Learn to Swim

be the first in your family to

If you are between the ages of 4-16 and are the first in your family to learn to swim, then we invite you to apply for one of our swim scholarships. Please complete the following application.

Requirements: 1) You must be the first in your family to learn how to swim which means that your parents must not be able to swim. 2) You must be between the ages of 4-16 years old. 3) You must want to learn how to swim!

En Español

Swimmer's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Swimmer's Name (Please re-enter)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Swimmer's Age

Is the swimmer the first in the family to learn to swim?

Yes

Why do you want to learn to swim or why do you want your child to learn to swim?

Please write at least three sentences. We use this to select the recipients.

How did you hear about our foundation? (Please be specific such as name of school, group, or publication).