2019 Inland Empire Senior Games Application

OFFICIALAPPLICATION BOOK

September 20 – October 5, 2019 For Persons 50 years of Age and Better

Join us in a celebration of life and wellness

“Promoting Fitness and the Spirit of Competition - Winners All”

Sponsored By The City of San Bernardino Parks, Recreation And Community Services Department & Co-Sponsored By The City of Fontana Community Services Department

General Information

Eligibility & Age Division Any person age 50 years or better as of December 31, 2019 , may participate in the 2018 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, 2019 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 A, Pay via cash or check

i. Make checks payable to City of San Bernardino: IESG ii. Mail in or stop by.

E. Registration Complete!!

or II. Sign up via registration link at: https://apm.activecommunities.com/sbcity/Home A. Click on activities: Click on Senior Center - Senior Games B. Click on Senior - Inland Empire Sr. Games-2019.067: Add to cart 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 Basketball, 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 & basketball) 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 21, 2019.

General Information

Confirmation For registrations received by September 14th, 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 14, 2019, please call (909) 384-5430. If you register after September 14th, your confirmation can be secured by phone or at your first event. 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 Please sign in and pick up your packet at the Opening Ceremonies at the Fontana Community Senior Center, located at 16710 Ceres Ave, Fontana, CA 92335, 1:00 pm - 4:00 pm, on Friday, September 20th. After that, the registration desk will be open 8:00 am - 12:00 pm each day at the Fifth Street Senior Center. You should register and pick up your packet before your first event. If you are unable to pick up your packet during registration desk hours, you must pick up your packet at the venue of your first event (extra t-shirts $15 at Registration Desk). Registrations will be accepted through out the event for certain events. Please call for more details. Check-in Athletes may pick up their t-shirt, goody bag, and official program at the Opening Ceremonies or at their first event check-in. 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 entered. Please be sure to mark 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.

General Information

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.

FORMS: ALL GREEN HIGHLIGHLIGHTED FORMS ARE REQUIRED BACK!!

2019 INLAND EMPIRE GAMES EVENTS

Opening Ceremonies Event: Senior resource tables, pick up game information, venue location, and t-shirts.

Date: Friday, September 20, 2019

Time: 1:00 pm to 4:00 pm / FREE

Location: Fontana Community Senior Center 16710 Ceres Ave Fontana, CA 92335

Coordinator: Tiffany Stark (909) 854-5151; Email: Tstarks@fontana.org

Pickleball Event: Men’s Singles, Women’s Singles, Men’s Doubles, Women’s Doubles and Mixed Doubles

Date: Saturday, September 21, 2019

Check In: 7:30 am

Start Time 8:00 am

Fee: $10 per person / per event

Location: Perris Hill Tennis Courts 607 East Highland, San Bernardino, CA 92401

Rules: Tournament format will be double elimination play with the first person/team to win 2 out of 3 games; each game is played to 11, win by 2

For more information, call LaKeisha Jackson (909) 756-1132 Email: Jackson_La@SBCity.org

Swimming Event: See Application for Event Listings

Date: Sunday, September 22, 2019 Start Time: 1:00 pm Fee: $8 per person / per event

Location: Tom Sawyer Swim Center 1243 South Riverside Ave, Rialto, CA 92376

Rules: Swimmers must provide their own suits, caps, goggles, towels, etc.

For more information, call LaKeisha Jackson (909) 756-1132 Email: Jackson_La@SBCity.org

2019 INLAND EMPIRE GAMES EVENTS

Softball Event: Men’s and Co-Ed

Date: Tuesday, September 24, 2019 Check in: 7:30 am Start: 8:15 am Fee: $150 Men’s Division / $150 Co-Ed Division (No Registration Fee)

Location: Jack Bulik Park 16581 Filbert Ave, Fontana, CA 92335

Rules: Double Elimination Tournament. Number of registered teams will determine tournament format.

Coordinator: Geneo Farrar (909) 349-6912; Email: gfarrar@fontana.org

Horseshoes Event: Open

Date: Wednesday, September 25, 2019 Start Time: 9:00 am Fee: $8 per person/ per event

Location: Perris Hill Horseshoe Pitts 780 East 21 st Street, San Bernardino, CA 92401

Rules: 40 shoes Per Person; No Leaners; Ringer 3 points (Each player's rings cancel points – Con- secutive); Shoe within ONE shoe reach, closest gets one point.

