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Guest Registration for Senior Program: Insight - Insight: A low vision support group

Code	Activity	Ages	Grades	Days	Dates/Times	Location	Fees
	Insight: A low vision support group	60y - 105y	N/A	Wed	01/21/2026 10:00 AM - 12:00 PM	Joseph Trapasso Community House - Montowese Room - 2nd Floor	$0.00 Res

Participant Information

*First Name	*Last Name
		I am a Resident of Branford, CT I am NOT a Resident of Branford, CT

*Birth Date	Grade	Gender
(mm/dd/yyyy)

* Do you need transportation from your home to the Senior Center for this program? (must have been evaluated by Tim)