IPC Eligibility Agreement - Athlete
National Paralympic Committee
NPC CodeSport

Family Name
Given Name
Date of Birth (DD/MM/YYYY)

GenderMale o Female oThis Eligibility Agreement (Agreement) is an important document (this version ofwhich supersedes all prior versions) which governs my participation in IPC
Competitions.

9.

This Agreement commences on the date I sign below and, subject to theprovisions set out below, continues, unless specified otherwise, in full force andeffect until I cease to compete in IPC Competitions (Term).

COLLECTION OF PERSONAL DATA

I understand that to be eligible to be licensed to participate in IPC Competitions
and in consideration of the acceptance of my participation in IPC Competitions Iagree to the terms outlined in this Agreement, including:
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to be filmed, televised, photographed, identified and otherwise recorded
during any IPC Competition; and that my captured or recorded image,
together with my name, likeness, voice, performance and biographicalinformation, may be used in any content, format and though any media ortechnology whether now existing or created in the future, by the IPC andthird parties authorised by the IPC (including IPC members and partners)
during and after IPC Competitions, in perpetuity, in relation to thecelebration and promotion of IPC Competitions, the Paralympic Movement
and the IPC, in a commercial and non-commercial manner;that all photographs and moving images taken by me at any IPC
Competition, including those of athletes competing within any official venue
during these competitions, shall be used solely for personal and noncommercial purposes, unless prior written consent is obtained from the IPC;
to comply with the IPC Handbook, the IPC sports technical rules andclassification rules of the sport in which I am participating, and any otherrules or regulations that apply to my participation at an IPC Competition.
These documents can be found on, or linked through, the IPC website or
can be obtained upon written request to the IPC Headquarters and I
understand that I am deemed to have read and understood them;that my entries to IPC Competitions will be administered through myNational Paralympic Committee (NPC) or, if applicable, my IPC recognised
National Sport Federation (NF);
to accept the criteria of eligibility, qualification and participation laid downby the IPC for the various IPC Competitions;to abide by the principles of fair-play and non-violence and to behave myself
accordingly during IPC Competitions;
to comply with the IPC Anti-Doping Code and, in particular not to take,possess or traffic any substance or use methods prohibited by theapplicable World Anti-Doping Code Prohibited List. I also agree that antidoping organisations, law enforcement and border services agencies may
share my personal information with the IPC to assist in the enforcement ofthe IPC Anti-Doping Code;not to participate or assist in any gambling or betting activities associatedwith any IPC Competition or event; specifically I will not bet on myself, myteam or any competitor or opponent (whether to lose or win), I will prevent
members of my family or friends from doing so, I will not share any
performance information relating to competitors taking part in an IPC
Competition or event with anybody, and I will never accept money or any
benefit in return for influencing the outcome of an event; andto abide by all IPC rules and regulations for advertising, sponsorship display,propaganda and manufacturer trademarks on clothing and equipment for
IPC Competitions.

I confirm that the information about myself I have provided in this Agreement(Personal Data) is true, complete and accurate. In accordance with the dataprotection laws applicable to the IPC Competition, I acknowledge that:
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my Personal Data is being collected by the IPC, my NPC and/or NF andLocal Organising Committees (LOCs) and such Personal Data is being
stored and used by the IPC, my NPC and/or my NF and LOCs (includingbeing transferred to or stored on the IPC’s owned or contracted servers),
and the responsible host government, law enforcement, border services andsecurity agencies and similar organisations authorised by the IPC (ThirdParties) for the purposes of, and to the extent necessary in relation to,facilitating my participation in, and/or organising IPC Competitions;
my Personal Data, potentially including relevant sensitive personal data, isbeing transferred to Third Parties, and is being processed as necessary inorder to grant me accreditation for IPC Competitions;the IPC, LOC and Third Parties, may share amongst themselves my Personal
Data for the purposes of investigating and/or prosecuting breaches of any of
the IPC Competition provisions, rules or by-laws;
any usage of my Personal Data for purposes not included in this Agreement
may be based on my explicit consent to the IPC, including to undergo
Athlete Evaluation; andfor participants under the age of 18 years old at the date of signing thisAgreement: in order to enable the validation and confirmation of myparticipation in IPC Competitions, I hereby acknowledge that I must complywith the specific laws and regulations applicable to the participation ofminors in IPC Competitions.

Additional Explanation (Consent)
USE OF PERSONAL DATA FOR RESEARCH PURPOSES
I wish to assist the IPC in IPC approved research projects (including,but not limited to, athlete biographies, questionnaires, filming,measures and medical encounters) and agree to the use of my Personal
Data, and statistics collected as a consequence of my participation in
IPC Competitions, for such purposes in perpetuity, provided such
Personal Data is anonymised prior to any publication.
Providing or not providing this consent does not affect the fulfilment of theAgreement as a whole. If consent for research purposes is not provided, Personal
Data will not be used for this purpose. If consent is provided, it can be withdrawn
at any time by contacting the IPC Headquarters at: privacy@paralympic.org.

International Paralympic Committee
Adenauerallee 212-214
53113 Bonn, Germany

Tel. +49 228 2097-200
Fax +49 228 2097-209

www.paralympic.org
info@paralympic.org

Additional Explanation (Consent)
USE OF PERSONAL DATA FOR MARKETING PURPOSES
I wish to receive information from the IPC (and its partners) in relation
to the celebration and promotion of IPC Competitions, the Paralympic
Movement and the IPC (and its partners) until such time I opt out ofreceiving such information.
Providing or not providing this consent does not affect the fulfilment of theAgreement as a whole. If consent for marketing purposes is not provided,
Personal Data will not be used for this purpose. If consent is provided, it can bewithdrawn at any time by contacting the IPC Headquarters
at: privacy@paralympic.org.
ACCESS OF PERSONAL DATA
I understand that I have a right to access and correct the Personal Data that theIPC holds about me under data protection law by contacting my NPC or NF whowill, if required, contact the IPC. I also understand that I may withdraw thisagreement at any time which will result in me no longer being eligible to compete
in IPC Competitions.
ACCEPTANCE OF SPORTS TECHNICAL SUPREME AUTHORITY
I recognise and accept that the sports technical rules, being all rules which
relate to competition, field-of-play and classification, for my sport during any IPC
Competition are under the authority of the IPC and that any disputes which arise
shall be resolved by the IPC whose decision on such matters is final andenforceable.
I acknowledge and accept that decisions relating to the sports technical orclassification rules are not subject to further appeal beyond the decision made in
the sport-specific appeal processes as set out in the respective sports technicalrules or classification appeal processes as set out in the classification rules
applicable to the respective IPC Competition for which I am competing. I shallnot institute any claim, arbitration or litigation, or seek any other form of relief in
any other court or tribunal in relation to such decisions.
ACCEPTANCE OF BINDING ARBITRATION
I acknowledge and accept that any dispute outside the realm of the sports
technical rules arising during the IPC Competitions shall be submitted
exclusively to an IPC independent panel. Any such dispute shall be determinedin accordance with the IPC Handbook. The decisions of the IPC independent
panel are final, non-appealable and enforceable.
ACCEPTANCE OF RISK AND RELEASE OF CLAIMSI acknowledge that I participate in the IPC Competitions at my own risk; I willtake all reasonable measures to protect myself and other competitors, officials
and spectators from suffering injury or other harm. I also acknowledge that I am
responsible for all equipment, adaptive equipment and property I bring on to all
IPC Competition sites that the LOC and the IPC accepts no responsibility for loss
or damage to, or arising from, such equipment, adaptive equipment or property.
I release the LOCs, the IPC, the international body governing my sport(s), andtheir respective executive members, directors, officers, employees, volunteers,contractors and agents, from any liability (to the extent permitted by law) for any
loss, injury or damage suffered by me in relation to my participation in any IPC
Competitions.
CONTACT DETAILSI
understand
thatI
may
contact
theIPC
Headquarters
at: privacy@paralympic.org should I have any questions about the content of thisAgreement and the use of my Personal Data.

I confirm that I have read and acknowledge all the provisions of this Agreement and that my signature below is authentic and is thesignature of the participant named above.

Signature of Athlete

Printed Name of Parent / Legal Guardian

Date

Signature of Parent / Legal GuardianDate(If applicable under national legislation)

Printed Name of
National Paralympic Committee

Signature

Date and Stamp2