The 2nd Summer Youth 2014 Entry/Eligibility Conditions Form

Athlete/Chef de Mission/Young Ambassador/Team Official/other member of the NOC Delegation (henceforth “participant”) Please write clearly in CAPITAL LATIN LETTERS

National Olympic Committee NOC Code

Preferred Family Name(s) Preferred Given Name(s)

Date of Birth (day/month/year) Gender Male Female

Sport/Discipline Registration Number

Athlete Chef de Mission / Young Ambassador / Team Official / Other member of the NOC Delegation

1. Understanding that as a participant in the 2nd Summer Youth Olympic Games in Nanjing, from 16 to 28 August 2014, I am participating in an exceptional event and, in consideration of the acceptance of my participation therein, I agree to be filmed, televised, photographed, identified and otherwise recorded during the Nanjing 2014 Summer Youth Olympic Games under the conditions and for the purposes now or hereafter authorised by the International Olympic Committee (IOC) in relation to the promotion of the Youth Olympic Games and the Olympic Movement, including for use to such effect by any third parties authorised by the IOC. 2. I declare that I have read and that I have full knowledge of the provisions of the Olympic Charter currently in force and that I agree to comply with all such provisions and, in particular, with the provisions of the Olympic Charter regarding eligibility for the Youth Olympic Games (including Rule 40 and its Bye-law), the mass media (Rule 48 and its Bye-law) and the prohibition on forms of publicity or propaganda on persons or on clothing and equipment worn or used at the Youth Olympic Games (Bye-law to Rule 50). I further agree to comply with the provisions of the World Anti-Doping Code in force at the time of the Nanjing 2014 Summer Youth Olympic Games as well as the IOC Anti-Doping Rules applicable to the Nanjing 2014 Summer Youth Olympic Games, including in particular the blood and urine sample collection process and I note the rights and responsibilities which apply upon notification as set out in Appendix 3 of the IOC Anti-Doping Rules. I also agree to comply with the IOC Code of Ethics, in particular to not participate in, support or promote betting related to the Youth Olympic Games, and to comply with the IOC Social Media, Blogging and Internet Guidelines for persons accredited at the Nanjing 2014 Summer Youth Olympic Games. I further agree that third parties may transfer to the IOC information pertaining to betting activities in relation to the Youth Olympic Games. 3. I declare that I have full knowledge of all such provisions and that all provisions applicable to my participation in the Nanjing 2014 Summer Youth Olympic Games have been specifically brought to my attention by my National Olympic Committee (NOC) and/or by my national sports federation or by the international sports federation and are specifically approved by me. 4. I agree that all photographs and moving images taken by me at the Nanjing 2014 Summer Youth Olympic Games, including those of athletes competing within any Olympic venues, shall be used solely for personal and non-commercial purposes and in accordance with the IOC Social Media, Blogging and Internet Guidelines for persons accredited at the Nanjing 2014 Summer Youth Olympic Games, unless prior written consent is obtained from the IOC. 5. I acknowledge and agree that : a. I participate in the Nanjing 2014 Summer Youth Olympic Games at my own risk and that I will take all reasonable measures to protect myself from the risks of participation ;and b. I am responsible for all property I bring into the Youth Olympic Games sites and that the Nanjing 2014 Summer Youth Olympic Games Organising Committee (NYOGOC) and the IOC shall have no responsibility for any loss or damage to this property. 6. I irrevocably release NYOGOC and the IOC (and their respective members, directors, officers, employees, volunteers, contractors or agents) from any liability (to the extent permitted by law) for any loss, injury or damage that I may suffer in relation to my participation in the Nanjing 2014 Summer Youth Olympic Games. 7. In respect of information about myself (my ‘Personal Data’), I agree : a. to my Personal Data being collected by the IOC and NYOGOC and to such data being stored and used by the IOC (including being stored on the IOC’s servers in Europe) and NYOGOC and, where necessary, by third parties for the purposes of, and to the extent necessary in relation to, organizing the Youth Olympic Games, facilitating my participation therein and presenting competing athletes to the public ; b. to the IOC storing and using my personal data after the conclusion of the Youth Olympic Games, for historical and statistical purposes ; c. to the transfer of my Personal Data to the authorities of the People ’s Republic of China and by them to third parties, and to the processing of such data and potentially any relevant sensitive personal data, as is necessary for security and other background checks by the authorities of the People’s Republic of China in order for me to gain the necessary accreditation for the Youth Olympic Games ; d. that the IOC, NYOGOC and other third parties, including law enforcement and border services agencies, may share amongst themselves and with third parties my Personal Data for the purposes of investigating and/or prosecuting breaches of any of the provisions, rules or bye-laws referred to in paragraph 2 above (for example, breaches of anti-doping and/or betting rules) ; e. to the collection and use of Personal Data and statistics in IOC approved research projects (for example, athlete biographies, questionnaires, filming, measures, medical encounters etc) conducted during and after the Youth Olympic Games; and f. to my Personal Data being used in any other way to which I provide my express consent to the IOC and/or NYOGOC. 8. I agree that any dispute, controversy or claim arising from, in connection with, or on the occasion of the Youth Olympic Games, not resolved after exhaustion of the legal remedies established by my NOC, the international federation governing my sport, NYOGOC and the IOC, shall be submitted exclusively to the Court of Arbitration for Sport (CAS) in Lausanne, Switzerland, for final and binding arbitration in accordance with the Code of Sports-related Arbitration. The seat of arbitration shall be at Lausanne, Switzerland. The CAS shall rule on its jurisdiction and shall have the exclusive power to order provisional and conservatory measures. The decisions of the CAS shall be final, binding and non-appealable. I shall not, and I hereby waive my right to, institute any claim, arbitration or litigation, or seek any other form of relief in any other court or tribunal. 9. I acknowledge and agree that my participation in the Youth Olympic Games is conditional on my valid acceptance of and my compliance with each and all of the provisions of this Entry/Eligibility Conditions Form (referred to as “Entry Form” in the Olympic Charter). 1 The NOC hereby certifies and guarantees that all the relevant rules, including all those referred to above, have been brought to the notice of the participant and that the NOC has been authorised by the national sports federation concerned to sign this Entry/ Eligibility Conditions Form on the latter’s behalf, with the approval of the relevant international federation.

