BCRC Senior Program Registration Form

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Thank you for your interest in the BCRC Senior Program!!!

The BCRC Senior Program aims to enhance the lives of seniors and youth in our community by providing a safe place which offers a wide range of activities which will encourage particiipants to learn new skills, remain active, build new friendships and build a community.

Workshop Details:

Each week we host a variety of informational and recreational workshops for seniors and youth to enjoy. Our core workshops are:

Conversation Tuesday: A Conversation group for seniors and youth to discuss a variety of topics as a community
Fun Night Friday: An interactive workshop where youth and seniors gather for an online game night

These workshops are open to all and aim to develop and foster intergenerational connections.

To register to this program please fill out this form and we will contact you soon.
For more information, please contact us at advisor@bcrcmontreal.com or give us at call at 514 342-2247 ext:101

Full Name *

Address *

Age *

Phone Number *

Email *

What is your date of birth? *

YYYY

Ethnicity *

Do you have access to internet?

Yes

Sometimes

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Do you have a digital device such as a Computer, Laptop, Tablet, or Smart Phone? *

Yes

Were you referred to this program by an organization? *

Yes

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