2026 Fall Community Conversation

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2026 Fall Community Conversation - Event Registration

Thank you for your interest in attending the Wisconsin Alzheimer's Disease Research Center's (ADRC) Fall Community Conversation. The event is free of charge, open to all and takes place at the Middleton Performing Arts Center on Tuesday, September 29, from 4:30 to 7:30 p.m. There will also be an online option that will feature the program only, streamed on YouTube from 5:30–7:30 p.m. Please register to attend by filling out and submitting the following information.

Email *

First name *

Last name *

There are two ways to attend the Fall Community Conversation: in person or online.
The in-person event includes free refreshments and a Resource Fair from 4:30–5:30 p.m., followed by the live program in the auditorium from 5:30–7:30 p.m.

The online option will feature the program only, streamed on YouTube from 5:30–7:30 p.m.

How do you plan to attend? Please select from the following options: *

In person 4:30-7:30 at the Middleton Performing Arts Center

Online on YouTube, 5:30-7:30pm (A link will be emailed a week before the event)

Please indicate any accessibility needs you may have for this event (check all that apply): *

ASL Interpretation

Hearing Assist pack

Wheelchair-accessible seating

I do not have any requests

Other:

Required

Please choose the option(s) that describes you best. (Check all that apply) *

Community member

Paid or unpaid caregiver

UW faculty/UW academic staff

Physician

Psychologist/Neuropsychologist

Medical student or graduate student

Undergraduate student

NP/PA

Nurse

Social Worker

Other:

Required

What is your age group? *

<35

35-44

45-54

55-64

65-74

75+

I prefer not to answer

How do you identify? (Select all that apply) *

Female

Male

A gender not listed above

I prefer not to answer

With which racial and ethnic group(s) do you identify? Select all that apply.
Use the text entry box if you wish to add more information or comments. *

American Indian or Alaskan Native (A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment)

Black or African American (A person having origins or cultural connections to any of the Black racial groups of Africa)

Hispanic, Latine or Latinx (A person having origins or cultural connections to Cuba, Mexico, Puerto Rico, South or Central America, or other Spanish culture or origin regardless of race)

East Asian (A person having orgins or cultural connections to China, Korea, Japan, Taiwan, Mongolia)

South Asian (A person having origins or cultural connections to India, Pakistan, Bangladesh, Nepal, Sri Lanka, Bhutan)

Southeast Asian (A person having origins or cultural connections to the Philippines, Vietnam, the Hmong, Cambodia, Laos, Thailand, Burma, Indonesia, Malaysia)

Native Hawaiian or Other Pacific Islander (A person having origins or cultural connections to Melanesia, Micronesia, Polynesia, and other Pacific Islands)

White (A person having origins or cultural connections to any of the original peoples of Europe, the Middle East, or North Africa)

Another race or ethnicity not listed above

I prefer not to answer

Other:

Required

How did you learn about this event? (Select all that apply) *

Invitation in the mail

Wisconsin ADRC "Headlines" eNewsletter

Wisconsin ADRC Website

Wisconsin ADRC Facebook Page

Dementia Matters podcast

Other:

Required

Would you like to subscribe to our monthly "Headlines" e-newsletter (emailed) to learn about upcoming events, news and brain health tips from the Wisconsin Alzheimer's Disease Research Center? *

I want to receive the "Headlines" e-newsletter (Emailed once per month)

I already receive your newsletter.

I do not want to receive your e-newsletter.

Feel free to submit a question about the impact that food, diet and nutrition have on brain health ahead of the event.

Be sure to click the submit button below.

A copy of your responses will be emailed to the address you provided.

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