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Dementia friendly films in Derbyshire
Matinee Privacy Statement
Screenings in Swadlincote
Event Booking Form
Please provide an email address so we can send you confirmation of your tickets, your welcome letter and venue information. Please note that some data will be shared with our external evaluators - the University of Nottingham. They will anonymise all data used in any reports. We do not share our data with any other third parties. Our updated Privacy Statement is available here: http://matineederbyshire.rainbownet.uk/about-us/matinee-privacy-statement/
Number of tickets for people living with dementia/memory challenges.
Number of tickets for carers, family members and friends.
Total number of tickets
Please let us know the number of wheelchairs or mobility scooters you will be bringing so that we can make sure you have a choice of where to sit.
Relationship between carer and person with dementia
e.g. partner/spouse/ child/ parent/ etc.
Dementia Diagnosis: when was the diagnosis given?
0-2 years ago
2-5 years ago
5 years ago
Living at home?
How did you hear about Matinée?
Have you been to a Matinée screening before?
Transport: do you need transport to get the screening?
We can put you in touch with a local transport scheme to help you get to screenings. Some financial support may be available to help you access this. Please make sure your contact details are correct.
60 or under
Please tell us the age of the person living with dementia/memory challenges. If your booking is for multiple people, please bring this information with you to the film screening. Thank you.