West San Jose Surf Scholarship Application
Objective: West San Jose Surf strives to keep soccer affordable and wishes to reduce the economic barriers of playing soccer. As such, as long as funds are available, West San Jose Surf will make scholarships available to deserving players and their families.
West San Jose Surf Scholarship Fund Overview:
- Scholarships will be granted on a yearly basis and must be applied for each year by the scholarship deadline.
- Scholarship families are requested to perform volunteer work for West San Jose Surf. When scholarships are awarded, the responsible parent is asked to commit to volunteer hours (20 hours or 200 points for 49% or less support, 30 hours or 300 points for 50 – 74% support, and 40 hours or 400 points for 75% or higher support).
- Scholarships are applied to Club Registration fees only. Each scholarship family must pay for team fees.
Administration: This scholarship program will be under the direct supervision of the West San Jose Surf Treasurer. The Board of Directors Scholarship Committee will make the determination of a family’s need for West San Jose Surf.
Criteria and Eligibility: Any family is eligible to apply for a scholarship if an economic barrier would prevent the player from playing soccer. In order to assess financial need, the following will be taken into consideration in awarding the scholarship:
- Applicant must complete this West San Jose Surf Scholarship Application Form below and submit the completed application along with a copy of the first two pages of the family's most recent federal tax return. You will receive an e-mail upon completion of this form detailing delivery options.
- Incomplete or late applications will not be considered.
Scholarship Awards: Application forms will be reviewed by the scholarship committee and coaching staff who will award scholarships based on financial need and team requirements.
Non-Discrimination Clause: No one will be disqualified from consideration because of sex, race, color, creed or religious beliefs.
Please provide a brief explanation of the need for financial aid, and whether are requesting a partial or maximum scholarship.
Waiver & Release of Liability
I understand that there are risks involved with my child’s participation in the {{Club}} competitive soccer tryouts.
I hereby authorize the directors of {{Club}} ("{{Club}}") to act for me according to their reasonable judgment in any emergency requiring medical attention. I hereby waive and release the directors of {{Club}} from all liability and agree to accept all medical expenses incurred. I know of no physical or mental problem that will affect my child’s ability to safely participate in these tryout sessions. I acknowledge and accept the conditions above with my signature below.
I certify that my child is in good health, and may participate in strenuous physical activities at the tryouts. I certify that there are no physical limitations to my child’s participation in the camp. Permission is granted for my child to receive emergency medical treatment if needed. I hereby release and forever discharge {{Club}} and all their agents, employees and affiliated entities from any and all liability, claims, demands, and cause of action for personal injury or death, property damage, and/or other loss suffered by my child in connection with his/her participation in the tryouts. I acknowledge and accept that this Release and Waiver is intended to be binding on the family, estate, heirs, executors, administrators and assigns of the minor named above. I further acknowledge and accept that this Release and Waiver is intended to be as broad and inclusive as permitted by the laws of California and agree that if any portion of this release and Waiver is invalid, the remainder will continue to be in full force and effect. I agree that this Release and Waiver binds the minor and me to all of its terms.
I hereby grant permission to {{Club}} and its legal representatives, assigns, and those acting on its behalf, to use any picture, video or audio recording of my child taken in connection with the tryouts for all manner of advertising, trade, promotion, exhibition, or any other lawful purpose related to youth soccer whatsoever and in any form or medium.
I hereby release the {{Club}}, NorthCal Premier Soccer and California Youth Soccer Association– North, its member leagues, teams, agents, officers, coaches and players from all liability or responsibility for any claim, damage or legal action on behalf of the player or the player’s parents, heirs, or personal representatives, arising from any injury the player may sustain while participating in soccer or related activities, including transportation, except to the extent and in the amount covered by the NorthCal Premier and CYSA-North accident reimbursement plan.