Welcome to the Center for Successful Aging
Pre-Activity Screening Forms
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Forms can be requested via the site's Online Contact Form or you can download the required forms for the specific program you are registering for.
 
Forms for the Balance & Mobility Training Program:
  List Item Health Activity Questionnaire
  List Item Balance & Mobility Training Program Medical Release Form
  List Item Balance & Mobility Training Program Informed Consent
  List Item Center for Successful Aging Performance Release

   

Forms for the Senior Fitness Program:
  List Item Health Activity Questionnaire
  List Item Senior Fitness Medical Release Form
  arrow Senior Fitness Informed Consent
  List Item Center for Successful Aging Performance Release

   

Forms for the 3P's (Power, Plyometrics, Pilates):
  List Item Health Activity Questionnaire
  arrow 3P's Medical Release Form
  arrow 3P's Informed Consent
  List Item Center for Successful Aging Performance Release

   

Forms for the Yoga:
  List Item Health Activity Questionnaire
  List Item Yoga Medical Release Form
  List Item Yoga Informed Consent
  List Item Center for Successful Aging Performance Release

   

Forms for the Total Body Conditioning:
  List Item Health Activity Questionnaire
  List Item Total Body Conditioning Medical Release Form
  arrow Total Body Conditioning Informed Consent
  List Item Center for Successful Aging Performance Release

   

Forms Submission
The completed forms can be mailed to the following address:
   Center for Successful Aging
800 N. State College Blvd.,KHS 241
Fullerton, CA 92831-3599
    

   

 
 
 
 
 
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