agingmasteryregistrationform2022

606 Arrowhead Road Camano Island WA 98282 (360)387-0222 camanocenter.org

The Aging Mastery Program® (AMP) will help you create your own playbook for aging well via actionable goals, sustainable behaviors, peer support, and incentives. The program encourages mastery—developing behaviors across many dimensions that will lead to improved health, stronger financial security, and overall well-being.

What you will gain from the program:
Information to help you make small but impactful changes in your health behaviors, financial well-being and enrichment in later life.
Real incentives and rewards for taking small steps that can improve your well-being.
A chance to meet new friends, provide support and encouragement to your peers, and become more involved in your community.

What the program requires of you:
Commitment to attend at least 7 (but hopefully more!) of the 10 classes.
Following up after each class with Action Steps specific to that class topic.

Please complete each line of the registration form.

Full class fee scholarships are available. If class fee is a barrier, please check the corresponding scholarships box below and we will contact you by phone. You are also welcome to reach out to kconway@camanocenter.org with questions or call the Camano Center at 360-387-0222.

Class is waitlist only. If you are interested, please submit your information and Karen Conway will call you with more information.

First Name *

Last Name *

Date of Birth *

Date

Mailing Address *

City *

State *

Zip *

Email Address

example@example.com

Primary Phone *

Please Choose One (Not needed for waitlist)

Please contact me regarding a scholarship I am sending a check payable to Camano Center/CSSA Please contact me to process my credit card payment