Welcoming Wednesdays Registration Form: January 1, 2023 to March 31, 2023
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 (at least two shots) 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 Program, 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.

MEDIA CONSENT: I consent to photographs and videos being taken during the Welcoming Wednesdays program and authorize Grace Place and United Church to use these images at any time and without further notification within promotional materials, including on the Grace Place and Grace United Church websites, printed material and in social media.

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Name/Preferred name *
Address *
Email
Phone *
Mode of attendance *
Activities, I am most interested in:
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: *
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