= Required Fields

Online Form - Over 65s Social Outings Registration Form

Outing Criteria

Over 65 years old
A resident of the City of Vincent
Independently mobile without aids or assistance

Personal Details

I am responsible for bringing and administering personal medication and agree to inform the bus driver about any medical conditions that are likely to cause distress or discomfort during an outing.
I am responsible for maintaining my own safety and well-being during outings and will inform the bus driver about any accidents or incidents that occur.
I give consent for any photographs taken during outings to be used for publicity purposes.
I would like to be kept informed about other relevant local events.