Saint Paul Church Dementia Education Series Registration Form

Thanks to generous donors, our Care & Support programs are free to the community. To demonstrate how many people we reach, we ask that you voluntarily agree to share your contact information to record your attendance at today’s event. By doing so, you understand that the Association will use and maintain the information that you elect to provide in accordance with our privacy policy, which can be found at www.alz.org/security-and-privacy-policy.

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First Name *
Last Name *
Zip Code *
Race/Ethnicity
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I am registering for the following class(es): *
All classes are from 6:30-7:30 pm in Room 103 at Saint Paul Church of Sacramento (3996 14th AveSacramento, CA 95820).
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How did you hear about this program?
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