Volunteer Signup Affiliation (choose one)* Individual Community/Service Organization Company/Corporate Group School Other Consent Waiver **EACH VOLUNTEER MUST BE REGISTERED INDIVIDUALLY TO FILL THE CORRECT NUMBER OF VOLUNTEER ROLES** *Phone numbers will only be used if needed to communicate about volunteer roles. Email addresses will be used to send reminder messages prior to the event.* GENERAL / PARENTAL CONSENT On behalf of myself or of my minor child named above, I agree for myself and for said minor as follows: I understand that the information I provide in this form may be verified. In the course of volunteering for Special Olympics Northern California and Nevada (SONC/NV), I understand that I may be dealing with confidential information and I agree to keep that information in the strictest confidence. In consideration for being permitted to volunteer my services for SONC/NV, I hereby agree to accept and assume any and all risks of personal injury, damage, or loss of personal property, and will also release, indemnify, and hold harmless SONC/NV from and against any and all liability or costs, which may arise or result from my volunteer activities for SONC/NV. If I am unavailable to give consent, I authorize SONC/NV, its agents, employees, or representatives, to consent on my behalf to any x-ray, anesthetic, medical, dental, or surgical diagnosis or treatment and hospital supervision, to be rendered upon the advice of a licensed physician, dentist, or qualified medical personnel. I understand that the relationship between SONC/NV and its volunteers is an 'at will' arrangement, and it may be terminated at any time without cause by either the volunteer or SONC/NV. I also hereby authorize SONC/NV and its agents to use my likeness, voice, and words in television, radio, film, social media, on the SONC/NV websites, or in any other form or media to promote SONC/NV and its activities. Due to the current public health crisis, I also agree to the following statement and conditions: I understand I could be exposed to Coronavirus through volunteering at a Special Olympics event. I am choosing to participate in Special Olympics activities at my own risk. During the time these precautions are needed, I agree to the following to help keep me and my fellow volunteer and/or athlete participants safe: If I have COVID-19 symptoms, I will stay at home and NOT participate in activities until 7 days after all of my symptoms have subsided. If I am exposed to COVID-19 and have no symptoms, I can return 14 days after exposure. I know that if I have a high-risk condition, I have an increased risk that of getting sick or dying from COVID-19. If I have a high-risk condition, I should not go to Special Olympics events in person, until there is little or no Coronavirus in my community. I will keep at least 6 ft/2m from all participants at all times. (Children accompanying Parents excepted) Regardless of my vaccination status, I understand that I will be required to wear a face mask that covers my nose and mouth at all times while at Special Olympics activities. I will wash my hands for 20 seconds or use hand sanitizer before any activities. I will wash my hands any time I sneeze, cough, go to the bathroom or get my hands dirty. I will avoid touching my face. I will cover my mouth when I cough or sneeze and immediately wash my hands after. I will not share drinking bottles or towels with other people. I will only share materials or equipment when instructed. If such materials must be shared, I will only touch the equipment if it is disinfected first. I understand that if I do not follow all of these rules, I may not be allowed to participate in Special Olympics activities, and/or I may be asked to leave Special Olympics events. (FOR VOLUNTEERS AGE 18 OR OLDER, please type your first and last name to affirm that you have read and understand the terms of the General Consent) (FOR PARENTS/GUARDIANS OF VOLUNTEERS AGES 10 TO 18, please type your first and last name to affirm that you have read and understand the terms of the General Consent. *Children must be 10 years of age to volunteer, and children between the ages 10 to 13 must have parental supervision) Please enable JavaScript for this form to work.