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Your Information - Add as much information about yourself as you can in the boxes provided. If you are a couple, we need BOTH your first names. Use the comment box for any information that does not fit in the other boxes, or other information you would like to add.

Note: Boxes with a star are required. The Information Form will not send unless they are filled in.

First Name *

Last Name *

First Name *

Last Name *

Address *

Phone Number *

Cell Phone

E-mail (If you have one)

1. Are you a Senior at least 55 years of age & Retired? *

Yes

2. Marital Status? *

Married

Single

3. I/we understand that Lakewood Manor is a non-smoking and fragrance free environment. No pets allowed. *

Yes

4. Are you willing and able to volunteer? *

Yes

What or who attracted your interest in Lakewood Manor?

Other comments

Street

City

Postal

Lakewood Manor

Lakewood Manor is a Housing Co-operative. An active place for seniors 55+ to enjoy taking part in the every day social activities, maintenance and operation of the facility. There is always something to do, whether it's enjoying coffee with many of your neighbours in the lounge, working on a committee, or having fun at a card game or shuffle board.

Tuesday		9:00 - 11:00 a.m.
Thursday		9:00 - 11:00 a.m.

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Lakewood Manor Contact Info

Hours

Lakewood Manor

Our Location

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