:30am - 4:30pm Lakewood Link Recreation Center 1295 S Reed St. Lakewood, CO 80226 $650 per person 50% discount for 2nd person from same organization. Snacks and lunch provided daily. 3 Ways to REGISTER: 1. Online at www.coaw.org 2. Fax pg. 2 of this form to 303-984-5962 3. Mail to: COAW 2575 S. Wadsworth Blvd. Lakewood, CO 80227 For more information: Pam Allen [email protected] 303-984-1845 1-888-900-2629 For more information: Pam Allen [email protected] 303-984-1845 1-888-900-2629 Cancer: Thriving Surviving Leader Training September 10 - 13, 2015; $650 Lakewood, CO 3 Ways to REGISTER: 1. Online at www.coaw.org 2. Fax form to 303-984-5962 3. Mail to: COAW 2575 S. Wadsworth Blvd. Lakewood, CO 80227 REGISTRATION INFORMATION Name ________________________________________________________________ Home Address _________________________________________________________ st re et / cit y / st at e / zip Employer/Organization ____________________________________________________ Work Address _________________________________________________________ st re et / cit y / st at e / zip Home Phone _______________________ Work Phone __________________________ CANCELLATION POLICY: Cancel by July 30, 2016 to receive a refund minus $25 administrative fee. The administrative fee is $50 is cancellation is between July 31 and Aug. 13, 2016. After Aug. 13, 2016, no refund. Cell Phone _________________________ Fax ________________________________ Email _____________________________ Birthday ____________________________ Emergency Contact Name/Phone _____________________________________________ PAYMENT Registration Fee: $650 Cash/Check Enclosed Visa Mastercard Discover Please Invoice Card Number ________________________________________ Exp. Date _______________________ CID Code ___ __ ___ Name on Card _______________________________________ Card Billing Address ___________________________________ Vegetarian Meals Requested. Card Billing Zip _______________________________________ Signature ____________________________________________ Gluten-free Meals Requested. Check here if you have a condition or need which may require an accommodation. Please describe here: ______________________________________________________________________________________________ PRESS RELEASE WAIVER - I authorize, allow and release to COAW the unlimited publication, broadcast, transmission, re-transmission and/or other form of reproduction of any and all audio, video and photographic images without payment of compensation or royalties. COAW will not sell or provide any information or images to any other agency or organization. Your waiver is given by completing this form and registering for the Academy for Older Adult Wellness UNLESS you inform COAW otherwise in writing.
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