Forms

Fitness Program Participant Disclaimer Form

This form is required to take part in any form of exercise at the Senior Center.  It is a disclaimer that releases the Town of South Hadley from liability and responsibility from any and all injury or damage which may be sustained by participating in the exercise programs.  Please note participants should always consult a personal physician or healthcare provider before starting a fitness program.

Emergency Contact Form 

This form is required to take part in any form of exercise at the Senior Center. The form must be renewed annually.
 

Cable Discount Form


This form is for those 63 and over. There will be a 2% reduction on basic service. You need a copy of your driver’s license or birth certificate and a utility or tax bill to prove your age and residence. These copies must accompany the application form.