Serenity Park Adult Family Home
9124 NE 152nd Place, Kenmore, WA 98028
Tel: 425-806-0759   Mobile: 206-355-9311   Fax: 425-487-8930
Email: rada@serenitypark.net
Serenity Park
Your Adult Family Home

When someone you love can
No longer live alone
Senior Housing | Adult Family | Serenity Park
Please complete and submit the following form. A Serenity Park representative will contact you within 24 hrs.
Thank you.

Resident Full Name*
Contact Person Full Name*
Phone Number *
Mobile Number
Email Address
Resident Gender*
 Male Female
Resident Age*
Special Needs
(your additional comments)
Security Key*
  (Capital Letters)