Register

To register as a Champion, you must have completed a Champion training with an authorized Master Trainer

Date of Training*

Username*

E-mail Address*

Password*

Confirm Password*

First Name*

Last Name*

Address*

City*

State*

Zip Code*

Why do you want to volunteer as a Dementia Friend Champion?*

Please list any languages (other than English) or any specific cultural communities that you would like to lead sessions in.

I agree that I will not charge a fee for my role as a Champion, or use Dementia Friends to promote a business.*

YesNo

I agree to not modify the Dementia Friends Massachusetts logo or materials without consent.*

YesNo

Permission to share my information*

YesNo

Only fill in if you are not human

Dementia Friends

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Find out more!

Address: Beth Soltzberg, JF&CS, 1430 Main Street, Waltham, MA 02451

Phone: 781-693-5628

Email: bsoltzberg@jfcsboston.org