Unified Partner Registration Form

Please complete the required Unified Partner Forms. After you have submitted your forms you will directed to complete the required trainigs to become a Unified Partner.


  • If you are 16 or older you will need to complete to Protective Behaviors training.
  • If you are 19 or older you will need to complete a Background Check.



After you have completed the fomrs and the online trainings you will be an 'Active' Unified Partner in our system and will be able compete at SONE state events.

 
 
 

Please put the name of the team or school based program you are joining. If you are not joining team but are looking to join a team please put the name of the community you want to participate in.

 
 
 
 
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Phone
 
 
 
 
 

Class A Volunteer Registration

A Class A volunteer is a Head of Delegation, Coach or Unified Partner.


I agree to the following:


1. Ability to Participate. I am physically able to take part in Special Olympics activities.


2. Likeness Release. I give permission to Special Olympics, Inc., Special Olympics games/local organizing committees, and Special Olympics accredited Programs (collectively “Special Olympics”) and Special Olympics partners and sponsors to use my likeness, photo, video, name, voice, words, and biographical information to promote Special Olympics, raise funds for Special Olympics, and acknowledge partners’ and sponsors’ support for Special Olympics.


3. Risk of Concussion and Other Injury. I know there is a risk of injury. I understand the risk of continuing to participate with or after a concussion or other injury. I may have to get medical care if I have a suspected concussion or other injury. I also may have to wait 7 days or more and get permission from a doctor before I start playing sports again.


4. Emergency Care. If I am unable, or my guardian is unavailable, to consent or make medical decisions in an emergency, I authorize Special Olympics to seek medical care on my behalf.


5. Overnight Stay. For some events, I may stay in a hotel or someone’s home. If I have questions, I will ask.


6. Health Programs. If I take part in a health program as a participant, I consent to health activities, screenings, and treatment. This should not replace regular health care. I can say no to treatment or anything else at any time.


7. Personal Information. I understand that Special Olympics will be collecting my personal information as part of my participation, including my name, image, address, telephone number, health information, and other personally identifying and health related information I provide to Special Olympics (“personal information”).


• I agree and consent to Special Olympics:


    o using my personal information in order to: make sure I am eligible and can participate safely; run trainings and events; share competition results (including on the Web and in news media); provide health treatment if I participate in a health program; analyze data for the purposes of improving programming and identifying and responding to the needs of Special Olympics participants; perform computer operations, quality assurance, testing, and other related activities; and provide event-related services.


    o using my contact information for communicating with me about Special Olympics.


    o sharing my personal information confidentially with (i) researchers, such as universities and public health agencies, that are studying intellectual disabilities and the impact of Special Olympics activities, (ii) medical professionals in an emergency, and (iii) government authorities for the purpose of assisting me with any visas required for international travel to Special Olympics events and for any other purpose necessary to protect public safety, respond to government requests, and report information as required by law.


• I have the right to ask to see my personal information or to be informed about the personal information that is processed about me. I have the right to ask to correct and delete my personal information, and to restrict the processing of my personal information if it is inconsistent with this consent.


• Privacy Policy. Personal information may be used and shared consistent with this form and as further explained in the Special Olympics privacy policy at www.SpecialOlympics.org/Privacy-Policy.


8. Background Check Authorization. [APPLIES TO ADULTS ONLY] I authorize Special Olympics to conduct a background check on me. This background check may be done through a third party. The background check may include an inquiry into my employment, education, driving, and/or criminal history. I understand that Special Olympics may rely on information provided or discovered to determine whether I may participate in Special Olympics activities. By signing below, I authorize investigators to conduct a background check as described in this form. I further authorize any third parties or agencies who may be in possession of the requested information, to disclose such information in connection with this background check.


9. Waiver and Liability Release. I understand the risks involved with participation in Special Olympics activities. I fully accept and assume all risks and all responsibility for losses, costs, and damages I may incur as a result of my participation. I release and agree not to sue any Special Olympics organization, its directors, agents, volunteers, and employees, and other participants (“Releasees”) related to any liabilities, claims, or losses on my account caused or alleged to be caused in whole or in part by the Releasees. I further agree that if, despite this release, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify and hold harmless each of the Releasees from any such liabilities, claims, or losses as the result of such claim. I agree that if any part of this form is held to be invalid, the other parts shall continue in full force and effect.

 

**Under the age of 19

 

First & Last


Please understand that by submitting your name you agree to adhere to to code of conduct listed above

 

This will be be considered your signature.

 
 
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I have read and agree to the above infromation

 

Athlete & Unified Partner Code of Conduct

Special Olympics is committed to the highest standards of Sportsmanship, Training, Rules of Competition, and Character. I understand I am a representative of Special Olympics, both on and off the field, and my actions should uphold these standards. As an athlete participating in Special Olympics or as a Unified Partner, I agree to abide by the Special Olympics Athlete Code of Conduct as stated below:


Sportsmanship


 I will practice good sportsmanship.


 I will act in ways that bring respect to me, my coaches, my team and to Special Olympics.


 I will not swear and/or use bad language.


 I will not insult others by my actions, verbal or non-verbal.


 I will not fight with others athletes, coaches, volunteers or staff of Special Olympics Nebraska.


Training and Competition


 I will train regularly and follow guidelines set-forth on current training requirements.


 I will learn and follow rules of sports I participate in.


 I will listen to my coaches and officials.


 I will consistently do my best in training, attendance and in competitions.


 I will consistently compete at the best of my ability and not hold back during preliminary or ‘divisioning.’


Character


I will not make inappropriate or unwanted physical, verbal or sexual advances on others, including using social media (ie: Texting, Tweeting, Facebook).


 I will not make any negative statements about athletes, coaches, volunteers or Special Olympics., which includes social media such as Facebook, Twitter, My Space, texting. etc.


 I will not smoke in non-smoking areas.


 I will not use illegal drugs.


 I will not drink alcohol underage nor when involved in Special Olympics activities.


 I will not take or use drugs for the purpose of improving my performance.


 I will obey all laws and Special Olympics rules, as well as the National and International Federations/Governing Rules for my sport(s). I understand that if I do not obey this Special Olympics ‘Code of Conduct,” I will be subject to a range of consequences by my Team, Region, or Special Olympics Nebraska, up to and including not being allowed to participate in any sports or activities.

 

First & Last

 
 
 
 

COVID WAIVER AND RELEASE OF LIABILITY

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT FOR COMMUNICABLE DISEASES (“Agreement”) for SPECIAL OLYMPICS


In consideration of being allowed to participate in any way in Special Olympics sports training, competition or fundraising activities, the undersigned acknowledges, appreciates, and agrees that:


1. Participation includes possible exposure to and illness from infectious and/or communicable diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,


2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,


3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe and any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,


4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Special Olympics, Inc, Special Olympics Nebraska, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.


I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IF FREELY AND VOLUNTARILYWITHOUT ANY INDUCEMENT.

 
 
 
 

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mm/dd/yyyy
 

Please send a copy to yourself, if you have a team/coach you are working with please forward your results onto them so they have the information for their records.


Special Olympics Nebraska will be following up with you about your new Unified Partner requirements and trainings.