City of San Bernardino Parks, Recreation & Community Services
2023 OFFICIAL APPLICATION PACKET Inland Empire Senior Games
Promoting Fitness and the Spirit of Competition Winners All
September 23 – October 7
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 2023 Inland Empire Senior Games. The City of San Bernardino Parks, Recreation and Community Services Department is delighted to host the 2023 Inland Empire Senior Games.
Competition in most events range from novice to experienced athletes, so there is something for everyone.
The Senior Services team and Community partners have worked hard to make these games a success and are pleased to offer a setting that allows mature athletes to demonstrate their skills, while staying active and healthy. We believe healthy older adults make our community stronger. We want to thank our sponsors and venue host for their support of the 2023 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
Any person over the age of 50 as of December 31, 2023 is eligible. • Proof of age may be required.
At the completion of each event 1st, 2nd, and 3rd place will be awarded.
Age divisions are in five year increments: 50+, 55+, 60+, etc. The age division for all doubles and team sports is determined by the age of the youngest player as of December 31, 2023.
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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.
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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
I. Fill out an paper entry form (Softball / Basketball ONLY Paper Application) • 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
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).
•
Scan
• 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. Visit the City of San Bernardino Senior Services webpage to register A. Click on activities: Click on Senior Center - Senior Games 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 CANCELLED DUE TO INSUFFICIENT PARTICIPATION/ REGISTRATION.
We reserve the right to cancel or combine age groups in the best interest of the participants.
Inland Empire Senior Games 2023
Fee: $10 per person/ per event
Events:
Dates:
Times:
Location: Norton Gym
Singles Doubles (Men or Women)
Saturday, Sept. 30
Check In:
1554 E. Art Townsend Drive, San Bernardino
Badminton
8:00 am
Start: 8:30 am
Mixed Doubles
Rules: Tournament format will be round - robin, with as many players as possible advancing to a single elimination championship bracket.
Norton Gym 1554 E. Art Townsend Drive, San Bernardino
3 - on - 3: $200 per team (IESG Registration of $15 does not apply)
3 - on - 3 Half Court
Sunday, Oct. 7
Check In:
Basketball
7:30 am
Start: 8:00am
3 - on - 3 Half Court Competition Age division will be determined by the age of the youngest team member. Each player must complete an individual entry form and sign the liability waiver. Teams must be the same sex. All registration and team rules apply to non - playing coaches, non - playing captains, and non - playing personnel. Non - playing coach/captains must sign the liability waiver. The number of entries per division will determine tournament format.
Fifth Street Senior Center 600 West 5th Street, San Bernardino
$10 per person/ per event
8 - Ball
Monday, Sept. 25
Check In: 8:00 am
Billiards
Start: 8:30 am
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 (Men or Women)
Empire Bowl 940 W. Colton Ave., Redlands
$10 per person/ per event
Wednesday, Oct. 4
Check In: 9:00 am
Bowling
Mixed Doubles
Start: 9:30 am
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.
Fifth Street Senior Center 600 West 5th Street, San Bernardino
Singles Doubles (Men or Women)
$10 per person/ per event
Monday, Oct. 2
Check In: 8:00 am
Cornhole
Mixed Doubles
Start: 9:00 am
Rules: Double elimination or round - robin Format depending on number of entries. Two skill levels in each Bracket: Rec
Events:
Date:
Times:
Location: Central City Park 8380 Cypress Ave., Fontana
Fee: $10 per person/ per event
Open
Friday, Sept. 29
Start: 9:00 am
Horseshoes
Rules: 40 shoes per person; no leaners; Ringer 3 points (each player's rings cancel points – consecutive); Shoe within ONE shoe reach, closest gets one point.
(Outdoor Courts): Perris Hill Pickleball Courts, 607 E. Highland Ave., San Bernardino
Check In: 7:30 am
Saturday, Sept.23 & Sunday, Sept. 24
Doubles Mixed Doubles
$10 per person/ per event
Pickleball
Start: 8:00 am
Rules: Double elimination or round - robinFormat 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.
Co - Ed
Tuesday, Sept. 26
Check In: 7:30 am
Jack Bulik Park
Co - Ed: $200
Softball
16581 Filbert Ave.,
(No registration fee)
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)
400m Free, 200m IM 100 IM, 50m Breast 50m Fly, 200m Back 100m Fly, 100m Free 50m Free, 50m Back 100m Back, 100m Breast
$10 per person/ per event
Saturday, Sept. 30
Check In: 12:30 pm
Tom Sawyer Swim Center 1243 South Riverside Ave, Rial- to
Swimming
Start: 1:00 pm
Rules: Swimmers must provide their own suits, caps, goggles, towels, and any other equipment.
(Outdoor Courts): Perris Hill Pickleball Courts, 607 E. Highland Ave., San Bernardino
Check In: 7:30 am
Doubles Mixed Doubles
$10 per person/ per event
Saturday, Sept. 23
Tennis
Start: 8:00 am
Rules: Double elimination or Round Robin Format depending on number of entries. Two skill Levels in each bracket. Will combine brackets if not enough entries.
Loma Linda Drayson Center 25040 Stewart Street, Loma Linda
Check In: 7:00 am
5K/10K Walk or Run
5K Walk or Run
Sunday, Oct. 1
$10 per person/ per event
10K Walk or Run
Start: 7:30 am
Rules: USA track rules apply. Individual medals to top three men and women in each age division.
Contact Information
Coordinator LaKeisha L. Jackson Email: Jackson_La@SBCity.org
Softball Coordinators
Geneo Farrar Phone: (909) 349 - 6912 Email: Gfarrar@fontana.org Arieanna Ayala Phone: (909) 349 - 5155 Email: Aayala@fontana.org
Phone: (909) 384 - 5435/(909) 384 - 5436 Fax: (909) 889 - 0672 Cell: (909) 756 - 1132 www.sbcity.org
Basketball Coordinator
Michael Gibson Email: Gibson_Mi@SBCity.org Phone: (909) 384 - 5233
California Senior Games
San Diego Senior Games Kirsten Cummings Email: kirsten@sdseniorgames.org Address: PO Box 600007 San Diego, CA 92160
Sonoma Wine Country Games Leigh Galten Email: lgalten@councilonaging.com Address: 30 Kawana Springs Rd Santa Rosa, CA 95404 Phone: (707) 525 - 0143 x121 Pasadena Senior Games Annie Laskey Email: anniel@pasadenaseniorcenter.org Phone: (626) 685 - 6724
Visalia Senior Games Laurissa Roggenkamp Email: Lauris- sa.Roggenkamp@visalia.city Mail: 345 N. Jacob Street Visalia, CA 93291 Bay Area Senior Games Helen Mendel Email: Hmendel@basoc.org
Palm Desert Senior Games and International Sports Festival Ashley Fread Email: Afread@drd.us.com Chris Baluga Email: cbaluga@drd.us.com Address: 43 - 900 San Pablo Avenue, Palm Desert, CA 92260 Phone: (760) 568 - 9697
2024 National Senior Games
For more information, visit: www.nsga.com
2023 Inland Empire Senior Games Registration Form Online Registration: Home | ActiveNet - Online Recreation Activities (activecommunities.com) | Activity | Seniors
or mail completed form with payment to Attn: Inland Empire Senior Games 600 West 5th Street, San Bernardino, CA 92410
Complete all information (Please print clearly) and please sign waiver. Questions: 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 50 years of age by Dec. 31, 2023)
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 ____________________
2023 Inland Empire Senior Games Registration
Athlete Registration fee is required to participate in all individual and doubles events, with the exception of Softball and Basketball.
Athlete ’ s Name - Please Print
Athlete ’ s gender: Male
Female
Each participant must fill out a separate application
PICKLEBALL
Skill Level: 2.0
2.5
3.0
3.5
4.0
4.5
SWIMMING
Doubles Mixed Doubles Partner ’ s Name:__________________ Age____ Partner ’ s Name:__________________ Age____
Freestyle 400m
100m
50m
Butterfly
100m
50m
TENNIS Doubles
Breaststroke 100m
Mixed Doubles Partner ’ s Name:__________________ Age____ Partner ’ s Name:__________________ Age____
50m
Backstroke 200m
100m
50m
CORNHOLE
Individual Medley 200m
Skill Level: 2.0
100m
2.5
3.0
3.5
4.0
4.5
WALK/RUN
Doubles Singles Partner ’ s Name:__________________ Age____ Partner ’ s Name:__________________ Age____ Mixed Doubles
Walk
5k
10k
Run
HORSESHOES
5k
10k
Doubles Single Partner ’ s Name:__________________ Age____ Partner ’ s Name:__________________ Age____ Mixed Doubles
BILLARDS Singles
BOWLING
PAYMENT
All events are $10 In addition $15 Registration How many events are you registered for: _______
Doubles Single Partner ’ s Name:_________________ Age____ Partner ’ s Name:_________________ Age____ Mixed Doubles
Events # X $10: _______ Registration Fee: $15.00 Donations: _______
OFFICE USE ONLY
Receipt #:_____________
Total: _______
Date Received: _________
Staff Initial :_______
Registration is Due By September 18th
INLAND EMPIRE SENIOR GAMES OFFICIAL 2023 TEAM ENTRY FORM COMPLETE ALL INFORMATION BELOW (Form may be duplicated) TEAM INFORMATION
for more information contact Softball - Geneo Farrar (909) 349 - 6912; Email: gfarrar@fontana.org Basketball - Michael Gibson Email: Gibson_mi@sbcity.org
TEAM NAME: _________________________________________________________________
CAPTAIN/COACH NAME:_____________________________________________________
ADDRESS: ____________________________________________________________________
CITY / STATE / ZIP: ____________________________________________________________ PHONE NUMBER: ___________________________ AGE DIVISION: _____ TO _____
PAYMENT
Team fees are $200 Per Team Basketball
OFFICE USE ONLY
Receipt #:_____________
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. Captain / 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. Basketball: Men ’ s – Minimum: 3, Maximum: 9 Basketball: Women ’ s – Minimum: 3, Maximum: 19 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 2023 TEAM ROSTER Softball & Basketball PRINT ALL PLAYERS on the ROSTER and INFORMATION LEGIBLY and FILL OUT ALL DETAILS Team Name: _______________________________________
Full Name
M/F
Age
Tee
Email Address
1 CAPTAIN
2 CO - CAPTAIN
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Inland Empire Senior Games 600 West 5th Street San Bernardino, CA 92404 PR Admin 001 - 5175
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