{"id":168,"date":"2020-10-03T03:39:24","date_gmt":"2020-10-03T03:39:24","guid":{"rendered":"https:\/\/onewiththewater.org\/survey\/?page_id=168"},"modified":"2021-03-04T05:01:20","modified_gmt":"2021-03-04T05:01:20","slug":"swim-lessons-scholarship-form","status":"publish","type":"page","link":"https:\/\/onewiththewater.org\/survey\/swim-lessons-scholarship-form\/","title":{"rendered":"Scholarship Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;Swim Lessons Scholarship Application&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;]<\/p>\n<h1 style=\"text-align: center;\">Swim Lessons Scholarship Application<\/h1>\n<p style=\"text-align: left !important;\">One with the Water is pleased to offer scholarships to qualified individuals. The amount of the scholarship depends on your individual circumstance. Please assist the Scholarship Committee in determining your eligibility by completing the following application.<\/p>\n<p style=\"text-align: left !important;\">Once we have received your application we will request a copy of your most recent tax return and\/or proof of participation in the California School Lunch Program.<\/p>\n<p style=\"text-align: left !important;\">All information submitted is confidential; we do not sell, share, or distribute any information submitted.<\/p>\n<p><\/span><\/p>\n<hr>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Formidable Form&#8221; _builder_version=&#8221;4.0.4&#8243;]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate \" id=\"form_scholarship-form\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Scholarship Form<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"scholarship-form\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"60ef010c81\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/survey\/wp-json\/wp\/v2\/pages\/168\" \/><div id=\"frm_field_46_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h2>Applicant<\/h2>\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_qh4icy6fe9552cc3\" id=\"field_qh4icy6fe9552cc3_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icy6fe9552cc3\" name=\"item_meta[32]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_ocfup184166778b4\" id=\"field_ocfup184166778b4_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ocfup184166778b4\" name=\"item_meta[33]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_ewgvg\" id=\"field_ewgvg_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ewgvg\" name=\"item_meta[39]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_pwcjh\" id=\"field_pwcjh_label\" class=\"frm_primary_label\">City:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pwcjh\" name=\"item_meta[40]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_ozxr0\" id=\"field_ozxr0_label\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ozxr0\" name=\"item_meta[41]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_l9yc7\" id=\"field_l9yc7_label\" class=\"frm_primary_label\">Zip\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l9yc7\" name=\"item_meta[42]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_third\">\r\n    <label for=\"field_9vnca\" id=\"field_9vnca_label\" class=\"frm_primary_label\">Birthdate:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_9vnca\" name=\"item_meta[43]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_mb8fj\" id=\"field_mb8fj_label\" class=\"frm_primary_label\">Age:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_mb8fj\" name=\"item_meta[51]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_rso7t\" id=\"field_rso7t_label\" class=\"frm_primary_label\">School:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rso7t\" name=\"item_meta[52]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full vertical_radio\">\r\n    <div  id=\"field_ku7ns5b35885ef2_label\" class=\"frm_primary_label\">1.\tDoes child participate in the California School Lunch Program?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ku7ns5b35885ef2_label\" role=\"group\">\t\t<div class=\"frm_radio\" id=\"frm_radio_29-0\"><label for=\"field_ku7ns5b35885ef2-0\">\t\t<input type=\"radio\" name=\"item_meta[29]\" id=\"field_ku7ns5b35885ef2-0\" value=\"YES\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"1.\tDoes child participate in the California School Lunch Program? is invalid\" aria-invalid=\"false\"  \/> YES<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_29-1\"><label for=\"field_ku7ns5b35885ef2-1\">\t\t<input type=\"radio\" name=\"item_meta[29]\" id=\"field_ku7ns5b35885ef2-1\" value=\"NO\"\n\t\t   data-reqmsg=\"Please answer Yes or No\" aria-required=\"true\" data-invmsg=\"1.\tDoes child participate in the California School Lunch Program? is invalid\" aria-invalid=\"false\"  \/> NO<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field  frm_html_container form-field\">\n<hr>\n<h2>Household Income<\/h2>\n<p style=\"font-size: 120%;\">List all household members and income received in the last full month.<\/><\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_sixth\">\r\n    <label for=\"field_zhjvb\" id=\"field_zhjvb_label\" class=\"frm_primary_label\">Name of household member #1:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_zhjvb\" name=\"item_meta[54]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_5eml9\" id=\"field_5eml9_label\" class=\"frm_primary_label\">Monthly job earnings before deductions:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_5eml9\" name=\"item_meta[55]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_57_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_pvy5i\" id=\"field_pvy5i_label\" class=\"frm_primary_label\">Social security, pension or disability:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_pvy5i\" name=\"item_meta[57]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_eoni7\" id=\"field_eoni7_label\" class=\"frm_primary_label\">Other monthly income received:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_eoni7\" name=\"item_meta[58]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_jxnfo\" id=\"field_jxnfo_label\" class=\"frm_primary_label\">Welfare (AFDC) child support or alimony:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jxnfo\" name=\"item_meta[63]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_rmsan\" id=\"field_rmsan_label\" class=\"frm_primary_label\">Total monthly <br>income:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rmsan\" name=\"item_meta[59]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_sixth\">\r\n    <label for=\"field_ws3n9\" id=\"field_ws3n9_label\" class=\"frm_primary_label\">Name of household member @2:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ws3n9\" name=\"item_meta[60]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_uhy2l\" id=\"field_uhy2l_label\" class=\"frm_primary_label\">Monthly