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2025 Caregiver Appreciation Picnic RSVP Form

 


Contact Details

Name(Required)

Picnic Reply

Will you be at the Caregiver Appreciation Picnic on Wednesday, June 11?(Required)

Transportation

To give Caregivers the option of taking public transportation, Family & Nursing Care will provide a shuttle bus from the Shady Grove Metro Station to Smokey Glen Farm from 3:30 PM - 6:00 PM. The shuttle will transport Caregivers back to the Shady Grove Metro Station throughout the picnic whenever the shuttle is back at Smokey Glen Farm and once more when the picnic ends at 7 pm. More details about shuttle transportation will be provided to Caregivers who let us know below that they plan to take the shuttle.
Do you plan to use the Shuttle from the Shady Grove Metro Station?(Required)

Children

While the picnic is exclusively for Caregivers, we know that some Caregivers will need to bring their children who require their adult supervision (generally age 12 and younger) with them in order to be able to attend the picnic. If you plan to bring children who require your adult supervision, you must let us know below so that we can plan properly.
Will you need to bring your children to the picnic?(Required)
Please enter a number from 1 to 5.

Clients

While the picnic is for Caregivers, we know that some Caregivers will want to bring clients. Please let us know if you will be bringing a client with you. Please keep in mind that the picnic is fully outdoors with only picnic tables for seating. Especially in the hot summer weather, it may not be appropriate for clients to attend.
Will you be bringing a client to the picnic?

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Licensed as a Residential Service Agency by the MD Dept of Health, OHCQ: RSA Lic R2519R. MD NRSA Lic 070605. DC HSA Lic 0003. DC BBL 400318002569. PA HSA Lic 73083601
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