BBAF Submission Form

  • Name of Participant

  • Gender


  • In 2024, BBAF Scholarships are available in Group Swim Lessons Levels 1-4
  • Parent/Guardian Information

  • Name of Parent/Guardian


  • Address


  • *Required information

  • *Required information. See diagram below for further explanation. Enter combined income OR color.

  • Combined household income guidelines

  • Would you be willing to share your story with us?

  • Voluntary Information

  • Race or Ethnic Group

  • Preferred Language

  • Consent & Agreement

  • Consent

  • Date
  • MM slash DD slash YYYY