COMMUNITY CONNECTION (NEW) - Seniors Day at Rosedale

Adults 50+ are invited to join us for free, relaxed activities led by staff and community members sharing their skills and interests. Most take place on Tuesdays. Come try something new, bring your friends and have some fun.

Complete this form to let us know which program(s) interest you, and we’ll follow up with full details. Most programs begin the week of September 21st, unless otherwise noted below.

Name

This address will receive a confirmation email

Phone

Address

How did you hear about this program? Member of RUC Attended Past Programs/Events Word of Mouth Social Media Brochure Web Site A Retirement Community Other

If you are associated with a retirement community, which one?

Which program(s) do you want to participate in?

Sing-Along (Tuesdays, 11 AM-12 PM) Woodworking (Monday Sept 21, Oct 19, Nov TBD, 9 AM-12 PM) Dance (Tuesdays, 2-3 PM) Baking (Tuesdays, 11 AM-1 PM) Games & Puzzles (Tuesdays, 12-2 PM) Tech Support (Tuesdays, 3-5 PM) Knit & Stitch (January 11, 18, 25 3-5 PM)

Emergency Contact Name and Relation

Emergency Contact Phone

PHOTO CONSENT: To promote our program, we may capture photos/videos during class activities. These images may be used for promotional materials (flyers, posters, brochures), organization website, social media platforms, newsletters and reports.

Yes, I give permission to be photographed, video recorded, and have my image used for the purposes stated above. I understand these images may be shared publicly. I understand that no personal information (e.g., full name) will be shared without addition No I do not give permission

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COMMUNITY CONNECTION (NEW) - Seniors Day at Rosedale

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