Parents must complete this form for your child to participate in any SPAL activities. All information
provided will be kept confidential and will only be released for grant funding purposes.
Select your race AND ethnicity. Example: White AND Hispanic – Helps assure grant funding!
Race American Indian or Alaskan NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhite
Ethnicity Hispanic or LatinoNot Hispanic or Latino
Emergency Contact? YesNo
Head of Household? YesNo
ArcheryBaseballBalletBasketballComputersComputersGirls SoftballHorse Back RidingKarateSoccerTennis
SPAL has a zero tolerance policy regarding improper conduct and criminal street gang participation in our events
and activities. Children, parents, or their friends are expected to respect others and not engage in behavior including
fighting, challenging to fights, engaging in lewd or lascivious behavior, or using profanity. Active criminal street
gang members or affiliates are not allowed at any SPAL sponsored activities. Any person displaying any gang
tattoos, gang clothing, or other gang indicia will be removed from the event or activity.
As the parent/legal guardian of the above named participant, I recognize the dangers involved in the activities in
which he/she will be participating and, hereby give my approval to his/her participation in SPAL functions and
activities. I do hereby assume all risks and hazards incidental to such participation, including transportation to and
from the activities: and I do hereby waive, resolve, absolve, indemnify, and agree to hold harmless Salinas PAL,
their Respective Associations, or Organization Leagues, and the organizers, supervisors, participants, and persons
transporting my child to and from activities or any claims out of injury to my child.
I understand that during the SPAL program and/or activity, my photograph and/or the photograph of my child may
be taken by SPAL, producers, sponsors, organizer, and/or assigns. I agree that my photograph and/or the photograph
of my child, including video photography, film photography, or other reproduction of my likeness or the likeness of
my child, may be used without charge by SPAL, producers, sponsors, organizers and/or it’s assigns for such
purposed as they deem appropriate.
As the parent/legal guardian of the above named participant, I hereby give consent for emergency medical care
prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may be given under whatever
conditions are necessary to preserve the life, limb or well-being of my child.
As the parent/legal guardian of the above named participant, I have read and understood the above, SPAL Rules,
Conduct and Gang Policy, the Parent/Guardian Consent, Video – Photo Release, and the Medical Treatment Express
Consent. By signing this application, I recognize the above claims and do hereby grant permission for my child to
participate in all officially recognized Salinas Police Activities League activities.
Parent Printed Name | Parent Signature | Date
The SPAL does not discriminate on the basis of handicap in violation of Section 504 of the Rehabilitation Act of
1973 or the implementing regulations to the Federal Act (45 CFR 84) in admission or access to, or treatment or
employment in, the programs and activities that it operates. Inquiries concerning the implementing regulations to the
Federal Act may be directed to the Executive Director and ADA Compliance Officer at 831-970-7874.
Salinas Police Activities League
Officer Angel Gonzalez, Executive Director
Phone: (831) 970-7874
Salinas PAL Youth Center
100 Howard St
Salinas, CA 93901
P.O. Box 88
Salinas, CA 93902