the 22nd annual san diego senior olympic gamessdtta.org/_downloads/2009entrybookv11.pdf ·...

The 22nd Annual

San Diego Senior Olympic Games

2009 Entry Book

ENTRY DEADLINE IS August 31, 2009

COMPETITION IN OVER 20 EVENTS Archery, Badminton, Ballroom Dancing, Basketball, Billiards, Bowling, Golf, Handball, Horseshoes, Paddleball, Pickleball, Racquetball, Road Race, Shooting, Soccer, Softball,

Swimming, Table Tennis, Tennis, Track & Field, and Volleyball

San Diego Senior Games Association P. O. Box 84202 San Diego CA 92138-4202

619-226-1324 (p) 619-226-1304 (f)

www.sdseniorgames.org

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JOIN US AUGUST 30 OUR OPENING CERMONIES THIS YEAR WILL BE UNFORGETTABLE!

This is as real as it gets! We will be having our first official Torch Run for the San Diego Senior Olympics on August 30, 2009. Participants will be starting at the USS Midway and ending at the

Handlery Hotel. This is about 16 miles of running for our participants and the event is scheduled to last approximately 5 hours. There will be silent auctions and raffle prizes as well as many dignitaries and

special guests (Such as the US Marine Corps, Color Guard, many of our sponsors, etc.). This is an event you WILL NOT want to miss! Reserve your seats now with a $20.00 donation!

We are limited to the 1st 350 requests!

Our Route: From the USS Midway heading up Harbor Drive to Nimitz Blvd (R) up over Sunset Cliffs Blvd to

SeaWorld Drive (E) to Friars Road to Fashion Valley Road (R) to Hotel Circle (N) (R) to the Handlery Hotel. You can download the route map at our website at www.sdseniorgames.org

Handlery Hotel

Sponsored in part by the San Diego Track Club

Robin Paine will be running a leg of our torch run this year! Home to San Diego, Robin ran the original torch run in 1984. She helped run it across New Mexico and Colorado, including through high plains and mountains.

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GENERAL INFORMATION ELIGIBILITY All participants must be at least 50 years of age on or before December 31, 2009. There is no upper age limit. Proof of age may be required at event check-in. Certain sports are allowing age 40 this year on a demonstration basis: Handball, Paddleball, Pickleball, and Racquetball. The San Diego Senior Olympic Games is open to all California residents and non-residents. This will be a qualifying event for the California State Senior Games Championships. AGE DIVISIONS Age divisions for all events are in five-year age groups except where noted: 50-54, 55-59, 60-64, etc. A participant’s competition age will be based on their age as of December 31, 2009, unless a particular sport’s rules define age as of the date of competition. The age division for all doubles and team competition will be determined by the age of the youngest team player as of 12/31/2009. The right is reserved by the San Diego Senior Sports Festival (SDSSF) to combine age groups in any event due to insufficient entries or other conditions. HOW TO ENTER You may enter any sport or event subject to the entry limitations of that sport. Mail your completed entry form and check/money order by Monday, August 31, 2009. A late fee will apply after August 31, 2009 after which registration may be closed. Each partner in a doubles competition must submit an individual Entry Form and also write in the full name of their partner on the Entry Form. TEAM REGISTRATION For Basketball, Soccer, Softball and Volleyball only, the Team Waiver & Roster Form needs to be submitted for registration, unless players on the team want to compete in other sports; in which case an individual form must be submitted. Prior to competition, all Team Athletes MUST SIGN the team waiver form, or that player will not be eligible to participate. FEES There are 3 types of fees: Registration, Event and Team Fees. A $30 Registration Fee for each individual participant covers the administrative costs of the Games. Event Fees for specific activities cover the actual cost of the particular sport. Team Fees include both the Registration and Event Fees. All athletes will receive a T-Shirt, Athlete Gift Bag & Results Book. ENTERING MORE THAN ONE SPORT Those entering more than one sport must be aware of possible schedule conflicts. No competition will be delayed to accommodate a conflict. Athletes who are participating in a team sport (on a team) must pay individual event fees if they enter an individual event. No refunds will be given due to event conflicts, and no schedule changes will be made to accommodate multi-sport entrants. REGISTRATION DEADLINE The registration deadline is Monday August 31, 2009 (postmarked). Team entries from Team Captains also are due by this date. Entries postmarked after the 8/31/2009 deadline may be accepted if space is available and there is adequate processing time. If an entry is postmarked after 8/31/09 and accepted, an additional $10 late fee will be charged for all individual sport entries, and a $15 late fee will be charged for all team registrations. Registrations will not be processed until all fees are paid and the liability waiver is signed and dated. No registrations or entries will be accepted on the day of events and /or games. MEDALS Gold, Silver and Bronze medals will be awarded in all events at each sport’s venue after the final competition. Any medals not picked at these times will be available at the Games Headquarters after the Games. EQUIPMENT Participants are required to provide their own equipment for the events entered, (except as specified under the sport description). Please be sure to mark your personal items and do not leave valuables unattended. SDSSF is not responsible for the loss of damage of any athlete’s personal equipment.

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GENERAL INFORMATION - Continued SPORTMANSHIP/CONDUCT Unsportsmanlike Or Disorderly conduct on the part of competitors or coaches will be grounds for immediate removal and disqualification from competition without any refund of fees paid. Sports Commissioners and SDSSF staff reserve the right to disqualify any competitor. UNIFORMS All athletes must wear the athletic-type clothing and shoes usual and customary for the sport(s) in which they are competing. Team sports require like color and style numbered uniforms. Clothing, shoes or equipment that are inappropriate may be cause for disqualification. The SDSSF Sport Commissioners have been authorized to make this determination. If you have any questions, please contact the sport commissioner. INSURANCE The San Diego Senior Sports Festival (SDSSF) has a General Liability Policy for the Games. This insurance covers medical costs only when an accident or injury is caused by our negligence. It is expressly understood that this insurance does not cover property loss, damage to the participant, or medical costs if an accident or injury occurs during the normal routine of competition or during travel to and from competition. EACH PARTICIPANT IS PESPONSIBLE FOR THEIR OWN MEDICAL INSURANCE. MEDICAL ASSISTANCE Athletic trainers and/or physicians from the San Diego Sports Medicine and Family Health Center will be donating their time on site at most of the events. Emergency medical assistance will also be in place at most events. If you must be transported by ambulance, it will be at your expense. REFUND POLICY No refund will be made if an entrant fails to compete for whatever reason including medical injury or event cancellation due to inclement weather, war, or an act of God. Refunds of entry fees may occur for:

1) Entries received after the maximum number of entries has been accepted. 2) Insufficient entries in an age division or sport causing cancellation of the division or sport. 3) Entries of non-qualified participants.

HOUSING, FOOD AND TRANSPORTATION We have partnered with Acacia Travel 3272 Rosecrans St (next door to our office) San Diego CA 92110. Telephone Number (619) 225.1233; just mention San Diego Senior Olympics and you will receive excellent travel service and courtesy rates with any one of our fine hotel partner/sponsors. Athletes are responsible for their own housing, food and transportation. EVENT CANCELLATION/POSTPONEMENTS In the event of inclement weather or unusual, extenuating circumstances, Games Officials or the SDSSF Board of Directors reserve the right to cancel or postpone outdoor events to a later time. During the Games, call Games Information (619) 226-1324 if the weather looks uncertain. The SDSSF also reserves the right to cancel any event due to insufficient entries and also reserves the right to combine age divisions. Refer to the refund policy for refund information. There will be no refunds for events cancelled due to weather, war, or an act of God.

AFTER THE GAMES RESULTS BOOK The Official 2009 SDSSF results book will be published on our web site and/or mailed to the address on your registration form. The results should be ready by November 15, 2009. QUALIFYING FOR CALIFORNIA STATE SENIOR GAMES CHAMPIONSHIPS The 2009 SDSSF Games are a qualifying event for the California State Senior Games Championships. For more information about other qualifying senior games in California, please visit their website at http://californiaseniorgames.com/events.html.

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2009 INDIVIDUAL ENTRY FORM (PAGE 1) - SAN DIEGO SENIOR OLYMPICS

Registration Due Date: August 31, 2009 (postmarked)

*COMPLETE ALL INFORMATION (Front & Back) & SIGN THIS FORM BELOW !!. Form may be duplicated PERSONAL INFORMATION LAST NAME FIRST NAME MI

STREET ADDRESS

------------ --- CITY STATE ZIP CODE ---- ---- ---- PHONE NUMBER AGE AS OF BIRTH DATE (MM-DD-YYYY) FEMALE MALE 12/31/2009 (Check one)

EMAIL ADDRESS: _________________________________________ T-SHIRT SIZE: S / M / L / XL / XXL / XXXL Person to contact in case of emergency Name: __________________________________ Phone: (____) __________________ Relationship: _______________________

RELEASE OF LIABILITY

PHOTO & FILM WAIVER: I hereby grant full permission to the organizers, their agents, employees, and representatives to use my name, voice, and/or picture or film in any broadcast, telecast, advertising, promotion or other use in relation to the San Diego Senior Sports Festival and the San Diego Senior Olympics. LIABILITY WAIVER: In consideration of being allowed to participate in any way in the San Diego Senior Sports Festival (SDSSF) program, related events and activities, the undersigned acknowledges, appreciates and agrees that: (1) The risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist; and, (2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, (3) I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, (4) I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE SDSSF, its officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. (5) I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I have read this release of liability and assumption of risk agreement, fully understand its terms, that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Print Name:_______________________________________ Signature: _______________________________________ PAYMENT INFORMATION (For Soccer, Softball, Basketball and Volleyball, use Team Entry Form)

Registration Fee $ 30 Make check payable to: Late Registration Fee, after 8/31/09 $10 _______ Additional Event Fees (if applicable) _______ SDSSF Senior Partner Membership $100 _______ P O BOX 84202 (Registration fee waived) SAN DIEGO CA 92138-4202

Donation to San Diego Sr Olympics ______ Deductible IRS 501(c)(3) Thank You! PLEASE DO NOT SEND CASH

Total Amount Enclosed $______

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2009 INDIVIDUAL ENTRY FORM (PAGE 2) - SAN DIEGO SENIOR OLYMPICS Please place a check mark or entry time if required by each event you are entering:

Event Fees listed below are to cover direct costs, in addition to basic Registration Fee (Separate Entry Form Required from Partner for Doubles Events)

ARCHERY _____ARC – 01 Recurve $10 _____ARC – 02 Bare or Long Bow $10 _____ARC – 03 Compound $10 BADMINTON _____BAD – 01 Singles _____BAD – 02 Doubles - Partner _______________ BALLROOM DANCING _____BRD – See Separate Entry Form BASKETBALL (No registration fee if on BB Team) _____ BSK – 01 Free Throw ($3) _____ BSK – 02 Hot Shots ($3) BILLIARDS _____BIL – 01 8-Ball Singles ($5) _____BIL – 02 9-Ball Singles ($5) _____BIL – 03 Masters Doubles ($5) – Partner_____________ BOWLING _____BW – 01 Singles ($10) _____BW – 02 Doubles ($10/ea) Partner _____________ _____BW – 03 Mixed Doubles ($10/ea) Partner_________ GOLF (Open to first 36 players) _____ GO – 01 Recreation 18 holes ($40) Eastlake 8/27 _____ GO – 02 Regulation 18 holes ($45) Adm Baker 9/23 HANDBALL _____ HB – 01 Singles ($5) _____ HB – 02 Doubles ($5) Partner_______________ HORSESHOES _____ HO – 01 Singles _____ HO – 02 Novice Singles _____ HO – 03 Mixed Doubles Partner_______________ PADDLEBALL _____ PB – 01 Singles ($5) _____ PB – 02 Doubles ($5) Partner_________________ _____ PB – 03 MixDoubles($5) Partner_______________ PICKLEBALL _____ PI – 01 Singles ($5) _____ PI – 02 Doubles ($5) Partner________________ _____ PI – 03 Mixed Doubles ($5) Partner___________ RACQUETBALL _____ RQ – 01 Singles ($5) _____ RQ – 02 Doubles ($5) Partner_______________ ROAD RACING _____ RR – 01 5k Run ($5) _____ RR – 02 10k Run ($5) SHOOTING _____ SH – 01 / 02 Air Rifle – Men / Women $2 _____ SH – 03 / 04 Air Pistol – Men / Women $2 _____ SH – 05 / 06 3-Position - Men / Women $2

TABLE TENNIS _____ TT – 01 Singles – 1000+ Rated ($5) _____ TT – 02 Novice Singles ($5) _____ TT – 03 Doubles Same Sex ($5ea) Partner________ _____ TT – 04 Doubles Mixed ($5ea)Partner____________ TENNIS _____ TE – 01 Singles ($5) _____ TE – 02 Novice Singles ($5) _____ TE – 03 Doubles ($5 ea) Partner ______________ _____ TE – 04 Mixed Doubles ($5 ea) _______________ SWIMMING Each Event $3 (5 entry total limit) Entry Time – list time on line by event (est. if nec.) _____________ SW – 01 500 yd Free _____________ SW – 02 50 yd Breast _____________ SW – 03 50 yd Breast (Novice) _____________ SW – 04 200 yd Back _____________ SW – 05 200 yd IM _____________ SW – 06 50 yd Fly _____________ SW – 07 100 yd Free _____________ SW – 08 200 yd Breast _____________ SW – 09 50 yd Back _____________ SW – 10 50 yd Back (Novice) _____________ SW – 11 100 yd IM _____________ SW – 12 100 yd Fly _____________ SW – 13 50 yd Free _____________ SW – 14 50 yd Free (Novice) _____________ SW – 15 100 yd Breast _____________ SW – 16 100 yd Back _____________ SW – 17 200 yd Free _____________ SW – 18 200 yd Fly _____________ SW – 19 400 yd IM

USMS # is NOT required. Masters Swimmers who provide a USMS number and copy of their USMS card will have their official times submitted to USMS for National Top Ten Times. USMS/SI LMSC Recognition # 449-MS-07Y-R USMS # ___________________ (attach copy) TRACK & FIELD Track Events $3 each event (5 entry total limit) _____TR-01 50m Dash _____TR-02 100m Dash) _____TR-03 200m Dash _____TR-04 400m Dash _____TR-05 800m Dash _____TR-06 1500m Run _____TR-07 3000m Run _____TR-08 80/100/110m hurdles _____TR-09 300/400m hurdles _____TR-10 Steeplechase _____TR-11 Grandparent/grandchild Relay (free) Field Events $3 each event (5 entry total limit) _____FD-01 High Jump _____FD-02 Pole Vault _____FD-03 Long Jump _____FD-04 Triple Jump _____FD-06 Discus Throw _____FD-07 Javelin Throw _____FD-08 Shot Put

BALLROOM DANCE PROGRAM7

BALLROOM DANCE PROGRAMCottonwood Golf and Country Club (3131 Willow Glen Dr El Cajon CA 92021) on Sunday, September 13 (9:00AM‐5:00PM) 7

Open American Smooth * Waltz * Tango *Foxtrot * Vieneese Waltz

Cottonwood Golf and Country Club (3131 Willow Glen Dr El Cajon CA 92021) on Sunday, September 13 (9:00AM‐5:00PM)

Open American Smooth * Waltz * Tango *Foxtrot * Vieneese Waltz

Open American Rhythm * Cha Cha * Rumba * Swing * Bolero * Mambo


Open American Rhythm * Cha Cha * Rumba * Swing * Bolero * Mambo

* * * * *


Open Specialty Dances * West Coast Swing * Hustle * Argentine * Tango * Salsa


Open American Smooth 3 Dance Championship (All Age Categories) * Waltz * Tango * Foxtrot


Open American Rhythm 3 Dance Championship (All Age Categories) * Cha Cha * Rumba * Swing

p p p ( g g ) g


$30 00 Registration per Couple $5 00 per Couple for each additional Dance Event

Open American Rhythm 3 Dance Championship (All Age Categories) Cha Cha Rumba Swing


$30.00 Registration per Couple $5.00 per Couple for each additional Dance Event

3 Dance Championships $10 00 per Couple for each additional Dance Event Smooth or Rhythm


3 Dance Championships $10.00 per Couple for each additional Dance Event ‐ Smooth or Rhythm


The age of the youngest competitor determins the age category ‐ Enter Partner Names in Each Dance Event


Age Categories A1‐ 50‐59 B1 ‐ 60‐69 C1 ‐ 70 & above


g g

O A i S th $5 D E t


Open American Smooth ‐ $5 per Dance Event


Waltz


A1) B1) C1)


A1) B1) C1)


Tango


A1) B1) C1)

g


A1) B1) C1)


Foxtrot


Foxtrot


C1)A1) B1)


Viennese Waltz


Viennese Waltz


A1) B1) C1)


) ) )


Open American Rhythm ‐ $5 per Dance Event


Open American Rhythm $5 per Dance Event

Cha Cha


Cha Cha


A1) B1) C1)


) )

R b

)


Rumba


A1) B1) C1)


A1) B1) C1)


Swing


A1) B1) C1)


A1) B1) C1)


Bolero


A1) B1) C1)


A1) B1) C1)


Mambo


Mambo


A1) B1) C1)

Cottonwood Golf and Country Club (3131 Willow Glen Dr El Cajon CA 92021) on Sunday, September 13 (9:00AM‐5:00PM)Cottonwood Golf and Country Club (3131 Willow Glen Dr El Cajon CA 92021) on Sunday, September 13 (9:00AM‐5:00PM)

Open Specialty Dances ‐ $5 per Dance Event


West Coast Swing


C1)A1) B1)

g


C1)A1) B1)


Hustle


Hustle


B1) C1)A1)


Argentine Tango


Argentine Tango


A1) B1) C1)


) ) )

S l


Salsa


A1) B1) C1)


A1) B1) C1)


Open Dance Championships (All Ages) $10 per Dance Event


A i RHYTHM

Open Dance Championships (All Ages) $10 per Dance Event

l fill i i h d


American SMOOTH American RHYTHMPlease fill in with your requested

t d d t ( ) d


Cha ChaWaltzPlease fill in with your requested

events and your dance partner(s) and d t ffi ith f f


Cha ChaWaltzPlease fill in with your requested

events and your dance partner(s) and send to our offices with your form of payment and any requred forms and


RumbaTango

Please fill in with your requested events and your dance partner(s) and send to our offices with your form of payment and any requred forms and


RumbaTango


paperwork


S iF t t


paperwork.


SwingFoxtrot


paperwork.



paperwork.


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2009 TEAM ENTRY FORM – SAN DIEGO SENIOR OLYMPICS

For Basketball, Soccer, Softball and Volleyball Early Bird Registration: Wed., July 1, 2009 (postmarked) & Registration Deadline: Fri., Aug. 31, 2009 (postmarked)

PLEASE COMPLETE ALL INFORMATION. (Front & Back Side)

INSTRUCTIONS & REGULATIONS 1) Age division will be determined by the age of the youngest team member. Proof of age may be required at event check-in. 2) Team Manager/Coach must complete and submit Team Waiver & Roster Form, Team Entry Form, and fees all together. MANAGER IS CONSIDERED PART OF THE ROSTER. HE OR SHE MUST ENTER HIS INFORMATION ON LINE 1 ON ROSTER FORM. 3) Teams must be of all one sex. Athletes may compete with only one team per sport. 4) Team clothing must be of like design and color. Teams are encouraged to have both “home” and “away” uniforms with numbered jerseys front and back. 5) Teams must have the following minimum number of players to start a game and are limited to the following maximum number of players on the roster. Roster changes can be made with the approval of the sport commissioner. Basketball: Minimum: 3, Maximum 10 Soccer: Minimum: 11, Maximum: 20 Softball: Minimum: 10, Maximum 15 Volleyball: Minimum: 6, Maximum: 15 6) All registration and team rules apply to non-playing coaches/managers. Non-playing coach/managers should be included on roster up to roster maximum. 7) EACH PLAYER MUST SIGN THE TEAM FORM OR THAT PLAYER WILL NOT BE ELIGIBLE TO PARTICIPATE

Team registrations will not be processed until all forms and fees are received.

Place a check by your team’s sport. MEN’S & WOMENS BASKETBALL Team Fee for up to 5 players: $125.00 6 or more players add $25; Total Fee $150.00 _____ MBK-01 3-on-3 _____ WBK-01 3-on-3

See individual registration for Hot Shots and Free Throws

WOMENS SOCCER _____ SC – 01 Women’s 50+ $ 425.00/team _____ SC – 02 Women’s 55+ $ 425.00/team _____ SC – 03 Women’s 60+ $ 425.00/team MENS & WOMENS SOFTBALL _____ MSB – 01 $ 300.00/team _____ WSB – 01 $ 300.00/team MENS & WOMENS VOLLEYBALL _____ MVB – 01 $ 150.00/team _____ WVB – 01 $ 150.00/team Complete roster info on side two Individual events will require additional fees

RELEASE OF LIABILITY Photo & Film Waiver: I hereby grant full permission to the organizers, their agents, employees, and representatives to use my name, voice, and/or picture or film in any broadcast, telecast, advertising, promotion or other use in relation to the San Diego Senior Sports Festival and the San Diego Senior Olympics. LIABILITY WAIVER: In consideration of being allowed to participate in any way in the San Diego Senior Sports Festival (SDSSF) program, related events and activities, the undersigned acknowledges, appreciates and agrees that: (1) The risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist; and, (2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, (3) I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, (4) I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE SDSSF, its officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. (5) I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I have read this release of liability and assumption of risk agreement, fully understand its terms, that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. By signing the team waiver and roster on back side of this form, I have read and agree to all terms of this RELEASE OF LIABILITY.

TEAM PAYMENT INFORMATION Team Name: _________________________ 1) Team Registration Fee: ________ 2) Late Registration Fee: ________ (after 8/31/09 - $15) 3) Senior Partner Membership $100/person (optional) ________ 4) Donation to SDSSF (optional) _________ tax deductible 501(c) (3)

TOTAL AMOUNT ENCLOSED $________

Date Received_______ Entered by_______

Mail check payable to: SDSSF

P. O. Box 84202 San Diego, CA 92138-4202

PLEASE DO NOT SEND CASH

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2009 TEAM WAIVER & ROSTER FORM – SD SENIOR OLYMPICS

Early Bird Registration: Wed., July 1, 2009, (postmarked) & Registration Deadline: Mon., Aug. 31, 2009, (postmarked) TEAM INFORMATION

TEAM NAME CIRCLE ONE SPORT: BASKETBALL /SOFTBALL /SOCCER/VOLLEYBALL CIRCLE ONE: MEN’S/WOMEN’S TEAM MANAGER/CAPTAIN/COACH NAME/ (ALSO LIST BELOW ON FIRST LINE) E-MAIL ADDRESS

TO DAYTIME PHONE NUMBER NIGHTTIME PHONE NUMBER 5 YEAR AGE DIVISION * By signing the release of liability column, I have read and agree to all terms of the RELEASE OF LIABILITY on the other side of this form**

(Manager Row 1) Last Name

Birth date Results Book to be sent to Address, Please Print Clearly

Street Address

*Release of Liability

First Name mm/dd/yy City ST Zip

SHIRT SIZE

*SIGNATURE

**1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20

Please do not staple check to entry form.

Date entered: __________ Entered By: ___________

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2009 Schedule of Events VENUES SUBJECT TO CHANGE. CHECK WITH COMMISSIONERS TO CONFIRM SITE

Date Time Sport Location Aug 27, 2009 Thursday Golf/Social Eastlake Golf & CC

2375 Clubhouse Drive Chula Vista CA 91915

Aug. 28-30, 2009 Friday, Saturday & Sunday: 8:00-3:00 PM

Men’s Soccer Hourglass Park - Mira Mesa 10301 Black Mountain Rd San Diego, CA 92126

Sept. 5-6, 2009

Saturday & Sunday: 7:00 AM

5K/10K Road Race (Run)

Lake Miramar 10710 Scripps Lake Drive San Diego, CA 92121

Sept. 11-13, 2009 Friday, Saturday & Sunday: 11:00-6:00 PM

Billiards Hungry Stick 4464 Clairemont Mesa Blvd. San Diego, CA 92117

Sept. 12, 2009 Saturday: 7:30AM – 1:00PM

Shooting Camp Nimitz 4347 N Harbor Dr San Diego, CA 92101

Sept. 12, 2009 Saturday: 8:00 AM-7:00 PM

Table Tennis Balboa Park Activity Center 2145 Park Blvd San Diego, CA 92101

Sept. 12, 2009 Saturday 9:15 AM-2:00 PM

Track & Field Pt. Loma Nazarene College 3900 Lomaland Drive San Diego, CA 92110

Sept. 12-13, 2009 Saturday 8:00 AM – 9:00 PM Sunday 8:00 AM - 6:00 PM (Sat-Singles; Sun-Doubles)

Racquetball Sorrento Valley Racquet Club 10999 Sorrento Valley Rd San Diego, CA 92121

Sept. 13, 2009

Sunday 4:00 PM-9:00 PM

Ballroom Dancing

Cottonwood Country Club 3131 Willow Glen Dr El Cajon CA 92019

Sept 14-16 2009 Mon, Tues, Wed, 12:00 PM-5:00 PM

Tennis Balboa Tennis Club 2221 Morley Field Dr San Diego, CA 92104

Sept. 16, 2009 Wednesday 9:00 AM – 4:00 PM Singles & Doubles

Handball San Diego Tennis & Racquet Club 4848 Tecolote Road San Diego CA 92111

Sept. 17, 2009 Thursday: 10:00 AM to 3:00 PM

Badminton Balboa Park Activity Center 2145 Park Blvd San Diego, CA 92101

Sept. 19, 2009 Saturday: 8:30 AM – 5:00 PM

Volleyball Balboa Park Activity Center 2145 Park Blvd San Diego, CA 92101


Basketball-Men Balboa Park Activity Center 2145 Park Blvd San Diego, CA 92101

Sept. 19-20, 2009 Saturday & Sunday: 8:00-4:30 PM

Women’s Soccer

Hourglass Field Spring Canyon Community Park Dingeman Elementary School Team Captains notify exact location

11

OTHER SENIOR GAMES EVENTS (SCHEDULES SUBJECT TO CHANGE)

THANK YOU TO ALL OF OUR BOARD OF DIRECTORS & SENIOR PARTNERS!

Al Isenberg Anne Rosser Audrey Kallas Pastore Connie Hegey

Dale Pursel David and Linda Pain Dr. E. Lee Rice Dr. Mel Gregory

Jerry Monell Jim Campbell Kirsten Cummings Len Sonnenberg, CPA

Life Wellness Institute Neena Rao Foundation Roger and Gerry Martin Tom Tourtellott

Date Time Sport Location Sept. 19-20, 2009 Saturday 8:00 AM – 6:00 PM

Sunday 8:00 AM - 5:00 PM (Sat-Singles; Sun-Doubles)

Paddleball Sorrento Valley Racquet Club 10999 Sorrento Valley Rd San Diego, CA 92121

Sept. 19-20, 2009 Saturday & Sunday 8:00 AM – 7:00 PM

Men’s & Women’s Softball

Hourglass Park - Mira Mesa 10301 Black Mountain Rd San Diego, CA 92126

Sept. 19-20, 2009 Saturday & Sunday: 8:00 AM-7:00 PM

Bowling Parkway Bowl 1280 Fletcher Parkway El Cajon CA 92020

Sept. 23, 2009 Wednesday: 7:30 AM – 5:00 PM

Golf Admiral Baker Golf Course Friars Rd. & Admiral Baker Way San Diego CA 92120

Sept. 25-27, 2009 Fri. (M) Singles/(W) Dbls. Sat. (W) Singles/(M) Dbls. Sun. Mixed. Doubles 8:00 AM-5:00 PM

Pickleball San Luis Rey Downs Golf & Tennis Resort & Country Club 31474 Golf Club Drive Bonsall, CA 92003


Archery Olympic Training Center 2800 Olympic Parkway Chula Vista CA

Sept. 27, 2009 Sunday: 9:00 AM warm-up 10:00 AM competition

Swimming Coggan Family Aquatic Complex 800 Nautilus Street La Jolla CA 92037

Sept. 27, 2009 Sunday: 9:00 AM – 3:00 PM

Horseshoe Pitching

Balboa Park 6th Ave at Juniper Street San Diego CA 92101

Aug. 1-14, 2009 NATIONAL SR. GAMES

www.NSGA.com Palo Alto CA (Stanford)

Oct. 5-17, 2009 Huntsman World Sr. Games

www.hwsg.org St. George, Utah

Sept. 20-Oct 11, 2009

Nevada Sr. Games

www.nevadaseniorgames.com Las Vegas, NV

Oct. 31-Nov 13 2009

Southland-Orange Cnty Sr. Games

www.anaheim.net Orange County, CA

Feb. 4-7, 2010 Palm Desert Sr. Games

www.cvrpd.org Palm Desert, CA

Jun. 5-19 2010 Pasadena. Sr. Games

www.pasadenaseniorgames.com Pasadena, CA

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VOLUNTEER / BOARD MEMBER OPPORTUNITY MISSION STATEMENT

The San Diego Senior Sports Festival (SDSSF) is a California non-profit corporation committed to encouraging adults, age 50 and over, to carry on vigorous lives by developing and maintaining adequate personal physical fitness through regular participation in recreational activities, sports, physical fitness activities and educational programs

Opportunities are available for anyone to get involved with Games activities, Organizational administration, and assuming Board of Director Responsibilities. Please indicate your talent and interest below, and return to the San Diego Senior Olympics administrative office: Games Commissioner: List Sport here: _____________________________ Co-Commissioner or Assistant: List Sport here: __________________________

Administrative functions _____Bookkeeping _____Clerical _____Computer skills _____Correspondence _____Database _____Inventories _____Luncheon _____Marketing _____Website administration

Board of Directors talents _____Advertising _____Executive Secretary _____Finance _____Health Education _____Insurance _____Finance _____Management _____Marketing _____Personnel

