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Communicable Disease Waiver

communicable disease waiver

Communicable Disease Waiver

Participant Name(Required)
Role:(Required)

Communicable Disease Participant Code of Conduct

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 ARISINGFROM 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 agree to adhere to the COMMUNICABLE DISEASE PARTICIPANT CODE OF CONDUCT set forth immediately hereinbelow:

I understand I could get communicable diseases through sports, training, competition and/or any other Special Olympics Illinois (“SOILL”) group activity. I am choosing to participate in sports, training, competition and/or other SOILL group activities at my own risk. Accordingly, I agree to the following to help keep me and my fellow participants safe:

  • If I have COVID-19 symptoms, or any similar communicable disease, I will NOT participate in or attend any SOILL group activities until at least 7 days after I no longer am exhibiting any symptoms, and my doctor has given me written clearance to participate in any SOILL group activity. If I am exposed to COVID-19, or any similar communicable disease, and have no symptoms, I will NOT participate in or attend SOILL group activities until at least 14 days after exposure.
  • SOILL gave me education on SOILL rules for COVID-19 and who is at high-risk. I know that if I have a high-risk condition, I have more risk that I could get sick or die from COVID-19. If I have a high risk condition, I should not go to SOILL events in person, until there is little or no Coronavirus in my community.
  • I know that before or when I attend any SOILL group activity, they may ask me some questions about symptoms and exposure to COVID-19, or any similar communicable disease. They may also take my temperature. I will answer truthfully and participate fully.
  • I will keep at least 6 ft/2m from all participants at all times.
  • I will wash my hands for a minimum of 20 seconds, or use hand sanitizer prior to participating in any SOILL group activity. I will wash my hands any time I sneeze, cough, go to the restroom, or get my hands dirty.
  • I will avoid touching my face. I will cover my mouth when I cough or sneeze and afterward I will immediately wash my hands.
  • I will not share drinking bottles or towels with other people.
  • I will only share equipment when I am instructed to, and, if instructed to share equipment, I will first make certain it has been disinfected.
  • I understand that if I fail to follow these rules and recommendations, or any other rules and recommendations SOILL may adopt in the future, I may not be allowed to participate in SOILL group activities.

Verbal consents or phone consents will not be accepted by Special Olympics Illinois.

   5. 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.

Participant Electronic Signature (By typing your name, you agree to the Communicable Disease Participant Code of Conduct)
Date Signed:
Electronic Signature of Parent/Guardian/Legally Responsible Individual of Participant (By typing your name, you agree to the Communicable Disease Participant Code of Conduct)
Date Signed:
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