Alzheimers Experience "*" indicates required fields Today's Date MM slash DD slash YYYY Enter required information below. * Required First Last Email * Required Phone * RequiredResidence County * RequiredBentonWashingtonMadisonBaxterBooneCarrollIzardMarionNewtonSearcyStoneotherGender * RequiredMaleFemaleOtherRace * RequiredAfrican-AmericanAmerican IndianAsian/Pacific IslanderCaucasianHispanicMiddle EasternOtherProfession * RequiredPublic/CommunityDieticianMedical StudentNursingNursing Home AdministrationParaprofessionalPatientPhysical TherapyPhysicianResidentSocial WorkStudentHow did you learn of this program?My Center on Aging (the Schmieding Center)FacebookWebsiteWord of MouthMy Healthcare Provider (e.g., doctor, nurse, etc.)**********************************Choose the date you will attend * RequiredJune 4, 2026 – SpringdaleThis field is hidden when viewing the formChoose the time you will attend * Required(Only two (2) persons can be accommodated in each timeslot; each registration beyond the second in a timeslot will be moved to the next available opening.) 09:00am to 09:15am09:15am to 09:30am09:30am to 09:45am09:45am to 10:00am10:00am to 10:15am10:15am to 10:30am10:30am to 10:45am10:45am to 11:00am11:15am to 11:30am11:30am to 11:45am11:45am to 12:00pm12:45pm to 1:00pm01:00pm to 01:15pm01:15pm to 01:30pm01:30pm to 01:45pm01:45pm to 02:00pm02:00pm to 02:15pm02:15pm to 02:30pm02:45pm to 03:00pmChoose the time you will attend – June * Required(Only two (2) persons can be accommodated in each timeslot; each registration beyond the second in a timeslot will be moved to the next available opening.) 09:00am to 09:15am09:15am to 09:30am09:30am to 09:45am09:45am to 10:00am10:15am to 10:30am10:30am to 10:45am10:45am to 11:00am11:00am to 11:15am11:15am to 11:30am11:30am to 11:45am11:45am to 12:00pm01:00pm to 01:15pm01:15pm to 01:30pm01:30pm to 01:45pm01:45pm to 02:00pm2:00pm to 2:15pm02:15pm to 02:30pm02:30pm to 02:45pm02:45pm to 03:00pmThis field is hidden when viewing the formI consent, per above terms, to the use of my image by UAMS for program and event promotion * Required Yes No This field is hidden when viewing the formI want to receive email notice about other Schmieding Center events * Required Yes No