City of San Bernardino Parks, Recreation & Community Services
Promoting Fitness and the Spirit of Competition - Winners All
September 23 – October 7
2022 OFFICIAL APPLICATION PACKET
For seniors 50 years of age and better
Brought to you by The City of San Bernardino Parks, Recreation & Community Services & The City of Fontana Community Services Department
ARE YOU READY ? Welcome athletes to the 2022 Inland Empire Senior Games. The City of San Bernardino Parks, Recreation and Community Services Department is delighted to host the 2022 Inland Empire Senior Games.
Competition in most events range from novice to experienced athletes, so there is something for everyone.
Senior Services has worked hard to make these games a success. We are pleased to be able to offer a setting that allows mature athletes to demonstrate their skills, while staying active and healthy. We believe that healthy older adults make our community stronger. We want to thank our sponsors and venue owners for their support of the 2022 Inland Empire Senior Games. Their contributions provide the backdrop for senior athletes to excel at their personal best. We believe the “ best - attempt ” performance far exceeds the thrill of victory.
“ Promoting Fitness and the Spirit of Competition ” “ WINNERS ALL ”
LaKeisha L. Jackson Games Coordinator
General Information
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Events and Sports
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Contact Information (California and National Games)
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Application
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Team Application
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Wavier
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Closing Ceremonies
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Senior Health and Resource Fair
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General Information
Eligibility & Age Division Any person age 50 as of December 31, 2022 , may participate in the 2022 Inland Empire Senior Games. Proof of age may be required. Age divisions are in five year increments: 50+, 55+, 60+, etc. There is no upper age limit. We reserve the right to cancel or combine age groups in the best interest of the participants. The age division for all doubles and team sports is determined by the age of the youngest player as of December 31, 2022. Rules All competition will be conducted in accordance with the rules established by each Sports Federation and as modified by the U.S. National Senior Sports Organization (USNSSO). Awards Medals will be awarded to the 1 st , 2 nd , & 3 rd place winners in each event for each division. The Venue Coordinator will present all awards at the completion of each event.
How to Enter I. Fill out an paper entry form (Softball ONLY Paper Application) A. Pay via cash or check i. Make checks payable to City of San Bernardino: IESG. ii. Mail in or stop by. B. Registration Complete!!
II. Visit City of San Bernardino Senior Services webpage to register A. Click on activities: Click on Senior Center - Senior Games i.. Click on Senior - Inland Empire Sr. Games: Add to cart ii. Click on Senior Games - Pickleball C. Sign - in if you have an account or Create an Account D. Once you have signed in or created an account, choose the sport of your choice. E. Select the events you would like to attend.
F. Pay via options given. G. Registration Complete!!
Team Sports (Men ’ s/Women ’ s/Co - ed Softball) fill out and return the application, team entry form, waiver. No online registration . Individual forms MUST be submitted for each player. The team captain must submit all forms together with the appropriate registration, event, and/or team fees. Fees All fees cover administrative costs, t - shirts, awards, program guides, opening/closing ceremonies, gift bag, reception, and results book. IESG registration is only paid once. Event prices for specific activities are listed on the Schedule of Events. Team Registration For team sports (softball) the captain is responsible for collecting each team members individual entry form and payment. All entry forms, fees, and team roster should be submitted together by the team captain. A team will not be processed for competition until the individual entry forms, signed liability waiver, team entry form, team roster, and contribution for ALL team members are received. Deadline: September 16, 2022. Confirmation For registrations received by September 14, confirmation of entry application will be mailed to participants. This will include your individual schedule, details of special events, and a map to your sport venue(s). If you have not received your confirmation by September 16, 2022, please call (909) 384 - 5430. If you register after September 21st, your confirmation can be secured by phone or at your first event.
