Sign Up

The account information above should be for the person joining the program.. Below, please provide your contact info.

First Name *

Last Name *

What is your relationship to the person who will be joining the program? *

The following questions should be answered about your loved one.

Who do you want to connect with? *

Generation *

Introduce yourself (we will share this blurb with your companion). *

Any experiences relevant to interacting with other generations? *

Describe your group. *

How did you hear about us? *

Why do you want to join? *

Any comments/concerns/special requests?

Are you at least 18 years old? (otherwise some activities may require parent consent) *