TECH TALK - REGISTRATION FORM
Tuesdays from 3:00 to 5:00 p.m. | Seniors Day at Rosedale - Community Connections
Tech Talk with Laurie
Tech Talk with Laurie
Tuesdays | 3:00-5:00 p.m.
Gib Gray Room
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How did you hear about this program?
Please select all that apply.
Member of RUC
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A Retirement Community
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If you are associated with a retirement community, which one?
Emergency Contact Name and Relation
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Emergency Contact Phone
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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.
*
Please select one option.
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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Tuesdays from 3:00 to 5:00 p.m.
Seniors Day at Rosedale - Community Connections
Tech Talk with Laurie
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