Guardian's First Name *

Guardian's Last Name *

Email *

Phone *

Swimmer's First Name *

Swimmer's Last Name *

Swimmer's Date of Birth *

List any additional children and their birthdate(s)

What makes your child a great candidate for a Little Fish Scholarship? *

Total Household Size *

Have you applied for a Little Fish Scholarship before? *

Yes

No

What category best describes your annual household income? *

Less than $24,999
$25,000 to $49,000
$50,000 to $99,999
$100,000 or more
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Please upload your most recent Tax Return *

Government Issued ID *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.