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Northshore Senior Center Northshore Senior Center

 Online Membership Registration
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  • Membership is valid for 12 consecutive months, e.g. if you join in May 2010, your membership will be valid through April 2011.
  • Members receive a 50% discount on class fees and most activities.
  • Reduced fees and scholarships for membership are available for anyone who cannot afford membership fees. If you need
    this option, please download the membership form, fill it out, and mail or bring it to the center.  

 

If you wish to use a credit card, but are having trouble navigating through this form, please contact contact the Membership Coordinator, Patricia Gustafson, at 425-286-1072 or patriciag@seniorservices.org to meet at the center to help you with the form.

 



 



 


 





 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 




 


 




 


 



 


Spouse/Partner's Information


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 



 


 




 


 




 


 



 


This information is optional. Please note this information is needed to qualify for certain grants and will NOT be shared.


 



 


 



 


 



 


 (The staff will make every effort to notify you prior to using your photograph).





of any kind to persons or property that might occur while participating in Northshore Senior Center activities.



 


One of the NSC’s Strategic Framework goals is to “contribute to and engage with the community, using the skills and strengths of seniors.” You are a vital resource, having untapped skills and expertise. Members and Volunteers fill important positions, leading classes and activities, and sharing their experience when they find the opportunities. Please share your knowledge and expertise by answering the questions below. This information will be treated confidentially. Thank you!


 




 


 



 


 




 


 




 


 




 


 




 


 




 


 



 


 



















 


 















 


Your Spouse/Partner's Volunteer Information


 




 


 



 


 




 


 




 


 




 


 




 


 




 


 



 


 



















 


 















 


Emergency Contact Information

 


 



 


 



 


 



 


 



 


 



 


 



 


Spouse/Partner Emergency Contact Information


 



 


 



 


 



 


 



 


 



 


 



 

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