Coordinators: Jack Gomez (909) 241-0141; Email: Centre3@charter.net

5K/10K Walk or Run

Event: 5K Walk or Run, 10K Walk or Run

(5k = 12 laps, 10k = 24 laps)

Date: Sunday, October 20, 2019 Check In : 5:30 am Start Time: 6:00 am Fee: $8 per person / per event

Location: Loma Linda University Drayson Center 25040 Stewart Street, Loma Linda, CA 92350

Rules: USA Track Rules apply. Individual medals to top three men and women in each age division.

Coordinators: Linda Gomez (909) 499-4055; Email: Centre3@charter.net LaKeisha Jackson (909) 756-1132; Email: Jackson_La@SBCity.org

2019 INLAND EMPIRE GAMES EVENTS

Table Tennis Event: Men’s & Women’s Doubles

Date: Monday, September 30, 2019

Time: 12:00 pm

Location: Fontana Community Senior Center 16710 Ceres Ave, Fontana, CA 92335

Fee: $8 per person / per event

Entry: Players must provide their own paddles. Balls will be provided. Athletes may compete with only one partner per event. The age division of competition for doubles will be determined by the younger age of the two partners as of December 31, 2019. Format: 1. Tournament format will be round robin, with as many players as possible advancing to a single elimination championship bracket. Quarterfinal round losers will compete for 5th through 8th places. 2. Play shall consist of a five-game match. The winner shall be the first player to win three games. 3. Throughout the match play shall be continuous, with a one-minute break between games.

Coordinator: Tiffany Stark (909) 854-5151; Email: Tstarks@fontana.org

Billiards Event: 8-Ball

Date: Monday, September 30, 2019

Start Time: 3:00 pm

Fee: $8 per person

Location: Pool Club Bar & Grill 1946 South “E” Street San Bernardino, CA 92408

Rules: Tournament format will be based upon number of entries per division. An overall championship round will be played following the age division brackets.

Coordinator: Jack Gomez (909) 241-0141; Email: Centre3@charter.net

2019 INLAND EMPIRE GAMES EVENTS

Tennis Event: Singles, Doubles, Mixed Doubles

Date:

Friday, September 27, 2019

Check in: 4:30 pm

Time: 5:00 pm - 9:00 pm

50 + Singles Only Check in: 7:00 am

Saturday, September 28, 2019

Time: 7:30 am - 4:00 pm

Sunday, September 29, 2019

TBD By Saturday Games

Location: Perris Hill Park 607 East Highland Ave San Bernardino, CA 92401

Fee: $8 per person / per event Rules: Matches shall consist of two sets using regular scoring. If there is a tie at one set a piece, a 12-point tiebreaker will be used to determine the winner.

Coordinator: John Thau (909) 815-6101; Email: jkthau@msn.com

Hotshot & Free Throw

Event: Men’s & Women’s

Date: Sunday, September 29, 2019

Time: 1:00 pm

Location: Hernandez Community Center 222 N Lugo Street San Bernardino, CA 92410

Hotshot: Hotshot is a basketball shooting game where players each score points for making baskets from various locations throughout the basketball court. Double elimination tournament; however, number of entries will determine tournament format. Fee: $8 per person / per event Free Throw: Four minutes is your limited time. You have three warm up shots, if desired. Twenty-five continuous shots. One point for each shot that is made. Fee: $8 per person / per event

Coordinator: LaKeisha Jackson (909) 756-1132; Email: Jackson_La@SBCity.org

2019 INLAND EMPIRE GAMES EVENTS

Golf: 18 Hole Event: 18 Hole

Date: Tuesday, October 1, 2019 Time: 8 am - Check in / 9 am Tee Time Format: Scratch Fee: $45 per person (REGISTRATION FEE REQUIRED)

Location: Shandin Hills Golf Course 3380 Little Mountain Dr. San Bernardino, CA 92405

Rules: 18 Hole Coordinators: Linda Gomez (909) 499-4055; Email: Centre3@charter.net

Bowling Event: Singles, Doubles (Men or Women), Mixed Doubles

Date: Wednesday, October 2, 2019

Check in: 30 minutes Prior To Start Time

Singles: 9:00 am

Double: 11:00 am

Mixed: 1:00 pm

Fee: $10 per person/ per event

Location: Redlands Empire Bowl 940 W. Colton Ave, Redlands, CA 92374

Rules: 3 games of American ten-pin. Athletes may compete with only one partner in each doubles event. Doubles partners must register individually. Divisions where doubles and mixed doubles is determined by the age of the youngest bowler.

Coordinators: LaKeisha Jackson (909) 384-5430; Email: Jackson_La@SBCity.org

Health & Resource Fair Event: Senior resource tables, Health screenings and informational resources available by local community organizations. This event will be free no registration required.

Date: Friday, October 4, 2019

Time: 9:00 am to 1:00 pm / FREE

Location: Fifth Street Senior Center 600 West Fifth Street, San Bernardino, CA 92410 Coordinator: Tiffany Stark (909) 854-5151; Email: Tstarks@fontana.org

2019 Inland Empire Senior Application Deadline: September 21, 2019 Male_____ Female_____

Male or Female (Circle One) D.O.B___________ Age (As of 12/31/19): ____________ T-Shirt Size:_______ Last Name:________________________________ First Name:_________________________________________ Address: ____________________________________________City, State, Zip:_____________________________ Telephone: ( ) ___________________________ Emergency Contact:___________________________________ Email Address:_________________________________________________________________________________

I will attend the following events:

Friday

____ Singles ($8)

Saturday

____ Doubles ($8)

TENNIS

Partner’s Name:_______________________________ Age _____ Sunday ____ Mixed Doubles ($8) Partner’s Name:_______________________________ Age _____

____ 5k ($8) ____10k ($8) RUN

____ 5k ($8) ____10k ($8)

WALK

$8 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)

____ Singles (Fee) $8 or ____ Doubles (Fee) $8 Partner’s Name:__________________________ Age _____

TABLE TENNIS

____ Singles (Fee) $8 or ____ Doubles (Fee) $8 Partner’s Name:__________________________ Age _____

BILLIARDS

Singles Doubles

Men’s ____(Fee) $10 Men’s ____(Fee) $10

or or

Women’s ____(Fee) $10 Women’s ____(Fee) $10

BOWLING

Partner’s Name:_______________________________ Age _____ Mixed Doubles

____ (Fee) $10 Partner’s Name:_________________ Age_____

____ Singles (Fee) ($8) ____ Doubles (Fee) ($8) Partner’s Name:_________________________ Age _____

HORSESHOE

(Team Form) Men’s ____ (Fee) $150 Co-Ed ____ (Fee) $150 (each member must submit an individual application & entry fee)

SOFTBALL

Men’s ____ (Fee) $8 Women’s ____ (Fee) $8

(Fee) $8_____

HOTSHOT

FREE THROW

____$45 (OPEN TOURNAMENT) (REGISTRATION FEE REQUIRED)

GOLF

Singles Doubles

Men’s ____ (Fee) $10 Men’s ____ (Fee) $10

or or

Women’s ____ (Fee) $10 Women’s ____ (Fee) $10

PICKLEBALL

Skill Level: Circle one Recreational

Partner’s Name:________________________________________ Age _____

Mixed Doubles

____ (Fee) $10

Advance

Partner’s Name:________________________________________ Age _____

(Each participant must fill out a separate application) GAMES FORM (PAGE 1)

2019 INLAND EMPIRE SENIOR GAMES

Participant Registration Includes: *Game Shirt

*Packet Pick-Up Party *One Complimentary Dinner Ticket

*Confirmation Packet *Official Program

*T-Shirt

*Emergency Medical

*Medal

*Goody Bag

Venues Include: *On Site Refreshments *Officials & Score Keepers

*Scoring & Time Devices

*Personnel & Equipment

Registration Fee

$ $15

Event Fee

Event(s) Event(s) Event(s)

_____________________ _____________________ _____________________

$____________ $____________ $____________

Team Entry Fee (registration not included)

$____________

Trust Fund Donation (Tax deductible)

$____________

_____# Dinner Dance tickets @ $10 per person

$____________

Total Enclosed

$____________

Make check or money order payable to City of San Bernardino and mail to:

2019 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 $26)

Or

Register Online at https://apm.activecommunities.com/sbcity/Home

For questions, concerns or assistance with registration, call (909) 384-5430, (909) 384-5436 or (909) 772-1132.

GAMES FORM (PAGE 2)

2019 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. Signature_______________________________________ Date_________________________

WAIVER MUST BE COMPLETED PRIOR TO START OF TOURNAMENT

GAMES FORM (PAGE 3)

WHO TO CALL FOR MORE INFORMATION:

2019 Inland Empire Senior Games LaKeisha Jackson, Coordinator Jackson_La@SBCity.org Phone: (909) 384-5435/(909) 384-5436 Fax: (909) 889-0672 Cell: (909) 756-1132 www.SBCity.org/IESG FIND US ON FACEBOOK: @CityofSanBernPRCSDSeniors National Senior Games https://californiaseniorgames.org/wp-content/uploads/2018/08/2017-nsga-rule-book.pdf For more information, visit www.nsga.org

California Senior Games Calendar Annie Laskey , Designated Representative/Coordinator Pasadena Senior Games anniel@pasadenaseniorcenter.org (626) 685-6724 Kirsten Cummings , Designated Representative/Coordinator San Diego Senior Games Kirsten@SDSeniorGames.org Leigh Galten , Designated Representative/Coordinator Sonoma Wine Country Games lgalten@councilonaging.com Tracey Gott , Designated Representative/Coordinator San Jose Senior Games tracey.gott@sanjoseca.gov Jeannie Greenwood , Designated Representative/Coordinator Visalia Senior Games Jeannie.Greenwood@visalia.city Helen Mendel , Designated Representative/Coordinator Bay Area Senior Games hmendel@basoc.org Ashley Fread , Designated Representative/Coordinator Palm Desert Senior Games and International Sports Festival AFread@DRD.us.com (760) 568-9697

California Sports Resources https://californiaseniorgames.org/california-sports-resources/

INLAND EMPIRE SENIOR GAMES OFFICIAL 2019 TEAM ENTRY FORM

COMPLETE ALL INFORMATION BELOW (Form may be duplicated) Individual Entry Form Must be Completed for Each Team Member TEAM INFORMATION

TEAM NAME: ___________________________________________________________________ CAPTAIN/COACH’S NAME:______________________________________________________ ADDRESS: ______________________________________________________________________ CITY / STATE / ZIP: ______________________________________________________________ PHONE NUMBER: ____________________________ AGE DIVISION: _____ TO _____

For information, contact **Softball - Geneo Farrar (909) 349-6912; Email: gfarrar@fontana.org**

FOR TEAM SPORTS, 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 all together. 3. Each player must complete an individual entry form and sign the liability waiver. 4. Athletes may compete in 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 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.

INLAND EMPIRE SENIOR GAMES OFFICIAL 2019 TEAM ROSTER Softball PRINT ALL PLAYERS on the ROSTER and INFORMATION LEGIBLY and FILL OUT ALL DETAILS

Team Name: _______________________________________ Captains 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.

2019 INLAND EMPIRE SENIOR GAMES

PRESENTED BY:

CITY OF SAN BERNARDINO PARKS, RECREATION AND COMMUNITY SERVICES DE- PARTMENT

CO - SPONSOR FONTANA COMMUNITY SENIOR CENTER ( OPENING CEREMONIES & TABLE TENNIS) & VENUE SPONSORS: LOMA LINDA UNIVERSITY DRAYSON CENTER (5K/10 WALK AND RUN ) FIFTH STREET SENIOR CENTER (HEALTH FAIR & CLOSING CEREMONIES) SAN BERNARDINO

TOM SAWYER SWIM CENTER (SWIMMING) RIALTO THE POOL CLUB (BILLIARDS TOURNAMENT) SAN BERNARDINO

PERRIS HILL PARK (HORSESHOES, PICKLEBALL & TENNIS) SAN BERNARDINO

EMPIRE BOWL (BOWLING) REDLANDS

JACK BULIK PARK (SOFTBALL) FONTANA

HERNANDEZ COMMUNITY CENTER (HOTSHOT& FREE THROW) SAN BERNARDINO SHANDIN HILL GOLF COURSE (GOLF) SAN BERNARDINO

Inland Empire Senior Games

……………..Winners All.

Inland Empire Senior Games 600 West Fifth Street San Bernardino, CA 92410 001-380-0075-5175

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