Pats - Long Beach/Lakewood Loan Application
Objective: Pats - Long Beach/Lakewood strives to keep soccer affordable and wishes to reduce the economic barriers of playing soccer. As such, as long as funds are available, Pats - Long Beach/Lakewood will make loans
Pats - Long Beach/Lakewood Loan Agreement Fund Overview:
- Loans will be granted on a yearly basis and must be applied for each year by the registration deadline. Our Loan Agreement is a 2 year commitment to the club upon signing this agreement.
- Loans are applied to Club Registration fees only. Each family must pay for team fees, uniform and practice gear.
Administration: This loan agreement program will be under the direct supervision of the Pateadores Club Director. The Chapter Director and Club Director will make the determination of a family’s need for Pats - Long Beach/Lakewood.
Criteria and Eligibility: Any family is eligible to apply for a loan 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 loan:
- Applicant must complete this Pats - Long Beach/Lakewood Loan Agreement 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.
Loan Agreements: Application forms will be reviewed by the Chapter Director and Club Director who will award loans 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 loan amount of the club player fees.
IF YOU CAN PAY THE FULL AMOUNT, BUT JUST NEED TO MAKE MONTHLY PAYMENTS JUST LET US KNOW, WE CAN SET THAT UP FOR YOU. If this is the case, DO NOT SIGN UP FOR A LOAN.
Waiver & Release of Liability
I understand that there are risks involved with my child’s participation in the Pats - Long Beach/Lakewood competitive soccer tryouts.
I hereby authorize the directors of Pats - Long Beach/Lakewood ("Pats - Long Beach/Lakewood") to act for me according to their reasonable judgment in any emergency requiring medical attention. I hereby waive and release the directors of Pats - Long Beach/Lakewood 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.
The risk to have direct or indirect contact with individuals who have been exposed to and/or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and/or any mutation or variation thereof does exist and it is impossible to eliminate the risk that I, or my child, could become infected through contact with or close proximity to an individual with a communicable disease.
Contracting the COVID-19 may result in serious health issues for the participant and/or individuals the participant subsequently comes into contact with, and while particular rules, equipment, and personal discipline may reduce the risk of contracting the virus, the risk can never be completely removed;.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS ON BEHALF OF MY CHILD, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.
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 Pats - Long Beach/Lakewood and all their agents, employees and affiliated entities from any and all liability, claims, demands, and cause of action for personal injury, infection, 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 Pats - Long Beach/Lakewood 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 Pats - Long Beach/Lakewood and the California Youth Soccer Association – South, 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 CYSA-South accident reimbursement plan.