Annual Membership dues are now being accepted in the office or by mail.

2008 Dues; Resident ($6.00),
Non-resident ($7.00).

Your dues support activities at YOUR Center.
Membership is open to Fairport Harbor or surrounding area residents who are 55 or older.
Center classes are open to anyone, including those under age 55.
Evening Classes: All evening classes are open to all Fairport residents and those living in surrounding areas.
If you are not 55 but your spouse is, you may join the Center.

Membership Form

PLEASE FILL OUT AND MAIL

WITH YOUR CHECK TO:
FAIRPORT SENIOR CENTER
1380 EAST STREET
FAIRPORT HARBOR, OHIO 44077

MEMBERSHIP FORM

DATE_______________

NAME______________________________________PHONE #___________________

ADDRESS___________________________________CITY_______________________

BIRTHDATE_____________________ANNIVERSARY DATE___________________

IN CASE OF EMERGENCY, WHO SHOULD WE NOTIFY?

NAME_____________________________________PHONE #____________________

PHYSICIAN_________________________________PHONE#_____________________

MEDICATIONS__________________________________________________________

ALLERGIES_____________________________________________________________

INTERESTS, HOBBIES, TALENTS__________________________________________