SPECIAL OLYMPICS NEW JERSEY CLASS B VOLUNTEER FORM 


Class B Volunteers
are volunteers who only have limited contact with athletes or who have contact with athletes accompanied by coaches and chaperones. Volunteers with more intensive activities and responsibilities should complete Class A Volunteer registration. For more information on Class A registration, please contact volunteer@sonj.org
**This form needs to be renewed every three (3) years.**


Complete this form if you are age 18+ and your own legal guardian. If you are under age 18  and/or are not your own legal guardian, a parent/legal guardian must fill this out on your behalf. 
VOLUNTEER INFORMATION














(Ex: Area 03 bowling, Soccer league, Fall Games, 2022 Snow Bowl)





EMERGENCY CONTACT INFORMATION




BACKGROUND INFORMATION (only required for participants 16 years and older)
**Please answer all of the following questions:





Agreement
I agree to the following:

1. Ability to Participate. I am physically able to take part in Special Olympics activities. I know there is a risk of injury.

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. 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.

4. 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 personal information for communications and marketing purposes, including direct digital marketing through email, text message, and social media.

o sharing my personal information with (i) medical professionals in an emergency, and (ii) government authorities for any 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.aspx.

5. Waiver and Liability Release. I understand the risks involved with participation in Special Olympics activities. I fully accept and assume all such risks and all responsibility for losses, costs, and damages I may incur as a result of my participation. I hereby 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.

VOLUNTEER SIGNATURE (required for adult with capacity to sign legal documents)

**I have read and understand this form. If I have questions, I will ask. By signing, I agree to this form.**


PARENT/GUARDIAN SIGNATURE (required for participant who is a minor or lacks capacity to sign legal documents)
**I am a parent or guardian of the participant. I have read and understand this form and have explained the contents to the participant as appropriate. By signing, I agree to this form on my own behalf and on behalf of the participant.**



PARENT/GUARDIAN INFORMATION (required if minor or otherwise has a legal guardian)








COVID-19 CODE OF CONDUCT WAIVER

Who is at Higher Risk Of COVID-19?
COVID-19 is a new disease and information is changing on who is more likely to get COVID-19 and who is will have more complications. Based on currently available information and clinical expertise, people with intellectual and developmental disabilities may be at higher risk of severe illness resulting in death from COVID-19. 

In order to participate, you must sign the High Risk Waiver (if applicable) and the COVID-19 Code of Conduct Waiver.

Current clinical guidance and information from the U.S. Centers for Disease Control and
Prevention (CDC) and World Health Organization (WHO) lists those at high risk for severe illness from COVID-19 as:
  • People 65 years and older. Risk increases with age.
  • People who live in a nursing home or licensed long-term care facilities

Regardless of age, individuals with underlying conditions, such as the following, are or maybe at increased risk of severe illness from COVID-19:
  • People with chronic lung disease, chronic obstructive pulmonary disease or moderate to severe asthma
  • People who have serious heart conditions (including heart failure, coronary artery disease, congenital heart disease, cardiomyopathy, hypertension)
  • People who are immunocompromised 
Many conditions can cause a person to be immunocompromised, including cancer treatment, smoking, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications
The list may change as evidence is learned. Please review the latest list of conditions that put individuals at increased risk available at the CDC website (https://bit.ly/2VEJcSK)

If you are at a high risk, you may be putting yourself at risk when you return to activities with Special Olympics New Jersey. But, you may also put your family and your teammates at risk. If you have these conditions, you should seek additional medical advice prior to returning.

If you have been diagnosed with COVID-19, you should consult with a healthcare professional for written medical clearance before returning to Special Olympics in person activities as serious cardiac, respiratory, and neurological issues may develop as a result of COVID-19.
High Risk Waiver

You hereby release and agree to hold Special Olympics New Jersey harmless from any and all claims and causes of action for damages, costs, and/or expenses that may arise from any actions or inactions by Special Olympics New Jersey that you believe resulted in injury to you related to COVID-19. You understand that you are discharging Special Olympics New Jersey from any liability or claim that you, your heirs or personal representatives may have against Special Olympics New Jersey for any claim for bodily injury, illness, medical treatment or other damage that may relate to COVID-19. This liability waiver and release extends to Special Olympics New Jersey and its employees, volunteers and representatives.

Participant Signature
Required for adult (age 18 and older) participants, including adult athlete with capacity to sign documents.
I have read and understand this waiver. If I have questions, I will ask. By signing, I agree to this waiver. 

