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2 0 1 6 June 10 - 26 2016 Presented by Registration April 1 - May 27, 2016 www.ohioseniorolympics.org Ohio’s qualifier for the 2017 National Games 3 ON 3 BASKETBALL • Sat, June 25 A program with heat sheets, brackets and race maps will be emailed to all registered athletes one week prior to each event. Athlete check-in opens 30 minutes before start times unless otherwise noted. Westerville Community Center Gymnasium 350 N. Cleveland Ave, Westerville 43082 • Games will begin on Fri, June 24 if needed • 9:00 a.m. tournament begins 5K ROAD RACE • Sun, June 12 Westerville Community Center 350 N. Cleveland Ave, Westerville 43082 • 8:30 a.m. race start • Open to ANYONE ARCHERY • Sun, June 12 Westerville Sports Complex 325 N. Cleveland Ave, Westerville 43082 Use County Line Rd parking lot (has no address) • 9 a.m. check-in opens located at Westerville Community Center (across the street) • 10 a.m. tournament begins, hosted by Ace Archers • Archers may only compete in one style and must provide their own bows and target arrow • Compound Fingers • Recurve • Barebow Recurve • Compound Release • Barebow Compound BADMINTON • Fri, June 24 Westerville Community Center Gymnasium 350 N. Cleveland Ave, Westerville 43082 Singles 8:30 a.m. Doubles & Mixed Doubles to follow BOWLING • Mon & Tue, June 20 & 21 Sequoia Pro Bowing Lanes 5501 Sandalwood Blvd, Columbus 43229 GOLF • Tue, June 21 Safari Golf Course 7853 Powell Rd, Powell 43065 7 a.m. Check In Opens 7:45 a.m. Players Meeting 8 a.m. Shotgun Tee Off SHUFFLEBOARD • Sun, June 12 HALL OF FAME BANQUET • Sun, June 12 Hoff Woods Park • Main Shelter 556 McCorkle Blvd, Westerville 43082 Games will continue on Sun, June 26 if needed 10 a.m. tournament begins Westerville Community Center Maple Rooms 350 N. Cleveland Ave, Westerville 43082 • 11:30 a.m. doors open • 12:00 p.m. banquet and lunch begin • $5 per person pre-registration • $8 per person at door (space limited) HORSESHOES • Thur, June 16 Phyllis A. Ernst Senior Center 3810 Veterans Memorial Dr, Hilliard 43026 10 a.m. play begins • Throwing 60 shoes PICKLEBALL • Fri-Sat, June 17-18 CYCLING • Tue, June 14 Snyder Park • West End South: Shelter “S1” 1900 Snyder Park Rd, Springfield 45504 5k Time Trial 9 a.m. trials begin 10k Time Trial Begins following conclusion of 5k time trial 20k Road Race Begins following conclusion of 10k time trial DISC GOLF* • Sat, June 18 Simsbury Park Disc Golf Course 625 E. Columbus St, Pickerington 43141 Tournament is TWO FULL ROUNDS OF 18 HOLES *This is NOT an age restricted tournament, you MUST register with the Columbus Flyers: www.columbusdiscgolf.com TENNIS • Wed & Thur, June 22-23 Otterbein University Clemens Recreation Center 180 Center Street, Westerville 43081 9 a.m. play begins 9 a.m. play begins Begins following singles 2 p.m. play begins 9 a.m. play begins Men’s & Women’s Doubles • Thur, June 23 Mixed Doubles • Fri, June 17 Mixed Doubles • Thur, June 23 Men’s & Women’s Doubles • Sat, June 18 9 a.m. play begins RACE WALK • Sat, June 11 RACQUETBALL • Thur, June 23 2 p.m. play begins Westerville Community Center Gymnasium 350 N. Cleveland Ave, Westerville 43082 10 a.m. singles begin Doubles & Mixed Doubles to follow Singles • Fri, June 17 10 a.m. play begins Mixed Doubles • Tue, June 21 TABLE TENNIS • Sun, June 12 Singles • Wed, June 22 • The top four in each age group will bowl in finals to determine medals and NSGA qualification Men’s & Women’s Doubles • Tue, June 21 SOFTBALL • Sat, June 25 Westerville Community Center Gymnasium 350 N. Cleveland Ave, Westerville 43082 Otterbein University Memorial Stadium 180 Center St, Westerville 43081 8 a.m. check in opens • 5000M begins at 8:30 a.m. • 1500M (during track meet) Singles • Mon, June 20 10 a.m. play begins • 2 p.m. finals begin Westerville Community Center Maple Rooms 350 N. Cleveland Ave, Westerville 43082 3 p.m. singles begin • Doubles to follow Otterbein University Clemens Recreation Center 180 Center Street, Westerville 43081 Singles 1:30 p.m. Doubles & Mixed Doubles to follow SWIMMING • Sun, June 12 Westerville Community Center Lap Pool 350 N. Cleveland Ave, Westerville 43082 9 a.m. pool opens • 10 a.m. meet begins Limit 6 events per athlete Events in the following order: 1) 100 Fly 9) 50 Free 2) 200 Free 10) 200 Fly 3) 50 Breast 11) 50 Back 4) 100 Back 12) 200 IM 5) 400 IM 13) 50 Fly 6) 100 Breast 14) 100 Free 7) 200 Back 15) 200 Breast 8) 100 IM 16) 500 Free Events may be combined or moved depending on registered athletes There will be a 20 minute break between the 100 IM and 50 Free TRACK & FIELD A heat sheet will be emailed prior to the event We will NOT be utilizing open pits JUMPING EVENTS • Sat, June 11 Otterbein University Memorial Stadium 180 Center St, Westerville 43081 8 a.m. check in opens • 9 a.m. events begin High Jump Pole Vault Triple Long Jump Running Long Jump RUNNING EVENTS • Sat, June 11 Otterbein University Memorial Stadium 180 Center St, Westerville 43081 8 a.m. check in opens • 9 a.m. races begin 50M 100M 200M 400M 800M1500M 4x100M THROWING EVENTS • Fri, June 10 Otterbein University Throwing Complex 299 West Street, Westerville 43081 8:30 a.m. check in opens • 9 a.m. events begin HammerJavelin 12:30 p.m. check in opens • 1 p.m. events begin Discus Shot Put VOLLEYBALL • Fri, June 24 Westerville Community Center Gymnasium 350 N. Cleveland Ave, Westerville 43082 Games will continue on Sat, June 25 if needed 1 p.m. tournament begins Every athlete will receive a customized t-shirt! LAST NAME T-shirts are Gilden Performance 100% polyester and are gender specific. Sports Complex Archery Site Need a place to stay? These hotels are offering a limited number of rooms at a reduced rate to athletes. When scheduling, be sure to mention “Ohio Senior Olympic State Games” Westerville Community Center County Line Rd N West St Polaris Mall & Hotel Area Throwing Fields Clemens Recreation Center Main St e3 /Rout t e e r t eS N Stat I - 71 N Cleveland Ave Memorial Stadium Otterbein University I-271 City of Westerville Comfort Inn Polaris 8400 Lyra Dr, Columbus, Ohio 43240 614-791-9700 • $114 per night Embassy Suites by Hilton Columbus 2700 Corporate Exchange Dr, Columbus, Ohio 43231 614-890-8600 • $145 per night Hilton Garden Inn Polaris 8535 Lyra Dr, Columbus, Ohio 43240 614-846-8884 • $129 per night Residence Inn Polaris 8865 Lyra Dr, Columbus, Ohio 43240 614-436-3955 • $139 per night FRIDAY JUNE 2016 SUNDAY 12 • Track & Field: Throwing MONDAY • 5k Road Race • Archery • Hall of Fame Banquet • Shuffleboard • Swimming • Table Tennis 19 • Bowling Singles 13 20 TUESDAY • Cycling 5k time trial 10k time trial 20k road race • Golf • Bowling Doubles 14 21 WEDNESDAY 15 • Tennis Singles 22 THURSDAY • Horseshoes • Racquetball • Tennis Doubles 16 23 • Pickleball Singles Mixed Doubles • Badminton • Volleyball 10 17 24 SATURDAY 11 • Track & Field: Running & Jumping • Race Walk 18 • Pickleball Men’s Doubles Women’s Doubles • Disc Golf • Basketball • Softball 25 OSO STATE GAMES: RULES All Athletic Events •Pre-registration is required. Absolutely no on-site registration. •2016 Ohio Senior Olympics (OSO) STATE GAMES are open to anyone turning 50 on or before December 31, 2016. Proof of age may be required upon check in. •Age group for competition is determined by your age as of December 31, 2016. •Age categories will be divided by male and female in five-year increments; 50-54, 55-59, 60-64, 65-69, etc... 95+ •The OSO STATE GAMES Committee reserves the right to combine age groups for competition purposes when necessary. •Gold, silver and bronze medals will be presented to the 1st, 2nd & 3rd place finishers, male & female, in each age group for each event. •Medals will not be mailed, you must accept them in person at the conclusion of your event. •Please arrive a half hour before your event’s predicted start time. •Individual heat times may vary depending on the number of registered athletes. •The latest event information will be posted on our website when available: www.ohioseniorolympics.org •Include your email when registering. A program with heat sheets, brackets and race maps will be emailed prior to all events to registered athletes one week prior to each event. •Athlete packets may be picked up at the check-in table for your registered event. •An email will be sent to you confirming your registration. •You must accept the t-shirt size you ordered. •All fees are non-refundable unless the OSO STATE GAMES Committee cancels an event due to low enrollment or inclement weather. •The OSO STATE GAMES Committee reserves the right to cancel events due to low enrollment or inclement weather. •In case of inclement weather, all rain delays and cancellations will be reported on our hotline at 614-901-6887. •ALL athletes are expected to read and understand both the general OSO rules and the rules governing their competition prior to competing in the State Games. Doubles/Partners Events •EACH doubles player must list their partner’s name on the registration form in the space available. •We do NOT offer partner matching. Team Events •ALL team members MUST complete the individual registration form and sign the waiver. •The Team Captain must submit the team’s roster including: •Completed team roster with individual registration form for each team member •Team fees •Athletes may compete with only one team per sport. •Team members may participate in individual events without additional fees. •Include the additional sports on each team member’s individual registration form. •Age divisions are determined by the youngest playing team member as of December 31, 2016. •Non-playing team members (coaches) can be under 50 but must be listed on the roster and complete an individual registration form. •Non-playing team members must pay the registration fee. They will receive a t-shirt and will be eligable for any medals the team wins. •3 on 3 basketball, softball, and volleyball teams must be of one gender. •Changes or additions to team rosters will NOT be permitted after May 27, 2016 (close of registration.) The Ohio Senior Olympic STATE GAMES follows the rules established by the National Senior Games Association or the sport’s National Governing Body except where stated. All rules and the most up to date information can be found on our website at www.ohioseniorolympics.org Registration Deadline May 27, 2016 INDIVIDUAL REGISTRATION Register online and save $10! Please complete both sides of this form Every athlete must complete this form either electronically or via paper Questions? Call 614-901-6560 www.ohioseniorolympics.org Mail or deliver this completed form to the Westerville Senior Center, Attention OSO 310 W. Main St, Westerville, OH 43081 MI FIRST NAME LAST NAME - PRINT LEGIBLY, this will be printed on your shirt ADDRESS CITY STATE PHONE NUMBER E-MAIL ADDRESS - Include for confirmation, brackets, and heat sheets EMERGENCY PHONE NUMBER EMERGENCY CONTACT NAME - RELATIONSHIP Gender: Male Female T-shirt Size: S M L XL 2XL 3XL Shirts are Gilden Performance 100% polyester and GENDER SPECIFIC. LIABILITY WAIVER & PHOTO RELEASE Your entry is not complete until this waiver is signed and dated. In consideration of your accepting my entry, I hereby, for myself, my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the City of Westerville Parks & Recreation Department, The Ohio Senior Olympics, and its representatives, successors, and assigns for any and all injuries suffered by myself or any activity sponsored by these groups. I do hereby grant and give these groups the right to use my photograph or image with or without my name, both single and in conjunction with other persons or objects for any and all purposes including, but not limited to, private or public presentations, advertising, publicity, and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Westerville Parks & Recreation Department and The Ohio Senior Olympics harmless of and from any and all liability of whatever nature which may result of such uses. For the consideration stated above, I will personally indemnify and save harmless the City of Westerville Parks & Recreation Department, The Ohio Senior Olympics, its successors and assigns, for any and all loss and damage occasioned thereby: DATE ZIP CODE SIGNATURE Date of Birth: ____ / ____ / ________ REGISTRATION FEES by May 27, 2016 - Absolutely NO on-site registration Athlete Fees (For ALL athletes).............................................$30_______ ADDITIONAL FEES: Hall of Fame Banquet.................$5 x _____# of people =_______ Paper Registration Method Fee................................$10_______ Register online and save $10! Additional Tee Shirts.................$15 x _____# of shirts =_______ Total Fees____________ Fees must be enclosed with this completed registration form. ( ) Cash ( ) Check Payable to: Westerville Senior Association ABSOLUTELY NO ON SITE REGISTRATION Please mark all events you plan to enter. SPORT SELECTION We do NOT offer partner matching. EACH doubles player MUST list their partner’s name on this form. _____ 3 ON 3 BASKETBALL TEAM NAME ___________________________________ SWIMMING (Limit six events) Backstroke ____ _50 yd ____ 100 yd _____ 5K ROAD RACE/RUNNING Open to anyone over 10 years of age! Breaststroke ____ _50 yd ____ 100 yd _ARCHERY Butterfly ____ 50 yd ____ 100 yd Freestyle ____ _50 yd ____ 100 yd ______ Compound Fingers ______ Barebow Compound ______ Recurve _____ Compound Release _____ Barebow Recurve BADMINTON ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ BOWLING ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ CYCLING ______5k Time Trial _____ 10k Time Trial _____ 20k Road Race Must register at www.columbusdiscgolf.com _____ GOLF ____ 200 yd ____ 200 yd ____ 500 yd Individual Medley ____ 100 yd ____ 200 yd ____ 400 yd SHUFFLEBOARD ______Singles ______Doubles Partner: _____________________________________ (Can be same or different gender) _____ SOFTBALL TEAM NAME ___________________________________ ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ TENNIS HALL OF FAME BANQUET ______Number of tickets:_____ x $5 each Includes lunch on Sunday, June 12 - open to non-athletes _____ HORSESHOES PICKLEBALL ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ RACE WALK RACQUETBALL TABLE TENNIS DISC GOLF ______1500M ____ 200 yd _____ 5000M ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ ______Singles _____ Doubles Partner: _____________________ ______Mixed Doubles Partner: _______________________________ TRACK & FIELD _____50M _____ 100M _____ 200M _____ 400M _____ 800M _____ 1500M _____ 4x100M - Team Members___________________________________ _____ Discus _____ Javelin _____ Shot Put _____ Hammer _____ Pole Vault _____ High Jump _____ Triple Jump _____ Running Long Jump _____ VOLLEYBALL TEAM NAME ___________________________________ Captain’s Date of Birth: ____ / ____ / ________ DATE CAPTAIN’S SIGNATURE In consideration of your accepting my entry, I hereby, for myself, my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the City of Westerville Parks & Recreation Department, The Ohio Senior Olympics, and its representatives, successors, and assigns for any and all injuries suffered by myself or any activity sponsored by these groups. I do hereby grant and give these groups the right to use my photograph or image with or without my name, both single and in conjunction with other persons or objects for any and all purposes including, but not limited to, private or public presentations, advertising, publicity, and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold the City of Westerville Parks & Recreation Department and The Ohio Senior Olympics harmless of and from any and all liability of whatever nature which may result of such uses. For the consideration stated above, I will personally indemnify and save harmless the City of Westerville Parks & Recreation Department, The Ohio Senior Olympics, its successors and assigns, for any and all loss and damage occasioned thereby: Your entry is not complete until this waiver is signed and dated. LIABILITY WAIVER & PHOTO RELEASE T-shirts are Gilden Performance 100% polyester and are gender specific. Captain’s T-shirt Size: S M L XL 2XL 3XL CAPTAIN’S EMERGENCY CONTACT NAME - RELATIONSHIP CAPTAIN’S EMERGENCY PHONE NUMBER CAPTAIN’S LAST NAME CAPTAIN’S E-MAIL ADDRESS MI TEAM NAME CAPTAIN’S PHONE NUMBER CAPTAIN’S ADDRESS, CITY, STATE & ZIP CODE CAPTAIN’S FIRST NAME SPORT Absolutely NO on-site registration or player additions after May 27 Each team member must be listed on the back of this form AND complete an individual registration form Captains will complete this form, collect every team member’s completed individual form, then turn in all documentation to register Fees apply to non-athlete coaches - a shirt and medal (if team places) will be provided to non-athletes as well Registration Deadline May 27, 2016 To be completed by team captains - one per team per event T-shirts are Gilden Performance 100% polyester and are gender specific. LAST NAME Every athlete will receive a customized t-shirt! Total Fees____________ Absoultely NO on site registration or player additions after May 27 Register online and save $10! www.ohioseniorolympics.org ( ) Cash ( ) Check (Payable to: Westerville Senior Association) Fees must be enclosed with this completed registration form. Register online and save $10! Paper Registration Method Fee................................$10_______ Hall of Fame Banquet.................$5 x _____# of people =_______ (Volleyball, Softball, Basketball) Team...........................$30 x _____Number of team members_______ by May 27, 2016 - Absolutely NO on-site registration REGISTRATION FEES Team Gender: Male Female www.ohioseniorolympics.org Mail or deliver this completed form to the Westerville Senior Center, Attention COSG 310 W. Main St, Westerville, OH 43081 Questions? Call 614-901-6560 TEAM REGISTRATION 20 19 18 17 16 15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 (List coaches last and notate their role) Athlete Name ALL TEAM MEMBERS MUST ALSO COMPLETE AND SUBMIT AN INDIVIDUAL REGISTRATION FORM Sport 3 on 3 Basketball • Volleyball • Softball Age as of 12/31/16 Player or Coach? (Determined by youngest team member as of December 31, 2016) 50+ • 55+ • 60+ 65+ • 70+ • 75+ 80+ (Bball only) Team’s age group: TEAM REGISTRATION: ROSTER Team Name:___________________________________________________________ NO DAY OF ADDITIONS/REGISTRATIONS ARE PERMITTED. To be completed by team captains - one per team per event ALL TEAM MEMBERS MUST ALSO COMPLETE AND SUBMIT AN INDIVIDUAL REGISTRATION FORM