Dementia Friends


Reason for signing up:

Reason(s) I signed up to be a Dementia Friend*
  • I am someone living with Alzheimer's disease or another dementia
  • I am the primary caregiver of someone living with Alzheimer's disease or another dementia
  • I have a family member living with Alzheimer's disease or another dementia
  • I lost someone to dementia
  • I am an Alzheimer Society staff or volunteer
  • I know someone (other than a family member) living with dementia
  • I am a healthcare professional
  • This cause is important to me

Contact Information

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Today's Date: DD/MM/YYYY*

Your personal contact data is used to create a record of information and services provided to you by the Society.

 

We are committed to protecting your privacy and only use this record to ensure you receive the best possible service, and to keep you informed on the activities of the Society, including programs and services, special events, and opportunities to support our organization. If you wish to have your name removed from one of our mailing lists, contact us 1-800-263-3367 or email info@alzheimer.sk.ca and we will gladly accommodate your request. Additional information regarding privacy can be found here.


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