Special Olympics New Hampshire : Register

Personal Details

First Name *

Last Name *

Email Address *

Password*

Mobile *

Date of birth *

Gender *

Male Female Other

Postal Address *

Address Line 1 *

Address Line 2

City *

Zipcode *

State *

Country *

Terms & Conditions

SPECIAL OLYMPICS NEW HAMPSHIRE RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY, AND PARENTAL CONSENT AGREEMENT ("AGREEMENT")

In consideration of participating in the Special Olympics New Hampshire Middle School Dip (“Activity”), I represent that I understand the nature of plunge events and that I and/or my minor child am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I and/or my minor child believe event conditions are unsafe, I and/or my minor child will immediately discontinue participation in the Activity.

I fully understand that plunge events involve risks of serious bodily injury, including viral infections, bacterial infections and other communicable diseases and illnesses, permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the "releasees" named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I and/or my minor child incur as a result of my and/or my minor child’s participation in the Activity.

I hereby release, discharge, and covenant not to sue Special Olympics, Inc., Special Olympics Program, its respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASEES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my and/or my minor child's behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, AND PARENTAL CONSENT AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

I agree to the above Terms & Conditions *

How will you Dip this year? *

Dipper-I will dip into Lake Winnipesauke at the Dip on March 7, 2025.
Sunbathing Bear- I will attend the Dip at Lake Winnipesauke on March 7, 2025, receive all the benefits of a Dipper, but will NOT go in the water.
DIY- I want to receive a Do-It-Yourself kit to complete my Dip on my own. I will receive all the benefits of a Dipper, but will not be attending the event at Lake Winnipesauke on March 7, 2025.

Are you a Student or Faculty/Staff? *

Student
Faculty/Staff

Which of the following best describes you? *

How did you hear about the Plunge or Dip? *

Joining Team Mascoma Valley Regional School District

Create Account

Already have an Account

Already have an Account with us?

Personal Details

Postal Address *

Terms & Conditions