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General Information
Novice You do not need to be an expert to participate in the Senior Games. All activities are open to novices, and several events have separate divisions. Level of competition will vary from sport to sport. Registration / Check - in Registrations will be accepted throughout the event for certain events. Please call for more details. Check - in for most sports will be a half - hour before competition. No t - shirts will be mailed out. Athletes will only receive one t - shirt and goody bag regardless of how many sports they enter. Equipment Participants are required to provide their own equipment for the events in which they are registered. Please be sure to label your personal items and do not leave valuables unattended. The City of San Bernardino, and the other host facilities, are not responsible for the loss or damage of any athlete ’ s personal equipment. Sportsmanship/Conduct Unsportsmanlike or disorderly conduct on the part of competitors or coaches will be grounds for immediate removal and disqualification from competition without a refund. Uniforms All athletes must wear athletic - type clothing and shoes customary for the sport(s) in which they are competing. Team sports require “ like ” color - and - style numbered uniforms. Clothing and shoes that are inappropriate may be grounds for disqualification. The games coordinator has authorization to make this determination. If you have any questions, please contact the coordinator at (909) 384 - 5430. Event Cancellation/Postponements In the event of inclement weather or unusual extenuating circumstances, games officials reserve the right to cancel or postpone outdoor events to a later time/date in the best interest of the participants. During the games, call Games Information (909) 384 - 5430 if the weather looks uncertain. The City of San Bernardino also reserves the right to cancel any event and to combine age divisions. Refer to the refund policy for refund information. Entering More Than One Sport Those entering more than one sport will only need to pay the IESG registration once and must be aware of possible conflicts in the schedule. No competition will be delayed to remedy an athlete ’ s conflict in scheduling. Protest Policy An athlete desiring to make a protest regarding any aspect of a competition shall do so to the venue coordinator at the time of event. Initial protests may be oral or written. If an oral protest is denied, a written protest may be submitted to the coordinator provided it is done within 24 hours of the circumstances causing the protest. The coordinator will evaluate the protest and render an immediate decision. All decisions are final and not subject to further appeal.
Refunds REFUNDS ARE PROCESSED ONLY FOR THOSE EVENTS CANCELED DUE TO INSUFFICIENT PARTICIPATION/REGISTRATION.
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2022 INLAND EMPIRE GAMES EVENTS
Packet Pick Up Event: Senior resource tables, pick up game information, venue location, and t - shirts. Date: Friday, September 23 Time: 11:00 to 3:00 pm Location: Fifth Street Senior Center 600 West 5th Street, San Bernardino
Pickleball Event: Men ’ s Doubles, Women ’ s Doubles and Mixed Doubles Date: Saturday, September 24 & Sunday, September 25
Fee: $10 per person/per event
Check In: 7:30 am
Start Time 8:00 am
Rules: Double elimination or Round Robin Format depending on number of entries. 2 Skill Levels in each Bracket: Rec (2.5 – 3.0), Advanced (3.5 - 4.0+). Will combine brackets if not enough one hour in advance.
Location (Outdoor Courts): Perris Hill Pickleball Courts, 607 E. Highland Ave, San Bernardino
Tennis Event: Men ’ s Doubles, Women ’ s Doubles and Mixed Doubles Date: Sunday, September 25 Fee: $10 per person/per event Check In: 7:30 am Start Time 8:00 am
Rules: Double elimination or Round Robin Format depending on number of entries 2 Skill Levels in each Bracket: Will combine brackets if not enough one hour in advance.
Location (Outdoor Courts): Perris Hill Tennis Courts, 1031 E. Highland Ave, San Bernardino
Softball
Event: Men ’ s and Co - Ed Date: Tuesday, September 27
Fee: $150 Men ’ s Division / $150 Co - Ed Division (No Registration Fee)
Check in: 7:30 am
Start: 8:15 am
Rules: Double Elimination Tournament. Number of registered teams will determine tournament format. (Each member must submit an individual application & entry fee )
Location: Jack Bulik Park, 16581 Filbert Ave, Fontana, CA 92335
Corn Hole Event: Men ’ s Singles, Women ’ s Singles, Men ’ s Doubles, Women ’ s Doubles and Mixed Doubles Date: Friday, September 30 Fee: $10 per person/per event Check In: 8 am Start Time 9:00 am Rules: Double elimination or Round Robin Format depending on number of entries 2 Skill Levels in each Bracket: Rec (2.5 – 3.0), Advanced (3.5 - 4.0+). Will combine brackets if not enough one hour in advance.
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Location: Fifth Street Senior Center, 600 West 5th Street, San Bernardino
2022 INLAND EMPIRE GAMES EVENTS
Swimming
Event: See Application for Event Listings Date: Sunday, October 1
Fee: $10 per person/per event
Start Time: 1:00 pm
Rules: Swimmers must provide their own suits, caps, goggles, towels, etc.
Location: Tom Sawyer Swim Center, 1243 South Riverside Ave, Rialto
5K/10K Walk or Run Event: 5K Walk or Run, 10K Walk or Run (5k = 12 laps, 10k = 24 laps) Date: Sunday, October 2 Fee: $10 per person/per event Check In : 7:00 am Start Time: 7:30 am
Rules: USA Track Rules apply. Individual medals to top three men and women in each age division.
Location: Loma Linda University Drayson Center, 25040 Stewart Street, Loma Linda
Billiards
Event: 8 - Ball, Doubles Date: Monday, October 3
Fee: $10 per person/per event
Check In : 8:00 am
Start Time: 8:30 am
Rules: Tournament format will be based upon number of entries per age bracket. An overall championship round will b played following the age division brackets
Location: Fifth Street Senior Center, 600 West 5th Street, San Bernardino
Bowling Event: Singles, Doubles, Mixed Doubles (Men or Women) Date: Thursday, September 29
Fee: $12 per person/ per event
Check in: 8:30 am
Singles: 9:00 am
Double: 11:00 am
Mixed: 1:00 pm
Rules: 3 games of American ten - pin. Athletes may compete with only one partner in each doubles event. Doubles partners must register individually. Divisions were doubles and mixed doubles is determined by the age of the youngest bowler.
Location: Empire Bowl, 940 W. Colton Ave, Redlands
Golf: 18 Hole
Event: 18 Hole Date: Thursday, October 6th Format: Scratch $50 per person (no registration fee required) Time: 7:30 am - Check in / 8:00 am Tee Time
Rules: 18 Hole
Location: Shandin Hills Golf Course, San Bernardino
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WHO TO CALL FOR MORE INFORMATION:
2022 Inland Empire Senior Games Games Coordinator: LaKeisha L. Jackson (Pickleball, Tennis, Swimming, 5k/10k Walk or Run, Billiards, Bowling) Jackson_La@SBCity.org Phone: (909) 384 - 5435/(909) 384 - 5436 Fax: (909) 889 - 0672 Cell: (909) 756 - 1132 www.SBCity.org/IESG
Coordinator: (Packet Pick Up, Corn Hole, Golf): Alex Alarcon (909) 384 - 5430; Email: Alarcon_Al@SBCity.org
Coordinators: (Softball)
Geneo Farrar (909) 349 - 6912 Email: Gfarrar@fontana.org Arieanna Ayala (909) 349 - 5155 Email: Aayala@fontana.org
2023 National Senior Games Pittsburgh, Pennsylvania The Games will return to "The City of Champions" For more information, visit www.nsga.org
California Senior Games
Pasadena Senior Games Annie Laskey anniel@pasadenaseniorcenter.org (626) 685 - 6724 Sonoma Wine Country Games Leigh Galten lgalten@councilonaging.com
San Diego Senior Games Kirsten Cummings kirsten@sdseniorgames.org PO Box 600007 San Diego, CA 92160858 - 292 - 5812 Visalia Senior Games Laurissa Roggenkamp Laurissa.Roggenkamp@visalia.city
30 Kawana Springs Rd Santa Rosa, CA 95404 707 - 525 - 0143 x121
345 N. Jacob Street Visalia, CA 93291
Bay Area Senior Games Helen Mendel/Hmendel@basoc.org
Palm Desert Senior Games and International Sports Festival Ashley Fread Afread@drd.us.com 43 - 900 San Pablo Avenue, Palm Desert, CA 92260 / (760) 568 - 9697 Chris Baluga/cbaluga@drd.us.com / (760) 568 - 9697
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2022 Inland Empire Senior Application Deadline: September 16, 2022 Male_____ Female_____
Male or Female (Circle One) D.O.B___________ Age (As of 12/31/22): ______ T - Shirt Size:_______ Last Name:_____________________________ First Name:______________________________________ Address: _______________________________________ City, State, Zip:_________________________ Telephone: ( ) ________________________ Emergency Contact:________________________________ Email Address:___________________________________________________________________________
I will attend the following events: PACKET PICK UP _____ Friday, September 23rd
CLOSING CEREMONIES _____ Friday, October 7th
2.0 - 2.5 or 3.0 - 3.5 or 4.0 - 4.5
PICKLEBALL
Skill Level:
Circle one
Doubles Women ’ s ____ (Fee) $10 Partner ’ s Name:________________________________________ Age _____ Mixed Doubles ____ (Fee) $10 Partner ’ s Name:________________________________________ Age _____ Men ’ s ____ (Fee) $10 or Doubles Women ’ s ____ (Fee) $10 Partner ’ s Name:________________________________________ Age _____ Mixed Doubles ____ (Fee) $10 Partner ’ s Name:________________________________________ Age _____ Men ’ s ____ (Fee) $10 or
TENNIS
(Team Form) Men ’ s ____ (Fee) $150 Co - Ed ____ (Fee) $150 (each member must submit an individual application & entry fee)
SOFTBALL
Singles Doubles
Men ’ s ____(Fee) $10 Men ’ s ____(Fee) $10
or or
Women ’ s ____(Fee) $10 Women ’ s ____(Fee) $10
CORNHOLE
Partner ’ s Name:_______________________________ Age _____ Mixed Doubles ____ (Fee) $10 Partner ’ s Name:_______________________________ Age_____
$10 per person / per event (choose as many events as you would like)
SWIMMING ____400m Free ____50m Fly ____50m Free
____200m IM ____200m Back ____50m Back
____100 IM ____100m Fly ____100m Back
____50m Breast ____100m Free ____100m Breast
(Events are held in order from left to right)
____ 5k ($10) ____10k ($10)
____ 5k ($10) ____10k ($8) 10
WALK
RUN
____ Doubles (Fee) $10 Partner ’ s Name:__________________________ Age _____
BILLIARDS
____$50 (OPEN TOURNAMENT) (REGISTRATION FEE INCLUDED)
GOLF
Singles
Men ’ s ____(Fee) $10
or
Women ’ s ____(Fee) $10
BOWLING
Doubles
Men ’ s ____(Fee) $10
or Women ’ s ____(Fee) $10 Partner ’ s Name:_______________________________ Age _____
Mixed Doubles
Partner ’ s Name:_______________________________ Age_________ (Fee) $10
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(Each participant must fill out a separate application)
2022 INLAND EMPIRE SENIOR GAMES
Participant Registration Includes: *Game Shirt *Confirmation Packet *Official Program
*T - Shirt
*Medal *Goody Bag
Venues Provide: *On Site Refreshments
*Scoring & Timing Devices
Registration Fee (Not Required for Softball/Golf)
$15
Event Fee
Event(s) Event(s) Event(s)
________________________ ________________________ ________________________
$____________ $____________ $____________
Team Entry Fee (registration not included)
$____________
Trust Fund Donation (Tax deductible)
$____________
Total Enclosed
$____________
Make check or money order payable to City of San Bernardino – IESG and mail to:
2022 Inland Empire Senior Games
OFFICE USE ONLY Receipt #____________ Staff Initial__________ Date Received________
600 West Fifth Street
San Bernardino, CA 92410 Attn: IESG Application Process
(Please do not send cash. Returned check fee is $30)
Or
Register Online at https://apm.activecommunities.com/sbcity/Home
For questions, concerns or assistance with registration, call (909) 384 - 5430.
GAMES FORM (PAGE 2)
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INLAND EMPIRE SENIOR GAMES OFFICIAL 2022 TEAM ENTRY FORM
COMPLETE ALL INFORMATION BELOW (Form may be duplicated)
TEAM INFORMATION
TEAM NAME: _________________________________________________________________ CAPTAIN/COACH ’ S NAME:_____________________________________________________ ADDRESS: ____________________________________________________________________ CITY / STATE / ZIP: ____________________________________________________________ PHONE NUMBER: ___________________________ AGE DIVISION: _____ TO _____
For information, contact **Geneo Farrar (909) 349 - 6912; Email: gfarrar@fontana.org**
Softball Teams Must COMPLETE ALL INFORMATION (Front & Back Sides) Individual Entry Form Must Be Completed For Each Team Member.
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 roster, team entry form, individual entry forms, and fees ($150 Per Team) all together. 3. Each player must complete an individual entry form and sign the liability waiver. 4. Athletes may compete on only one team per sport. 5. Team clothing must be of like design and color and should be numbered front and back. 6. 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 venue coordinator.
Softball: Men ’ s – Minimum: 9, Maximum: 17 Softball: Co - Ed – Minimum: 9, Maximum: 17
7. All registration and team rules apply to non - playing coaches, non - playing captains, and non - playing personnel. Non - playing coaches/captains must also sign the liability waiver. 8. Tournament format will be determined by the number of entries per division.
Team registrations will not be processed until all forms (team & individual) and fees are received.
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INLAND EMPIRE SENIOR GAMES OFFICIAL 2022 TEAM ROSTER Softball PRINT ALL PLAYERS on the ROSTER and INFORMATION LEGIBLY and FILL OUT ALL DETAILS
Team Name: _______________________________________ Captain ’ s Name: ____________________________________
Full Name
M/ F
Age Tee
Email Address
1 CAPTAIN 2 CO - CAPTAIN
3 4 5 6 7 8 9
10 11 12 13 14 15 16 17 18 19 20
ALL PLAYERS ARE REQUIRED TO FILL OUT A SEPARATE APPLICATION FORM. 10
2022 INLAND EMPIRE SENIOR GAMES
City of San Bernardino Waiver
PHOTO & FILM WAIVER: I hereby grant permission to the City of San Bernardino, its employees, agents, officers, affiliates, elected officials, successors, and assigns (herein collectively referred to as “ City ”), the right, but not the obligation, to use my name, photograph, video, audio, likeness, voice, appearance, statement, biographical information, and any other personal characteristics as may be embodied in any visual images and/or audio sound supplied by me to, or taken of me by, the City and the Inland Empire Senior Games. I agree that the City owns the image and/or audio and all rights related to them without limitation. The images and/or audio may be used in any and all matter of media without notifying me, for any purpose consistent with the City ’ s publicity objectives. By signing below, I am at least 18 years of age, and am competent to sign this release. I have read the release before signing, I understand its contents, meaning and impact, and I freely accept the terms. LIABILITY WAIVER: I, the undersigned participant, hereby agree to indemnify and hold harmless the organizers of the Inland Empire Senior Games (IESG), hereinafter sometimes referred to as sponsor, their agents, employees, and representatives and assigns, from any and all action or claims of whatsoever kind or nature which I or my representatives or assign may have or at any time in the future have due to any injury or property damage arising out of my participation in the IESG. I understand and agree that any dispute over injury or property damage caused by myself or another participant must be settled between the individuals. I warrant and represent to the organizer, that I have prepared myself for the event(s) which I have entered by practicing the same prior to my participation. I warrant and represent that I am in good physical health and condition; I am physically able to compete in the event(s), and know of no physical restriction whatsoever which would prohibit my participation on the IESG. I have been advised by the organizer that it would be in my best interest to consult a physician prior to my preparation for participation in this event. I recognize and understand that preparation and competition may necessitate strenuous physical activity and could possibly activate an unrecognized preexisting health conditions which I may have, thereby resulting in serious or life threatening physical harm to me. The organizer has my permission to have a physician treat me during my participation in the IESG.
*EVENTS, VENUES SITES, AND TIMES ARE SUBJECT TO CHANGE WITHOUT NOTICE.*
I have read this document, I understand it is a release of all claims and I assume all risks inherent in this event.
Print_______________________________________
Signature_______________________________________ Date_________________________
WAIVER MUST BE COMPLETED PRIOR TO START OF TOURNAMENT
GAMES FORM (PAGE 3)
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Inland Empire Senior Games
Inland Empire Senior Games 600 West 5th Street San Bernardino, CA 92404
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