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The Remembering Temperance Foundation

The Remembering Temperance Foundation

S.W.I.M. S.A.F.E.

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Submit a scholarship application to save your children’s life.

Self-rescue swim lessons can save your child’s life. By submitting an application for a scholarship from The Remembering Temperance Foundation, you will make a choice to keep your family safe for years to come. Choose life for your children.
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The Remembering Temperance Foundation Application (#5)

The Remembering Temperance Foundation

501(c)3 Scholarship Application


The Remembering Temperance Foundation was founded by Katrina and Gerald Hart in honor of their daughter, Temperance, who passed away as a result of an accidental drowning. The Foundation’s mission is to promote drowning awareness and water safety. A key part of our mission is to educate people about self-rescue swim lessons. An even bigger goal the foundation has is to assist as many families as possible, to help minimize the cost of these lessons for those in financial need by providing scholarships.

ELIGIBILITY:

Assistance is granted based on financial need. We consider household income and the number of legal dependents as the primary criteria. While we understand that monthly expenses can be extensive, it is impossible to base scholarship awards on each budget.

  • We believe that a sense of ownership is developed if the participant contributes to the cost of his/her involvement. Therefore, scholarship recipients may pay a percentage of the program fees.
  • Scholarships are granted for one session for up to 6 weeks of lessons. Upon expiration, the recipient must re-apply. The original scholarship application information is valid for 6 months after original approval.

REQUIRED DOCUMENTS

A copy of the following documents must be provided to process the application. (For security measures please black out your SSN on all documents) INCOMPLETE APPLICATIONS WON’T BE ACCEPTED.

  • Driver’s License
  • Two current pay stubs (an additional two from your spouse/partner if applicable)
  • Letter explaining why you need assistance with supporting documentation if applicable. Share any extenuating circumstances that you feel should be considered when your application is being reviewed and the weekly amount you can afford toward the lessons.

IF APPLICABLE PLEASE INCLUDE:

  • Social Security benefits statement Disability benefit statement
  • Unemployment benefit statement
  • Child Support statement

SUBMISSION

  • Please send completed application and supporting documentation to RememberingTemperance@gmail.com
  • Completed applications will be processed within 10 business days. Once your application has been approved, an instructor in your area will be contacted, and you will be notified in a timely manner.

Household Information



Requesting Scholarships For:


**All financial information contained in the scholarship application will remain confidential and will be destroyed after processing.


RELEASE OF LIABILITY AND INDEMNITY AGREEMENT


PLEASE READ THE FOLLOWING AND SIGN BELOW:

I, on behalf of myself, my child, my heirs, executors, administrators, successors, and/or assigns, as a condition of receiving financial support from The Remembering Temperance Foundation, for my child to participate in self-rescue swim lessons, waive all claims for any personal injury, death, loss of health, financial loss or damage to property occurring during, or as the result of my child’s participation in self-rescue swim lessons. Furthermore, I indemnify, hold harmless, and affirmatively release The Remembering Temperance Foundation, its program staff, and their affiliates, principals, employees, and/or agents for any such loss, damage, injury, or liabilities. This release of liability includes any claims made against The Remembering Temperance Foundation related to my child’s participation in self-rescue swim lessons with an independent instructor. I understand risks are associated with self-rescue swim lessons. I waive all claims against the Foundation as described above without limitation.


DIGITAL RELEASE FORM FOR MINOR CHILDREN


hereby consent to the use of images, depictions, and recordings notated below of the above-named minor by The Remembering Temperance Foundation their assigns or successors at its sole discretion. I, with my signature below, acknowledge that such photographs, films, recordings, and videos shall be the property of The Remembering Temperance Foundation, and they shall have the right to duplicate, reproduce, and make other uses of such media as notated below as they may desire free and clear of any claim whatsoever.

I authorize the use of these images indefinitely without compensation to me. All negatives, positives, prints, digital reproductions, and videotape shall be the property of The Remembering Temperance Foundation.

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