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Duane W. Chapman Symposium


November 14 - 2017
7:30 a.m. - 5:00 p.m.

We are excited to invite you to a full-day session focused on advance care planning that includes Decide to be Heard’s “Share the Experience” report on the region’s first community-wide advance care planning initiative. 

We hope you will join us at the University of Dayton River Campus for this in-depth and thought-provoking day.

 

Please make ONE choice from the registration options below.

All attendees will take part in the joint morning session, while the afternoon is divided into two tracks.

Track 1 is a dedicated afternoon of Design and Implementation Planning for current and future pilot sites working in partnership with the Greater Dayton Advance Care Planning Initiative.
Track 2 is designed for members of the UD Osher Lifelong Learning Institute, community members, future partner organizations, and anyone interested in a deeper dive into advance care planning.

REGISTRATION: 

35.00
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Please complete the following regarding contact and address information. Items marked with a red asterisk (*) are required. 

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NOTE: Identification will be provided ONLY if the field is marked as 'YES' from the dropdown menu.

NAME BADGE:  Name badges should be worn throughout the day's activities.

TENT CARDS:  Tent cards are folded place cards displayed on the table in front of you, making it easy for the moderators to identify you.

 

If you prefer using a nick name, please enter it in the space provided below...

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SUMMARY

Please review the summary carefully as this will be the last opportunity to revise/edit either registration or contact details before proceeding to payment.  Once payment information has been entered, it will not be permitted to return to the website for revisions.

Please contact the office (937-229-2347 or dquillen1@udayton.edu) should there be questions regarding the registration.
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