Special Olympics New MexicoYoung Athletes Site/School Registration

Special Olympics New Mexico

Young Athletes Site/School Registration

General Site/School Information

Site Name*

Site Contact*

Site Address*

City:*

Zip:*

Site Contact Phone number:*

Site Contact Email*

Electronic Signature Consent*

I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document.

Select or enter value

WAIVER OF LIABILITY

On behalf of the program site named above, I agree that the Site/School assumes all liability,

including proper insurance coverage and full responsibility for any risk of loss, property damage, or

personal injury in connection with Special Olympics Young Athletes activities occurring under the

site’s supervision.

Signature of Main Site Contact*

Stipulations With Program Funding

On behalf of the Site named above, I understand and agree to comply with all funding stipulations:

Use the project funding, equipment, and supplies solely for the purposes outlined in the application proposal or other document approved by SONM
Should you stop your program, equipment purchased with SONM funds will need to be returned so that another site can use them
Purchasing of equipment and uniforms requires approval by SONM, to ensure proper logo and equipment standards are met
Any Press Releases must be sent to SONM for review
Submit one testimonial about the impact of this project

Signature of Main Site Contact 2*

Acknowledgement of Site Administrator*

Have you received permission of a Site Administrator to conduct this program?

Is your administrator agreeing to all Program Stipulations and the Waiver of Liability?

Yes

Name of Site Administrator*

Title of Site Administrator*

Date*

Athlete Roster

Please attach the roster file for all participants, including staff and volunteers. For Participant Type, please distinguish between Staff, Athlete (child with ID), Partner (child without ID), or Volunteer (coaches/staff). Download Roster template HERE

File Upload

Click link below to upload your roster. The Excel spreadsheet template is available on our website.

Drag and drop files here or

Send me a copy of my responses

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