Volunteer Application

Volunteer Registration for potential Coaches and Fundraising volunteers (Adults or Minors)

Step 1 of 3

Application for Adult or Minor(Required)

New or Renewal Application(Required)

Participating County(Required)

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Phone(Required)

Alternate Phone

Email(Required)

Enter Email Confirm Email

Alternate Email

Enter Email Confirm Email

Gender(Required)

Date Of Birth(Required)

MM/DD/YYY

Special Olympics Release and Waiver of Liability (Adult 18+)(Required)

I agree to the Special Olympics Release and Waiver of Liability for Adults

I, as an adult age 18 or older, understand and agree that:
· the information I have provided may be verified and I hereby give permission to Special Olympics Northern California, Inc., doing business as Special Olympics Nevada (“SONV”) to make inquiry of others concerning my suitability to act as a SONV volunteer. I understand this verification and inquiry may include my motor vehicle operation history (DMV) and criminal background check(s);
· in consideration of participating in Special Olympics Unified Sports®, if applicable, I represent that I understand the nature of the event and that I am 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 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, costs, and/or damages I may incur as a result of my participation. I acknowledge that at any time if I feel that the event conditions are unsafe, I will discontinue participation immediately;
· I release, indemnify, covenant not to sue, and hold harmless SONV, Special Olympics, Inc., their programs, administrators, directors, agents, officers, employees, and other volunteers and Unified Sports® participants, and sponsors, advertisers, and, if applicable, any owners and lessors of premises on which any activity takes place (“Releasees”) from all liability, any losses, claims (other than that of any medical accident benefit), demands, costs, or damages that I may incur as a result of participation as a volunteer and/or in Unified Sports® events and further agree that if, despite this “Release and Waiver of Liability” Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I 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;
· if during my participation in Special Olympics activities I should need emergency medical treatment and I am not able to give my consent for or make my own arrangements for that treatment, I authorize SONV to take whatever measures are deemed necessary to protect my health and well-being, including, if necessary, hospitalization. My health insurer (and not any of the Releasees or their insurers) will be primarily responsible to pay for or otherwise cover any and all medically-related expenses incurred;
· in the course of volunteering for SONV I may be dealing with confidential information and I agree to keep said information in the strictest confidence;
· the relationship between SONV and volunteers is an “at will” arrangement, and it may be terminated at any time without cause by either the volunteer or SONV;
· I must have and maintain at least the minimum amount of automobile insurance as required by the State of Nevada. I agree to notify SONV if I do not have such coverage if at any time I am asked to use my personal or any non-owned vehicle for SONV related business or activities. Furthermore, I agree to not allow any person who does not have automobile insurance and SONV’s authorization to drive my vehicle for SONV related business or activities;
· I hereby grant SONV permission to use my likeness, voice, and words in or on television, radio, film, and SONV’s Website(s), or in any other form, format, or media, to promote the activities of or fundraising for SONV, without compensation; and
· I am responsible for informing SONV of ANY changes regarding information contained in this application, and I am responsible for following and abiding by the Coaches’ Code of Conduct as outlined in the attached handout.
I affirm that I have read this “Release and Waiver of Liability” Agreement, that I fully understand it, and that the information I have given is true. I understand that in the event any false information is provided, I may be terminated from my volunteer position with SONV and/or as a Special Olympics Unified Sports® participant.

Special Olympics Release and Waiver of Liability (Minor 17 and under) Parent Consent Required

I agree to the Special Olympics Release and Waiver of Liability for Minors

I, as the parent or guardian of a minor volunteer or Unified Sports® applicant (“Minor Applicant”), understand and agree that: · the information I have provided may be verified and I hereby give permission to Special Olympics Northern California, Inc., doing business as Special Olympics Nevada (“SONV”) to make inquiry of others concerning Minor Applicant’s suitability to act as a SONV volunteer. Further, I hereby release all parties and persons from any and all liability for any damages, and voluntarily waive any and all rights, claims, charges, complaints, or causes of action I or Minor Applicant has or may have against SONV, including its directors, officers, employees, and representatives, as a result of SONV’s and/or its representative’s actions in seeking, using, and/or disclosing information gained about Minor Applicant; · in consideration of participating in Special Olympics Unified Sports®, if applicable, I represent that I and Minor Applicant understand the nature of the event and that Minor Applicant is qualified, in good health, and in proper physical condition to participate in Unified Sports® events. I and Minor Applicant fully understand that the event involves risks of serious bodily injury which may be caused by Minor Applicant’s own actions or inactions, by the actions of others participating in the event, or by conditions in which the event takes place. I and Minor Applicant fully accept and assume all such risks and all responsibility for losses, costs, and/or damages Minor Applicant may incur as a result of his or her participation. I acknowledge that at any time if I or Minor Applicant feels that the event conditions are unsafe, Minor Applicant will discontinue participation immediately; · I and Minor Applicant release, indemnify, covenant not to sue, and hold harmless SONV, Special Olympics, Inc., their programs, administrators, directors, agents, officers, employees, and other volunteers and Unified Sports® participants, and sponsors, advertisers, and, if applicable, any owners and lessors of premises on which any activity takes place (“Releasees”) from all liability, any losses, claims (other than that of any medical accident benefit), demands, costs, or damages that Minor Applicant may incur as a result of participation as a volunteer and/or in Unified Sports® events and further agree that if, despite this “Release and Waiver of Liability” Agreement, I, or anyone on my or Minor Applicant’s behalf, makes a claim against any of the Releasees, I 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; · if, during participation in Special Olympics activities, Minor Applicant should need emergency medical treatment and I am not able to give my consent for or make my own arrangements for that treatment, I authorize SONV to take whatever measures are deemed necessary to protect Minor Applicant’s health and well-being, including, if necessary, hospitalization. My or Minor Applicant’s health insurer (and not any of the Releasees or their insurers) will be primarily responsible to pay for or otherwise cover any and all medically-related expenses incurred; · in the course of volunteering for SONV, Minor Applicant may be dealing with confidential information and agrees to keep said information in the strictest confidence; · the relationship between SONV and volunteers is an “at will” arrangement, and it may be terminated at any time without cause by either the volunteer or SONV; · if Minor Applicant is at any time asked to and agrees to use my or Minor Applicant’s personal or any non-owned vehicle for SONV-related business or activities, I or Minor Applicant must (1) have and maintain at least the minimum amount of automobile insurance as required by the State of Nevada, (2) notify SONV if I or Minor Applicant does not have such coverage, (3) be in compliance with all applicable Nevada statutes regarding eligibility to drive others, and (4) never allow any person who does not have automobile insurance and SONV’s authorization to drive my or Minor Applicant’s vehicle for SONV-related business or activities; · I hereby grant SONV permission to use Minor Applicant’s likeness, voice, and words in or on television, radio, film, and SONV’s Website(s), or in any other form, format, or media, to promote the activities of or fundraising for SONV, without compensation; and · I and Minor Applicant are responsible

