This registration form
was developed to assist emergency responders in locating and communicating with people that are prone to wander due to Autism, Alzheimer's, Dementia or other mental/medical conditions. The information provided on this form is secure and private. The Augusta Police Department would appreciate your help in providing us with information that may help a loved one in a time of need. You also may pick up a paper copy of this registration form at the police department located at 33 Union Street. In the event you have any questions about the use of the form please contact Sgt. Christian Behr at the Augusta Police Department at (207) 626-2370 ext. 3409 or firstname.lastname@example.org.