job earnings before deductions:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_uhy2l\" name=\"item_meta[70]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_hfn9q\" id=\"field_hfn9q_label\" class=\"frm_primary_label\">Social security, pension or disability:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hfn9q\" name=\"item_meta[62]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_64_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_62mub\" id=\"field_62mub_label\" class=\"frm_primary_label\">Other monthly income received:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_62mub\" name=\"item_meta[64]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_hacqu\" id=\"field_hacqu_label\" class=\"frm_primary_label\">Welfare (AFDC) child support or alimony:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hacqu\" name=\"item_meta[56]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_ibf96\" id=\"field_ibf96_label\" class=\"frm_primary_label\">Total monthly <br>income:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ibf96\" name=\"item_meta[65]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_sixth\">\r\n    <label for=\"field_63ith\" id=\"field_63ith_label\" class=\"frm_primary_label\">Name of household member #3:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_63ith\" name=\"item_meta[71]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_t9khq\" id=\"field_t9khq_label\" class=\"frm_primary_label\">Monthly job earnings before deductions:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t9khq\" name=\"item_meta[61]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_69_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_i2ayc\" id=\"field_i2ayc_label\" class=\"frm_primary_label\">Social security, pension or disability:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_i2ayc\" name=\"item_meta[69]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_z1ql8\" id=\"field_z1ql8_label\" class=\"frm_primary_label\">Other monthly income received:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z1ql8\" name=\"item_meta[68]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_67_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_ph3d9\" id=\"field_ph3d9_label\" class=\"frm_primary_label\">Welfare (AFDC) child support or alimony:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ph3d9\" name=\"item_meta[67]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_66_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_tkdnv\" id=\"field_tkdnv_label\" class=\"frm_primary_label\">Total monthly <br>income:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_tkdnv\" name=\"item_meta[66]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_sixth\">\r\n    <label for=\"field_fe6q6\" id=\"field_fe6q6_label\" class=\"frm_primary_label\">Name of household member #4:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fe6q6\" name=\"item_meta[114]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_q613y\" id=\"field_q613y_label\" class=\"frm_primary_label\">Monthly job earnings before deductions:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_q613y\" name=\"item_meta[113]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_7462y\" id=\"field_7462y_label\" class=\"frm_primary_label\">Social security, pension or disability:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7462y\" name=\"item_meta[112]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_ul71b\" id=\"field_ul71b_label\" class=\"frm_primary_label\">Other monthly income received:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ul71b\" name=\"item_meta[111]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_l19wm\" id=\"field_l19wm_label\" class=\"frm_primary_label\">Welfare (AFDC) child support or alimony:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_l19wm\" name=\"item_meta[110]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_top_container frm_sixth\">\r\n    <label for=\"field_c120t\" id=\"field_c120t_label\" class=\"frm_primary_label\">Total monthly <br>income:\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c120t\" name=\"item_meta[109]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field  frm_html_container form-field\">\n<hr>\n<h2>Briefly explain how swim lessons will benefit the child.<\/h2>\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_6cyks\" id=\"field_6cyks_label\" class=\"frm_primary_label\"><span style=\"display: none;\">&nbsp;<\/span>\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[44]\" id=\"field_6cyks\" rows=\"5\"  data-invmsg=\"&lt;span style=&quot;display: none;&quot;&gt;&nbsp;&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field  frm_html_container form-field\">\n<hr>\n<h2>Parent or Guardian<\/h2>\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_ltgr2\" id=\"field_ltgr2_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ltgr2\" name=\"item_meta[49]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_8jbms\" id=\"field_8jbms_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_8jbms\" name=\"item_meta[50]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_29yf4d57a472d024\" id=\"field_29yf4d57a472d024_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d57a472d024\" name=\"item_meta[35]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_p8vki82d9ada8a0\" id=\"field_p8vki82d9ada8a0_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_p8vki82d9ada8a0\" name=\"item_meta[34]\" value=\"\"  data-reqmsg=\"This field cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; 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The amount of the scholarship depends on your individual circumstance. Please assist the Scholarship Committee in determining your eligibility [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Scholarship Form - One with the Water<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Scholarship Form - One with the Water\" \/>\n<meta property=\"og:description\" content=\"[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#161b2f&#8221;][et_pb_row _builder_version=&#8221;4.0.4&#8243; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;30px|40px|30px|40px|false|false&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.0.4&#8243;][et_pb_text admin_label=&#8221;Swim Lessons Scholarship Application&#8221; _builder_version=&#8221;4.0.4&#8243; text_font_size=&#8221;16px&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243;] Swim Lessons Scholarship Application One with the Water is pleased to offer scholarships to qualified individuals. 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