Leavengood - infant self rescue swim lessons | Saved by Luke

Saved By Luke (SBL) seeks to prevent childhood drowning by increasing access to self-rescue swim lessons for those in financial need.  SBL supports swim lessons that use the Infant Swimming Resource (ISR) Self-Rescue® technique or other approved providers who teach “roll to a float” and “swim-float-swim” survival skills.

Please contact your instructor to schedule your self-rescue lessons before submitting your scholarship application and let the instructor know that you are applying for this scholarship. You can locate your nearest ISR instructor here: www.infantswim.com. Please contact SBL for approval of any non-ISR self-rescue swim program before submitting your scholarship application.

The applicant is responsible to pay the program registration fee, if applicable, and SBL will pay the remaining costs of the lessons. SBL scholarships are intended for families that truly cannot afford the lessons. SBL will carefully review every application and has the right to request additional information from applicants and/or to deny the application.  

Please complete all of the questions to apply for the scholarship and attach the required documents using the “Select Files” buttons or by emailing them.

Thank you for taking this important step to help save a life!  

Scholarship Application

Hidden

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.
Parent/Guardian's Name(Required)
Student Name
MM slash DD slash YYYY
Address
Is there a pool at the student's home?
Has a family member or someone close to you been the victim of a childhood drowning incident?
Have you previously applied for a SBL scholarship?
Please enter a number from 1 to 9.
Does the student have a diagnosed disability?
Do you receive any of the following State of Florida benefits? (check all that apply)
What is the annual household gross income level?
Drop files here or
Max. file size: 256 MB.
    Drop files here or
    Max. file size: 256 MB.
      Drop files here or
      Max. file size: 256 MB.

        Copyright © 2024 Saved By Luke. All right Reserved.