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2018-2019 Registration & Release Form


  1. 1. Step One
  2. 2. Emergency Contact
  • Step One

    1. 2018-2019 Registration & Release Form

      All resident and non-resident members must have a completed Registration and Emergency Contact Form on file. This confidential, mandatory form is required annually to start, or continue to participate, in all Senior Center programs. Refer to the Ellington Senior Center Handbook & Operating Procedures for more information on Senior Center Programs. Submit all forms and payment, if applicable, to the Administrative Secretary prior to activities. Thank you, Erin R. Graziani, Senior Center Director Revised, 04/01/2018

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