Please note you must be registered in our system before filling out this form.
You may do so HERE, then return when completed.
Please Note we are currently full, but you may use this form (below) to be added to our waiting list.
PERSONAL CARE AIDE
Program participants requiring the assistance of an aide for personal/behavior care must provide their own personal aide. Kaleidoscope of WNY, Inc. is not equipped to provide this level of assistance. A participant who requires a personal aide but does not provide one may not participate in our classes.
Medications may not be administered by Kaleidoscope of WNY, Inc. staff. When necessary, participants must provide documentation from their doctor stating the participant’s need and ability to self-carry and/or self-administer prescribed medication.
We are concerned for the health and well-being of everyone involved in Kaleidoscope of WNY, Inc. programs. Participants must stay home if they are sick.
Safety is of the utmost importance to Kaleidoscope of WNY, Inc. If a program participant consistently demonstrates excessively disruptive and/or violent behavior, every reasonable attempt to modify the behavior will be made; however Kaleidoscope of WNY, Inc. reserves the right to dismiss a participant from Kaleidoscope of WNY, Inc. classes. In the event of program dismissal, the balance of registration fees will not be refunded.