Scholarship Application Scholarship Application Use this form to Apply for a scholarship to participate in our program. General program information / requirements: Child must be able to swim to participate in program. A swim test is given a the start of class. Life Jacket and shoes are required while on boats. Life Jackets will be provided. Parent/Gaurdian Name* First Last Student Name* First Last Age of Student Parent Phone*Home Address* Street Address City State / Province / Region ZIP / Postal Code Parent e-mail* Reason for Requesting Scholarship*