Parent or Guardian Name(Required)

First Last

Parent Consent to Special Olympics Release and Waiver of Liability for Minor

Volunteer Code of Conduct(Required)

I agree to the Volunteer Code of Conduct.

Special Olympics Nevada (SONV) volunteer coaches are models whose behavior should serve as a positive example for all athletes. Their behavior should reflect a concern that the fairest and most positive competitive experience is equally available to every Special Olympics athlete in each training or competition. The coach/volunteer has the unique opportunity to influence the development and personal growth of many individuals. For this reason, it is important that the coach/volunteer adhere to the standards of ethical decision making and teaching. In addition, it is the position of SONV that each volunteer/coach shall agree to:

HAVE RESPECT FOR OTHERS
– I will respect the rights, dignity and worth of athletes, other coaches and volunteers, SONV staff members, and friends and spectators in Special Olympics.
– I will treat everyone equally regardless of sex, ethnic origin, religion or ability.
– I will be a positive role model for the athletes I interact with.
– I will dress and act in an appropriate manner at all times.

ENSURE A POSITIVE EXPERIENCE
– I will ensure that for each athlete I encounter, the time spent with Special Olympics is a positive experience.
– I will respect the talent, developmental stage and goals of each athlete.
– I will ensure each athlete competes in events that challenge that athlete’s potential and are appropriate to that athlete’s ability.
– I will be fair, considerate and honest with athletes and communicate with athletes using simple, clear language.
– I will ensure that accurate scores are provided for entry of an athlete into any event.
– I will instruct each athlete to perform to the best of his or her ability at all preliminaries/heats and finals in accordance with the Official Special Olympics Sports Rules.

ACT PROFESSIONALLY AND TAKE RESPONSIBILITY FOR HIS/HER ACTIONS
– My language, manner, punctuality, preparation and presentation will demonstrate high standards.
– I will display control, respect, dignity and professionalism to all involved in Special Olympics, including to the athletes, other coaches and volunteers, opponents, officials, administrators, SONV staff members, parents, spectators and the media.
– I will encourage athletes to demonstrate the same qualities.
– I will not drink alcohol, smoke or take illegal drugs while representing Special Olympics at training sessions or during competitions.
– I will not engage in any form of personal abuse or in appropriate contact or relationship towards athletes, other coaches and volunteers, SONV staff members, or friends and spectators in Special Olympics, including verbal, physical or emotional abuse.
– I will be alert to any form of abuse from other sources directed toward athletes or others in my care.
– I will abide by the Special Olympics policy that prohibits volunteers/coaches from dating athletes.

PROVIDE QUALITY SERVICE TO THE ATHLETES
If I am a coach:
– I will seek continued improvement through performance evaluation and ongoing coach education.
– I will be knowledgeable about the Sports Rules and skills of the sport(s) I coach.
– I will provide a planned training program.
– I will keep copies of the registration, training, and competition records for each athlete I coach.
– I will follow the Special Olympics and National Governing Body rules for my sport(s) coached, as well as all SONV policies and procedures as amended.

ENSURE THE HEALTH AND SAFETY OF THE ATHLETES
– I will ensure that the equipment and facilities I encounter are safe to use.
– I will ensure that the equipment, rules, training and the environment are appropriate for the age and ability of the athletes.
– I will review each athlete’s registration form and be aware of any limitations on that athlete’s participation noted on that form.
– I will encourage athletes and volunteers to seek medical advice when needed.
– I will report any emergencies to the appropriate authorities after first taking immediate action to ensure the health and safety of those involved.
– I will maintain the same interest and support towards sick and injured athletes.
– I will allow further participation in training and competition only when appropriate.

Should the behaviors and/or abilities of any volunteer/coach or other faction of a school/organization violate either the principles stated above (including the SONV policies and procedures as amended) or the philosophy of the Special Olympics movement, then any of the following actions may be taken by SONV in its sole discretion:
1. The volunteer/coach may be notified by official warning of the undesirable behavior and be requested to remedy the situation immediately in order to continue his or her participation in Special Olympics;
2. The volunteer/coach may be requested to withdraw personally or with his/her team from the remainder of any Special Olympics event or tournament;
3. The volunteer/coach or sponsoring school/organization may be suspended from participating in any or all Special Olympics activities or events for a specified period of time; and/or
4. The volunteer/coach or sponsoring school/organization may be permanently prohibited from participating in any or all Special Olympics activities or events.

I have read and understand the foregoing SONV Coaches’ Code of Conduct, and agree to abide by its terms.