Become a Member

Welcome!

To be a Villages Member, you must be 55 or older. Younger folks are welcome to join as Volunteers! Part of creating a Village is building community among neighbors of all ages.

To enroll as a Member, you may use the online form below, or if you prefer we can send or email you the Membership Enrollment Form.

After you complete your Enrollment Form, we will send you a signature page and share more information about the Villages.

If you have any questions or need assistance, please contact Villages Program Manager Maria Glanz at (206) 929-0823 or [email protected].

First name

Last name

Phone

Cell phone

Date of birth

Marital status

Gender

Ethnicity

Number

Street

City

State

Zip Code

Available Membership Options

Individual - renews on birthday: $0.00 for 12 months

Dual: $0.00 for 12 months

Household: $0.00 for 12 months

First emergency contact name

First emergency contact cell phone

First emergency contact phone

First emergency contact email

First emergency contact address

First emergency contact relationship

First pet species

First pet breed

First pet name

First pet date of birth

Mobility issues

Special needs

Employment status

Occupation

How long have you lived in the district

Your interests what do you love doing

Special expertise

How did you hear about us

What interested becoming member

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for your interest and we will be in touch with you very soon!