Please register to start the process of getting your community recognised as a Dementia Friendly Community. Input your contact details below, fields marked with an asterisk are required, all other fields are optional. We need this information for the purposes of the administration of your Dementia Friendly Community application and recognition. The email address you provide will be used to send information which will assist you in creating a Dementia Friendly Community, this will include a monthly newsletter. By submitting this form, you indicate that you understand and are happy for Alzheimer’s Society to use your information for the above purposes. Once you have registered and verified your email, you will be able to enter the details of your community and start the recognition process.