Cali Sports Innovation Inc.

Donation Assistance Application Form

Dear Parent/Guardian,

Thank you for reaching out to Cali Sports Innovation Inc. to seek assistance for your child’s sports participation. In order to process your application for potential financial support, please complete the form below. This will help us better understand your needs and ensure we provide the necessary resources.

Athlete Information

First Name *

Last Name *

Phone

Date of birth

Street Address

City

State

Country

Postal code

Current Team Or Program

If Applicable

Coach Name

Coach Email

Coach Phone Number

Sports Played

If Applicable

Parent/Guardian Information

Primary Guardian First Name *

Primary Guardian Last Name *

Phone Number

Email Address *

Relationship to Athlete *

Employer Name

Secondary Guardian First Name

Secondary Guardian Last Name

Phone Number

Relationship to Athlete

Employer Name

Please provide the combined gross annual income of the household.

Below $20,000

$20,000 - $40,000

$40,000 - $60,000

$60,000 - $80,000

$80,000 - $100,000

Above $100,000

Annual Household Expenses For Sports

Please provide an estimate of your annual expenses related to your child’s participation in sports. This includes transportation, equipment, food, and any other related costs.

Transportation

(gas, public transit, car maintenance, etc.)

Equipment

(uniforms, shoes, protective gear, etc.)

Food and Drinks

(during games, practices, tournaments, etc.)

Tournaments and Registration Fees

Other Expenses (please specify)

Total Annual Expenses for Athlete’s Sports Participation *

Consent and Authorization

By signing below, I (the parent/guardian) confirm that the information provided is accurate and complete. I understand that this information will be used to assess eligibility for financial assistance or donation support. I also consent to the sharing of this information with Cali Sports Innovation Inc. for the purposes of processing this application and providing potential support.

I acknowledge that: *

I confirm that the athlete listed above is my dependent child.

I understand that Cali Sports Innovation Inc. may verify the provided information if necessary.

I give permission for Cali Sports Innovation Inc. to contact me regarding potential funding assistance or further information.

Primary Guardian Signature Date *

Primary Guardian Signature *

Clear

Secondary Guardian Signature Date

Secondary Guardian Signature

Clear