DEER Program Mailing List Sign-Up Form Name(Required) First Last Email(Required) PhoneZip Code(Required) Do you live in Nevada, or provide care and support for someone living with dementia in Nevada?(Required) Yes No How would you describe yourself? (Select all that apply.)(Required) I am a person living with dementia. I am a family member or friend of someone living with dementia. I am a professional who works in the field of dementia support. I am a professional who provides direct care to people living with dementia. I am a healthcare provider. I am a researcher or educator. I am an interested community member. Organization Position/Title Would you also like to join the Dementia Friendly Nevada email list?(Required) Yes No Are there any local Dementia Friendly Nevada Community Groups you would like to be notified about? Washoe County Pyramid Lake Winnemucca Elko County Carson City Douglas County Lyon County Clark County Pahrump