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Online Membership Application

Please complete the form at the bottom of this page to become an SSC member. Once you have submitted this online application, you will be directed to submit payment through PayPal.  Scholarships are available for anyone who cannot afford the fees. Please call us to discuss  at 203-977-5151.

Prefer a Paper Application and/or Check?

Applying on Paper

If you would rather fill out a paper application, then you can download the PDF here (or this one in Spanish).

Then mail the completed application to us, stop by in person to drop it off, or email it to gcompolattaro@stamfordct.gov.

Paying by Check

If you prefer to write a check rather than pay online, you can still complete the online application. Then mail the check to us or stop by in person to drop it off. We are located at:

The Stamford Senior Center
888 Washington Blvd.
Stamford, CT 06901

Collage of Stamford Senior Center members

Membership Application

Name(Required)
Address(Required)
Date of Birth(Required)
Gender(Required)
Race/Ethnicity(Required)

Emergency Contacts

Media Release

We commonly take photos or video of SSC classes and events. Members who participate should know that their likeness might be used. If you object to your photo being used, please let us know and we will do our best to keep you out of the photo.

Annual Membership Dues

Silver membership includes Lifelong Learning & Enrichment programs plus select fitness classes. Other fitness classes are $2 per class. Gold Membership includes all of the above plus all other fitness classes for free.
Which Membership Would You Like?(Required)

When you click "submit" at the end of this form, you will be taken to a PayPal page to pay your dues.

If you prefer to write a check, please make check payable to: The Stamford Senior Center

Mail to: Stamford Senior Center, 888 Washington Blvd., 2nd Floor, Stamford, CT 06901

Would You Like to Make a Donation?

As a 501(c)3 not-for-profit organization, the Stamford Senior Center counts on the generous support of individuals to help support all the programs we offer. Would you like to make a donation with your membership fee?
Yes, I'd Like to Donate...

Assumption of Liability

I hereby release, waive, discharge and covenant not to sue The Stamford Senior Center, any of its officers, directors, employees, contracted instructors and volunteers, and agree to hold each of them harmless from and as to any and all liability, losses, damages or costs of any kind or of any nature, including any related to COVID-19, that are caused by, result from or are related in any way to my participation in any activities at or sponsored by The Stamford Senior Center.

Agreement of Participant

My digital signature below confirms that I have read and agree to follow the SSC Membership Guidelines and that I agree to the Assumption of Liability above.
Date(Required)