Personal Connections
Please join us for our monthly gallery tour program for visitors with cognitive impairments. Through facilitated discussions, individuals with early stage dementia or Alzheimer’s disease will have the opportunity to create meaningful connections with works of art on view in LACMA’s galleries.

The program is offered once a month on Tuesdays at 1 pm and is open to individuals and their caregivers.

Each participant must be accompanied by a caregiver. Capacity is limited. Please note completion of this form is not a confirmation. After selecting your date(s) an email will be sent outlining instructions for parking and meeting your tour guide if space is available. Please contact twaxman@lacma.org for questions.
Which date are you interested in attending the program? *
Required
Caregiver Last Name *
Your answer
Caregiver First Name *
Your answer
Participant Last Name *
Your answer
Participant First Name *
Your answer
E-Mail *
Your answer
Phone Number *
Your answer
Participant Special Needs *
Your answer
Will the participant be bringing a walker or wheelchair? *
LACMA has a limited number of wheelchairs available for use at no additional cost. Would you like to request one of LACMA's wheelchairs? *
Additional comments:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of LACMA. Report Abuse