GENERAL CONSENT FOR ALL VOLUNTEERS
(ONE DAY EVENT, CLASS A & CLASS B)
GENERAL CONSENT
In the course of volunteering for Special Olympics Delaware, I (and/or my minor child) may be dealing with confidential information and I (and/or my minor child) agree to keep said information in the strictest confidence. In consideration for being permitted to volunteer my (and/or my minor child’s) services to Special Olympics Delaware, I (and/or my minor child) hereby agree to accept any and all risks of injury, damage or loss of personal property. I (and/or my minor child) also understand that the relationship between Special Olympics Delaware and volunteers is an "at will" arrangement, and that it may be terminated at any time. I grant Special Olympics Delaware permission to use my (and/or my minor child’s) likeness, voice, and words in print, television, radio, film or in any form to promote activities of Special Olympics.
I hereby consent for me (and/or my minor child) to be a volunteer with Special Olympics Delaware. I have read and agree to the above General Consent. I hereby agree to release and hold harmless Special Olympics Delaware, and its agents, employees and representatives of and from any and all liability of any kind or nature incurred by me (and/or my minor child) as a volunteer as the result of any act or failure to act, intentional or unintentional, by (1) any person who is an agent, employee or representative of Special Olympics Delaware or (2) any other volunteer. If during participation in Special Olympics activities I (and/or my minor child) should need emergency medical treatment and I am not able to give consent for or make arrangements for that treatment, I authorize Special Olympics to take whatever measures are necessary to protect my (and/or my minor child’s) well-being, including, if necessary, hospitalization.
Please read each of the statements below before signing:
I do hereby understand and confirm that:
- I have read, understand, and agree to abide by the Special Olympics Delaware Code of Conduct and Volunteer Participation Policy.
- In the event I engage in any conduct which could be deemed a violation of the code of conduct, I will promptly notify the Executive Director of Special Olympics Delaware.
Any record containing an electronic signature shall be deemed for all purposes to have been signed.
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:
- 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
- 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,
- 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,
- 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 Delaware 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 VOLUNTARILY WITHOUT ANY INDUCEMENT.
I do hereby understand and confirm that:
- I have read, understand, and agree to abide by the Special Olympics Delaware Code of Conduct and Volunteer Participation Policy. In the event I engage in any conduct which could be deemed a violation of the code of conduct, I will promptly notify the Executive Director of Special Olympics Delaware.
Disclosure Regarding Background Investigation (Class A and B Volunteers 18 Only )
Special Olympics Delaware may request background information about you from a consumer reporting agency in connection with your volunteer application. This background information may be obtained in the form of consumer reports and/or investigative consumer reports (commonly known as “background reports”). These background reports may be obtained at any time after receipt of your authorization and, for monthly updates to the background check to the extent permitted by law. After a period of three years, Special Olympics Delaware shall initiate a new background check (rescreen) and a new authorization form shall be completed by the volunteer. The information obtained from the background reports will only be used by Special Olympics Delaware for purposes as provided under the Fair Credit Reporting Act, which means that the information obtained from the background reports will be used for the purpose of evaluating a consumer for volunteer purposes.
Authorization of Background Investigation(Class A and B Volunteers 18 Only )
I have carefully read and understand this Disclosure and Authorization form. I consent to preparation of background reports by a consumer reporting agency and to the release of such background reports to Special Olympics Delaware and its designated representatives and agents, for the purpose of assisting Special Olympics Delaware in making a determination as to my eligibility for volunteering.
I understand that information contained in my volunteer application, or otherwise disclosed by me before or during my volunteer assignment, if any, may be used for the purpose of obtaining and evaluating background reports on me. I authorize others to make available to any duly authorized representative of Special Olympics Delaware any information relevant to my volunteer application or status, and I waive any right I may have with regard to the release of this information to Special Olympics Delaware.
I hereby authorize law enforcement agencies, learning institutions (including public and private schools and universities), information service bureaus, credit bureaus, record/data repositories, and courts (federal, state and local) to furnish any and all information on me that is requested by the consumer reporting agency.
I also certify the information I provided on and in connection with this form is true, accurate and complete. I agree that this form in original, faxed, photocopied or electronic (including electronically signed) form; will be valid for any background reports that may be requested by or on behalf of Special Olympics Delaware.
For Unified Sports Partners Release and Waiver (For Unified Partners Only)
Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement
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. I fully understand the event involves risks of serious bodily injury, which may be caused by my own (and/or my minor child's) actions or inactions, by the actions of others participating in the event, or by conditions in which the event takes place. I fully accept and assume all such risks and all responsibility for losses, cost, and/or damages I (and/or my minor child) may incur as a result of my (and/or my minor child's) participation. I acknowledge that at any time that if I (and/or my minor child) feel that the event conditions are unsafe, I (and/or my minor child) will discontinue participation immediately.
If during my participation in Special Olympics activities I (and/or my minor child) should need emergency medical treatment and I (and/or my minor child) am (are/is) not able to give consent for or make my (our) own arrangements for that treatment because of my (and/or my minor child's) injuries, I authorize Special Olympics to take whatever measures are necessary to protect my (and/or my minor child's) health and well-being, including, if necessary, hospitalization.
I (and/or my minor child) release, indemnify, covenant not 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 (and/or my minor child), or anyone on my behalf, makes a claim against any of the Releasees, I (and/or my minor child) will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage or cost which may incur as a result of such claim.
I acknowledge I have read the "Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement" and fully understand and agree to it.
