Create a Free Account so you can register for any of our great events!
This form is used to collect information required by the DC Department of Aging and Community Living (DACL). Collecting this information is a condition of our DACL grant which provides funding for this program. DC residents aged 60+ are eligible to create an account. If you have any questions about this form, please contact Around Town DC's intake coordinator, Andrew Miller, at email@example.com.
Password must contain at least 8 characters.
The following questions ask for basic demographics information required by DACL. Please check all that apply and note that Refused is an option.