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.)

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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 703-324-7210, 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.
 
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People With Disabilities    Will you need a reasonable ADA accommodation?


 
ElderLink
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
Website: http://www.fairfaxcounty.gov/dfs/olderadultservices/



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**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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