Student Activities Fee Waiver
The money collected from the Student Activities fee supports the many student organizations/clubs on
campus, as well as academic, cultural, and social events and activities offered by the Associated Student
Government at BCC.
To waive the fee, complete the following and email the form to the Director of Student Life and
Development (Joann Garcia – jgarcia@barstow.edu) or the President of the Associated Student
Government (asg_president@barstow.edu).
Students must submit the waiver no later than the published fee payment deadline or within one week
of registering for classes if registering in late starting classes. The fee cannot be waived once paid or
after these deadlines.
Section I – Student’s Personal Information
B Number
Name
Email Address
Address
City
State
Zip
I understand by waiving the Student Activities fee, I will not be eligible to participate in many of the
academic, cultural, and social events and activities offered by the Associated Student Government. I
also waive my right to participate in election of Associated Student Government representatives and
officers.
Student Signature
Date
Section II – Acknowledgement from ASG (Signature from Director of Student Life and Development or
President of ASG required)
Signature
Date
Section III – A&R Use Only
Date form received
Student Registration Date
Activities Fee Paid: ___Yes ___No
Waiver Submitted Before Payment Deadline: ___Yes ___No
Late Starting Classes Only: Student Submitted Waiver Within One Week of Registration ___Yes ___No
Student Eligible for Waiver: ___Yes ___No