Island Bay Yacht Club Scholarship & Fee Waiver Request Form Date MM DD YYYY Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### School Student ID: Describe your need. * Are there any other circumstances we should be aware of when making our decision? * How did you hear about us? * From a club staff member From a club member Other Thank you!