Caregiver Support: Online Registration Form (2019)

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Take Care of Yourself and Others! 


St. Francis Healthcare System simplifies the art of caring for yourself and those you love.
All classes are just $10 each and are held at the St. Francis Kūpuna Village in Liliha.

Course Selection

Please refer to the course details and dates below.  



June Schedule


July Schedule

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Participant Information










Demographic Information



Student Information
Please provide the following information to assist the instructor in preparing for the class. 
Check all that apply:

Check all that apply:
Please select the number corresponding to your loved one's ability to perform the following activities on a 1 (DEPENDENT) to 5 (INDEPENDENT) scale. 
1 2 3 4 5


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Course Description

St. Francis Healthcare System offers informative sessions by experts for family caregivers. Enjoy networking with other caregivers facing the same challenges! Each class is $10. All classes are held at the St. Francis Kūpuna Village, 2226 Liliha Street, Weinberg Building. If you are having issues registering, contact
Maylynn Wong at mwong@stfrancishawaii.org or (808) 547-8138.
Payment Information
Credit Card Information
Billing Address
Check Information

Please mail checks to the address below:
St. Francis Healthcare System 
ATTN: Maylynn Wong
Caregiver Education 
P.O. Box 29700 Honolulu, HI 96820

Please Note: your registration is not complete until we receive your payment. After St. Francis
has received payment, we will provide an email notification of completed course registration.

Cash Information

Please bring your cash payment with you to class.

Please Note: your registration is not complete until we receive your payment. After St. Francis
has received payment, we will provide an email notification of completed course registration.