Due to Covid-19 all our Seniors Classes are now held on Zoom Join our daily shiurim at 10:00am Zoom Meeting ID: 701 758 0458 Save Follow this link to join the daily Zoom Meetings https://zoom.us/j/7017580458 You can also join by phone by dialing +27 87 551 7702 and inserting the Meeting ID

• Name First Last
• Age (optional)

• Gender Male Female
• Address

  Street Address

  Address Line 2

  City

  State / Province / Region

  Postal / Zip Code

  Country

   
• Do you live in a Senior Facility/Assisted Living Care? Yes No
• Name of Senior Center

• Room #:

• Home Phone - (###) - ### ####
• Cell Phone - (###) - ### ####
• Email

• Volunteer Preferences

• Would you like a volunteer to visit you? Yes No
• How often would you like this person to come visit you? Once a week Twice a month Other
• Please specify

• What day of the week would be most convenient for a visitation?

• What time of the day is best for you?

• Would you prefer a volunteer that is Male Female No preferenceWould you enjoy visits that include children?
  
  Thank you for your support!
  
  Account #: 62457937989. Branch code: 250-655 (FNB Balfour Park).
  Donate easily by Credit Card following this link:
  www.walletdoc.com/pay/ChabadSeniors