Caring for Someone with Dementia

Please fill out the form below to register for this course. Unfortunately, we cannot offer any places on our courses to professionals.

Have you used any of our services before?

Please complete our Online Self-Referral Form, request 'Training' as the reason for referral and a member of staff will be in touch with you.

Alternatively, you can call us on 01698 428090 / 01236 755550 to discuss your attendance on this course.

Name

First NameSurname

Contact Telephone Number

Please enter a valid phone number in case we need to contact you about this courseFormat: 00000000000.

Email Address

example@example.com

Caring for Someone with Dementia

SMS Text Reminder

Mobile Number to receive SMS Text Reminder

Please enter a valid mobile number that an SMS Text Reminder can be sent toFormat: 00000000000.

Lanarkshire Carers will only use your mobile number to send reminders about this event. You can opt out at any time by replying STOP or contacting us.

For more information on how Lanarkshire Carers use your data, please see our Privacy Policy.

I am registering for this course with the intention of attending and should I be unable to attend, I will notify Lanarkshire Carers so that this place can be offered to a carer who has been waitlisted

Any additional information i.e. special requirements etc.