Athlete Registration Form – Special Olympics New Zealand

Welcome!

Through the power of sport our athletes find joy, confidence and fulfillment - on the playing field and in life. Whether you are new to Special Olympics or have been involved for years, we are excited you are part of the movement!

Special Olympics Soccer Team

If you are new to Special Olympics, the first step is to contact your local club. Our clubs would love to hear from you and it is recommended that you attend at least one training before registering as an athlete

It takes 10 minutes to complete the form to register or re-register as an athlete, please note that the form is unable to be saved or completed in multiple sessions.

As we transition to online registrations you may experience technical issues, we continue to work to fix these and apologize for any inconvenience.

Please contact admin@specialolympics.org.nz or call us at 04-560-0360 if you experience any problems or have any questions.

We can't wait for you to join us!

Enable Club Emails

Before you get started

Are you a new athlete to Special Olympics New Zealand or are you re-registering? *

New Athlete
Re-Registering

Please note: If you are under 18-years-old and/or you have a legal guardian you will need a parent/guardian to sign at the end of the athlete registration form.

We require all athletes registering and re-registering to have completed a medical form that:

Has been completed by your general health practitioner with their physicians stamp.
Is signed and dated within 3 months of today's date
Is in PDF format for upload on the registration form.

View our registrations resources page for tutorials on converting images/JPEGs to PDFs for upload.

Medical Information

Upload Completed Medical Form (pdf) *

Please ensure that the medical form has your physician's stamp and is signed and dated within 3 months of today's date on page 4.

If you have not completed a medical form, download it here and complete it before continuing.

Note: Your medical form must be PDF format to be uploaded.

View our registrations resources page for tutorials on converting images/JPEGs to PDFs

Are there any behavioural or medical issues, or other restrictions that we should be made aware of that may impact the wellbeing of the athlete in our care or the safety of others? *

Yes
No

Athlete Information

Club you are applying to join: *

First Name: *

Middle Name:

Last Name: *

Preferred Name:

If you have a preferred name, please include both first and last preferred names.

Date of Birth *

Day/Month/Year

Gender: *

Female
Male
Other

Language(s) spoken:

Do you have a residential care provider? *

Yes
No

Athlete Contact Information

Address *

Address Line 1

Suburb *

Suburb

City *

City

Post Code *

Post Code

Add a contact phone number(s): *

Home Phone
Mobile Phone

Email Address:

PARENT / CAREGIVER DETAILS

Parent/caregiver contact details are required if athlete is under 18-years-old or has a legal guardian.

I do not need to add Parent/Caregiver contact details.

Name: *

Relationship: *

Same address as athlete

Same Address as Athlete

Address *

Address Line 1

Parent / Caregiver Suburb *

Suburb

Parent / Caregiver City *

City

Parent / Caregiver Post Code *

Post Code

Same contact phone number(s) as athlete

Same Contact Phone number(s) as Athlete

Add a contact phone number(s): *

Home Phone
Mobile Phone

Same email address as athlete

Same email address as athlete

Email Address:

EMERGENCY CONTACT INFORMATION

Same as Parent/Guardian

Same Information as Parent/Caregiver

Name: *

Add a contact phone number(s): *

Home Phone
Mobile Phone

Relationship: *

ATHLETE WAIVER and CODE OF CONDUCT

I agree to the following:

Waiver

1. Ability to Participate.
I state that I am physically able to participate in Special Olympics New Zealand (SONZ) activities

2. Risk of Neck Problems
I understand that if a doctor has found problems with my neck (Atlanto-Axial Instability) I will only be allowed to participate in Special Olympics Sports if I have another examination and the docter who checks me for my neck problems says I am able to participate and I sign a form to say I understand what the doctor has told me.

3. Personal Information.
I consent to SONZ collecting, retaining, using and disclosing personal and medical information for the purpose of involving me in the Special Olympics Programme, including the Healthy Athletes Programme. I acknowledge my right to access and amend this information. This is given in accordance with the Privacy Act 2020.

4. 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.

5. Likeness Release.
I give Special Olympics permission to use my photograph, video, name, voice or words to promote Special Olympics.

6. Emergency Care.
If I need emergency medical care while I am participating in Special Olympics Activities I give permission to Special Olympics to do whatever may be necessary to protect my health and well-being, which may include emergency medical care and hospitalisation. If you have religious objections to receiving such emergency medical treatment, please complete the Religious Objections form. and upload it below.

Do you need to upload a religious objections form? *

Yes
No

Code of Conduct

I will be a good sportsperson at all times, respect my coache(s),other athletes, unified partners and volunteers.

I will not use bad language, I will not verbally abuse, phyiscally fight or challenge anyone involved in Special Olympics.

I will train regulary, try my best to learn and follow the rules, listen to my coach(es) and sports officials and ask questions when I don't understand.

I shall perform to the best of my ability during training, divisioning and competitions.

I will take full responsibility for my actions and will not make any inappropriate or unwanted physical, verbal or sexual advances to others.

I will not drink alcohol, smoke or take illegal drugs while representing Special Olympics at training sessions, competitions or during Games.

I will not take any drugs for the purpose of improving my performance.

I understand that SONZ may take disciplinary measures if I breach the Code of Conduct and I may be subject to a range of consequences up to and including not being allowed to participate in Special Olympics training, events and activities.

A parent or guardian is required to sign on behalf of the athlete, if the athlete is under 18 years-old or has a legal guardian. *

Sign as a parent/guardian
Sign as an athlete

If you would like to be emailed a copy of your registration form, add a contact email address below.

Note: The confirmation email may end up in your Junk Mail Inbox

Note: it may take between 1-2 minutes for your registration form to be submitted.

Welcome!

Before you get started

Medical Information

Athlete Information

Athlete Contact Information

PARENT / CAREGIVER DETAILS

EMERGENCY CONTACT INFORMATION

ATHLETE WAIVER and CODE OF CONDUCT

Waiver

Code of Conduct

Athlete Signature

Parent/Guardian Signature