Registration Form: September 1 to December 14, 2022
Age: For Seniors 55+
 
Location:
Reception Room (2nd floor/level)
Grace Place, 156 Main Street North, Brampton, ON  L6V 1N9

When:
Every Wednesday

Time:
10:30 am to 1:45 pm

Limited in-person capacity:
Registration for in-person attendance will be on first-come-first-serve basis. Once full, you may still join us online.  

No cost to join!

IMPORTANT NOTE:
*All in-person participants require full vaccination for COVID-19.
*Limited parking onsite, however, Alexander St. and other municipal parking areas are in close proximity. Grace Place is also on a main bus route.
*Participating in physical activity: It is recommended that your physician be consulted prior to the start of any physical activity.

WAIVER:
By submitting this form, I agree to release, indemnify, and save harmless Grace Seniors Centre, Grace Place, and Grace United Church from and against all claims, proceedings and/or actions in respect of any costs, losses, damage, or injury arising by reason of registration, participation in any activities offered.

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Name/Preferred name *
Address *
Email *
Phone *
Mode of attendance *
Activities, I am most interested in: *
Required
Do you have skills, hobbies, and/or interests that you are willing to share as a future part of the program? *
What other ideas, suggestions, and considerations do you have for our future programming? *
Volunteers are always welcome. I am willing to help out with: *
Required
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