Date: Location: Kean University East Campus Graduate Lounge
215 North Avenue
Hillside, New Jersey 07205
Time: 3:45 pm – 4:30 pm
Date:
Time: to

Come play with us!

Kean University hosts Young Athletes Program

Tuesdays, January 30 – March 5

3:45pm – 4:30pm

This is an inclusive sports play program for children ages 2-7 with and without intellectual disabilities to develop and improve their social, gross motor and introduction to sports skills. This unique program is led by Kean University Recreational Therapy and Occupational Therapy students and faculty who are trained Young Athletes Coaches and Volunteers.

Program Expectations:

  • All participants must participate with a parent/guardian or caretaker
  • Must commit to all program dates
  • If you cannot attend any session dates, you are responsible for letting the coach know
  • All participants must wear athletic shoes or sneakers
  • Registration is required

Campus Information:

  • East Campus Graduate Lounge at Kean University
  • Park and enter through the back entrance
  • Use elevator or stairs to go to the 2nd floor. Graduate Lounge is room 203

Ready to PLAY?


Athlete Information





Athlete Information




Parent/Guardian Information














Release Form:

I am the parent or guardian of the Young Athlete named above and agree to the following:

1.     Able to Participate.  The Young Athlete is able to take part in Special Olympics. I understand there is a risk of injury.

2.     Photo Release. Special Olympics organizations may use the Young Athlete’s picture, video, name, voice and words to promote Special Olympics. 

3.     Emergency Care: If a medical emergency should arise during the Young Athlete’s participation in Special Olympics activities at a time when a parent or guardian is not present to make medical decisions, I consent to medical care for the Young Athlete if needed, unless I check one of these boxes:

(If either box is checked, an EMERGENCY MEDICAL CARE REFUSAL form will be sent and MUST be completed)


4.     Health Programs.  If the Young Athlete takes part in a Special Olympics health program, I consent to health activities, exams and treatment for the Young Athlete. This should not replace regular health care.  I can say no to treatment or anything else at any time for the Young Athlete.

5.     Personal Information.  I understand personal information may be used and shared by Special Olympics to:

  • Make sure Young Athletes can participate safely;
  • Run training and events and share results;
  • Put the Young Athletes information in a computer system;
  • Provide health treatment, make referrals, consult doctors, and remind me about follow-up services;
  • Research, share and respond to needs of the Special Olympics participants (identifying information removed if shared publicly); and
  • Protect health and safety, respond to government requests, and report information required by law.
  • I can ask to see and change the Young Athlete’s information.  I can ask to limit how the information is used.

6.      Concussions. I understand there is a risk of concussions and continuing to play sports with a concussion.  The Young Athlete may have to get medical care if a concussion is suspected.  The Young Athlete may also have to wait 7 days or more and get permission from a doctor before he/she starts playing sports again.


I am the parent/guardian of the participant named on this registration form.  I have read and fully understand the provisions of the above release.  Through my signature on this release form, I am agreeing to the above provisions on my own behalf and on the behalf of the participant named above to participate in Special Olympics games, recreation programs and physical activity programs.



Communicable Diseases Waiver

Waiver and Release of Liability, Assumption of Risk and Indemnification Agreement for Communicable Diseases ("Agreement") for Special Olympics New Jersey
In consideration of being allowed to participate in any way in Special Olympics sports training, competition or fundraising activities, the undersigned acknowledges, appreciates, and agrees that:

Parent/Guardian Signature

For participants of minority age (under age 18 at the time of registration) or those over 18 without the capacity to sign for themselves.

This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of presence and participation and his/her personal responsibilities for adhering to the rules and regulations for protection against communicable diseases. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to indemnify and hold harmless the Releases for any and all liabilities incident to my minor child's/ward's presence or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent provided by law.

(By signing this Communicable Diseases Waiver electronically, you agree your electronic signature is the legal equivalent of your manual signature.)


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KEAN UNIVERSITY WAIVER OF LIABILITY AND PERMISSION FORM


In consideration of being permitted to participate in the Special Olympics New Jersey Young Athletes (the “EVENT”) being held on 01/30/24, 02/06/24, 02/13/24, 02/20/24, 02/27/24, 03/05/24 from 3:45pm-4:30pm at Kean University, PARTICIPANT and/or their parent or guardian agree to the following:
I further consent to and authorize Kean University, its officers, agents, employees and assigns to
1. AGREEMENT TO PARTICIPATE
PARTICIPANT understands and accepts the risks of participation in the EVENT, and indicates understanding and agreement by signing on the appropriate lines below. PARTICIPANT and/or their parent or guardian executes this Waiver of Liability and Permission Form for full, adequate, and complete consideration and intend to be bound by the same. PARTICIPANT has consulted with a medical doctor with regard to participation in the EVENT and has no health-related reasons or concerns that preclude or restrict their participation. PARTICIPANT further agrees to be responsible to pay any medical costs that may occur because of any injury to PARTICIPANT. Kean University is granted permission to authorize emergency medical treatment for PARTICPANT, if necessary, and any such action by the University shall be subject to the terms of the Waiver of Liability and Permission Form. PARTICIPANT understands and agrees the University assumes no responsibility for injury or damage that might arise out of or in connection with such authorized emergency medical treatment.

