Ken-Ton Cares Senior Transportation Aid
Beginning Friday, March 21st, The Town of Tonawanda will be following the County's lead and providing transportation for Seniors to dialysis appointments only. This form is to register individuals willing to help out our Ken-Ton Senior Citizens that may need rides to doctor's appointments, blood work and possibly grocery shopping.
Your first name
Your last name
Phone number where you can be reached for our Seniors to call to you for transportation.
Check your availability.
Check which days you are available.
I understand that if I (or anyone in my family) is not feeling well, I will not agree to transport Senior Citizens. I understand I can contact
, leave a message 218.9589 or message Ken-Ton Cares on Facebook if I need to be removed from the list due to illness.
Yes, I understand and agree to this statement.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service