Seniors Support Program Registration

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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)

Email *

Your Name: *

Phone Number: *

The preferred meeting date for me is: *

On MONDAY evenings starting Jan 8, 2024 at 4:00-5:30 pm

On TUESDAY mornings starting Jan 9, 2024 at 10:00-11:30 am

Either Mondays or Tuesdays are OK for me

Other:

Sponsors

Send me a copy of my responses.

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