Forms

Donation Form The Senior Center relies heavily upon donations and is appreciative of the very generous donors. If you are interested in making a donation please fill out and return this form to the Senior Center.

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.  Waiver of Services Provided

Fitness Center Orientation Guide This is a quick reference guide outlining the rules & regulations for use of the Maurice "Fitz" & Margaret Fitzgerald Memorial Fitness Center. For more information click here.  

Fitness Center Application  This application must be filled out in its entirety and submitted to the Director for approval.  Applicants will be scheduled for an orientation prior to use of the Fitness Center.  For the application click here.

Lock Box Application (District #1)  Residential Emergency Lock Box Program through TRIAD Council enables seniors to have an emergency lock box that holds their house key.   The lock box is installed by the Fire Department who also hold the Master Key.  Return completed application and payment to Senior Center.  For more information click here.

Lock Box Application (District #2) Residential Emergency Lock Box Program through TRIAD Council enables seniors to have an emergency lock box that holds their house key.   The lock box is installed by the Fire Department who also hold the Master Key.  Return completed application and payment to Senior Center.  For more information click here.

My Senior Center Sign Up Form  My Senior Center Sign Up form is for participants to fill out & submit to the Senior Center office to obtain a Swipe Card in order to swipe in at any of the My Senior Center kiosks located in the building.  The My Senior Center system is what calculates our usage figures each year and it's very important to capture all types of usage in order to obtain the necessary grant funding that allows us to operate. To obtain the sign up form click here.

Volunteer Application (COA)  Our Senior Center offers a wide variety of volunteer opportunities and we are very fortunate to have so many loyal volunteers.  If you have some time to offer please consider volunteering at our center.  For application click here.