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Swim School Partner Submission for Reimbursement

Please fill out all fields and upload documents for reimbursement.

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Today's Date

Company Info

Business Name

Contact Name

First

Last

Phone Number

Email

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Scholarship Info

FEI Number

Number of Children Served

Number of Lessons Each Child Received

If more than 1 child, please separate with commas - i.e. 3, 4, 5, 6

Funding Payable to

Ages of Scholarship Recepients

If more than 1 recipient, please separate with commas - i.e. 3, 4, 5, 6

Lessons

Date Lesson Started

Date Lesson Completed

Ratio of Lessons Provided to Scholarship Recipients

File Uploads

File Upload - Final Report, Invoice, Photos/Testimonials

*PLEASE NOTE: We require all above requested documents in order to process your submission.

Additional Info

Comments

Add any additional comments here.

The International Swimming Hall of Fame, Inc. is registered as a 501(c)(3) nonprofit organization, incorporated in the State of Florida.

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