Welcome!

Thank you for your interest in our dementia day centre. We’re really pleased you’re here.

This short form helps us learn a little more about you or your loved one and to add you to our waiting list ahead of our relaunch at our new location.

💚 Our day centre is designed to offer a safe, supportive, and enjoyable space for people living with dementia, while also providing reassurance and support for families and carers.

Once you’ve completed the form, a member of our team will be in touch as soon as we have a clearer timeline for reopening the day centre, to keep you updated and discuss next steps.

First Name

Last Name

Phone *

Email *

Details of the person you are enquiring about - full name and relationship.

What area of Bristol does the person you are enquiring for, live in?

How did you find out about us?

Please use this box to provide us with any further information you think will be useful before our call.

By checking this box, I consent to receive non-marketing text messages from Your Care about Dementia Day Centre. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from Your Care at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.