Bee Happy 4 Odin Swim Lesson Scholarship Form

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We believe that every child deserves the chance to learn how to swim - not just for fun, but for safety and confidence in and around the water. The Bee Happy 4 Odin Swim Lesson Scholarship Program is designed to provide assistance to families who may not otherwise be able to afford survival swim instruction. Scholarships are awarded based on financial need and available funding.

Please complete the application below to be considered. All information will be kept confidential and used solely for the purposes of determining scholarship eligibility.

Child's Full Name:
(Please list all children for which you are applying) *

Child's Date of Birth (month/date/year)

(Please list all children for which you are applying) :

Gender (Optional):

Male

Female

Clear selection

Has your child had swim lessons before? *

Yes

Other:

If yes, when and where? *

Parent/Guardian Name: *

Relationship to child: *

Phone Number: *

Email Address: *

Home City:

Number of people in household: *

Annual Household Income (before taxes): *

Under $40,000

$40,001-$60,000

$60,000 - $80,000

Prefer not to say

Briefly explain your need for a scholarship: *

Are you willing to travel to Tempe, AZ for swim lessons? *

Yes

Submit

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