Navigating Dementia: Understanding, Conversation and Support
Double Bay Booking Request Form
Thank you for your interest in our session. Please complete the booking request form below and we will be in touch as soon as possible to confirm your spot.
When:
1.00-3.30pm, Thur
sday 12 March, 2026
Where:
Double Bay Library
First Name
Last Name
Email Address
Contact Phone Number
Will anyone else be attending with you?
Yes (please confirm how many and their names below)
No
If yes, how many people will be joining you?
If yes, please share the names of those joining you below.
Please let us know if you have any dietary requirements:
Please share with us what you are hoping to gain or take away from the session:
Can we ask how you heard about this session?
Please select...
Videri Australia Social Media Post
Email from Videri Australia
Other (please note below)
Other questions or comments?