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Untuck Community CollegeREGISTRATION FORM Senior Waiver ProgramPlease return this form and copy of proof of age & residency to: Registrars Office Fax: 8602533016 170 Elm Street Include the words Senior
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Obtain a copy of the registration form senior waiver.
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Fill out your personal information, including name, address, and contact information.
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Who needs registration form senior waiver?

01
Seniors who wish to participate in activities or programs that require a waiver.
02
Caregivers or family members who are responsible for enrolling seniors in certain programs.
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Registration form senior waiver is a form that allows senior citizens to waive certain registration fees for specific services or programs.
Senior citizens who meet the age and income requirements set by the program are required to file the registration form senior waiver.
To fill out the registration form senior waiver, individuals must provide personal information, income details, and sign the waiver agreement.
The purpose of registration form senior waiver is to provide financial assistance to senior citizens by waiving certain registration fees for services or programs.
Information such as personal details, income, and the services/programs for which the waiver is requested must be reported on the registration form senior waiver.
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