SONM Health and Wellness Participant Registration Form

Phone

Are you already a registered SONM Participant?*
If yes, what role:

In consideration of participating in Special Olympics Unified Sports, I represent that I understand the nature of the event and that I (and/or my minor child) am (are/is) qualified, in good health, and in proper physical condition to participate in Unified Sports events.


If during my participation in Special Olympics activities I should need emergency medical treatment an I (and/or my minor child) am (are/is) not able to give my consent for or make my own arrangements for that treatment because of my injuries, I authorize Special Olympics to take whatever measures are necessary to protect my health and well-being, including, if necessary, hospitalization.


I (and/or my minor child) release, indemnify, covenant mot to sue, and hold harmless Special Olympics, its administrators, directors, agents, officers, volunteers, employees, and other Unified Sports participants, and sponsors, advertisers, and if applicable, any owners and lessors of premises on which the activity takes place from all liability, any losses, claims (other than that of the medical accident benefit), demands, costs, or damages that I (and/or my minor child) may incur as a result of participation in Unified Sports events and further agree that if, despite this 'Release and Waiver of Liability, Assumption of Risk, and indemnity Agreement,' I, or anyone on my behalf, makes a claim against any of the Releases from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.

PLEASE READ BEFORE SIGNING - I understand that:

  • I grant Special Olympics permission to use my likeness, voice, and words in television, radio, film, or in any form to promote activities of Special Olympics.


I have read this 'Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement' and fully understand it.