Aging:Nutrition and Recreation:Senior Exercise Program:Forms

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Forms

Aging Services
Patricia Brown, Acting Director

Forms Available

Volunteer Registration Form (.pdf)
Senior Exercise Program Application, Doctor's Consent Form, Statistical Information Sheet (.pdf)

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Volunteer Registration Form (.pdf)

Volunteers are needed to deliver meals to the homebound elderly. Most volunteers work for an hour each week delivering meals in their area. Volunteers are also needed for our Senior Exercise Program, Insurance Counseling, and Nutrition Site help.

Required:

Completed form

Return to: Dutchess County Division of Aging Services
27 High Street, Poughkeepsie, NY 12601

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Senior Exercise Program Application, Doctor's Consent Form, Statistical Information Sheet (.pdf)

This exercise program is a progressive weight training and balance improvement program designed for seniors.

Required:

Completed form

A suggested donation for this program is $25 per year and can be mailed in with your application. Checks should be made out to DCOFA Senior
Exercise Program.

Return to: Dutchess County Division of Aging Services
27 High Street, Poughkeepsie, NY 12601

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