School Champs Registration Form

Athlete Registration School Champs – Parent Form

School Championships Athlete Registration Form

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School Champs Sport(Required)

Hidden

Athlete Type(Required)

Hidden

Coach Contact(Required)

Athlete Name(Required)

First Last

Athlete Gender(Required)

Female

Male

Other

Athlete Date of Birth(Required)

MM slash DD slash YYYY

Parent/Guardian Name(Required)

First Last

Relationship to Athletes

Parent

Guardian

Other

Parent/Guardian Email(Required)

Parent/Guardian Cell-Phone

Alternative Emergency Contact(Required)

First Last

Alternative Emergency Contact Phone Number(Required)

Dietary Restrictions(Required)

Does the athlete have any allergies or other dietary restrictions? Please note we will not be able to accommodate preferences- only serious food restrictions will be accommodated

Dietary Restrictions

Please list the food allergies or dietary restrictions:

Athlete requires mobility assistive device:

Yes

Consents & Waivers

Special Olympics Ontario School Programs Athlete Code of Conduct(Required)

Special Olympics Ontario School Programs Code of Conduct

Note: All Special Olympics Ontario school program events, including but not limited to school qualifiers and championships, are subject to the following codes of conduct.

A. Athlete Code of Conduct

Note that an Athlete is any individual registered on the team roster. This includes both traditional and unified participants.

Each athlete shall adhere to the following:

1) Adhere to the Athlete’s Rights and Responsibilities

2) Maintain high standards of conduct, which include self-control and responsible behaviour. An athlete should consider the well-being of others and display courtesy and good manners.

3) Avoid profane or abusive language and disruptive behaviour, including behaviour that is dangerous to self and/or others, including acts of violence, harassment, physical or sexual abuse.

4) Abide by the competition rules, especially the Special Olympics Ontario Official Sports Rules.

5) Abstain from the use of illegal drugs, alcoholic beverages, tobacco products and/or illegal substances when participating in any Special Olympics-sponsored or sanctioned activities. These activities include, but are not limited to, training/practice sessions and competition events.

6) Abstain from all illegal activity.

7) Uphold and Honour the athlete’s oath to the best of their ability (“Let Me Win, But If I Cannot Win Let me Be Brave in the Attempt”)

Code of Conduct Infractions

Special Olympics Ontario has sole and absolute discretion as to any disciplinary actions to be taken if a person violates the Athlete Code of Conduct. Any action taken is predicated on the good faith belief of Special Olympics Ontario that the disciplinary action is appropriate.

The following disciplinary actions may be taken:

• Issue a warning.

• Suspension from a school qualifier or qualifier(s)

• Suspension from school championships

• Suspension from further participation in any Special Olympics programs or activities

• Expulsion from further participation in any Special Olympics programs or activities.

Immediate Suspension

A person may be subject to immediate disciplinary action, including suspension, for conduct which, in Special Olympics’s sole and absolute discretion, is so inherently harmful as to warrant immediate action. Immediate disciplinary action, including suspension, may be imposed for any of the following:

a) Illegal Conduct

b) Behaviour Problems

c) Alcohol, Cannabis or Illegal Substance

d) Abuse

I have read and agree to Special Olympics Ontario School Programs Athletes Code of Conduct.

Athlete Information(Required)

The personal information you are providing to Special Olympics Ontario (SOO) is treated as strictly confidential by SOO and its partners. The collection and use of personal information by SOO is in accordance with the Ontario Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1980, CHAPTER M.58

I acknowledge and affirm I have read and understand the above.

Healthy Athletes Release:

Special Olympics offers certain non-invasive health care services to athletes at local, provincial/territorial, national and World Games venues through the Healthy Athletes Program. These services may include individual screening assessments of health status and healthcare needs, provision of health education, routine preventative services (e.g. protective mouth guards), educational services and, in the case of vision and hearing deficit, provision of needed eye wear (glasses, swim goggles, protective eye wear) and hearing aids. Athletes are informed as to their health status and advised of the need for follow-up care. In addition, information collected at the time services are provided has been invaluable for developing policies, securing resources, and implementing programs to better meet the health needs of athletes. I understand that by signing below I consent to participate in the Special Olympics Healthy Athletes program that provides individual screening assessments of health status and health care needs in the areas of: vision; oral health, hearing; physical therapy; and a variety of health promotion areas (height, weight, sun protection, etc.). I understand there is no obligation for me to participate in the Healthy Athletes Program should I decide not to participate. Provision of these healthy services is not intended as a substitute for regular care. I also understand that I should seek my own independent medical advice and assistance irrespective of these provisions responsible for my health. I understand that information that is gathered as part of the screening process may be used in group form (anonymously) to assess and communicate the overall health needs of athletes and to develop programs to address those needs.

Please select one…

Waiver(Required)

Before proceeding, please review the Special Olympics Participation Waiver & Media Opt-Out:

Read the Participation Waiver

By checking the box below, you acknowledge that you have read and understood the contents of the document.

I have viewed and agree to the terms set out in the Special Olympics Participation Waiver

Media Release(Required)

I have viewed the Special Olympics Participation Waiver [Part 2: Promotional Media Opt-Out] and grant permission to Special Olympics to use my name, likeness, voice, and/ or words

Parent/Guardian Signature Signature(Required)

Athlete Registration School Champs – Parent Form

School Championships Athlete Registration Form

Consents & Waivers

Healthy Athletes Release:

District Sites

Finance & Administration

Careers

News & Media

Other Special Olympics Sites

District Sites

Finance & Administration

Careers

News & Media

Other Special Olympics Sites