SPARK! Registration
A cultural program for people with memory loss and their caregivers
Programs are designed to keep participants actively engaged in their communities by providing experiences that stimulate conversations, provide peer support and inspire creativity through creative engagement, workshops and programs. SPARK! programs are FREE for families to attend together in a comfortable environment led by specially trained staff and volunteers.
ArtStart is a proud member of the SPARK! alliance, a collection of community and art institutions throughout the nation providing high quality training and cultural programming to people with memory loss. This program is offered at no charge thanks to the generous support of ArtStart, volunteers, Oneida County ADRC, and Bader Philanthropies.
Participant's Name
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First Name
Last Name
Contact/Caregiver's Name
*
First Name
Last Name
Additional Caregiver's Name (if possibly attending)
First Name
Last Name
Contact Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact E-mail
*
example@example.com
Phone Number
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Please enter a valid phone number.
Would you like a reminder call before the event?
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Yes
No
Text me please
Please tell us a little about the participant.
*
Does the participant have any particular interests? (ex. puppies, music, cookies, flowers)
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Is there anything we should avoid with the participant?
*
Is there anything we can do to make the participant's experience more comfortable?
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Caregiver, is there anything we can do for you to make your experience more comfortable? You do not need to feel obligated to participate. We understand you may need a little time to yourself. We just ask that you stay in the community room while the event is happening.
*
Is there anything else you would like to share?
*
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