Dementia Care Study Meeting 1 - Public Registration

Public Registration

Please fill out the response form below to register for the upcoming public workshop for the Committee on Care Interventions for Individuals with Dementia and Their Caregivers, to be held on November 12-13, 2018. The meeting will be held in Room 125 of The National Academy of Sciences Building located at 2101 Constitution Ave NW, Washington, DC 20418. For any questions, please contact Phoenix Wilson at phwilson@nas.edu or 202-334-3265.

1. Contact Information

First Name *This question is required.

Last Name *This question is required.

Organization Name (as it should be listed on your name badge) *This question is required.

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address *This question is required. This question requires a valid email address.

2. The committee meeting will take place across two days, Monday November 12th and Tuesday November 13th. Please indicate below which sessions you will attend (click as many as applicable): *This question is required.

Day 1, 11/12/2018 10:45-3:15
Day 2, 11/13/2018 10:00-11:30
I will attend by webcast

3. Do you have any disabilities for which you require accommodations? If so, please describe.

4. Members of the public who register in advance will have up to 3 minutes to comment on any topic related to the study charge, beginning at 3:00pm on November 12. Would you like to register to provide a public comment?

5. Would you like to be added to the public listserv and receive updates for this study?