Athlete Registration - Special Olympics Idaho Info System

Welcome to Special Olymipcs Idaho! This site will guide you through the process of registering as an athlete.

Get Started

Are you a new athlete to Special Olympics or re-registering?

New Athlete

Re-Registering

What's your name?

First

Middle

Last

Preferred name

Date of birth and gender?

Date of Birth (mm/dd/yyyy)

Gender:

Male

Female

Race / Ethnicity (Optional)

American Indian / Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Hispanic or Latino

Specific Hispanic or Latino Origin Group

Languages Spoken in Your Home (Optional)

English

Spanish

Other (please list)

Other Language(s)

What is your street address?

Address

City

State

Postal Code

How else can we reach you?

Phone

Email

Sports and Employment

What sports / activities are you interested in?

Who is your employer, if any (optional)

Do you have the capacity to consent to medical treatment on your own behalf?

Yes

No

Are you a minor or do you have a legal guardian?

Yes

No

Parent / Guardian Information

Full Name

Relationship

Same Contact Info As Mine

Address

City

State

Postal Code

Phone

Email

Who should we contact in an emergency?

Same As Parent / Guardian

Name

Phone

Relationship

Who is your physician?

Name

Phone

Tell us about your health insurance.

Insurance Company

Policy Number

Group Number

Thanks! That's all for basic information. Next up, we will go over two forms, the Athlete Release and Likeness Release.

Athlete Release Form

I agree to the following:

Ability to Participate. I am physically able to take part in Special Olympics activities.
Likeness Release. I give permission to Special Olympics, Inc., Special Olympics games organizing committees, and Special Olympics accredited Programs (collectively "Special Olympics") to use my likeness, photo, video, name, voice, and words to promote Special Olympics and raise funds for Special Olympics.
Risk of Concussion and Other Injury. I know there is a risk of injury. I understand the risk of continuing to play sports with or after a concussion or other injury. I may have to get medical care if I have a suspected concussion or other injury. I also may have to wait 7 days or more and get permission from a doctor before I start playing sports again.
Emergency Care. If I am unable, or my guardian is unavailable, to consent or make medical decisions in an emergency, I authorize Special Olympics to seek medical care on my behalf, unless I mark one of these boxes:

I have a religious or other objection to receiving medical treatment. (Not common)

I do not consent to blood transfusions. (Not common)

You will also need to fill out an Emergency Medical Care Refusal Form, which you can find here, and email it to info@idso.org.

Overnight Stay. For some events, I may stay in a hotel or someone's home. If I have questions, I will ask.
Health Programs. If I take part in a health program, I consent to health activities, screenings, and treatment. This should not replace regular health care. I can say no to treatment or anything else at any time.
Personal Information. I understand that Special Olympics will be collecting my personal information as part of my participation, including my name, image, address, telephone number, health information, and other personally identifying and health related information I provide to Special Olympics ("personal information").
- I agree and consent to Special Olympics:
  - using my personal information in order to: make sure I am eligible and can participate safely; run trainings and events; share competition results (including on the Web and in news media); provide health treatment if I participate in a health program; analyze data for the purposes of improving programming and identifying and responding to the needs of Special Olympics participants; perform computer operations, quality assurance, testing, and other related activities; and provide event-related services.
  - using my personal information and creating a profile of me for communications and marketing purposes, including direct digital marketing through email, SMS, social media, and other channels.
  - sharing my personal information with (i) researchers, business partners, public health agencies, and other organizations that are studying intellectual disabilities and the impact of Special Olympics activities, (ii) medical professionals in an emergency, and (iii) government authorities for the purpose of assisting me with any visas required for international travel to Special Olympics events and for any other purpose necessary to protect public safety, respond to government requests, and report information as required by law.
- I understand Special Olympics is a global organization with headquarters in the United States of America. I acknowledge that my personal information may be stored and processed in countries outside my country of residence, including the United States. Such countries may not have the same level of personal data protection as my country of residence, and I agree that the laws of the United States will govern your processing of my personal information as provided in this consent.
- I have the right to ask to see my personal information or to be informed about the personal information that is processed about me. I have the right to ask to correct and delete my personal information, and to restrict the processing of my personal information if it is inconsistent with this consent.
- Sharing of Personal Information. Personal information may be shared consistent with this form and as further explained in the Special Olympics privacy policy found here.

