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Swim School Partner Submission for Reinbursement

Please fill out all fields and upload documents for reinbursement.

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Today's Date

Company Info

Business Name

Contact Name

First

Last

Layout

Phone Number

Email

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Scholarship Info

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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

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Date Lesson Started

Date Lesson Completed

Ratio of Lessons Provided to Scholarship Recipients

File Uploads

File Upload - Final Report, Images of Program and Scholarship Recipients, Testimonials, and any Promotional Materials.

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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