CELEBRATING OUR CENTENARIANS

(People who have lived 100 years or more)

Celebrating Our Centenarians is designed to recognize our Kern County citizens who reach the age of 100 years or more.

Individuals, organizations and care facilities can request recognition from the COA for individuals who have reached the 100 year or more milestone.

No less than 60 days prior to the 100 birthday.

We ask that a brief biography of the individual be included with the request.

A Certificate of Recognition will be presented to the individual (or by mail, if preferred) by a member of the Commission on Aging.

A photo and a brief bio will be posted on the Commission’s website only with the expressed permission of the centenarian or representative.

Please check that you agree before continuing.

By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.

Name of Centenarian

Date of Birth

Current Address

Preferred Date to Receive Certificate

Any Biographical Information

Other Information (Communication / Language Barriers)

Contact Person Name

Contact Person's Email Address

Contact Person's Phone Number

Print Signature