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Swim Lesson Scholarship Application
We have a limited amount of DEI scholarships to give out for the summer. Please watch email for scholarship approval and information how to enroll.
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* Indicates required question
Swimmers Name(s) and age(s):
*
Your answer
Parents Name:
*
Your answer
Phone
*
Your answer
Email:
*
Your answer
This Application is For
*
Diversity Scholarships(Race/Ethnicity):
Required
If Diversity selected above please describe:
*
Your answer
Which of the following levels of assistance are you requesting?
*
50% assistance
Required
Please provide an explanation of your financial need
*
Your answer
How did you find out about our scholarship program?
*
Your answer
I acknowledge to be eligible for future scholarship opportunities, students must attend at least 80% of all scholarship-funded lessons
Parents Electronic Signature
*
Your answer
Date
*
MM
/
DD
/
YYYY
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