Carteret, MT · Middlesex County
Senior Citizen Registration Form
Carteret residents use this form to register for the Office on Aging program and provide personal, emergency contact, and health information.
What this form is
The form collects registration and statistical information, including contact details, date of birth, transportation, and interest in volunteering. It also includes a medical emergency form for health concerns and emergency contacts, plus a hold harmless and indemnification agreement related to participation in Office on Aging programs. The document does not state when registration is required.
Who needs it
Carteret residents seeking to register for an Office on Aging program should complete the registration and medical emergency sections.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the participant signs and dates the registration and the hold harmless agreement.
How to submit this form
- 1
Download The Form
Download the Senior Citizen Registration Form PDF.
- 2
Complete The Form
Fill in the registration, statistical, medical emergency, and emergency contact information requested.
- 3
Sign And Date
Sign and date the registration and hold harmless agreement.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Senior Citizen Registration Form request?
- It requests personal and contact information, statistical details, emergency contacts, health information, and interest in volunteering for the Carteret Senior Program.
- Do I need a notary for the Senior Citizen Registration Form?
- No. This document is signed without a notary; the participant signs and dates the registration and the hold harmless agreement.
- How do I submit the Senior Citizen Registration Form?
- Submit it to the city department named on the form; check the city website for current contact details.