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PARCR Community Registration

2026-2027 Applicaton for Membership

$ 90 Retirement Community Membership

Name of Retirement Community

CommunityAddress

Community Phone

Website

Council or Association President

Pres First name

Pres Last name

Pres Address

Pres Email

Pres Phone

Term of Office

Laison Information

No1 First name

No1 Last name

No1 Address

No1 Phone

No1 Email

No2 First name

No2 Last name

No2 Address

No2 Phone

No2 Email

Number of Residents

Number of Independent Living Residents

Number of Skilled Care Residents

Number of Assisted Living Residents

Number of Memory Care Residents

Title

Authorization

Submitted By

Email

Date Submitted * required

Thanks for registering.

Write Us

PARCR

admin@parcr.org

PARCR Operations Director

PO Box 7455

York, PA 17404

© 2026 by Pennsylvania Alliance of Retirement Community Residents

Thanks for submitting!

Membership Information

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