Form Stories

Culvers ButterBurgers & Badges Location Request


 

Culvers Location Request Form

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2019 Cop on A Roof Top Location Request Form


 

Dunkin' Location Request Form

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  • LETR Coordinating Officer Waiver and Release of Liability

  • 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:

    1. Participation includes possible exposure to and illness from infectious and/or communicable diseases including but not limited to MRSA, influenza and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and,

    2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

    3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest Special Olympics Illinois or venue official immediately; and,

    4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBYRELEASE AND HOLD HARLMESS Special Olympics , Inc., Special Olympics Illinois, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners and lessors of the venue/premises used to conduct the event (“RELEASEES”), WITHRESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

    5. I agree to adhere to the Special Olympics Illinois Communicable Disease Participant Code of Conduct

    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 IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


School Commitment Form


 

School Commitment Form

  • Contact Information

  • Phone
  • Email
  • Phone
  • Email
  • Phone
  • Email

  • Program Involvement

    A school just beginning their involvement must choose one activity from Unified Sports and one or two of these categories; however, can do activities in each category if desired. A returning school that has been involved in the past, should focus on a minimum of one activity from each of the components.
  • *click links below for more information
  • *click links below for more information


Unified Champion Schools Outreach Opportunity


 

What is Unified Champion Schools

Special Olympics Unified Champion Schools is an education-based project, financially supported by the U.S. Department of Education, that uses the sports and education programs of Special Olympics to activate young people across the U.S. in order to promote school communities where all young people are agents of change – fostering respect, dignity and advocacy for people with intellectual disabilities. Special Olympics believes that through sports young people can make a difference in friendships, schools and communities.  Special Olympics Illinois Unified Champion Schools incorporates Special Olympics sports and related activities, however, in this new way of operating (youth-centered, school focused) there is an enhancement in current programs and paradigms from a focus on events to committing to a movement advocating for youth as change agents now and in the future.