Neighborhood Senior Services

For Seniors and Caregivers

For Volunteers

You may register online below or download the registration form here.

First Name: * Last Name: * Age: * Address: * City: * State: *

Zip: * Phone: * Email: * T-Shirt Size : *

Bike Ride : *

I, THE UNDERSIGNED, HAVE CAREFULLY READ THIS ASSUMPTION OF RISK AGREEMENT, RELEASE OF LIABILITY AND COVENANT NOT TO SUE. I FULLY UNDERSTAND AND AGREE TO ITS CONTENTS.

* Denotes Required Field

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