Congratulations on turning 100!!

Some of our Lake County Centenarians, recently featured in a story in Bridge

 

 

 

 

 

 

 

 

   

 

 

 

 

 

            

 

                  

                   

Centenarian Project

The Lake County Council on Aging seeks to honor all those residents
of Lake County who have turned 100 years old this year. By
completing the form below, the centenarian will receive a beautiful
Centenarian Certificate from the Council on Aging, along with name
and birthdate recognition in our quarterly newspaper, “Bridge."


Privacy Policy: In order to protect the identity of participants from
unwanted solicitation or contacts, we will only print the name, city and
birthdate of the centenarian. All other information you send to Council
on Aging will be kept confidential and is for use on a Centenarian
Certificate only.                         
 

* Required




Now tell us about yourself (the person submitting the form)