SeniorsPlus - Class Registration

09/13/2023

Event Registration

Fields marked with an * are required

Event Intro Description

If you would like to take part in our event, please fill in your details in this Event Registration Form below and you will be automatically registered. Event registration must be completed at least seven (7) days prior to the event.

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First Name *

Last Name *

Email *

Phone *

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How many friends will you bring along? *

Any food requirements? *

Vegan
Vegitarian
Gluten Free
None

Preferred drink? *

White wine
Red wine
Beer
No Preference

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Below, you can find a map of the event venue.
Please contact us for any further details

Event Registration for Dementia Conversations on 09/13/2023