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Swim Team Scholarship

  1. The following section is to be completed using the IRS Return Transcript. Please attach IRS Return Transcript to application.

  2. Swimmer Participation*

    Has your swimmer participated on the PGPR Sharks team in the past?

  3. PGPR Sharks Team Participation

    If so, how many years of participation?

  4. Ethnicity*

    This scholarship is for African American and Hispanic or Latino swimmers.  Would you describe your swimmer in either of these categories?

  5. Seasons*

    Which swim seasons are you interested in applying for the Aquatics For All scholarship?

  6. Agreement*

    If selected each scholarship recipient is required to agree to each of the below (either signature or check box):

  7. Certification:*

    I certify that all of the above information is true and correct. I understand that Commission officials may verify the information on the application, and that deliberate misrepresentation of the information may subject me to prosecution under applicable state laws. I understand that I am responsible for all remaining charges that award may not cover and will be withdrawn from any program registrations without notice if I failed to pay my full balance after the deadline.

  8. Leave This Blank:

  9. This field is not part of the form submission.