
I acknowledge and understand that I/or my child has been nominated for a REACH Youth Scholarship and that the San Jose Sports Authority may wish to publish or otherwise disseminate my/his/her response to the short answer question(s), essay or some portion(s) thereof. I expressly authorize the SJSA to publish, print, reproduce, and/or otherwise use the short answer response, essay and/or portions thereof in its (SJSA's) sole discretion.
Student-Athletes: Please use the form boxes below to enter your full legal name, e-signature, and today's date. If you are not yet 18 years old, a parent or guardian must also sign this waiver.
Parent/Guardian: If your child is not yet 18 years old, please use the form boxes below to enter your full name, e-signature and today's date.
For questions or additional information, please contact Darren Centi at darren@sjsa.org or (530) 305-3533.
Thank you!
REACH Youth Scholarship
c/o San Jose Sports Authority
408 Almaden Blvd, San Jose, CA 95110