(By signing this High Risk Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)

Parent/ Guardian Signature
Required for participant who is a minor (younger than age 18) or lacks capacity to sign documents.
I am a parent or guardian of the athlete/participant named above. have read and understand this waiver and have explained the contents to the participant as appropriate. By signing, agree to this waiver on my own behalf and on behalf of the participant. 

(By signing this High Risk Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)


COVID-19 Code of Conduct Waiver 

I understand I could get COVID-19 through sports, training, competition and/or any group activity at Special Olympics New Jersey. I am choosing to participate in sports, competition and/or other Special Olympics  New Jersey activities at my own risk.
During the time these precautions are needed, I agree to the following to help keep me and my fellow participants safe by checking all of the boxes below. Failure to complete COVID-19 Code of Conduct will result in no in-person participation allowed
I HAVE READ ALL OF THIS AGREEMENT OR HAVE HAD IT READ TO ME AND AGREE TO FOLLOW THESE ACTIONS. Failure to complete COVID-19 Code of Conduct will result in no in-person participation allowed.
 
You hereby release and agree to hold Special Olympics New Jersey harmless from any and all claims and causes of action for damages, costs, and/or expenses that may arise from any actions or inactions by Special Olympics New Jersey that you believe resulted in injury to you related to COVID-19. You understand that you are discharging Special Olympics New Jersey from any liability or claim that you, your heirs or personal representatives may have against Special Olympics New Jersey for any claim for bodily injury, illness, medical treatment or other damage that may relate to COVID-19. This liability waiver and release extends to Special Olympics New Jersey and its employees, volunteers and representatives.

Participant Signature
Required for adult (age 18 and older) participants, including adult athlete with capacity to sign documents.
By signing this, I acknowledge that I have completely read and fully understand the information in this form 

(By signing this Code of Conduct Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)

Parent/ Guardian Signature
Required for participant who is a minor (younger than age 18) or lacks capacity to sign documents.
I am a parent or guardian of the athlete/participant named above. have read and understand this form and have explained the contents to the participant as appropriate. By signing, agree to this form on my own behalf and on behalf of the participant. 

(By signing this Code of Conduct Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)





COMMUNICABLE DISEASES WAIVER

Waiver and Release of Liability, Assumption of Risk and Indemnification Agreement for Communicable Diseases ("Agreement") for Special Olympics New Jersey
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:

Participant Signature
Required for adult (age 18 and older) participants, including adult athlete with capacity to sign documents.
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.

(By signing this Communicable Diseases Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)

Parent/ Guardian Signature
For participants of minority age (under age 18 at the time of registration) or those over 18 without the capacity to sign for themselves.
This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to indemnify and hold harmless the Releasees for any and all liabilities incident to my minor child's/ward's presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law. 

(By signing this Communicable Diseases Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)


COVID-19 VACCINE INFORMATION

Special Olympics New Jersey is asking participants if they have received the COVID-19 vaccination as well as the date of their last shot. This information is for data collection purposes ONLY and will not prohibit participation.   

This form only has to be filled out ONCE. 



2022 Snow Bowl

Additional Information

** Please complete the information below. For scheduling day(s} and times or any other official questions, email Chris Malkin or Eric Nellessen – at snowbowlref@gmail.com **

Once Eric and Chris receive these forms and volunteer availability over the three­ day event- March 4-6, 2022 -you will be contacted to confirm your assignment. Please indicate below which dates you are available to officiate at.




Are you interested in setting up a Snow Bowl fundraising page in which friends and family may donate to help raise money for Special Olympics New Jersey? If so, please contact Diane Paraskevas at dp@sonj.org.

2022 Waiver For Officials 



SPECIAL OLYMPICS NEW JERSEY RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY ("AGREEMENT")


THIS IS A LEGAL AGREEMENT.  UNDER THIS AGREEMENT, YOU ARE ASKED TO WAIVE (GIVE UP) CERTAIN RIGHTS YOU MAY HAVE.  IF YOU SIGN THIS AGREEMENT YOU GIVE UP ALL OF THOSE RIGHTS.  DO NOT SIGN THIS AGREEMENT UNLESS YOU HAVE READ IT AND UNDERSTAND IT

IN CONSIDERATION OF PARTICIPATING IN THE SPECIAL OLYMPIC NEW JERSEY (“SONJ”) SNOW BOWL (EVENT), I REPRESENT THAT I AM 18 YEARS OF AGE OR OLDER, THAT I UNDERSTAND THE NATURE OF THE SONJ SNOW BOWL AND THAT I AM QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN THE SONJ SNOW BOWL.  I ACKNOWLEDGE THAT IF I BELIEVE EVENT CONDITIONS ARE UNSAFE, I WILL IMMEDIATELY DISCONTINUE PARTICIPATION IN THE SONJ SNOW BOWL.

