Application Form I would like to attend the 6 week course Mindfulness for Carers offered by PKAVS Carers Hub on Wednesdays 4:00pm 5:30pm on the following dates: – 26th September and 3rd, 10th, 17th, 24th & 31st October 2018 Your Details Full Name Are you an unpaid carer? Contact phone number Email address Condition of a cared for person Age of a cared for person Do you have any special requirements Please give a brief description of why this course would be of benefit to you: Please return or email this form by 14th September 2018 to Marlena Nowaczyk: Address: PKAVS, The Gateway, North Methven St, Perth PH1 5PP Email:
Application Form I would like to attend the 6 week course Mindfulness for Carers offered by PKAVS Carers Hub on Wednesdays 4:00pm – 5:30pm on the following dates: 26th September and 3rd, 10th, 17th, 24th & 31st October 2018 Your Details Full Name Are you an unpaid carer? Contact phone number Email address Condition of a cared for person Age of a cared for person Do you have any special requirements Please give a brief description of why this course would be of benefit to you: Please return or email this form by 14th September 2018 to Marlena Nowaczyk: Address: PKAVS, The Gateway, North Methven St, Perth PH1 5PP Email: