2015 Registration Packet and Games Information APRIL 13th – MAY 8th Registration Deadline: Friday, March 27th Gold Sponsor Silver Sponsor Coordinating Agencies Ellen Fitzgerald Senior Center Council on Aging in Union County Hosting Facilities Belk-Tonawanda Park Mecklenburg County Aquatics Center Irish Creek Golf Course Parks Williams Athletic Complex Monroe High School Ellen Fitzgerald Senior Center Skyway Lanes Lowe’s Motor Speedway Dickerson Center Important Information Who: Any Union County resident who resides in Union County at least 3 months out of the year and is age 50 or better as of December 31, 2015. Proof of age and residency in Union County, North Carolina may be required at registration. Participation in United Senior Games is necessary to qualify for North Carolina State Finals in Raleigh, North Carolina. State Finals Entry Forms will be given to USG 1st, 2nd, and 3rd place winners in qualifying events along with their medals. Golfers must meet a minimum performance score (MPS) and finish 1, 2, or 3 to qualify. It is your responsibility to check with your local Games Event Director to determine if you qualify for State Finals and to get a State Finals Entry Form. The State Finals registration deadline of August 1st is strictly enforced. For more information call the Ellen Fitzgerald Senior Center 704-282-4657. When: The United Senior Games will be held between the dates of April 13 and May 8. For more detailed information on events, check the event calendar for specific days and times. Where: Events will be held in various locations throughout Union County. Locations are listed on the Events Registration Form and on the Events Calendar. Awards: Gold, Silver, and Bronze medals will be presented to all 1st, 2nd, and 3rd place men and women competitors in each category in athletic competitions. SilverArts includes a “Peoples Choice Award”. SilverArts participants will receive Ribbons for 1st, 2nd, and 3rd place. Awards are not mailed to winner. Whenever possible awards are presented at the conclusion of each event. Age Group: Your competing age is determined by your age as of December 31, 2015. Men and women compete in separate categories in the following five-year age groups: 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, etc. Equipment: Participants are required to provide their own equipment for cycling, golf, and SilverArts props. Participants may use their own equipment in all events if it meets the official standards. Check with your Event Manager prior to the scheduled date of event about the use of personal equipment. Rules: Official North Carolina Senior Games Rule Books are available. If you have any questions about your event, please check the rules prior to participation. Sanctioning: This program is sanctioned by North Carolina Senior Games Inc. NCSG is sponsored statewide by the N.C. Division of Aging and Adult Services. Health: To promote total health and physical fitness, events of longer duration and lower intensity are strongly recommended. High-intensity types of activities are offered primarily for the conditioned-trained athlete. It is recommended that you consult with your physician prior to beginning training and actual competition. How to Register: 1. Complete the registration packet. Please provide all requested Information. 2. Choose the events and activities in which you want to participate. 3. If you are a SilverArtist you must submit the SilverArts Registration Form with your packet. 4. Pay the registration fee (required) of $10.00 by Friday, March 27th . (Registration after March 27th is $12.00). Remember to include additional fees if required. Make Checks Payable to Monroe Parks and Recreation. 5. Mail your completed packet and required fees to: Ellen Fitzgerald Senior Center Attn: Senior Games 327 South Hayne Street Monroe, N.C. 28112 UNITED SENIOR GAMES EVENTS REGISTRATION Events are listed in order by the scheduled date. For more details about an event refer to the USG calendar. Please select the events you will participate in by marking the appropriate box with an “X”. Note: Some events require a fee in addition to the required Registration Fee. Monday, April 13 Dickerson Center □ Table Tennis* (Tournament Format) Monday, April 27 Irish Creek Golf Course (Additional Fee Required) □ Golf & Lunch ($48.00) Tuesday, April 14 Lowe’s Motor Speedway □ Cycling Tuesday, April 14 Ellen Fitzgerald Senior Center □ Bridge Tournament** Wednesday, April 15 (Rain Date: Thurs. April 16) Monroe High School Track and Field □ 100 