National Centenarian Awareness Project: Future Centenarian Registry

Our Future Centenarian Network is a national registry database of 90 to 99 year olds. Please fill out the form below and tell us about your future centenarian.

Privacy Policy: Signing up a centenarian is completely safe. Names in the national registry are kept confidential, unless specific permission is given by the centenarian and/or family member on a case by case basis, in order to protect the identity of participants from unwanted solicitation or contacts.

Contact Lynn Peters Adler, J.D.
Email: Adler@NCAP100s.org

Or simply fill out the following form
and click SEND!

All information given to the National Centenarian Awareness Project is kept strictly confidential.

Items marked with an * are required

*Your name

*Email

*Name of 90 to 99 year old

*Birthdate of 90 to 99 year old

*Address of 90 to 99 year old

*Relationship (son, daughter, grandson, friend, neighbor, etc...)

*Your telephone number

Your address

City, State, Country, Zip Code

Comments or additional information about your future centenarian

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1998-2018 National Centenarian Awareness Project & Lynn Peters Adler, J.D.
No material, in whole or in part, may be reprinted or reproduced in any form without the prior written permission of Lynn Peters Adler and the National Centenarian Awareness Project.