I FULLY UNDERSTAND THAT THE SONJ SNOW BOWL EVENT INVOLVES RISKS OF SERIOUS BODILY INJURY, INCLUDING VIRAL INFECTIONS, BACTERIAL INFECTIONS AND OTHER COMMUINICABLE DISEASES AND ILLNESSES, PERMANENT DISABILITY, PARALYSIS AND DEATH, WHICH MAY BE CAUSED BY MY OWN ACTIONS, OR INACTIONS, THOSE OF OTHERS PARTICIPATING IN THE EVENT, THE CONDITIONS IN WHICH THE EVENT TAKES PLACE, OR THE NEGLIGENCE OF THE “RELEASES” NAMED BELOW; AND THAT THERE MAY BE OTHER RISKS EITHER NOT KNOWN TO ME OR NOT READILY FORESEEABLE AT THIS TIME; AND I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES FOR MY PARTICIPATION IN THE SONJ SNOW BOWL.

I (FOR MYSELF AND MY LEGAL REPRESENTATIVES, HEIRS, ASSIGNS AND SUBROGORS) HEREBY RELEASE, FOREVER WAIVE AND DISCHARGE, AND COVENANT NOT TO SUE SPECIAL OLYMPICS, INC., SPECIAL OLYMPICS NEW JERSEY, THEIR RESPECTIVE ADMINISTRATORS, DIRECTORS, AGENTS, OFFICERS, VOLUNTEERS, AND EMPLOYEES, OTHER PARTICIPANTS, NEW YORK FOOTBALL GIANTS, INC., METLIFE STADIUM, NEW MEADOWLANDS STADIUM COMPANY, LLC, METROPOLITAN LIFE INSURANCE COMPANY, METLIFE STADIUM, NEW JERSEY SPORTS & EXPOSITION AUTHORITY, NATIONAL FOOTBALL LEAGUE

(“NFL”), ITS MEMBER PROFESSIONAL TEAMS AND CLUBS INCLUDING BUT NOT LIMITED TO THE NFL PROPERTIES, LLC, NFL VENTURES, L.P., AND THE OWNERS AND OPERATORS OF THE FACILITIES IN WHICH THE EVENT DESCRIBED BELOW IS BEING HELD, ALL PROMOTERS, SUPPLIERS, VENDORS, OPERATORS, AND EACH ONE OF THEM (COLLECTIVELY, “RELEASEES”) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES OF ANY KIND, INCLUDING, WITHOUT LIMITATION, CLAIMS FOR PROPERTY DAMAGE, PERSONAL INJURY, OR WRONGFUL DEATH, ILLNESS OR DEATH FROM THE COVID 19 PANDEMIC, OR ANY OTHER COVID VARIANTS REAGRDLESS OF WHETHER ANY SUCH INJURY, ILLNESS, DEATH, HARM OR

DAMAGE WAS CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERS, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE THAT IF, DESPITE THIS RELEASE, WAIVER OF LIABILITY, AND ASSUMPTION OF RISK I, OR ANYONE ON MY BEHALF, MAKES A CLAIM AGAINST ANY OF THE RELEASEES, I WILL INDEMNIFY, DEFEND, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LOSS, LIABILITY, DAMAGE, OR COST WHICH MAY INCUR AS RESULT OF SUCH CLAIM.

