Dementia Friends Wisconsin event request

Dementia Friends Event Request

Please complete this form when you have scheduled a Dementia Friends Information Session or Champion Training. You will need to complete this form for each session/training you provide.
  • Select one
  • Please include start and end time.
  • Please include name of Master Trainer or Champion hosting this session or training.
  • Please include email address of Master Trainer or Champion.
  • Please check all that apply.
  • If your event is open to the public, please indicate how you want people to register. Include details of who should be contacted and how any registration deadline.
  • This field is for validation purposes and should be left unchanged.