Participant Application

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.

New ApplicationRenewal

Child Participant Information

Gender MaleFemale
Disabled YesNo

Primary Home

Demographics

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

Primary Parent or Guardian

Emergency Contact? YesNo
Head of Household? YesNo

Gender MaleFemale
Disabled YesNo

Secondary Parent or Guardian

Emergency Contact? YesNo
Head of Household? YesNo

Gender MaleFemale
Disabled YesNo

Medical Information

Programs and Activities of Interest

ArcheryBaseballBalletBasketballComputersComputersGirls SoftballHorse Back RidingKarateSoccerTennis

SPAL Rules

1. As a parent, I will assure that my child understands, faithfully keeps, and abides by these rules and any other rules specific to the activity or program.
2. My child and I will observe safety rules and good practices at all time to protect him/her self and others from injury.
3. My child will play any position assigned to him/her and will always do the very best for the team.
4. When my child’s team is playing, my child and I will stay off the playing field completely and will not interfere with those playing.
5. I solemnly pledge that my child and I will not in any way damage or deface any property, building or equipment.
6. I agree that my child and I will abide by all decisions of game officials, coach(es), or chaperone(s), and will not create any unsportsmanlike gestures at any time.
7. I agree that my child and I will be understanding at all times and refrain from using foul language.
8. I agree that my child will remain a member of the team or group until properly released.
9. I agree to return, if requested, the uniform and other equipment issued to me in as good condition as I received it.

Conduct and Gang Policy

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.

Parent / Guardian Consent

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.

Video - Photo Release

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.

Medical Treatment Express Consent

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.

Parent/Guardian Signature(s)

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.