I HEREBY AGREE TO FOLLOW ALL STADIUM POLICIES AND POSTED INSTRUCTIONS WHILE ON THE PREMISES AND THE STADIUM GROUNDS.I RECOGNIZE THAT AN INHERENT RISK TO EXPOSURE TO COVID 19 EXISTS IN ANY PUBLIC PLACE WHERE PEOPLE ARE PRESENT, COVID 19 AND COVID VARIANTS ARE EXTREMELY CONTAGIOUS DISEASE THAT CAN LEAD TO SEVERE ILLNESS AND DEATH. SENIOR CITIZENS AND THOSE WITH UNDERLYING MEDICAL CONIDTIONS ARE EXPECIALLY VULNERABLE. BY ENTERING THE SPECIAL OLYMPICS NEW JERSEY SNOW BOWL WAIVER STADIUM AND STADIUM GROUNDS, I VOLUNTARILY ASSUME ALL RISKS ASSOCIATED REALTED TO EXPOSURE TO COVID 19 AND OTHER COVID VARIANTS.
I HEREBY ACKNOWLEDGE THAT I WILL NOT ENTER METLIFE STADIUM IF ANY ONE OR MORE OF THE FOLLOWING IS TRUE ON THE DAY OF THE METLIFE STADIUM EVENT: (I) I TESTED POSITIVE FOR COVID-19 WITHIN THE PAST 14 DAYS; (II) WITHIN THE PRIOR 48 HOURS, THE ATTENDEE HAS EXPERIENCED SYMPTOMS OF COVID-19 (E.G., A FEVER OF 100.4⁰F OR HIGHER, COUGH, SHORTNESS OF BREATH OR DIFFICULTY BREATHING, CHILLS, REPEATED SHAKING, MUSCLE PAIN/ACHINESS, HEADACHE, SORE THROAT, LOSS OF TASTE OR SMELL, NASAL CONGESTION, RUNNY NOSE, VOMITING, DIARRHEA, FATIGUE OR ANY OTHER SYMPTOMS ASSOCIATED WITH COVID-19 IDENTIFIED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION); (III) IF AN ATTENDEE HAS BEEN EXPOSED TO SOMEONE WHO HAS TESTED POSITIVE FOR COVID-19 WITHIN THE LAST 14 DAYS AND HAS NOT BEEN FULLY VACCINATED; OR (IV) WITHIN THE PRIOR 14 DAYS, THE ATTENDEE HAS TRAVELLED TO A STATE OR INTERNATIONAL TERRITORY IDENTIFIED BY FEDERAL OR APPLICABLE LOCAL GOVERNMENTS AS BEING SUBJECT TO TRAVEL OR QUARANTINE ADVISORIEDS DUE TO COVID 19.

I FURTHER AGREE THAT THE VALIDITY, PERFORMANCE, AND CONSTRUCTION OF THIS AGREEMENT AND RELEASE WILL BE GOVERNED AND INTERPRETED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW JERSEY, WITHOUT GIVING EFFECT TO CONFLICT OF LAW PRINCIPLES.  ANY CONTROVERSY OR CLAIM ARISING FROM OR RELATING TO THIS AGREEMENT AND RELEASE WILL BE SETTLED IN ACCORDANCE WITH THE EXPRESS TERMS OF THIS AGREEMENT AND RELEASE BY A STATE COURT LOCATED IN BERGEN COUNTY NEW JERSEY OR A FEDERAL COURT LOCATED IN NEWARK, NEW JERSEY, (AND I WAIVE ANY RIGHT TO OBJECT TO THOSE LOCATIONS.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT AND UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND/OR CHECKED “I AGREE” AND HAVE SIGNED AND/OR CHECKED “I AGREE” IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. THIS DOCUMENT IS VALID FOR ANY DATE WHEN THE EVENT IS HELD (IN THE EVENT OF RESCHEDULING).

OFFICAL SIGNATURE


** I have read and understand this form. If I have questions, I will ask. By signing, I agree to this form.**




PERMISSION TO PUBLISH:   IN PARTICIPATING, I AM SPECIFICALLY GRANTING PERMISSION TO YOU TO USE MY NAME, LIKENESS, VOICE AND WORDS IN TELEVISION, RADIO, FILMS, NEWSPAPERS, MAGAZINES, AND OTHER MEDIA, AND IN ANY FORM NOT HERETOFORE DESCRIBED, FOR THE PURPOSE OF ADVERTISING OR COMMUNICATING THE PURPOSES AND ACTIVITIES OF SPECIAL OLYMPICS IN APPEALING FOR FUNDS TO SUPPORT SUCH ACTIVITIES.  I ALSO AGREE THAT I SHALL HAVE NO RIGHT OF APPROVAL, AND NO CLAIM TO ANY COMPENSATION OR A CLAIM ARISING OUT OF THE USE, ALTERATION OR DISTORTION OF MY NAME, PHOTOGRAPH, LIKENESS OR OTHER INFORMATION OR MATERIALS PROVIDED.

OFFICIAL SIGNATURE


** I, THE UNDERSIGNED, HAVE READ AND UNDERSTOOD THE PROVISIONS OF THIS RELEASE.  I HEREBY AGREE THAT I WILL BE BOUND THEREBY. **