PO Box 416 • 30 Wellness Way • Sparta, NC 28675

Welcome to our family!

Registration Form

Section 1:Required for all clients

This short Form of the DAAS-101 Client Registration Form may only be used to register congregate meal and transportation clients. Complete all applicable information below.

HCCBG congregate nutrition (180), NSIP-only congregate meals (181), congregate liquid nutritional supplements(182) - complete Sections 1, 2, and 7 only.
HCCBG general (250) or medical (033) transportation - complete sections 1 and 7 only.

[form id="443" /]

Our Mission

The mission of Alleghany County Council on aging (ACOA) is to promote the well being of Alleghany County’s older adults by supporting services and activities which are intended to enhance their dignity, support their involvement in and with our community.

PO Box 416 • 30 Wellness Way • Sparta, NC 28675

(336) 372-4640