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Ellington Senior Center 2016-2017 Annual Questionaire

  1. Please take a moment to answer the following questions:

  2. Are you an Ellington resident?

  3. Is this your first time here?

  4. How did you hear about us (check all that apply)

  5. What types of activities are you interested in participating in {check all that apply):

  6. Thank you for taking the time to complete this questionnaire.

  7. opitional:

  8. Leave This Blank:

  9. This field is not part of the form submission.