2021 BSA Scout Scholarship Application
Welcome! Family Dive Club is awarding eight 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 one 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 $35.00 application fee, a 30 second to one minute video, 2 recommendation 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.
Scout's full name *
Scout's cell number
Scout's Home Address *
Date of Birth *
Current School *
Current Grade *
Scout wishes to attend which Scuba Camp Session? *
Troop Number *
Troop Leader's name *
Troop Leader's cell number *
Troop Leader's email address *
Scout's Weight *
Scout's Height *
Rank Scout's level of comfort in the water. *
Guardian 1 Name *
Guardian 1 cell number *
Guardian 1 email address *
Guardian 2 Name
Guardian 2 cell number
Guardian 2 email address
Would you be able to attend camp without the scholarship? *
What is your preferred method of paying the $35.00 application fee? *
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