IPC ELIGIBILITY CODE FORM
ATHLETE

National Paralympic Committee
NPC CodeFamily Name
Given Name
Date of Birth (DD/MM/YYYY)

Sport

GenderI understand that as an athlete licensed to compete in IPC Competitions,
I am participating in events which have ongoing international andhistorical significance, and as a condition of being licensed to compete
and in consideration of the acceptance of my participation in IPC
competitions I agree as follows;
1.

to be filmed, televised, photographed, identified and otherwise
recorded during any IPC Competition, the IPC and anyone
authorized by the IPC shall be entitled to keep these images and touse them for any purpose in relation to the promotion of theParalympic Movement;

2.

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 personaland non-commercial purposes, unless prior written consent isobtained from the IPC;

3.

to comply with the IPC Handbook, the IPC Sports Technical Rules
and Classification Rules of the sport in which I am participating, andany other rules or regulations that apply to my participation at an IPC
Competition (hereinafter referred to as ‘the IPC Sport Rules’). These
documents can be found on or linked through the IPC website or canbe obtained upon written request to the IPC Headquarters and I
understand that I am deemed to have read and understood them;

4.

that my entries to IPC Competitions will be administered through myNational Paralympic Committee (NPC) or IPC recognized NationalSport Federation (if applicable);5.

to accept the criteria of eligibility, qualification and participation laid
down by the IPC for the various IPC Competitions;6.

to abide by the principles of fair-play and non-violence and to behave
myself accordingly during the IPC Competition;7.

to comply with the IPC Anti-Doping Code and, in particular not totake, possess and traffic any substance or use methods prohibitedby the applicable World Anti-Doping Code Prohibited List. I also
agree that third parties, including law enforcement and borderservices agencies may share my personal information with the IPC
to assist in the enforcement of the IPC Anti-Doping Code;8.

not to participate or assist in any gambling or betting activities
associated with any IPC event; specifically I will not bet on myself,
my team or any competitor or opponent (whether to lose or win), I will
prevent members of my family or friends from doing so, I will notshare any performance information relating to competitors taking partin an IPC Event with anybody, and I will never accept money or any
benefit in return for influencing the outcome of an event;

9.

Femaleto abide by all IPC rules and regulations for advertising,sponsorship display, propaganda and manufacturer trademarks onclothing and equipment for the IPC Competition; and10. consent to the collection and use of personal data and statistics in
IPC approved research projects (e.g. athlete biographies
questionnaires, filming, measures, medical encounters etc.)
conducted during IPC Events.

ACCEPTANCE OF SPORTS TECHNICAL SUPREME AUTHORITY
I recognize 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 thatany disputes which arise shall be resolved by the IPC whose decisionon such matters is final and enforceable.
I acknowledge and accept that decisions relating to the sports technicalor classification rules are not subject to further appeal beyond thedecision made in the sport-specific appeal processes as set out in therespective sports technical rules or classification appeal processes as
set out in the classification rules applicable to the respective IPC
Competition for which I am competing. I shall not 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 thesports technical rules arising during the IPC Competitions shall be
submitted exclusively to the Court of Arbitration for Sport (CAS). Anysuch dispute shall be determined in accordance with the CAS Code forSports-Related Arbitration, save for competitions covered by the CAS
Ad hoc arbitration rules where I agree that the Ad hoc rules shall govern
the procedure for dispute resolution. The decisions of CAS 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 will take all reasonable measures to protect myself and othercompetitors, officials and spectators from suffering injury or other harm.
I also acknowledge that I am responsible for all property I bring on to all
IPC Competition sites and that the Local Organizing Committees andthe IPC accept no responsibility for any loss or damage to suchproperties.
I release the LOCs, the IPC and their respective executive members,
directors, officers, employees, volunteers, contractors or agents, fromany liability (to the extent permitted by law) for any loss, injury ordamage suffered by me in relation to my participation in any IPC
Competitions

Signature of Athlete

Printed Name of Parent / Legal Guardian

Male

Date

Signature of Parent / Legal Guardian

Date(If applicable under national legislation)

Printed Name ofSignature
National Paralympic Committee or IPC Recognized National Sport Federation

Date and Stamp