Kidz Aquatic, LLC Scholarship Application

Kidz Aquatic, LLC Scholarship Application
Kidz Aquatic, LLC Scholarship Application

It is the policy of Kidz Aquatic Program to make program opportunities available to all interested people, regardless of income. We provide scholarships to those who might not otherwise be able to participate. Scholarships may be granted for up to 100%, 75%,50% 25% of the class fee depending on individual circumstances. All information will remain confidential. To be eligible for a scholarship you must show financial need. Scholarship applications must be approved before registration. Please write in the box below why you should be awarded a scholarship include a brief description of your personal circumstances that make this necessary.

Please print clearly so we can read. Otherwise, we will not be able to consider your application.
Parent(s) Name(s)*
Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number*

Area CodePhone Number
Cell Number*

Area CodePhone Number
Work Number

Area CodePhone Number

I certify that the above information is correct to the best of my knowledge. I understand that any additional fees (i.e., registration fee, equipment) are my responsibility.
Signature*

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Date*

MonthDayYear
Thank You! For your interest in the Kidz Aquatic JK Scholarship, we will be in contact with you as soon as possible.
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Thank You! For your interest in the Kidz Aquatic JK Scholarship, we will be in contact with you as soon as possible.