I am a Special Olympics athlete with capacity to sign documents on my own behalf, or I am a parent/guardian submitting on behalf of an athlete, and agree to the following:
1. No Consent to Emergency Medical Care . I understand that the standard Special Olympics registration form requires athletes, or their parents or guardians, to consent to the athlete receiving medical care if needed in an emergency. Based on religious beliefs or other reasons, I am not consenting to emergency medical care and/or blood transfusions as answered in the previous part of the form.
2. Printed Instructions . I agree to carry printed instructions describing my religious or other objections to medical treatment and how I would like the person accompanying me to respond if I become ill or injured and cannot speak for myself. I agree to carry these printed instructions with me at all times during my participation in any Special Olympics activity, including during meals, at overnight accommodations, at training sessions and competitions, and during travel to and from Special Olympics activities.
3. Accompanying a friend or family member . I understand that I must be accompanied by an adult friend or family member to all Special Olympics MA practices, competitions, and events, in order for that person to take personal responsibility for me during a medical emergency when I may be unable to speak for myself. I also understand I will be ineligible to travel overnight to Special Olympics MA events unless accompanied by a parent/guardian who is also a registered Special Olympics MA volunteer.
4. Emergency Medical Care If Athlete Is Unaccompanied . I understand that if I do not have printed instructions with me, or if an accompanying adult is not present and actively taking personal responsibility for me during a medical emergency in which I am unable to speak for myself, Special Olympics may seek emergency medical care for me as recommended by the medical professionals responding to the emergency.
Release of Liability . I release Special Olympics, its employees, and its volunteers from all claims that may arise from their taking or failing to take steps to provide me with emergency medical care. I am agreeing to this release because I have knowingly and voluntarily refused to give Special Olympics permission to take emergency care, and I am expressly denying consent to emergency medical care for religious or other reasons. For this form, “Special Olympics” means all Special Olympics organizations.