Online Registration for Fairfax County's Independent Living Project

Please Complete this Online Registration Form to Attend

Fairfax County's Independent Living Project

(Preregistration is required.)


Also, print and fill out these two forms and bring them with you to the first session:

(To view PDF files, Adobe Acrobat Reader must be installed on your computer.   Download a FREE copy now.)

The current session is full. Please call 703-324-7721, TTY 711, about future sessions.

Attendee Contact Information
Please enter your name.
                                Please give us either your e-mail address or telephone number
so that we may contact you if necessary.

People With Disabilities    Will you need a reasonable ADA accommodation?

Fairfax Area Agency on Aging
Fairfax County Department of Family Services
12011 Government Center Parkway, Suite 708
Fairfax, Virginia 22035-1104
703-324-5374, TTY 711

Aging Information Specialists: 703-324-7948
Toll-Free: 1-866-503-0217
TTY: 711 | Fax: 703-449-8689
E-mail: Fairfax Area Agency on Aging

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Web Privacy Policy

**Weather Policy - If Fairfax County Government is closed
on the day of your session, your session will be cancelled.

Contact Fairfax County: Phone, Email or Twitter | Main Address: 12000 Government Center Parkway, Fairfax, VA 22035
Technical Questions: Web Administrator

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