WAY respects your privacy and personal information collected on this form will only be used for the purpose(s) indicated on the form. Access to the personal information will be limited to those who require it for program or administrative purposes. Requests for access to information about yourself in the custody or control of WAY may be directed to info@weareyoung.ca. Any privacy inquiries or concerns regarding personal information collected, used, or disclosed by WAY or requests for a copy of our Privacy Policy, may be directed to info@weareyoung.ca.

WISH APPLICATION FORM
* Please note: For a wish application to be accepted, wish applicants must be 70 years of age and living within Nova Scotia, Canada.
By submitting this Wish, I acknowledge the acceptance of this application by We Are Young Association does not constitute a commitment by We Are Young Association to fulfill my wish request. If We Are Young Association determines that this wish should enter the next stage of the wish process, a We Are Young Association representative will contact me for more information. I understand that this contact also does not constitute a commitment to grant my wish. Furthermore, I certify that I meet all qualifications for eligibility, and declare that all of the information given by me in this application is true to the best of my knowledge, and I agree to inform We Are Young Association in a timely manner should any information provided in this application change.