Signature of participant Date (D/M/Y)

NOC STAMP NOC Signature and Stamp Date (D/M/Y) EXTRACT OF THE OLYMPIC CHARTER AND BYE-LAW

40. Eligibility Code

To be eligible for participation in the Olympic Games, a competitor, coach, trainer or other team official must comply with the Olympic Charter, including the conditions of eligibility established by the IOC, as well as with the rules of the international federation concerned as approved by the IOC, and the competitor, coach, trainer or other team official must be entered by his NOC. The above-noted persons must : - respect the spirit of fair play and non-violence, and behave accordingly; and - respect and comply in all aspects with the World Anti-Doping Code.

Bye-law to Rule 40

1. Each international federation establishes its sport’s own eligibility criteria in accordance with the Olympic Charter. Such criteria must be submitted to the IOC Executive Board for approval. 2. The application of the eligibility criteria lies with the international federations, their affiliated national federations and the NOCs in the fields of their respective responsibilities. 3. Except as permitted by the IOC Executive Board, no competitor, coach, trainer or official who participates in the Olympic Games may allow his person, name, picture or sports performances to be used for advertising purposes during the Olympic Games. 4. The entry or participation of a competitor in the Olympic Games shall not be conditional on any financial consideration.

48. Media Coverage of the Olympic Games

1. The IOC takes all necessary steps in order to ensure the fullest coverage by the different media and the widest possible audience in the world for the Olympic 2. All decisions concerning the coverage of the Olympic Games by the media rest within the competence of the IOC.

Bye-law to Rule 48

1. It is an objective of the Olympic Movement that, through its contents, the media coverage of the Olympic Games should spread and promote the principles and values of Olympism. 2. The IOC Executive Board establishes all technical regulations and requirements regarding media coverage of the Olympic Games in an IOC Media Guide, which forms an integral part of the Host City Contract. The contents of the IOC Media Guide and all other instructions of the IOC Executive Board are binding for any and all persons involved in media coverage of the Olympic Games. 3. Only those persons accredited as media may act as journalists, reporters or in any other media capacity. Under no circumstances, throughout the duration of the Olympic Games, may any athlete, coach, official, press-attaché, or any other accredited participant act as a journalist or in any other media capacity.

Bye-law to Rule 50

1. No form of publicity or propaganda, commercial or otherwise, may appear on persons, on sportswear, accessories, or, more generally, on any article of clothing or equipment whatsoever worn or used by the athletes or other participants in the Olympic Games, except for the identification - as defined in paragraph 8 below - of the manufacturer or the article or equipment concerned, provided that such identification shall not be marked conspicuously for advertising purposes. 1 The identification of the manufacturer shall not appear more than once per item of clothing and equipment. 1 Equipment: any manufacturer’s identification that is greater than 10% of the surface area of the equipment that is exposed during competition shall be deemed to be marked conspicuously. However, there shall be no manufacturer’s identification greater than 60 cm². 1 Headgear (e.g. hats, helmets, sunglasses, goggles) and gloves: any manufacturer’s identification over 6 cm² shall be deemed to be marked conspicuously. 1 Clothing (e.g. T-shirts, shorts, sweat tops and sweat pants): any manufacturer ’ s identification which is greater than 20 cm ²shall be deemed to be marked conspicuously. 2 Shoes: it is acceptable that there appear the normal distinctive design pattern of the manufacturer. The manufacturer’s name and/or logo may also appear, up to a maximum of 6 cm², either as part of the normal distinctive design pattern or independent of the normal distinctive design pattern. 2 In case of special rules adopted by an international sports federation, exceptions to the rules mentioned above may be approved by the IOC Executive Board. Any violation of the provisions of the present clause may result in disqualification or withdrawal of the accreditation of the person concerned. The decisions of the IOC Executive Board regarding this matter shall be final. The numbers worn by competitors may not display publicity of any kind and must bear the Olympic emblem of the OCOG. 8. The word “identification” means the normal display of the name, designation, trademark, logo or any other distinctive sign of the manufacturer of the item, appearing not more than once per item. 9. The OCOG, all participants and all other persons accredited at the Olympic Games, and all other persons or parties concerned, shall comply with the manuals, guides or guidelines and all other instructions of the IOC Executive Board, in respect of all matters subject to Rule 50 and this Bye-law.

