Dementia Training Form

Dementia Training FormKelly Shacklett2025-06-04T13:50:36+00:00

Register for Dementia Training Today!

This registration form does not include the $45 spiral-bound notebook. If you would like to include this in your order, click here.

First Name *

Last Name *

Email *

Street Address *

Address Line 2

City *

State *

Zip Code *

Cell Phone *

Job Title *

Company *

Name for Certification of Attendance *

Training Dates - 8AM-4:00PM EST *

Sunday, June 29, 2025

Sunday, July 27, 2025

Sunday, August 31, 2025

Sunday, September 28, 2025

Sunday, October 26, 2025

Sunday, November 30, 2025

I understand that once I click submit on this form I will be prompted to a new page to make payment. I also understand that I will not be registered unless I complete the payment. *

Yes

No

Would you like to opt-in to the Trinity Dementia Training newsletter? *

Yes

No

How did you hear about Trinity Dementia Training? *

Thank you for your message. It has been sent.

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610-888-2872

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DISCLAIMER: Attending the 8-hour in-person or online Alzheimer’s Disease and Dementia Care Seminar is a requirement for certification as a Certified Dementia Practitioner (CDP). In addition to the course cost, the NCCDP charges an application fee/certification fee. Please see NCCDP.ORG for more information.

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