Western Assemblies Home
Forms










The following forms are required for application to the Home. When they are complete, please send them to:


Administrator
Western Assemblies Home
350 Berkeley Avenue
Claremont, CA  91711


Resident Application

Admission Agreement


If you have any questions, please feel free to contact the Administrator at (909) 626-3711.





350 Berkeley Avenue  Claremont, CA  91711  Phone (909) 626-3711
Facility Number 191502342