This form is for any person who is a participant or volunteer of the organization, or an attendee at an event, program or activity of the organization.

By checking the box below (considered your signature) for this form the person named below, or the person's guardian, states all the following to be true:
THE PERSON:
1. Does not knowingly have COVID-19.
2. Is not experiencing any known symptoms of COVID-19, such as fever, cough, shortness of breath or feeling unwell.
3. Has not travelled internationally during the past 14 days.
4. Has not, in the past 14 days, knowingly come in contact with someone who either;
     a) has COVID-19
     b) has known symptoms of COVID-19, or
     c) is self-quarantining after returning to Canada.
5. Has been following government recommended guidelines for COVID-19, including practicing physical distancing.

Further, by checking the box below(considered your signature), the person or their guardian agrees to the following:
    While attending or participating in the organization's events, programs or activities or attending the organization's facilities, the person will:
1. Follow the laws, recommended guidelines, and protocols for COVID-19 issued by the provincial/territorial government, the local municipality, and the local medical officers of health.
2. Follow the guidelines and protocols mandated by Special Olympics for COVID-19.
3. Take the following actions if they experience any symptoms of illness, such as fever, cough, difficulty breathing, shortness of breath, or feeling unwell:
   a) immediately tell a representative of the organization of the symptoms,
   b) identify everyone with whom they had contact at the organization's event, programs, activities or facilities, the symptoms experienced; and
  c) leave the event, program, activity or facility.    


                                FOR ANYONE WHO HAS BEEN DIAGNOSED WITH COVID-19
By checking the box below (considered you signature), you or your guardian state all of the following to be true:
1. You have been diagnosed with COVID-19
2. You have been cleared as noncontagious by provincial/territorial or local public health authorities.
3. You have given to Special Olympics Prince Edward Island written confirmation from a medical doctor of your diagnosis and clearance, along with this COVID-19 DECLARATION AND AGREEMENT.