Blue Crush Aquatic Club Financial Aid Application
Provide your and your athlete’s details, describe your financial need, and submit your requested assistance amount with electronic signatures.
Confidentiality Notice
Applications are reviewed only by the Blue Crush Executive Committee. All information provided will be kept strictly confidential.
Parent or Guardian Full Name
*
First Name
Last Name
Parent or Guardian Email Address
*
example@example.com
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Athlete Full Name
*
First Name
Last Name
Athlete Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sport
*
Swimming
Water Polo
Training Group
*
Type of Request
*
Monthly Dues Assistance
Athlete Travel Assistance
Describe your household circumstances and financial need
*
Requested Assistance Percentage
*
25% off monthly dues
50% off monthly dues
75% off monthly dues
Athlete Statement: What does Blue Crush mean to you?
*
I acknowledge the requirement for 35 volunteer hours and that my athlete must remain in good standing with Blue Crush Aquatic Club.
Electronic Signature
*
Submit Application
Submit Application
Should be Empty: