The South Carolina Governor’s Council on Physical Fitness
Endorsement Application

Organization Information

Event/Program Name :           

Event Date(s) :                          

Presenting Organization:       

Responsible Party (person):

Title:                                           

Organization:                           

Address:                                   

Phone:                                       

Fax:                                            

Email:                                        

Web Address:                         

Alternate Contact:                  

Title (alternate):                      

Organization (alternate):      

Address (alternate):              

Phone (alternate):                  

Fax (alternate):                       

Email (alternate):                   

Web Address (alternate):    

Event/Program Endorsement Criteria

The following criteria will be considered in the endorsement application process. Check all that apply to your event/program.
  The presenting organization/event host has good credibility with its constituents and event/program
          participants.
  The event/program will provide a positive experience for its participants.
  The event/program will be conducted by qualified officials (if applicable).
  The applicant will provide a safe environment for its participants. Appropriate safety equipment will be
          worn by all participants (e.g., helmets in bicycling events and shin guards in soccer events).
  Adequate and appropriate medical supervision and support, including emergency preparedness, will be
          provided during the event/program.
  The presenting organization/host will have liability insurance for the event/program and will inform
          participants of their responsibility to obtain personal injury insurance.
  Sponsors or others associated with the event/program will not produce and/or sell alcohol or tobacco.
  The event/program will be presented/hosted by a nonprofit organization and will be operated on a self-
          supporting financial basis.

Event/Program Information

Type of event (check all that apply):

  Competitive sports event
  Sports clinic
  Sports camp
  Fitness event (participants are physically active)
  Health/fitness fair
   Other:    

Event/program description (list sports if applicable):  

Event/program purpose:

Number of years event/program has been held:    

Has this event/program received previous endorsement from the Council?   Yes No

Location of event/program (city and county):        

If multiple sites, list all cities and counties:

Participant Information

Estimate number of participants:        

Age range of participants:                     

Description of participants (check all that apply):

Does your event seek to involve any of the following?

Sponsor/Promotion Information

Is your event/program sponsored by companies that produce or sell alcohol or tobacco? Yes No

Please list your financial and in-kind sponsors: :

How is your event/program promoted? (Check all that apply.)

Liability Disclaimer

All liability to third parties, loss or damage as a result of claims, demands, costs, or judgement arising out of activities to be carried out by the program presenter/host are the responsibility of the presenter/host and not the responsibility of the South Carolina Governor's Council on Physical Fitness.
Endorsement of the proposed event/program does not constitute endorsement of the presenting or sponsoring organization or the products used during the event.

Digital Verification

By submitting this form I hereby verify that I have read the Event/Program Endorsement Criteria and certify that the above event/program meets all minimum requirements. Therefore, I request the endorsement of the Governor's Council. I understand that if granted, the endorsement is awarded on a one-time-only basis and I must re-apply for future endorsement. If at any time the presenting/host organization changes and the event/program no longer meets the minimum criteria for a Council endorsement, the Governor's Council will be notified immediately in writing. I further certify that I am authorized to submit this application for approval on behalf of the presenting/host organization.

Describe your role with the presenting organization or host: