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Program Application

Healing Wave Aquatics is accepting applications for enrollment from military personnel, veterans, and first responders experiencing symptoms of post-traumatic stress, as well as their caregivers. Please complete this online application for review and a Healing Wave Aquatics representative will follow up with you.

Program Application

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  • How do you identify?
  • Demographic Information: Why do we require this information? Wave Academy is a 501c3 nonprofit whose mission is made possible through the funding of our generous donors and grantors. Grants have various reporting requirements such as demographic and financial information about the populations served, however, we will never share any information that could be used to personally identify you.
  • Check all that apply.

  • Complete the areas that ONLY apply to you. No information you provide will be used in a discriminatory manner.

  • Low Income Verification:
    Healing Wave Aquatics provides access to warm water therapy to any active duty military, veteran or caregiver. We offer our program to clients from all income levels. For prospective clients whose income is below the average median income, our program is offered for free or at a very low cost. You will be required to show evidence by presenting your income documentation. All clients whose income is above the average median income will have a co-payment based on their income level.
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  • It is the policy of Healing Wave Aquatics not to discriminate in its selection process because of an individual's race, color, religion, sex, national origin, height, weight, marital status, political belief, genetic information, sexual orientation, disability or handicap which does not impair an individual's ability to perform aquatic bodywork. Healing Wave Aquatics affords all the rights, privileges, opportunities and activities available to clients.

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