Date: Location: Kean University East Campus Graduate Lounge
215 North Avenue
Hillside, New Jersey 07205 Time: 4:45 pm – 5:30 pm
Date:
Time: to

Come play with us!

Tuesdays, January 31 – March 14
*No Session: March 7

4:45pm-5:30pm

Enroll your child in this unique Young Athletes Program for children ages 2-7 with and without intellectual disabilities that is led by Kean University Recreational Therapy and Occupational Therapy students and faculty that are trained Young Athlete Coaches and Volunteers.

This FREE inclusive sports play program will help your child to:

  • Improve and develop gross motor skills
  • Basic sport skills
  • Learn to play with purpose

Celebrate what your child CAN do!

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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RELEASE AND WAIVER OF LIABILITY FORM


I further consent to and authorize Kean University, its officers, agents, employees and assigns to:
a) Record my likeness and voice on a video, audio, photographic, digital, electronic, print, and any other medium.
b) Use my 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 and its representatives deem appropriate, including promotional or advertising efforts.
I release Kean and its representatives from liability for any violation of any personal, privacy, or proprietary right I may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of Kean. I waive the right to inspect or approve the finished product in which my likeness appears and I acknowledge that no monetary consideration is being paid to me for my appearance, likeness, statements or recordings. 

In signing this Release and Waiver, I acknowledge and represent that I have carefully read same, that I understand its contents, and that I sign this document of my own free will. I am aware that important rights are being released and given up.




Parent/Guardian Signature

I certify that I am the parent or legal guardian of the above participant, that I have read the foregoing Release and Waiver. I join in each and every part of the Release and Waiver (including such parts as may subject me to personal financial responsibility for the participant), and release any claim that I may have against Kean, both on my own behalf and in my capacity as legal representative of the participant, including without limitation any claim arising as a result of the participant’s leaving the supervision of Kean.



Contact Information