Swim Lesson Scholarship

Thank you for your interest in Swim Lesson Scholarships at the Hood River Aquatic Center. Scholarships are available to children enrolled with the Hood River County School District who participate in the Free or Reduced Lunch Program (F/R Lunch). A goal of the Park District is to provide year-round swimming lessons at an affordable price to the children in our community.

Please, fill out the form below to be added to our Scholarship list. To use this discounted rate, ask the clerk at the time of sign up to check the Scholarship List for your name or ask to fill out a paper copy.

Hood River Aquatic Center Swim Lesson Scholarship Registration Form

My child is currently enrolled in the Hood River County School District (grades K-12)

Yes

What school does your child attend?

What grade level is you child currently?

My child is currently enrolled in the Free or Reduced Lunch Program

If you are requesting the scholarship during the summer, then the child must have been enrolled in the program at the end of school in the same calendar year. Younger siblings are allowed to enroll, provided that older siblings are enrolled in the F/R Lunch Program.

Yes

My child would be unable to attend swim lessons without scholarship

True

False

Child's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

Please read and sign below

My signature below verifies my child’s participation in Hood River County School District’s Free or Reduced Lunch Program. I understand that falsification of this information may result in future loss of pool use privileges.

Today's Date

[Do you need this? It will be dated on the email received]

YYYY