Boy Scout Scholarship Application
Welcome! Family Dive Club is awarding six Boy Scouts the unique opportunity to attend Scuba Camp, to earn a PADI Open Water Certification and to earn a BSA Scuba Merit Badge. This form is only part of the application process and will allow us to begin to get to know you. Your application is not complete until all 6 required parts to the application process are submitted including the $25.00 application fee, a 30 second to one minute video, 2 rec letters, and a recent report card. For complete information about the scholarship process, please reference the Boy Scout tab on our website at www.familydiveclub.com. Also be assured that your personal information will never be shared or sold.
SCUBA SCOUTS
Scout's full name *
Your answer
Scout's cell number *
Your answer
Scout's Home Address *
Your answer
Date of Birth *
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Current School *
Your answer
Current Grade *
Your answer
Scout wishes to attend which Scuba Camp Session?
Troop Number *
Your answer
Troop Leader's name *
Your answer
Troop Leader's cell number *
Your answer
Troop Leader's email address *
Your answer
Scout's Weight *
Your answer
Scout's Height *
Your answer
Rank Scout's level of comfort in the water. *
Guardian 1 Name *
Your answer
Guardian 1 cell number *
Your answer
Guardian 1 email address *
Your answer
Guardian 2 Name
Your answer
Guardian 2 cell number
Your answer
Guardian 2 email address
Your answer
Would you be able to attend camp without the scholarship? *
What is your preferred method of paying the $25.00 application fee?
Submit
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