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Individual Registration
Registration Form
Terms of Confirmation
Registration Form
Understanding Dementia
Quiz
E-mail Confirmation
Registration Completed
Registration Form
* Mandatory Fields
Name
Chinese/English, Must be matched with HKID card
Gender
Male Female
Birth Year
-- Please Select --
-- Please Select -- 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Telephone
E-mail Address
As the Login Name
If you don’t have email address, please contact us via phone during office hour.
Password
At least 8 characters including both alphabet and number
Password Confirm
Contact Address
-- Please Select District --
-- Please Select District -- Hong Kong Island - Central & Western Hong Kong Island - Eastern Hong Kong Island - Southern Hong Kong Island - Wan Chai Kowloon - Kowloon City Kowloon - Kwun Tong Kowloon - Sham Shui Po Kowloon - Wong Tai Sin Kowloon - Yau Tsim Mong New Territories - Islands New Territories - Kwai Tsing New Territories - North New Territories - Sai Kung New Territories - Sha Tin New Territories - Tai Po New Territories - Tsuen Wan New Territories - Tuen Mun New Territories - Yuen Long
We shall send the Dementia Friendly Booklet and badges to you if full address is provided.
Company / Organization / Group
If your corporation/school/organization/group already a Supporting Group of Dementia Friends
Reasons For Registration
（Multiple）
Want to know more about Dementia
To contribute to "Dementia-Friendly Hong Kong"
Company/organization participation
Register with my friends or family members
I am a family member or friend of people living with dementia
Support the Hong Kong Alzheimer's Disease Association
Other, please specify:
 
To help HKADA best utilize resources, please let us know which media you have learnt about Dementia Friends:
-- Please Select --
-- Please Select -- Hong Kong Alzheimer's Disease Association's Website Social Media (e.g. Facebook, YouTube) Dementia Friendly Community Campaign / SWD Project E+ - pop-up health checkup station Day centers of HKADA Events/Talks/Seminars HKADA's newsletter, Friends or Family Company or organization Direct Mail E-mail others
 
Please specify the selected media:
 
Language Preference of "Dementia Friendly Booklet"
Chinese version English version
 
Hong Kong Alzheimer's Diseases Association use my personal data for sending its service promotion materials.
I Agree I disagree
 
Hong Kong Alzheimer's Diseases Association use my personal data for sending its educational information and materials.
I Agree I disagree
 
Hong Kong Alzheimer's Diseases Association use my personal data for sending its fundraising promotions.
I Agree I disagree
 
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