• Hearing screening
  • Dental screening
  • General health screenings
  • Health care resources & living-well guides
  • Direct connections to local health care providers

Location: Shorefront YM-YWHA, 3300 Coney Island Ave, Brooklyn, NY 11235
Date: June 3rd,
Time: 12 - 3 PM

Personal Information



I hereby grant permission, without reservation, to the Shorefront YM-YWHA and the United Jewish Appeal-Federation of Jewish Philanthropies of New York Inc. (UJA-Federation) and those authorized by the Shorefront YM-YWHA and UJA-Federation, to take photographs and make recordings of me to use in original or modified forms of all media now or hereafter known, with or without our names or information about us, for the promotion, public education, and/or fundraising activities of both organizations. I understand and agree that I am entitled to receive no compensation for the above.

I release the Shorefront YM-YWHA and UJA-Federation, its officers, directors, agents, employees, independent contractors, licensees and assignees from all claims that I now have or may have in the future, in relation to the above.

I agree that the Shorefront YM-YWHA and UJA-Federation will be the sole owners of all tangible rights to the above mentioned photographs and recordings, with full power of disposition.

*** Photos may be used on the Shorefront Y website, in social media and in print advertisements.

I understand that participation in educational and recreational programs for seniors, trips, and events may involve physical activities and social interactions that carry some inherent risks.

I am responsible for assessing my own health, physical condition, and limitations.
I will consult my healthcare provider if I have concerns about participating.
I will follow safety instructions provided by Shorefront YM-YWHA staff.
I understand that Shorefront YM-YWHA, its staff, and volunteers are not liable for injuries, accidents, or medical conditions that may occur.


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