Athlete Acceptance: (required for adult athlete with capacity to sign legal documents)

I have read and understand this form. If I have questions, I will ask. By checking this box, I agree to this form.

Parent / Guardian Acceptance: (required for athlete who is a minor or lacks capacity to sign legal documents)

I am a parent or guardian of the athlete. I have read and understand this form and have explained the contents to the athlete as appropriate. By checking this box, I agree to this form on my own behalf and on behalf of the athlete.

Athlete Likeness Release For Sponsors (Optional)

Special Olympics relies on sponsors and partners to help support our mission. We often use photos, videos and stories of our athletes to show the impact of support by companies that sponsor Special Olympics. If you wish to allow your likeness to be used in this way, please read and sign below.

I agree to the following:

I give permission to Special Olympics, Inc., Special Olympics games organizing committees, and Special Olympics accredited Programs (collectively "Special Olympics") and their sponsors and partners to use my likeness, photo, video, name, voice, and words ("my likeness") to acknowledge the sponsors' and partners' support for Special Olympics.
Special Olympics and its sponsors and partners will not use my Likeness to endorse commercial products or services.
I understand I will not be compensated for the use of my Likeness.

Athlete Acceptance: (required for adult athlete with capacity to sign legal documents)

I have read and understand this form. If I have questions, I will ask. By checking this box, I agree to this form.

Parent / Guardian Acceptance: (required for athlete who is a minor or lacks capacity to sign legal documents)

I am a parent or guardian of the athlete. I have read and understand this form and have explained the contents to the athlete as appropriate. By checking this box, I agree to this form on my own behalf and on behalf of the athlete.

We're moving along! Next up are some questions about your health history. Understanding your unique needs helps us keep you safe.

Associated Conditions

Note: by not checking particular checkboxes for health conditions on this application, you acknowledge you don't have these conditions.

Do you have (check any that apply):

Autism

Cerebral Palsy

Down Syndrome

Fetal Alcohol Syndrome

Fragile X Syndrome

Other Syndrome

Other Syndrome (please specify)

Do you have any allergies or dietary restrictions?

No Known Allergies

Latex

Medications

Insect Bites or Stings

Food

Medication Allergies (please specify)

Insect Allergies (please specify)

Food Allergies (please specify)

List any special dietary needs

Do you use any assistive devices? (check any that apply)

Has a doctor ever limited your participation in sports?

Yes

No

Please describe:

Please list all past surgeries:

Do you currently have any chronic or acute infection?

Yes

No

Please describe:

Have you ever had an abnormal Electrocardiogram (EKG) or Echocardiogram (Echo)?

Yes, had abnormal EKG

Yes, had abnormal Echo

Please describe date and results:

Have you had a Tetanus vaccine in the past 7 years?

Yes

No

Do you have Epilepsy or any type of seizure disorder?

Yes

No

List seizure type:

Have you had a seizure in the past year?

Yes

No

Mental Health

Have you had any of the following?

Self-injurious behavior during the past year

Depression (diagnosed)

Aggressive behavior during the past year

Anxiety (diagnosed)

Describe any additional mental health concerns:

Family History

Has any relative died of a heart problem before age 50?

Yes

No

Has any family member or relative died while exercising?

Yes

No

List all medical conditions that run in your family:

Have you ever been diagnosed with, or experienced, any of the following conditions?

Date of last menstrual period: (mm/dd/yyyy)

Describe any past broken bones or dislocated joints:

List any other ongoing or past medical conditions:

Neurological Symptoms for Spinal Cord Compression and Atlanto-axial Instability

Difficulty controlling bowels or bladder

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Numbness or tingling in legs, arms, hands or feet

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Weakness in legs, arms, hands or feet

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Burner, stinger, pinched nerve or pain in the neck, back, shoulders, arms, hands, buttocks, legs or feet

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Head tilt

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Spasticity

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Paralysis

Yes

No

Is this new or worse in the past 3 years?

Yes

No

Medications

Please list any medications, vitamins or dietary supplements below:

(includes inhalers, birth control or hormone therapy)

Medication Name	Dosage	Times per Day

Can you administer your own medications?

Yes

No

Has the athlete ever exhibited violent or sexually deviant behavior?

Yes

No

Parent / Guardian Information

In order to continue, you will need to fill out the Parent / Guardian section earlier in this appliction.

Go to Parent / Guardian Section

Safe Participation Plan

Please tell us a little more, so we can help ensure a safe environment and avoid any potential triggers.

