Seniors Support Program Registration
Registration form for the Senior's Support Program.  

This program will be held ONLINE on either Mondays or Tuesdays for 4 weeks starting the 2nd week in January 2024.

During registration, please indicate your preferred meeting date.

For TECHNICAL SUPPORT, CALL:  (289) 429-5233
(to register & to connect online)
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Email *
Your Name: *
Phone Number: *
The preferred meeting date for me is: *
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