SPA DAY REGISTRATION FORM

Veteran Spouse Appreciation Spa Day

Relax and connect with other Caregivers in the community

Sept. 23, 2017
11:30-2:30pm
Church of the Open Door
43275 Telegraph Rd, Elyria, OH 44035

* Indicates required field

Name *

First

Last

Email *

Phone Number *

ADDRESS *

CITY *

ZIP *

WHAT IS YOUR AGE *

In which branch of the military did your Veteran serve? *

Choose Any *

PTSD TBI Loss of Limb Other

WILL YOU NEED CHILD CARE *

YES NO

If yes, how many children will be attending with you?

NAME *

AGE *

Allergies

We will be providing your child with snacks/lunch and activities. Please let us know if your child has any food allergies or other concerns we should be aware of.

Comment *

Hearts of Patriots a 501 (c)(3) non-profit and all volunteer organization.
Donations are tax-deductible by the donor.

About Hearts of Patriots
When veterans return suffering from PTSD, Traumatic Brain Injury or both, their transition into civilian can be especially difficult. Co-founded by the wife of a Marine who served in Iraq, Hearts of Patriots understands the challenges faced by caregivers of veterans with invisible wounds of war.

Our mission is to provide education, resources and support to these hidden heroes. We are committed to helping spouses of veterans with PTSD and TBI care for themselves, because we know that self-care is essential to caring for others.

Contact

email denise@vetspouse.org
PHONE: 440-477-4704
MAIL: Hearts of Patriots
101 Denison Ave., Elyria, OH 44035

South Carolina Location
email: megan@vetspouse.org
MAIL: Megan Cain
113 Pink Camellia Lane, Lexington, S.C. 29072

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Veteran Spouse Appreciation Spa DayRelax and connect with other Caregivers in the community​

Allergies

Contact

Veteran Spouse Appreciation Spa Day

Relax and connect with other Caregivers in the community