SPECIAL OLYMPICS NORTHERN CALIFORNIA PARTICIPANT WAIVER AND RELEASE
Special Olympics Northern California Law Enforcement Torch Run Waiver for Minors (must be signed by legal guardian)
May & June, 2021
I hereby enter into the following agreement with Special Olympics, Inc. and/or Special Olympics Northern California, Inc., with its principal place of business in Pleasant Hill, California, as well for each its members, officers, employees, agents, volunteers, and representatives (individually and collectively, “Special Olympics”), as a condition of receiving and using Special Olympics’ online fitness, sports, leadership and inclusion programming services, including fundraising activities.
I acknowledge and fully understand that any fitness or exercise activities, and the use of training and fitness equipment and machinery, involve risks of serious injury, permanent disability, or death, even if done correctly and with the utmost attention to safety. These risks include, but are not limited to, fainting; broken bones; strained or torn muscles; torn or strained ligaments, tendons, and other connective tissues; herniated discs and other spinal injuries; cardiovascular or cerebrovascular events, including heart attack or stroke; conditions related to overexertion, including heat stroke/exhaustion or rhabdomyolysis; or damage to the nervous system, including irreversible damage to the brain or spinal cord. I further acknowledge and fully understand that participation in any fitness or exercise activities could aggravate a pre-existing condition, whether known or unknown, could lead to exposure to viral infections, bacterial infections and other communicable diseases and illnesses, and that there may be other risks associated with my participation in fitness or exercise activities that are not known or not reasonably foreseeable at this time. I further acknowledge and fully understand that all of the foregoing risks are especially pronounced in an online programming setting, such as that embodied by the fitness and performance programming services provided by Special Olympics because I will necessarily be engaging in fitness or exercise activities on my own, without real-time supervision by Special Olympics, in a facility or location over which Special Olympics has no control. I hereby acknowledge and accept the foregoing risks and dangers. Further, I hereby waive, release, and discharge Special Olympics from any and all liability from death, injuries or damages arising from, or in any way connected with, Special Olympics’ fitness and performance programming services; Special Olympics’ instruction, programming, advice or recommendations; the use of any exercises, routines, equipment or machinery, whether or not they were recommended by Special Olympics; or my engagement in any fitness or exercise activities, including any death, injuries or damages resulting from the negligent recommendations, acts, or omissions of Special Olympics, or from viral infections, bacterial infections and other communicable diseases and illnesses, no matter where those injuries occur.
PLEASE INITIAL your acknowledgement of the following statements:
DISCLAIMER: Special Olympics and their members, officers, employees, agents, volunteers, and representatives are not licensed dietitians, are not offering dietetics advice, and are not offering advice intended as dietary means of improving health or providing medical advice.
Entire Agreement: The above Terms of Service constitute the entire agreement of the parties and supersede any and all preceding and contemporaneous agreements between you and Special Olympics. Any waiver of any provision of the Terms of Service will be effective only if in writing and signed by a Director or other authorized representative of Special Olympics Northern California, Inc. or of Special Olympics Inc.
Participant Address: ____________________________________________________________
FOR ADULT PARTICIPANT:
Print Full Name: ________________________________________________________________
FOR MINOR PARTICIPANT:
Print Full Name of Minor:_________________________________________________________
Print Full Name of Parent/Guardian: _______________________________________________
Adult email: ___________________________________________
(By Parent/Guardian of Minor) (Date)