HEAT Booster Scholarship Form
Thank you for your interest in Hudsonville Aquatics. The Heat Boosters have arranged for a number of scholarships throughout each year that will benefit those in need. If your school aged child receives free or reduced lunch, you can apply for a scholarship! This form will remain anonymous. You will be asked to provide some information, which will be confirmed by the Director of Aquatics and Hudsonville Public Schools. A representative from the HEAT Boosters will contact you about the amount of the scholarship and will work with the Aquatics Director to ensure you athlete is registered for the appropriate class, club or team. You will be asked to perform the minimum amount of volunteer hours during the season to qualify.
Date *
MM
/
DD
/
YYYY
Parent Name # 1 *
Your answer
Parent Name # 2 *
Your answer
Participant Name (first, middle, last) *
Your answer
Participant Birthday (MM/DD/YYYY) *
Your answer
Mailing Address (city, state, zip) *
Your answer
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Free or reduced lunch? *
Class/Club/Team you are registering for *
Please Initial below to approve the inquiry into allowing the aquatics director to contact the school district regarding the validity of this information. By initialing, you also will agree to fulfill a minimum of 10 volunteer hours for the HEAT program. These hours may be obtained at any HS, MS or HEAT event. *
Your answer
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