Waiver Form

Waiver Form Application
Hello and Welcome!

If you can't afford some of CANE's activites, fill out this form to recieve a waiver.
Name*

First NameLast Name
Email*
example@example.com
Which option best fits your situation?

student (age 16-18)senior citizen (65+)low-income individualhealth care workerlibrarianeducatorOther
**Please note: things like proof of employement, photo IDs (with non-essential information covered), and proof of low-income may be requested to verify the above information.**
What are you trying to receive a waiver for?
Ex: membership fee, workshop, etc.
Please verify that you are human*
Should be Empty:

Waiver Form Application