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Scholarship Application Form

The Mayerson JCC, in partnership with the Joshua Al-Lateef Jr. Foundation, is committed to creating welcoming, inclusive, and supportive experiences for individuals of all abilities. This swim lesson
scholarship aims to provide neurodivergent children with access to private swim instruction in a safe, encouraging, and confidence-building environment. The information collected below helps our Aquatics and Inclusion teams better understand each participant’s needs, goals, and learning preferences so we can offer the most supportive experience possible. All information will be reviewed by the Aquatics team and used solely for program planning and instruction. JCC membership is not required to apply.

Swim Instructor Helping a Child

Participant's Name(Required)
MM slash DD slash YYYY
Will the participant attend lessons independently or with a support person?(Required)
Address(Required)
Are you applying for more than one child in your household?(Required)
Are you currently a JCC member?(Required)
How did you learn about this scholarship?(Required)

This scholarship is designed to support neurodivergent children and their families, can you confirm that your child fits this criteria?(Required)
If not awarded the scholarship, would you be interested in learning more about private or small-group swim lesson options at the J?(Required)