PARTICIPANT understands, acknowledges, appreciates, and agrees that the EVENT bears known risks that may result in injury, illness, or emotional stress or damage to PARTICIPANT’s body and property. PARTICIPANT is at least eighteen (18) years of age and is fully competent to sign this Waiver of Liability and Permission Form. If not, PARTICIPANT has additionally secured below the signature of their parent or legal guardian.

2. PHOTOGRAPHY
PARTICIPANT consents to and authorizes Kean University, its officers, agents, employees, and assigns to:
a) Record their likeness and voice on a video, audio, photographic, digital, electronic, print, and any other medium.
b) Use their name in connection with these recordings.
c) Use, reproduce, exhibit, and distribute in any medium (e.g. print or web publications, productions, news releases) these recordings for any purpose that Kean University and its representatives deem appropriate, including promotional or advertising efforts.

PARTICIPANT releases Kean University and its representatives from liability for any violation of any personal, privacy, or proprietary right they may have in connection with such use. PARTICIPANT understands that all such recordings, in whatever medium, shall remain the property of Kean University. PARTICIPANT waives the right to inspect or approve the finished product in which their likeness appears and they acknowledge Kean University shall pay no monetary consideration for their appearance, likeness, statements, or recordings.

3. COVID-19 INFORMED CONSENT AND ASSUMPTION OF RISK
PARTICIPANT acknowledges the Public Health Emergency created by Coronavirus disease 2019 or COVID-19 (“COVID-19”). Kean University continues to monitor the latest developments of the COVID-19 pandemic (“COVID-19”) and will comply with all federal, state and local regulations concerning COVID-19 health and safety, including directives from the New Jersey Office of the Secretary of Higher Education and the New Jersey Department of Health. In addition, Kean has implemented campus-wide precautions in line with the Centers for Disease Control and Prevention (“CDC”) guidelines.

PARTICIPANT acknowledges:

a. PARTICIPANT risks exposure or infection with COVID-19 because of participation in the EVENT due to contact with other persons and the sharing of equipment and facilities. PARTICIPANT understands exposure or infection with COVID-19 may lead to symptoms that include but are not limited to fever, flu-like symptoms, medical complications, pneumonia, permanent disability, emotional distress, and death.
b. PARTICIPANT must comply with all current and future health and safety policies, protocols, and advisories implemented by Kean University to mitigate the spread of COVID-19 and consent to any screening, diagnostic, or other testing procedures for the presence of or exposure to COVID-19 as determined by the University. PARTICIPANT consents to the release of such information to municipal, county, state, and federal authorities as may be required for contact tracing.
c. PARTICIPANT is responsible for all medical expenses that may result from exposure to COVID-19.
d. PARTICIPANT acknowledges and agrees they are voluntarily engaging in the EVENT entirely at their own risk and assume all risks of injury and illness, including COVID-19 infection.

4. RELEASE AND WAIVER
PARTICIPANT agrees neither Kean University, the State of New Jersey, and any trustee, director, officer, agent, employee, member, volunteer or any other representative of Kean University, the State of New Jersey, nor any of their respective successors or assigns (collectively, “Kean”) shall be liable for any loss, damage, injury (including death) or claim of any kind arising from or caused by their participation in the EVENT. This includes without limitation, any loss, damage, or claim arising from an accident or casualty involving PARTICIPANT whether or not on or off Kean’s property. PARTICIPANT further agrees to hold Kean harmless from all loss, liability, damages, costs and expenses (including actual attorney’s fees) arising from or related to the same. This Waiver of Liability and Permission is binding on PARTICIPANT’s heirs, spouse, guardians, executors, administrators, or assigns.

PARTICIPANT will abide by rules, regulations, and directives given by Kean University its employees and representatives and understands failure to do so may result in ejection from the EVENT.

This Waiver is intended to be as broad and as inclusive as permitted by the laws of the State of New Jersey. If any portion of the Waiver of Liability and Permission is declared invalid, PARTICIPANT agrees the remaining balance of the release and waiver will continue to be applicable. PARTICIPANT consents to all of the above conditions and is aware of the release of important rights.

THIS DOCUMENT INCLUDES A RELEASE OF LEGAL RIGHTS. READ AND BE CERTAIN OF UNDERSTAND THE TERMS BEFORE SIGNING.



5. PARENTAL CONSENT
I certify I am the parent or legal guardian of the above PARTICIPANT and have read the foregoing Waiver of Liability and Permission. I join in all parts of the Waiver of Liability and Permission (including such parts as may subject me to personal financial responsibility for the PARTICIPANT). I release any claim I may have against Kean University, both on my own behalf and in my capacity as legal representative of the PARTICIPANT, including without limitation any claim arising because of the PARTICIPANT’s leaving the supervision of Kean University.