Early Departure Form 2019 Provincial Games Early Departure Form This form must be completed by parents / caregivers of athletes who will be departing the games early or travelling independently of the team after the games. This form MUST be submitted by May 1st, 2019 to ensure that travel and security arrangements can be made before the games. EARLY DEPARTURE INFORMATIONAthletes are permitted to travel home with their parents/guardians after the games. Athletes must be picked up on Thursday May 16th at 11:00 pm. Athletes are to be picked up at the front door of the residence/hotel.I understand that our athlete will be picked up on Thursday, May 16th at 11 PM at the front door of the residence/hotel.* Yes, I understand. FORM COMPLETED BY:Name of Person Completing this form:* First Last Relationship to Athlete*Email address of person completing this form* Cell Phone (while at the Provincial Games)*I am the person picking up the athlete at the Provincial Games*YesNoThird ChoiceIf you are not the person picking up the athlete, please provide the name and cell phone number of the person picking up the athlete: First Last Cell phone of person picking up athlete:ATHLETE INFORMATIONAthlete's Name:* First Last District*Central DistrictEastern DistrictGTANorth East DistrictNorth West DistrictSouth Central DistrictSouth West DistrictSport*Floor HockeyCONSENT AND RELEASEI have read and understood the policies outlined in the form above. By signing my name in the box below I consent for the athlete to depart early. I understand that once the athlete is turned over to my care, SOO will no longer be responsible for the care and well-being of the athlete. I understand that this information will be retained by the District Team Manager / Head Coach for the duration of the games. I understand that Special Olympics Ontario is not responsible for athletes travel costs to their home community should they depart early with their parent or guardian.Please type your full name in the box below to indicate your consent.* This iframe contains the logic required to handle Ajax powered Gravity Forms.