LAC Financial Assistance Application
Application to reduce or defer membership dues during financial hardship.
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Email *
To apply for Financial Assistance, a Parent or Legal Guardian must submit this application. Be prepared to supply supporting documentation of hardship such as Application for unemployment benefits, furlough documentation, release/notification paperwork from employer, etc. The request will be considered by a sub-committee of the Board of Directors within 2 weeks of submittal. You will be notified of the decision by the Operations Manager.  Re-application will be required for further consideration after terms of assistance have expired. *
Required
Enter your first and last name: *
Enter your swimmer(s) names and roster groups: *
What is your current address? *
What is best daytime contact phone number? *
How many years have your swimmer(s) been active in swimming? *
How many years have your swimmer(s) been active in swimming with LAC? *
What type of assistance are you requesting? *
Required
Are you willing and/or able to offset reduced dues with more volunteer hours?   *
Describe in detail the hardship that has caused this request for financial assistance (please email supporting documentation to michelle.johnson@swimlac.org): *
Please include any additional information here.
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