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Centenarian Certificate Request

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.

Request for Centenarian Certificate

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