Discount Program at Waring Senior Center Cafe Question Title * 1. Do you want to participate in the discount program at Waring Senior Center Cafe? If yes, your contact information will be shared with the Trident Area Agency on Aging, who will be contacting you to complete the wellness assessment. Yes No Other (please specify) OK Question Title * 2. Your membership is with which senior center? Lowcountry Senior Center Waring Senior Center Both Currently not a member OK Question Title * 3. Would you like more information about membership to either Waring Senior Center (West Ashley) or Lowcountry Senior Center (James Island)? Yes, Waring Senior Center (West Ashley) Yes, Lowcountry Senior Center (James Island) Yes, Both senior centers No OK Question Title * 4. Would you like more information about our scholarship program to assist with membership fees? Yes No OK Question Title * 5. Please provide your contact information below. Name Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number OK DONE