The 2nd Summer Youth Olympic Games Nanjing 2014 Parent/Legal Guardian Acknowledgement for Minors

Note: This section of the Entry/Eligibility Conditions Form must be completed and signed by the parent/guardian of a Participant who has not reached the age of majority under the applicable national laws and regulations of his/her state of domicile. Failure to fill in this form will result in the Participant not being accepted to participate in the 2nd Summer Youth Olympic Games Nanjing 2014 (“Youth Olympic Games”). Please write clearly in CAPITAL LATIN LETTERS Particulars of participant’s parent / legal guardian

Family name Given name

Relationship to Participant : Father Mother Legal Guardian

Passport number Address

Name of Participant Registration number of Participant

I confirm that I am the parent/guardian (delete as appropriate) of the participant named in this Entry/Eligibility Conditions Form and that : 1. I consent to the participant taking part in the Youth Olympic Games and signing this Entry/Eligibility Conditions Form. Furthermore, I undertake to ensure that the participant will comply with the terms and conditions of this Entry/Eligibility Conditions Form and the Olympic Charter. 2. I confirm that : a. I have read and understood this Entry/Eligibility Conditions Form and the Olympic Charter, and have fully explained to the participant the terms and effects of them ; b. the participant has read this Entry/Eligibility Conditions Form and the Olympic Charter and, together with the benefit of my explanation, understands its terms and effects ; c. I consent to and approve all provisions of the Entry/Eligibility Conditions Form and undertake to ensure that the participant shall honour his/her obligations under the Entry/Eligibility Conditions Form ; and d. I have notified the participant’s National Olympic Committee (NOC) of any specific medical condition or need of the participant. 3. Authority of Chef de Mission: I hereby irrevocably authorise the Chef de Mission of the participant’s NOC to provide the necessary consent where and when required for the participant’s participation in any event or programme in connection with the Nanjing 2014 Youth Olympic Games, including the following : a. Culture & Education Programme: the participant taking part in any of the Culture & Education Programme events planned during the Nanjing 2014 Youth Olympic Games, including signing any consent forms or waivers of liability in order for the participant to take part in such activities ; and b. Medical Treatment: signing any consent forms or waivers of liability for medical treatment, or in another manner providing consent to medical treatment (including, but not limited to, X-ray examinations, an aesthetic medical or surgical diagnosis, treatments or procedures) to be administered to the participant in the case of any injury or illness whilst the participant is in China for the Nanjing 2014 Youth Olympic Games and/or the said Culture & Education Programme. 4. Release and Waiver: In consideration of the acceptance by the IOC and the Nanjing Youth Olympic Games Organising Committee (NYOGOC) to the participant taking

part in the Youth Olympic Games, I irrevocably release the IOC and NYOGOC (and their respective members, directors, officers, employees, volunteers, contractors

or agents) from any liability (to the extent permitted by law) for any kind of loss, injury or damage that the participant may suffer or be exposed to in connection with : a. the participant’s participation in the Nanjing 2014 Youth Olympic Games and/or the said Culture & Education Programme; or b. any medical treatment administered to the participant whilst the participant is in China at the occasion of the Nanjing 2014 Youth Olympic Games and/or the said Culture & Education Programme. 5. Arbitration: I agree that any dispute, controversy or claim arising from or in connection with this consent and authorisation which cannot be settled amicably shall be submitted exclusively to the Court of Arbitration for Sport (CAS) in Lausanne, Switzerland, for final and binding arbitration in accordance with the Code of Sports- related Arbitration. The seat of arbitration shall be at Lausanne, Switzerland. The decisions of the CAS shall be final, binding and non-appealable. I shall not, and I hereby waive my right to, institute any claim, arbitration or litigation, or seek any other form of relief in any other court or tribunal.

Read and agreed by the parent / legal guardian:

Signature of father/mother/legal Date (D/M/Y) guardian of participant

Confirmation by NOC :

We certify and confirm that the above-named person is the father/mother/legal guardian of the Participant and acknowledge that our Chef de Mission has accepted responsibility for the Participant in the manner stated in paragraph 3 of the consent and authorisation above.

NOC Read and agreed by the NOC : STAMP

Signature and name of Chef de Date (D/M/Y) Mission