Hebron Community Calendar

July 2024

Sun Mon Tue Wed Thu Fri Sat
1
2
  • Food Share Van - Red…
  • Zoning Board of Appe…
3
4
  • All Town Offices and…
  • Celebrate July 4th -…
5
6
7
8
9
10
  • Public Building Comm…
  • CANCELLED Charter Re…
11
12
13
14
15
16
  • Food Share Van - Red…
17
18
19
20
21
22
  • Democratic Town Comm…
  • Republican Town Comm…
23
24
25
  • Hebron Board of Educ…
  • Board of Finance
  • Hebron Green Committ…
26
27
28
29
30
  • Food Share Van - Red…
  • Chatham Health Distr…
31
Upcoming Events

Tips for Completion of the Russell Mercier Senior Center Registration Form

Tips for Completion of Form 5- Consumer Registration Form
I. SAMS Details- Personal
f. SSN- This form requests the last four digits of your Social Security
number only; if you wish, you may choose to enter four zeroes
g. Default Agency- Enter NCAAA (North Central Area Agency on
Aging)
IV. Assessment Form- Demographics (continued)
d. Income- You may choose to check “Unknown”
Please be sure to sign the Form 5- Consumer Registration Form, where indicated.
Supplement to Form 5- Consumer Registration form:
Medical Conditions: If none, please check “None”
Allergies: If none, please check “None”
This information is collected for reporting to our current and future funding
sources and is useful for the Senior Center to have, especially during an
emergency.