Memory Cafe Terms & Registration Agree to Memory Cafe Directory Terms & Register 1Step 1: Agree to our core principles2Step 2: Register for an account To best serve people living with dementia and their care partners: We are committed to a directory that is reliable. Therefore:(Required)– I agree to keep my listing up-to-date with any changes. – I agree to confirm / update my listing annually. – I confirm that all information I share on my listing is truthful. – I understand that if I do not update my listing annually, that my listing may be automatically deleted. I agree.I acknowledge that our Memory Cafe will:(Required)– be for people with changes in memory or thinking, cognitive decline or dementia. It is also for their family, friends, or professional care partner if they have one. – meet in an accessible community space. – not require participants to have a medical diagnosis. I agree. Once you have submitted this form, you will be redirected to a login page.Please complete the form below to register. You will be redirected to a login page after this. You will be able to log in to update your profile and listings at any point.Name(Required) First Last OrganizationPhone(Required)Email(Required) Enter Email Confirm Email Username(Required)Password(Required) Enter Password Confirm Password NameThis field is for validation purposes and should be left unchanged. Already Registered?Please login.
