Individual Special Olympics Volunteer Registration

Registering a group of 2 or more people? Please click here instead.


no spaces or hyphens
Small   Medium   Large   X Large    XX Large
Yes   No

  I am interested in volunteering for the 2013 Fall Festival in the following shift(s):
  NOTE: We encourage volunteers to sign up for more than one shift.
  We will try to accommodate your preferences, however, positions cannot be guaranteed.

 
Yes   No
 
   1:00pm - 3:00pm (NOTE: Competitions begin at 2 PM)
   3:00pm - 5:00pm
   5:00pm - 7:00pm

Opening Ceremonies begin at 7:30 (open to public)
   7:00am -  9:00am

   9:00am - 11:00am
11:00am  -  1:00pm
   1:00pm  -  3:00pm

   3:00pm  -  6:00pm

   7:00am  -  9:00am
   9:00am  - 11:00am
11:00am  -   1:00 pm 

   Physical Impairment (Crutches, walkers etc)
   Wheelchair Accessibility Need

   I am CPR certified
   I am First Aid certified
   I am willing to be a Medical Volunteer

Thank you for your support! We will confirm with you the exact date,  time, and volunteer opportunity you selected for your group via email.

Please ensure that you complete the Waiver Form below.

All persons under the age of 18 must have a parent or guardian
sign the waiver form below. We invite all ages to cheer on the
athletes at competition, but those under the age of 18 will need
to be accompanied by an adult.

   If you have additional questions, please feel free to contact us.
  Please complete the WAIVER FORM

  IN THE EVENT OF AN EMERGENCY, PLEASE CONTACT.

  VOLUNTEER SIGNATURE

  I affirm that I have read, that I understand and that I will adhere to the volunteer
  responsibilities and code of conduct; that the information I have given is true and
  complete. If at any time the information provided is found to have been knowingly falsified,
  I will be disallowed from volunteering for any program accredited by Special Olympics
  Pennsylvania.

  By Typing your name below, you agree that this constitutes a legal signature and
  you hereby accept the terms of this waiver.

  PARENT/GUARDIAN SIGNATURE

  I, as a parent or guardian of the above applicant, have read and agree with all of the
  provided information and hold Special Olympics Pennsylvania and/or its volunteers and  
  employees harmless for any negligence resulting in injury, illness or accident that may occur
  during my charge's participation.