Seniors Directory
Please enter your complete information in one of the forms below.

Seniors Directory Data Entry
(with a valid Email Address)

Please fill out the following form to add your information to the Seniors Directory.
Disclaimer: The information you enter below will be saved in a secure database and used only for mailing news and information of general interest. You have our assurance that your information will remain confidential. We will not divulge your email address or telephone number to any third-party. Any communications sent to you will be to inform you about the events and happenings in the community and occasionally, general information.
Your Name and the Name of Your Spouse/Partner
(Please fill separate forms for each with their own email addresses)

Emergency Contact(s): Please provide at least one contact, and preferably, the mobile phone number
Your Interests: Select all that apply. Add other interests below.
Referred By - Name and Contact of the Indo-Canadian Organization that referred you here
Yes, By clicking the button below, I am confirming that I would like to receive emails about, and to be contacted for the purpose of, information regarding seniors' programs and activities.