Power Soccer Guard Loan Application
Please fill out the following application for the SportAbility Power Soccer Loan Program. In order to be eligible to apply for SportAbility power soccer equipment, you must be:
- An active participant in a SportAbility program, or
- An active participant in a SportAbility partnership program, or
- Reside in a BC region where there is no regular power soccer programs

You must also:
- Be a resident of BC
- Be a member in good standing with SportAbility
- And show a substantial need for power soccer equipment.

Filling out this form does not guarantee you will receive the requested equipment. Equipment rentals depend on amount of equipment available etc.
Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
City and Province *
Your answer
Postal Code *
Your answer
Email Address *
Your answer
Birth date *
MM
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DD
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YYYY
Disability (if applicable) *
Your answer
I intend to play Power Soccer in the following situations for the current or upcoming season: *
Please check all that apply
Required
Are you a member in good standing with SportAbility? *
If not, please complete a membership form along with the appropriate payment amount.
Are you planning to reside in BC for the next year? *
Please provide a brief history of your participation in power soccer and the number of years that you have been playing in BC. *
Your answer
Please describe why you need to rent our power soccer equipment. Also indicate, if applicable, the type and condition of the equipment you currently use to participate. *
Your answer
Do you have the ability to access funds to purchase a power soccer guard from other sources or agencies? *
If yes, are you currently pursuing a new guard and what is the status of your request? If no, explain why not. *
Your answer
What equipment do you require? *
Please select all that apply
Required
Successful applicants/renewals must sign a Power Soccer Loan Agreement that is one year in length.
Signature *
Your answer
Date *
MM
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DD
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YYYY
Signature of parent or guardian (if participant is under 18 years of age)
Your answer
Date
MM
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DD
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YYYY
Submit
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