M Dash □ 200 M Dash □ 400 M Dash □ 800 M Dash □ Shot Put □ Discus □ Running Long Jump □ Standing Long Jump Thursday, April 16 Ellen Fitzgerald Senior Center □ Canasta Tournament** Friday, April 17 (Rain Date: Thursday, April 24) Belk-Tonawanda Park □ Bocce* (Tournament Format) Monday, April 20 Ellen Fitzgerald Senior Center SilverArts Literary entries due Tuesday, April 21 (Rain Date: Wednesday, April 22) Dickerson Center □ Opening Ceremony / Fun Walk* □ Open Events* Football Throw Softball Throw Basketball Shooting Spin Casting * Lunch provided by Humana Wednesday, April 22 Ellen Fitzgerald Senior Center □ Pinochle Tournament** Thursday, April 23 Dickerson Center To Qualify for State Finals, golfers need to meet a minimum performance score and finish in the top 3 in their age group. Tuesday, April 28 – Wednesday, April 29 Skyway Lanes (Additional Fee Required) Bowling Choose only one doubles event 4/28 □ Doubles ($6.00) Tues. □ Mixed Doubles ($6.00) Tues. Doubles Partner Name _________________ 4/29 □ Singles ($6.00) Wed. Thursday, April 30 (WOMEN) (Rain Date: Wed. May 6) Parks Williams Athletic Complex □ Horseshoes* (Tournament Format) □ Shuffleboard* (Tournament Format) Monday, May 4 (Rain Date: Tues. May 5) Dickerson Center Pickleball* (Tournament Format) □ Singles □ Doubles □ Mixed Doubles Doubles Partner Name _________________ Tuesday, May 5 Ellen Fitzgerald Senior Center □ Spades Tournament** Wednesday, May 6 (MEN) (Rain Date: Thurs. May 7) Parks Williams Athletic Complex □ Horseshoes* (Tournament Format) □ Shuffleboard* (Tournament Format) Friday, May 8 Monroe Country Club □ Closing Ceremony (Ticket Required) Includes Covered Dish Dinner, Performing Arts, and Awards Ceremony. ($5 guest ticket available) □ Cornhole* (Tournament Format) Date and Time (TBA) Thursday, April 23 (1pm-5pm)/Friday April 24 (8am-12) Ellen Fitzgerald Center Senior □ Swimming □ SilverArts drop-off Sunday, April 26th Ellen Fitzgerald Senior Center □ SilverArts Showcase/ Open House REGISTRATION DEADLINE: Friday, March 27, 2015 * Tournament with assigned times ** Not Sanctioned by NCSG UNITED SENIOR GAMES SilverArts REGISTRATION All entries must meet NCSG SilverArts Guidelines and Specific Requirement to be eligible for local and state competition. SEE NCSG SilverArts REQUIREMENTS INCLUDED IN THIS PACKET. All entries must include your name and category and submitted by specific deadline. Please select the appropriate category for your entry by marking the appropriate box with an “X”. All blanks must be completed for each entry. Participants may enter a total three (3) pieces, with no more than one entry per subcategory line. Visual Arts Sub-Category Title □ Alcohol Ink*_______________________________ □ Acrylic___________________________________ □ Charcoal _________________________________ □ Collage*__________________________________ □ Drawing__________________________________ □ Mixed Media_______________________________ □ Oil ______________________________________ □ Pastels __________________________________ □ Photography ______________________________ □ Sculpture _________________________________ □ Watercolor________________________________ Heritage Arts Sub-Category Title, Design/Pattern/Medium □ Basket Weaving ____________________________ □ Ceramics*__________________________________ □ China Painting______________________________ □ Crocheting_________________________________ □ Rugs (hooked, braided, woven) _______________ □ Jewelry____________________________________ □ Knitting____________________________________ □ Needlework_________________________________ □ Pottery (thrown & hand built)___________________ □ Quilting (hand and machine) ___________________ □ Sewing*___________________________________ □ Stained Glass_______________________________ □ Tatting & Needlelace _________________________ □ Tole Painting________________________________ □ Wearable Art*_______________________________ □ Weaving ___________________________________ □ Wood Carving_______________________________ □ Woodturning________________________________ □ Wood Working ______________________________ *Not sanctioned by NCSG Performing Arts An artist may only participate in one Sub-Category Sub-Category Title/# in group/group leader □ Vocal _____________________________________ □ Dance____________________________________ □ Instrumental________________________________ □ Comedy/Drama_____________________________ □ Line Dancing_______________________________ All participants, including accompanists, must be officially registered with United Senior Games. Category Checklist available at registration desk Performing Arts Performances will be featured at the Closing Ceremony at the Monroe Country Club Ballroom on Friday evening, May 8. SilverArts Open House Showcase Visual Arts, Heritage Arts, and Literary Arts entries will be on display at the Ellen Fitzgerald Senior Center on Sunday, April 26, 2:00-4:00PM. Literary Arts (Must be submitted no later than April 1.) Sub-Category Title □ Poem_____________________________________ □ Short Story (fiction) __________________________ □ Essays ___________________________________ □ Life Experiences (autobiographical)________________________ No late work will be accepted. Please Read Carefully Before Signing I understand that my entry must meet all North Carolina Senior Games Requirements that have been provided in the registration package to be eligible for competition. I also understand that my entry must be submitted with my name and category, and title prior to the listed deadlines to be considered during the judging process. My Visual, Heritage, and/or Literary entries were completed after April 2013 . _________________________________________________________ ______________________________ Participant Signature Date READ THIS INFORMATION CAREFULLY BEFORE SIGNING LIABILITY RELEASE FORM MONROE PARKS AND RECREATION UNITED SENIOR GAMES All participants in the United Senior Games understand that these activities may subject participants to rigorous physical exertion. All participants should also understand that these activities might, from time to time, involve a degree of risk of accident or physical injury while participating in portions of the group’s activities. I the undersigned further understand that the City of Monroe does not accept or assume any responsibility or liability for accident, personal injury, or property damage resulting from participation in the United Senior Games. All participants should understand that the City of Monroe does not provide accident insurance for participants in the United Senior Games, on this prior knowledge; the undersigned understands that it is the responsibility of the participant to possess adequate personal insurance. I have the right to inspect the facilities or equipment and will notify the instructor or supervisor of the Parks and Recreation Department of any objection to the supervision, instruction, facilities, or equipment used in the connection therewith. Based on this prior knowledge, the undersigned hereby states that, to the best of his/her knowledge and belief he or she is in sufficient physical condition to accept a rigorous level of physical activity. On this basis, the undersigned hereby releases and agrees to save harmless the City of Monroe, Monroe Parks and Recreation Department, any members of its staff and volunteers from any liability occasioned by the failure of the undersigned to possess physical conditioning efficient to withstand rigorous physical activity. The undersigned further releases and agrees to save harmless the City of Monroe, Monroe Parks and Recreation Department, any members of its staff and volunteers from any liability or responsibility for accidents, person injury, or property damage as a result of participation in, or the use of equipment belonging to City of Monroe and Monroe Parks and Recreation Department. I agree to give United Senior Games the right to use any photographs or video taken of me, or quote made by me in order to promote the United Senior Games program. “I understand that it is my responsibility to check with my local Senior Games Coordinator immediately following my local Senior Games to determine if I qualified for State Finals and to get a State Finals Entry Packet. My State Finals Entry Form with payment and all required items must be received in the NCSG office in Raleigh by 5:00 p.m. on August 1st! I understand that this deadline is strictly enforced in fairness to all and it is my responsibility to make sure I am registered.” ________________________________________________ Participant Signature ________________________ Date ___________________________________________ Emergency Contact ______________________ Relationship ____________________________ Phone THIS FORM MUST BE SIGNED AND INCLUDED IN YOUR REGISTRATION PACKET. United Senior Games Official Registration Form Registration Deadline: 12:00 Noon - Friday, March 27, 2015 Late Registration Subject to Additional Fee Please Print Clearly Name _________________________________________________________________________________________________________________________ Last First Middle Initial Address NC______________________________ __________________________________________________________________________________ (Residence Address) City State Zip Code Home Telephone______________________________ Email address________________________________________ Age (As of December 31, 2015) _____ Date of Birth_______________ Gender: □ Male □ Female m/d/y _________________________________________________________________________________________________________________________ Please provide the following information to help NCSG. It will be kept confidential. Thank you! Ethnicity: □ Black or African American □ Asian □ Hispanic □ American Indian or Alaska Native □ White □ Native Hawaiian or other Pacific Islander □ Hispanic □ Unknown/Refused Income: Annual household income is less than $ 11,670.00 (1 person in household) □ yes □ no Annual household income is less than $ 15,730.00 (2 people in household) No Response □ □ yes □ no _________________________________________________________________________________________________________________________ Registration Fees All participants are required to pay a registration fee ($10.00). Some events require additional fees. Registration Fee will only be refunded if the participant cancels registration by March 27, 2015. All fees must be paid in full prior to your participation. Registration Fee (Required) $10.00------------$___________ Includes: Closing Ceremony Ticket and T-shirt (circle size: S M L XL XXL) Guest Ticket for Closing Ceremony $5.00--------------$___________ Additional Activities Fees: Bowling – Singles--------------------------------------------------------$6.00------------ $___________ Bowling – Doubles-------------------------------------------------------$6.00-each---- $____________ Bowling - Mixed Doubles------------------------------------------ ----$6.00-each---- $____________ Golf & Lunch--------------------------------------------------------------$48.00--------- $____________ Late Registration Fee $2.00-----------$____________ TOTAL (Enclosed Check or Money Order Only)----------------------------$_____________ Please make checks payable to Monroe Parks and Recreation Mail completed Registration Packet with Required Fees to: Ellen Fitzgerald Senior Center Attn: Senior Games 327 South Hayne Street Monroe, N. C. 28112 North Carolina Senior Games SilverArts Requirements ALL Entries must meet the specific category requirement set by NCSG to be eligible for competition through United Senior Games. Any entry that does not meet these requirements will not be judged for competition. All entries will be displayed if submitted. Heritage Arts Entries must be the work of the individual and not a group. Heritage Art entries must be an original work of the artist and must have been completed within 2 years of the Local Games’ qualifying date. Patterns may be used, but no stamped pieces will be accepted. Pottery must be hand built or thrown. Latch hook rugs and pieces for ceramic molds will not be accepted All framed work must be securely wired, ready to be hung (no serrated hooks or string). Twodimensional work not properly framed and wired will not be displayed Framed works can be no larger than 36” x 42”, including matting and frame. Entries can be no heavier than 50 pounds. All entries, except framed work, must be able to be displayed in an area 3’w x 3’l x 5’ height. Groupings (sets) shall have no more than 3 separate pieces per set. All objects within each piece of the set must be contained within or attached to one of the 3 pieces of the set. Artist’s name and title entry must appear on, or be attached to, entry for identification. Winning artist must send a photo of entry with State Finals Entry Form and SilverArts Information Form. Photos cannot be returned. Artists, or their representatives, are responsible to deliver and pick-up their entry at/during the designated times. The Heritage Arts piece entered at State Finals must be the same piece that won at the Local Games. An artist may only submit one (1) entry per subcategory at State Finals. Literary Arts : Deadline to submit entry - April 1. All entries must be typed, double-spaced, on 8 ½ x 11 paper and have a minimum of 1” margins. A minimum font size is 10-point type. The entry must have been completed within 2 years of the Local Games’ qualifying date. Poems can be no longer than 40 lines. Short stories, essays, and life experiences can be no longer