Swim Lesson Grant Application

The Athens-McMinn Family YMCA is giving FREE swim lessons to 100 kids this summer, ages 3-12 years.

PARENT/GUARDIAN APPLICANT INFORMATION FOR ENGLEWOOD POOL

Name *

Email *

Mailing Address *

City *

State *

Zip Code *

Phone Number *

DOB *

Gender *

TO QUALIFY FOR THE SWIM LESSONS SCHOLARSHIP, PLEASE PROVIDE ONE OF THE FOLLOWING:

Proof of residency with the local housing authority or mobile home community [photo of utility bill, etc]

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Proof of Supplemental Security Income (SSI) as head of household, food stamps/assistance, or foster child paperwork

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Proof of household income (photo of a paycheck stub, etc)

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

If none of the above options are applicable to you, please tell us why you would like for your child(ren) to participate in free swim lessons. *

PLEASE X THE TIMES YOU ARE ABLE TO PARTICIPATE (M-THS)

TIMES

6:25-7pm [Ages 7-12]

ALL PERSONS LIVING IN THE HOUSEHOLD

Name/Relationship/DOB

TELL US YOUR STORY AND HOW THE YMCA CAN BENEFIT YOU AND YOUR FAMILY

Your Story *

Leave this field blank

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Athens-McMinn Family YMCA

Swim Lesson Grant Application

You are here

Active Older Adults (Seniors)

Adult Sports

Aquatics

Community & Outreach

Fitness & Healthy Living

Personal Training

Mission Statement

Connect