Senior Luncheon Registration Form 2025

Please use this form to register for the 2025 Senior Luncheon on October 20, 2025

Name(Required)
Are you 60 years old or older and a resident of Dayton, KY?(Required)
Do you want to receive a free flu shot at the event? (Flu shots provided by Kroger Pharmacy)(Required)
Do you want to receive a free Covid-19 shot at the event? (provided by Kroger Pharmacy)(Required)