Who is completing this profile?

Same As Parent / Guardian

Name

Relationship to Athlete

Phone

Who is the caregiver / care facility?

Same As Parent / Guardian

Name

Phone

Address

City

State

Postal Code

How long has the athlete resided at their current address?

Years

Months

Approximate height and weight?

Height

Weight

Has the athlete ever had an incident of:

Sexual assault of an adult:

Yes

No

Victim was:

Male

Female

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Sexual exposure to an adult:

Yes

No

Victim was:

Male

Female

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Sexual assault of a child:

Yes

No

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Sexual exposure to a child:

Yes

No

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Sexual harassment:

Yes

No

Victim was:

Male

Female

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Physical assault of an adult:

Yes

No

Victim was:

Male

Female

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Physical assault of a child:

Yes

No

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Physical self-abuse:

Yes

No

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Verbal assault:

Yes

No

Number of incidents:

Single

Multiple

Date of last incident (mm/dd/yyyy):

Has a judge or other legal authority ordered this treatment?

Yes

No

Please describe any additional terms, such as restriction of social activities

Does the athlete currently take medications for behavior modification?

Yes

No

Please list medications and frequency

Is there a specific stimulus / activity that has been identified as the trigger for the indicated behavior(s)?

Yes

No

Please list all behavior triggers and explain the circumstances of the most recent incident where athlete displayed the indicated behavior(s)

Describe the athlete's understanding of his/her conduct - does athlete differentiate right from wrong behavior?

Please explain.

Does the athlete currently display a positive, cooperative attitude under supervision?

Please explain.

Please indicate the athlete's communication skill level.

Check all that apply:

Please explain.

Has the athlete participated in Special Olympics Idaho in the past?

Yes

No

Please list the team name(s), the length of time the athlete has participated, and in what sport(s).

Awesome! We're just about done. Lastly are two codes of conduct, for athletes and family members.

Special Olympics Idaho Athlete's Code of Conduct

Special Olympics Idaho is committed to the highest ideals of sports and expects all athletes to honor sports and Special Olympics. All Special Olympics athletes and Unified Partners agree to the following code:

SPORTSMANSHIP
1. I will practice good sportsmanship.
2. I will act in ways that bring respect to me, my coaches, my team and Special Olympics Idaho.
3. I will not use bad language.
4. I will not swear or insult other persons; this includes gossiping about other athletes or anyone involved with Special Olympics.
5. I will not fight with other athletes, coaches, volunteers, or staff.
TRAINING AND COMPETITION
1. I will train regularly.
2. I will learn and follow the rules of my sport.
3. I will listen to my coaches and the officials and ask questions when I do not understand.
4. I will always try my best during training, divisioning, and competitions.
5. I will not "hold back" in preliminaries just to get into an easier final heat.
RESPONSIBILITY FOR MY ACTIONS
1. I will not make inappropriate or unwanted physical, verbal or sexual advances on others.
2. I will not drink alcohol, smoke or take illegal drugs while representing Special Olympics at training sessions, competition or during Games.
3. I will not take drugs for the purpose of improving my performance.
4. I will obey all laws and Special Olympics rules.

I understand that if I do not obey this Code of Conduct my Program or a Games Organizing Committee may not allow me to participate.

Athlete Acceptance: (required for adult athlete with capacity to sign legal documents)

I have read and understand this form. If I have questions, I will ask. By checking this box, I agree to this form.

Parent / Guardian Acceptance: (required for athlete who is a minor or lacks capacity to sign legal documents)

I am a parent or guardian of the athlete. I have read and understand this form and have explained the contents to the athlete as appropriate. By checking this box, I agree to this form on my own behalf and on behalf of the athlete.

Special Olympics Family Member Code of Conduct

We hope as family members, you will embrace the spirit of Special Olympics and help to provide a competition and training environment that enhances athlete character and skill development. The following Family Code of Conduct should be emphasized during training, competition, and special events at any level - including sub-Program, Accredited Program, National, Regional and World. As a Special Olympics family member, I pledge the following:

