Required fields are marked with asterisks (*)

Help shape the next Age Friendly Action Plan

The City of Waterloo is developing its next Age-friendly Action Plan, 2027-2030, and we want to hear from you.

Your input helps shape decisions about future programs, services and funding.

Full name

Phone number

Which community engagement session do you plan on attending?

June 10, from 6 to 8:30 p.m. WMRC, Community Pavilion, Community Room (floor 2)

June 22, from 1 to 3:30 p.m. RIM Park, room 207-208

June 24, from 9:30 a.m. to 12 p.m. WMRC, Community Pavilion, Community Room (floor 2)

Where did you learn about this engagement session?

Do you have any dietary needs?

Do you need support to participate?

Do you wish to receive an honorarium?

Yes

Do you wish to receive GRT transit fare reimbursement of $6 for 2 trips?

Yes

Do you wish to receive a reimbursement for caregiving costs?

Yes

Forms