Swim Raffle Entry
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  • FREE! SWIM LESSON & SPLASH PASS RAFFLE ENTRY FORM

  • Registration and proof of income due Thursday, April 30. Please allow enough time to get your household information to us by then, if you haven't already completed the eligibility process.

    Children listed must reside within your home at least 50% of the time and within the city limits to be eligible for the drawing. Families who do not reside within city limits will receive a letter qualifying them for reduced nonresident rates. Household income will be verified by AWARE. Please select their preference for Punch Card or Lessons. The Punch Card is good for 10 free admissions to the pool this summer; the Lessons are good for one two-week session of lessons. Please list only those children who would make use of the free services.

  • Format: (000) 000-0000.
  • Would this child prefer free swim lessons or a free punch card?*
  • Would this child prefer free swim lessons or a free punch card?
  • Would this child prefer free swim lessons or a free punch card?
  • Would this child prefer free swim lessons or a free punch card?
  • Would this child prefer free swim lessons or a free punch card?
  • Would this child prefer free swim lessons or a free punch card?
  • Late entries will receive a letter qualifying them for reduced rates at the pool this summer. Families who do not reside within the city limits will receive a letter qualifying them for reduced nonresident rates.

    Submit this form and proof of income to AWARE by Thursday, April 30, to enter. By email: aware@community-action.org By text: 608-295-9837 Call us with questions: 608-882-9900.

  • City of Evansville, WI, logo
  • AWARE in Evansville logo and United Way Blackhawk Region Funded Partner logo
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