Castleknock Community Centre Laurel Lodge Eir Code D15T3PN
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You can download and print the SAS form directly from here and send back directly to the community centre. 
Please be sure to read the attached flyer below for all information. 

If you have any further queries please fill in the link at the bottom of the page and we will get back to you in due course. 
pobal_seniors_alert_scheme.pdf
File Size: 70 kb
File Type: pdf
Download File

    Seniors Alert Scheme Participant Application Form

    [object Object]
    If (YES) To Question 1 Please state the Year & Further details on Prevequipment received to be included in box below
    SAS ELIGIBILITY ASSESSMENT 
    Question 3 Type of Equipment Sought (One Option Only)
    ​
    Note, A connection is preferable as wireless modems are not reliable for SAS personal alarms 
Submit
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​01 8200968