Membership Information Request

Thank you for your interest in becoming a Vibrant Member!

Membership Reminders:
- Applicants should live in West Orange County, FL.
- Applicants should be at least 55 years old. For Household Memberships, only the primary member must meet this age requirement.
- Applicants should be independently mobile, unless they will always be accompanied by a caregiver or attendant.
- Winter Garden/Ocoee programming has launched on September 8, 2025.
- Dr. Phillips programming begins early 2026.
- Vibrant Go Memberships will become available early 2026.

First name

Last name

Phone

Cell phone

Date of birth

Number

Street

City

State

Zip Code

Available Membership Options

Inaugural Member - Vibrant Social (Individual):$144.00 for 12 months ($12.00/mo if paid monthly)

Inaugural Member - Vibrant Social (Household):$240.00 for 12 months ($20.00/mo if paid monthly)

Inaugural Member- Vibrant Social-2 (Household):$240.00 for 12 months ($20.00/mo if paid monthly)

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.