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Register

if you would like to talk to someone about registering to become a member of Dementia Friendly Petersfield, please call Amanda Gallagher on 07870668702

Registration Form

To become a member of Dementia Friendly Petersfield, all we ask is for your key staff to become Dementia Friends. This can be done either by attending a free local information session, which lasts just one hour, or by watching a video online at www.dementiafriends.com. All you have to do is make a pledge:

Organisation Information (if Different from above)

Privacy Note: The information you have supplied in this form will be used to process your membership of Dementia Friendly Petersfield. The details will be published on the Dementia Friendly Petersfield website and may be used in press releases and social media activity to promote Dementia Friendly Petersfield.

If you do not consent to this please tick below