JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
#StayHome Fun: Exercise in English and Chinese with Project CURAE (4 July)
Brought to you by Alzheimer's Disease Association, this is an online activity for Persons with Dementia.
Date:4 July 2020
Time: 10am to 11am
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Person with Dementia
*
Your answer
Name of Caregiver
*
Your answer
Email
*
Your answer
Photos and/or videos of the session may be recorded. Please indicate if you allow ADA to share your photos and/or videos on publicly accessible reports, social media or any other platforms.
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms