2024 OFFICIAL APPLICATION PACKET
Inland Empire Senior Games
Promoting Fitness and the Spirit of Competition Winners All
September 21 – October 3
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 2024 Inland Empire Senior Games. The City of San Bernardino Parks, Recreation and Community Services Department is delighted to host the 2024 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 2024 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 Senior Games Coordinator
General Information
Eligibility & Age Division
Awards
At the completion of each event places; 1st, 2nd, and 3rd place will be awarded.
Any person over the age of 50 as of December 31, 2024 is eligible. • Proof of age may be required.
Protest Policy
Age divisions are in five year incre- ments: 50+, 55+, 60+, etc.
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• 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.
• The age division for all doubles and team sports is determined by the age of the youngest player as of December 31, 2024.
Rules
• Unsportsmanlike or disorderly conduct on the part of competitors or coaches will be grounds for immediate removal and disqualification from competition without a refund. • Participants are required to provide their own equipment for the events in which they are registered.
How to Register
In-Person
Scan
I. Fill out a paper entry form (Softball ONLY Paper Application)
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).
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Pay via cash or check Make checks payable to: City of San Bernardino: IESG. Mail in or stop by. 600 W. 5th Street San Bernardino, CA 92410
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• 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.
Online
The City of San Bernardino, and the other host facilities, are not responsible for the loss or damage of any athlete ’ s personal equipment. We reserve the right to cancel or combine age groups in the best interest of the participants. Visit the City of San Bernardino Senior Services webpage to register. A. Click on activities: Click on Senior Center - Senior Games B. Choose an Senior Games Pickleball Choose an activity
Cancellation/Refunds
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. REFUNDS ARE PROCESSED ONLY FOR THOSE EVENTS CANCELED DUE TO INSUFFICIENT PARTICIPATION/ REGISTRATION.
2024 Inland Empire Senior Games
Fee:
Events:
Dates:
Times:
Location:
8 - Ball Doubles
Monday, Sept. 23
Check In: 8:00 am Start: 8:30 am
Fifth Street Senior Center 600 West 5th Street San Bernardino
$10 per person/ per event
Billiards
Rules: Tournament format will be based upon number of entries per age bracket. An overall championship round will be played following the age division brackets.
Singles Doubles Mixed Doubles (Men or Women)
Wednesday, Oct. 2
Check In: 9:00 am Start: 9:30 am
Empire Bowl 940 W. Colton Ave Redlands
$12 per person/ per event
Bowling
Rules: 3 games of American ten - pin. Athletes may compete with only one partner in each doubles event. Doubles partners must register individually. Doubles divisions are determined by the age of the youngest bowler.
Men ’ s Singles Women ’ s Singles Men ’ s Doubles Women ’ s Doubles Mixed Doubles
Monday, Sept. 30
Check In: 8:00 am Start: 9:00 am
Hernandez Center 222 N. Lugo Street, San Bernardino
$10 per person/ per event
Cornhole
Rules: Double elimination or Round Robin Format depending on number of entries. Two skill levels in each Bracket: Rec (2.5 – 3.0), Advanced (3.5 - 4.0+). Will combine brackets if not entries.
Pickleball
Men ’ s Doubles Women ’ s Doubles Mixed Doubles
Saturday, Sept.28 &
Check In: 7:30 am Start: 8:00 am
(Outdoor Courts): Perris Hill Pickleball Courts, 607 E. Highland Ave.,
$10 per person/ per event
Sunday, Sept. 29
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.
Swimming
(See application for event listings.)
Saturday, Sept. 21
Check In: 12:30 pm Start: 1:00 pm
Tom Sawyer Swim Center 1243 South Riverside Ave, Rialto
$12 per person/ per event
Rules: Swimmers must provide their own suits, caps, goggles, towels, and any other equipment.
5K/10K Walk or Run
5K Walk or Run 10K Walk or Run
Sunday, Sept. 22
Check In: 7:00 am Start: 7:30 am
Drayson Center 25040 Stewart St Loma Linda, CA 92354
$10 per person/ per event
Rules: USA Track Rules apply. Individual medals to top three men and women in each age division. Softball Co - Ed
Tuesday, Sept. 24
Check In: 7:30 am Start: 8:15 am
Jack Bulik Park 16581 Filbert Ave., Fontana
Co - Ed: $200 (No registration fee)
Rules: Double Elimination Tournament. Number of registered teams will determine tournament format. (Each member must submit an individual application & entry fee)
2024 Inland Empire Senior Games Registration Form
Online Registration: or mail completed form with payment to Attn: Inland Empire Senior Games 600 West 5th Street, San Bernardino, CA 92410 Questions: Contact Seniors@sbcity.org or call (909) 384 - 5430
Last Name__________________________ First Name____________________________
Address __________________________________________________________________
City, State, Zip _________________________Telephone (
) _____________________
E - mail __________________________________________ Gender(M/F)_____________
D.O.B (mm/dd/yyyy) _____________________ (Must be at least 50 years of age by Dec. 31, 2024)
Circle T - Shirt Size: Small
Medium
Large
X - Large
2X - Large
3X - Large
Emergency Contact Information
Print Name ____________________________________________________________
Relationship ___________________________________________________________
Telephone ( ) _________________________________________________________
WAIVER must be signed and mailed with registration.
PHOTO AND FILM WAIVER: I hereby grant full permission to the organization, 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 City of San Bernardino Inland Empire Senior Games . LIABILITY WAIVER: I, the undersigned participant, hereby agree to indemnify and hold harmless the City of San Bernardino, Inland Empire Senior Games and the organizers of the City of San Bernardino Inland Empire Senior Games , hereinafter sometimes referred to as sponsors, their agents, employees, and representatives and assigns, from any and all actions or claims of whatsoever kind of nature which I or my representatives or assigns may have or at any time in the future have due to any injury or property damage arising out of my participation in the City of San Bernardino Inland Empire Senior Games . 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 organizers 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, am physically able to compete in the event(s), and know of no physical restriction whatsoever which would prohibit my participation in the City of San Bernardino Inland Empire Senior Games . I have been advised by the organizers that it would be in my best interest to consult a physician prior to my preparation for and participation in this event. I recognize and understand that the preparation and competition may necessitate strenuous physical activity and could possibly activate an unrecognized pre - existing condition which I may have, thereby resulting in serious or life - threatening physical harm to me. The organizers have my permission to have a physician treat me during my participation in the City of San Bernardino Inland Empire Senior Games .
Signature ______________________________________________________ Date ____________________
2024 Inland Empire Senior Games Registration
Athlete Registration fee is required to participate in all individual and doubles events, with the exception of Softball. Each participant must fill out a separate application
Athlete ’ s Name - Please Print Athlete ’ s Gender: Male
Female
PICKLEBALL
Skill Level: 2.0 - 2.5
3.0 - 3.5
4.0 - 4.5
SWIMMING
Doubles Partner ’ s Name:________________ Age _____ Partners Gender: Male Female Mixed Doubles Partner ’ s Name:________________ Age _____ Partners Gender: Male Female
Freestyle
50Yd (11)
100Yd (8)
200Yd (1)
Backstroke 50Yd (9)
100Yd (13) 200Yd (6)
Butterfly
CORNHOLE Doubles
50Yd (5)
100Yd (7)
200Yd(10)
Singles
Breaststroke 50Yd (3)
Partner ’ s Name:__________________ Age _____ Partners Gender: Male Female
100Yd (12)
200Yd(14)
Individual Medley 100IM (4)
SOFTBALL
200IM (2)
Co - Ed ($200 Per Team / No Registration Fee) Team Name:______________________________ Captain Name:____________________________ BOWLING Singles Doubles Partner ’ s Name:________________ Age _____ Partners Gender: Male Female Mixed Doubles Partner ’ s Name:________________ Age _____ Partners Gender: Male Female
BILLIARDS
Doubles
Singles
Partner ’ s Name:__________________ Age _____ Partners Gender: Male Female CORNHOLE
Doubles
Singles
Partner ’ s Name:__________________ Age _____ Partners Gender: Male Female
PAYMENT
WALK/RUN
Event(s) Fee _______ How many events are you registered for: _______
Walk
Run
5k
10k
5k
10k
Events # X $10: _______ Registration Fee: $15.00 Donations: _______
OFFICE USE ONLY
Receipt #:_____________
Date Received: _________
Staff Initial :_______
Contact Information
Softball Coordinator
Inland Empire Coordinator
Doug Johnson Phone: (909) 854 - 5156 Email: DJJohnson@fontana.org Jair Mandujano Phone: (909) 854 - 5155 Email: Jmandujano@fontana.org
LaKeisha L. Jackson Email: Jackson_La@SBCity.org
Phone: (909) 384 - 5435/(909) 384 - 5436 Fax: (909) 889 - 0672 Cell: (909) 756 - 1132 www.sbcity.org
California Senior Games
San Diego Senior Games Kirsten Cummings Email: kirsten@sdseniorgames.org Address: PO Box 600007 San Diego, CA 92160
Pasadena Senior Games Annie Laskey Email: anniel@pasadenaseniorcenter.org Phone: (626) 685 - 6724
Visalia Senior Games Laurissa Roggenkamp
Bay Area / Encore Senior Games Helen Mendel Email: Hmendel@basoc.org Mail: 2450 Agnes Way, Palo Alto, CA 94303 (650) 323 - 9400 or (510) 506 - 1874
Email: Laurissa.Roggenkamp@visalia.city Mail: 345 N. Jacob Street, Visalia, CA 93291
Sonoma Wine Country Games Leigh Galten Email: lgalten@councilonaging.com Address: 30 Kawana Springs Rd Santa Rosa, CA 95404 Phone: (707) 525 - 0143 x121
2025 National Senior Games
July 24 - August 4, 2025 Des Moines, Iowa Phone: (727) 475 - 1187 Email: NSGA@NSGA.com National Senior Games Association PO Box 5630, Clearwater, FL, 33758 USA
INLAND EMPIRE SENIOR GAMES OFFICIAL 2024 TEAM ENTRY FORM
COMPLETE ALL INFORMATION BELOW (Form may be duplicated) TEAM INFORMATION
for more information contact Softball - Jair Mandujano (909) 854 - 5155 Email: Jmandujano@fontana.org
TEAM NAME: _________________________________________________________________ CAPTAIN/COACH ’ S NAME:_____________________________________________________ ADDRESS: ____________________________________________________________________ CITY / STATE / ZIP: ____________________________________________________________ PHONE NUMBER: ___________________________ AGE DIVISION: _____ TO _____
PAYMENT
OFFICE USE ONLY
Receipt #:_____________
Team fees are $200 Per Team Softball
Date Received: _________
Staff Initial :_______
Total Cost: $200
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 ($200 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: 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.
INLAND EMPIRE SENIOR GAMES: OFFICIAL 2024 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
Email Address
1 CAPTAIN
2 CO - CAPTAIN
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