I will let my athlete choose the sports in which he/she would like to participate. I will not force my choice upon him/her.
I will remember that athletes participate to have fun and that the game is for them; not for the family members.
I will see to it that my athlete's medical form is up-to-date, complete, and on file.
I will learn the rules of the game and the SOI policies before I complain or protest.
I (and my guests) will be a positive role model for my athlete and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all athletes, coaches, officials, and spectators at every game, practice, or competition.
I understand that I play a vital role in the health and safety of my athlete's participation. I have a responsibility to assist Special Olympics in providing for the health and safety of all athletes by reporting suspicious behavior, talking to my child about personal safety, dropping off and picking up my child/guard from Special Olympics events at the times designated by the organization (not excessively earlier or later than said established times), and any and all other reasonable measures to assist in the protection of Special Olympics athletes.
I (and my guests) will never engage in any kind of unsportsmanlike conduct, such as booing and taunting, refusing to shake hands, or using profane language and gestures with any official, coach, or family member.
I will never encourage any behaviors or practices that would endanger the health and well-being of the athletes.
I will teach my athlete to play by the rules and to resolve conflicts without resorting to hostility or violence.
I will demand that my athlete treat other athletes, coaches, officials, and spectators with respect, regardless of race, creed, color, sex, or ability.
I will teach my athlete that doing one's best is more important than winning, so that my athlete will never feel defeated by the outcome of a game or his/her performance.
I will praise my athlete for competing fairly and trying hard, and I will make my athlete feel like a winner every time.
I will never ridicule or yell at my athlete or other participants for making a mistake or losing a competition.
I will emphasize skill development and practices, and how they benefit my athlete over winning. I will also de-emphasize games and competition in lower age groups.
I will promote the emotional and physical well-being of the athletes ahead of any personal desire that I may have for my athlete to win.
I will respect the officials and their authority during games and competition, and will never question, discuss, or confront coaches during competitions. Instead, I will take time to speak with coaches at an agreed upon time and place.
I will demand a sports environment for my athlete that is free from drugs and alcohol, and I will refrain from their use at all sports events and competitions.
I will smoke/chew tobacco only in designated areas.
I will refrain from coaching my athlete or other athletes during competitions and practices if I am not the assigned coach.

As a Special Olympics Accredited Program family member, I also understand that if I fail to abide by the aforementioned rules and guidelines, I may be subject to disciplinary action that could include, but may not be limited to, the following:

Verbal warning by officials, coaches, and/or Sub-Program and Accredited Program personnel
Game suspension with written documentation of incident kept on file in the Accredited Program Office
Written warning
Game forfeit through official or coach a Season suspension
Misbehavior Report submitted to Event Director

Family Member Acceptance:

I am a family member of the athlete. By checking this box, I agree that I have reviewed, understood, and agreed to this Code of Conduct.

Family Member Name

Email Verification

Please verify your email address(es) to continue. This helps us make sure it's you.

Athlete

Email Address

Verify

Guardian

Email Address

Verify

Signatures

Please provide an electronic signature (e-signature) in order to complete the application.

If you would prefer to sign by hand (uncommon), you can open the printable version, and follow the instructions at the bottom of the page to print, sign, and mail it. Signing by hand may take several extra weeks to process.

Athlete E-Signature

By typing my full name above, I certify that I am the athlete who is applying. I agree and understand that I am providing my electronic signature, which is the legal equivalent of my manual / handwritten signature, and that the information on all pages of this Athlete Application is true to the best of my knowledge.

By signing my name above, I certify that I am the athlete who is applying. I agree and understand that the information on all pages of this Athlete Application is true to the best of my knowledge.

Signature:

Date:

Print Name:

Parent/Guardian E-Signature

By typing my full name above, I certify that I am the legal parent or guardian of the athlete who is applying. I agree and understand that I am providing my electronic signature, which is the legal equivalent of my manual / handwritten signature, and that the information on all pages of this Athlete Application is true to the best of my knowledge.

By signing my name above, I certify that I am the legal parent or guardian of the athlete who is applying. I agree and understand the information on all pages of this Athlete Application is true to the best of my knowledge.

Signature:

Date:

Print Name:

To complete your application, please sign above, and then mail it to:

Special Olympics Idaho
PO Box 541
New Plymouth, ID 83655

Awesome! You're done with the registration form! Thanks for sticking through.

Physical Exam

The final step is to get a physical exam from your physician. You will need to:

Print your health history, which you will find here: Health History (printable)
Print a copy of a blank Physical Exam Form: Exam Form (pdf)
Bring both (or send the links above) to your physician.
After the exam, have your physician send the completed form to Special Olympics Idaho.

If you need help, or would like a Special Olympics Idaho staff member to reach out to your physician, feel free to contact alexis@idso.org for support.

See you on the field!