Please enter your contact information: Name ___________________________ Address ___________________________ Home Ph____________ Business Ph ______________ Cell Ph______________ Email ________________________________ Best time to contact ___________ San Diego Senior Olympics PO Box 84202 3268 Rosecrans St. San Diego, CA 92138-4202

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2009 Game Commissioners

For all questions, please contact the Game Commissioner for your sport: Event and commissioner Phone number / email: ARCHERY: Rick Austin (619)-449-0121 [email protected] BADMINTON: Jerry Monell (858) 750-1122 [email protected] BALLROOM DANCING: Julie Smith 858-499-0180 [email protected]

BASKETBALL (M): Jerry Sullivan (619) 224-7720 [email protected]

BASKETBALL (W): Kirsten Cummings (619) 255-3154 [email protected]

Basketball (W): Assistant: Audrey Pastore (619) 204-4834 [email protected]

BILLIARDS: Danny Propp (619) 212-2358 [email protected]

BILLIARDS: Co-Commissioner Jennifer Landau (619) 804-7524 [email protected]

BOWLING: Andy Gagliano (619) 469-7769 [email protected]

CYCLING: Mike Jenkins (619) 871-7498 [email protected]

GOLF: Tom Tourtellott (619) 498-2900 [email protected]

GOLF Assistant: Andy Perez (619) 303-6178 [email protected]

HANDBALL: Len Sonnenberg (858) 457-5252 [email protected]

HORSESHOE PITCHING: Red Seaman (858) 273-7666 [email protected]

HORSESHOE PITCHING Assistant: David Aguilera (619) 303-1756

PADDLEBALL: Len Sonnenberg (858) 457-5252 [email protected]

PICKLEBALL: Pat Carroll (760) 310-6847 [email protected]

PICKLEBALL: Co-commissioner Beverly Youngren (760) 723-7784 [email protected]

RACQUETBALL: Len Sonnenberg (858) 457-5252 [email protected]

ROAD RACE: Carl Brandt (619) 890-4594 [email protected]

SHOOTING: Rick Austin (619) 449-0121 [email protected]

SOCCER (W): Karen Brookfield (619) 920-9146 [email protected]

SOCCER (M) Mike Mackenzie (661) 809-1654 [email protected]

SOFTBALL (M) (W) Jim Campbell (619) 466-6764

SWIMMING: Barbara Dunbar (619) 226-1324 SDSO SISecretary (at) usms (dot) org

TABLE TENNIS: Borko Dragojlovic (619) 562*9904 [email protected]

TABLE TENNIS CO-COMMISSIONER: Neil Smyth (619) 421-3984

TENNIS: Barbara Gregorio (619) 239-8408 [email protected]

TRACK & FIELD: Dixon Farmer (619) 226-1324 SDSO [email protected]

VOLLEYBALL: Commissioner Roger Martin (858) 573-0340 [email protected]

VOLLEYBALL (M) John Nellans (619) 204-8223

VOLLEYBALL (w) Marina Cohen (619) 443-7737 [email protected]

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THANK YOU SPONSORS & COMMUNITY PARTNERS!

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WWW.HAVECUEWILLTRAVEL.COM DANNY PROPP BILLIARDS COACHING

B.F. Goodrich Will-Share California State Games 1st Healthcare Chargers City of San Diego Con-Am Management David and Linda Pain DeFalco Family Foundation East County Magazine Dr. Seuss Foundation Grosvenor Foundation Handlery Hotels Healthways Silver Sneakers Program Hornblower Cruises Humana

Hungry Stick Billiards Life Wellness Institute Lyman Family Foundation MADCAPS maaaaxxx.net web design/digital media Prime News Martha Seff Publisher Ralph’s Food 4 Less Foundation Qualcomm Incorporated Rancho San Diego Kiwanis Club San Diego Int’l Sports Foundation Viejas Vons Markets Warren-Neely Foundation

San Diego Senior Sports Festival P.O. Box 84202 San Diego, CA 92138-4202

MISSION STATEMENT

The San Diego Senior Sports Festival (SDSSF) is a California non-profit corporation committed to encouraging adults, age 50 and over, to carry on vigorous lives by developing and maintaining adequate personal physical fitness through regular participation in recreational activities, sports,

physical fitness activities and educational programs

NON-PROFIT U.S. Postage

PAID Permit # 2409 San Diego, CA

the 22nd annual san diego senior olympic gamessdtta.org/_downloads/2009entrybookv11.pdf ·...

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