Online Gift Application

Lax Kw'alaams Band Gift 2024

Lax Kw’alaams Band members registered by the band on or before August 31, 2024 will receive a one-time gift of $500. The payment of gifts will start in December 2024. To apply on behalf of a minor (child under 18 years old), proof of custody may be required.


All fields must be complete using your full name as it appears on your status card, including middle name, as this information is used to verify your identity. To avoid processing delays, all fields must be answered completely by typing your answer into each field.




For any questions, please email: application@laxband.com


Deadline to apply: February 28, 2025

Applicant information

All fields must be complete, including middle name (if applicable). Use your legal name, as it appears on your status card.

If the applicant does not have a middle name, write N/A

Select Month

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Unit number, building number and street name OR post office box #

Example: Unit 123 - 6789 Example Street

OR: PO Box #999

Or name of community

Or state

Or Zip Code

Type the main applicants legal name here.



Providing false information in this form may result in legal action initiated by the Lax Kw’alaams Band

Spouse and/or Dependent(s)

All fields must be complete, including middle name (if applicable). Use the legal name of the spouse/ dependent, as it appears on their status card. All applicants must be Lax Kw’alaams members.

Spouse/Dependent 1

Select or enter value
Caret IconCaret symbol

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 2

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 3

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 4

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 5

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 6

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 7

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Dependent 8

If the applicant does not have a middle name, write N/A

Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol
Select or enter value
Caret IconCaret symbol

Complete a second completed copy of this form for additional dependents.


For any questions, please email: application@laxband.com

Example: Custody settlement agreements, banking, etc

Drag and drop files here or
Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse