Get 2012 Chandler Centennial Centenarian Celebration Application

This guide provides clear and supportive instructions for filling out the 2012 Chandler Centennial Centenarian Celebration Application online. By following these steps, you will ensure that all necessary information is accurately provided for the recognition of Centenarians in Chandler.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the application and open it in the document editor.
2. Enter the Centenarian's full name in the designated field to ensure accurate recognition.
3. Provide the birthdate of the Centenarian to verify their eligibility for the celebration.
4. Fill in the Centenarian's address, including the city and zip code, to confirm their primary residence in Chandler.
5. Indicate the age of the Centenarian to confirm they are 100 years of age or older during the qualification period.
6. Select the gender of the Centenarian by checking the appropriate box.
7. Provide the name and contact phone number of a responsible relative or family member for communication purposes.
8. Enter an email address for correspondence about the application.
9. Express interest in any of the following activities by checking the appropriate boxes: being interviewed, attending the State's Centenarian Luncheon, or attending the City's featured Centenarian Event.
10. Grant permission for the City of Chandler by checking the boxes for any of the following: use of name and birthdate, use of pictures, use of biographical story, or providing contact information to media outlets.
11. Print your name in the designated field to confirm the application.
12. Include the date when filling out the application.
13. Provide your signature to authenticate the application.
14. Once all fields are completed, save your changes or download the application. You can then print it or share it as needed.

Complete your application online to ensure quick recognition for our beloved Centenarians.