WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND INDEMNIFICATION AGREEMENT
FOR COMMUNICABLE DISEASES
(“Agreement”) for
SPECIAL OLYMPICS
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 and 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 official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY
RELEASE AND HOLD HARMLESS Special Olympics, Inc, Special Olympics Washington their officers,
officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and
if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT
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.
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 IF FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Name of Participant: ___________________________
Participant Signature:_____________________________
Date signed: ____________________
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT THE TIME OF REGISTRATION)
This is to certify that I, as parent/guardian, with legal responsibility for this participant, have read and
explained the provisions in this waiver/release to my child/ward including the risks of presence and
participation and his/her personal responsibilities for adhering to the rules and regulations for protection
against communicable diseases. Furthermore, my child/ward understands and accepts these risks and
responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided
above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and
hold harmless the Releasees for any and all liabilities incident to my minor child’s/ward’s presence or
participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest
extent provided by law.
Name of parent/guardian: ______________________
Parent guardian/signature:______________________
Date signed: ___________________
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