HOME HEALTH PARTIES
Home Health Parties allow Baton Rouge AIDS Society a chance to bring HIV/AIDS and other STD information to the doorstep of our community. “Positive Works,” a new twist in Home Health Parties, is a positive approach to educating our community on the necessity of preventing the spread of HIV/AIDS and other STDs. When a person becomes infected, the activities involved a person who was negative and a person who was positive. “Positive Works” allow us to educate both sides of the spectrum. The presentation is very relaxed and is presented as 30 minutes of fellowshipping and 1 ½ hours of education.
How Can You Sign Up? Individuals may sign up by completing the registration form below or by calling 225-923-AIDS. The fields marked with (*) are required fields. * First Name  * required * Last Name  * required * Address  * required * City  * required * State  * required * Zip Postal Code  * required   Date of Birth   Age   Email Address * Telephone Number  * required   Work Number   Cell Phone Number   Pager Number * What is the Best time to call? 8:00 - 12:00 Noon 12:00 - 4:00 PM 4:00 - 7:00 PM 7:00 - 10:00 PM __ Other (See Comment Area) * Which number is your Primary Number? Home Number Cell Number Work Number Pager Number   Ethnic Group African American Asian Caucasian Hispanic Nativ American Other   Marital Status Divorced Married Single Widowed * Have you been diagnosed with an STD within the last two months? Yes No   If yes, please select from the list below: Bacterial Vaginosis Chlamydia Gonorrhea Human Papillomavirus (Genital Warts) Hepatitis Herpes HIV/AIDS Lice/Crabs Pelvic Inflammatory Disease Syphilis Trichomonas (Tric) Other - Not Listed Above   Have you ever been diagnosed with HIV/AIDS? Yes No   If yes to any of the above questions, are you currently seeking medical treatment? Yes No * Which month would like to have your party? January February March April May June July August September October November December * Which date would you like to have your party? 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 * What time would you like your party? 8:00 a.m. 9:00 a.m. 10:00 a.m. 11:00 a.m. 12:00 p.m. 1:00 p.m. 2:00 p.m. 3:00 p.m. 4:00 p.m. 5:00 p.m. 6:00 p.m. 7:00 p.m. 8:00 p.m. 9:00 p.m. * What type of game/activities would you like at your party? Please choose only three activities from the list. AIDS Feud STD Picture Board Condom Cards African American Red Cross Posters Pictionary STD Scramble Password Bingo AIDS * How many people will attend your party? 2-5 6-10 11-15 16-20 21-25 26-30 31-35 35-40   Your Comments	"LET US COME TO YOUR HOUSE!"