Seniors Advocate Services - by Barbara J. Kirby

Personalized Care Planning, Management & Advocacy, for Senior Citizens and Their Families

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Living by Choice Not Circumstance - Retreat Registration Form

Poster for Rivendell Retreat 3.pdf (Download Brochure Here)

Workshop Name: Living by Choice not Circumstance - Life Style Planning

Led By: Barbara J. Kirby

Location: Rivendell Retreat Center, 600 Rivendell Drive, Bowen Island, B.C. V0N 1G0

Dates: June 3- June 6 Check in: 3:00 P.M. (Final details closer to date)

Advance Preparation Required: Once we receive your final payment you will receive your workbook. Please fill in as much information as you can prior to arrival to help you at the workshop. 1. Contact information - addresses, phone, e-mail and age of family and friends; contact info for health and other professionals 2. Prescriptions and dosages 3. Finances - Monthly Income numbers from all sources; a summary of your fixed and liquid assets and a rough monthly or annual expense summary - see the financial page in the binder. We will explore this level of detail and more at the retreat to clarify all the options available to support your unique lifestyle needs.

Terms and Conditions: Meals are included Sunday evening through Wed. Workshops are daily from 9:30 – 3:30 (ending based on discussion times). Accommodation included, please read their guidelines. Please advise any special requirements regarding the use of physical aids such as wheelchair, walker, canes or allergies above. There is an elevator if required.  Please respect the retreat's quiet time 8 am to 9 am and 4 pm to 5 pm.

For Your Consideration: Rivendell is a non-profit organization and allows you to pay based on what you can afford. As a group, they suggest $75.00 per night per room which I have built into the price of this retreat at $225.00 ($75 per/n). If you pay more per night, you will receive a donor tax receipt for your accommodation. I suggest $244.00 or more not built into the cost shown here but finalized with them at the end of the retreat.

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PAYMENTS

Payment Option
 

Click on the first option above to make your $300 deposit to hold your spot at the retreat. Use the second option to pay your remaining balance of $1,076.25 which includes all applicable taxes. If you wish to pay the full amount in one payment of $1, 376.25, use the final Buy Now option. You may also pay by cheque at the address shown below. Fill in this form and in the Comments section, let us know that a cheque is being mailed for payment.

MAILING ADDRESS

Seniors Advocate - Barb Kirby
# 304 - 145 East 15th Avenue; Vancouver, British Columbia; V5T 2P6
Phone: (604) 767-4994