than 8 pages. All entries must have a title page, which includes title of work, sub-category, and name of artist. Artist’s name should not appear on the content pages. A display-quality copy of the winning Literary Arts entries and three (3) additional photocopies should be submitted to NCSG by the artist with their official State Finals Entry Form and SilverArts Information Form. No framed or matted entries will be accepted. The original and all copies will be retained by NCSG, Inc. The literary arts piece entered at State Finals must be the same piece that won at the Local Games. Visual Arts All artwork, except sculpture, must be framed, securely wired, and ready to be hung (no serrated hooks or string). Artwork, except sculpture, not properly wired will not be displayed. Artwork, except sculpture, can be no larger than 36” x 42”, including matting and frame. Entries can be no heavier than 50 pounds. Sculpture groupings (sets) may have no more than 3 pieces per grouping (set). Mixed media may be a freestanding piece. Freestanding entries must be able to be displayed in an area 3’w x 3’ x 5’ height Artist, or their representatives, are responsible to deliver and pick-up their entry at/during the designated times. If on-site assembly is required, details must be specified on the Information Form for NCSG prior approval. The art piece must be an original work, not a print, and must have been completed within 2 years of the Local Games’ qualifying date Artist’s name and title of entry must appear on, or be attached to, entry for identification. Artist must send a photograph of entry with State Finals Entry Form and SilverArts Information Form. Photos cannot be returned. The visual arts piece entered at State Finals must be the same piece that won at the Local Games. An artist may only submit one (1) entry per subcategory at State Finals. Performing Arts* An artist may only participate in one sub-category. Performing entries are limited to three (3) minutes of onstage time. Exceeding the time limit will result in automatic disqualification. Timing begins with the first note of music or the first movement visible to the audience and ends with the exit of the last performer. Performing entries may be one of the following: (a) soloists, (b) small groups (2-4 performers), or (c) large groups (5 or more performers). Accompanist(s) will be counted to determine size of act. No one under age 50 as of Dec. 31, 2015, will be permitted on stage and an accompanist must be a registered participant. The group leader must be a registered participant. If recorded music is used, the artist/group leader must use a high-quality CD for their performance. No recorded instruction is permitted. The music/song should be the only music on the CD. Voice presentations must be a live performance by the artist. Background music can be recorded. Lipsynch is not permitted as a performing art. *Requirements have been abbreviated, request the entire State Final requirements from the United Senior Games coordinating agency, Ellen Fitzgerald Senior Center. 2015 United Senior Games Calendar Date Time Event Location__________________ Friday, March 13 10:00AM Bowling Registration & Morning Snacks Skyway Lanes Friday, March 27 12:00 noon Registration Deadline Ellen Fitzgerald Senior Center Monday, April 13 10:00AM Table Tennis Dickerson Gym Tuesday, April 14 10:00AM Cycling Lowes Motor Speedway Tuesday, April 14 12:30PM Bridge Tournament** Ellen Fitzgerald Senior Center Wednesday, April 15 (Rain Date: April 16) 10:00AM Track & Field Events Monroe High School Thursday, April 16 12:30AM Canasta Tournament** Ellen Fitzgerald Senior Center Friday, April 17 (Rain Date: April 24) 1:30PM Monday, April 20 8AM-5PM SilverArts Literary entries due Ellen Fitzgerald Senior Center Tuesday, April 21 (Rain Date: April 22) 9:30AM 10:00AM Opening Ceremony/ Fun Walk Open Events Dickerson Center Dickerson Center Wednesday, April 22 12:30AM Pinochle Tournament** Ellen Fitzgerald Senior Center Dickerson Gym Bocce (Tournament w/ Assigned Start Times) Belk-Tonawanda Park Thursday, April 23 10:00AM Cornhole (Tournament w/ Assigned Start Times) Thursday, April 23 Friday, April 24 1PM-5PM 8AM- 12PM SilverArts Heritage & Visual Arts entries drop-off Ellen Fitzgerald Senior Center SilverArts Heritage & Visual Arts entries drop-off Ellen Fitzgerald Senior Center Sunday, April 26 2:00-4:00PM SilverArts Showcase/Open House Ellen Fitzgerald Senior Center Monday, April 27 9:30AM Golf Irish Creek Tuesday, April 28 10:00AM Bowling Doubles/Mixed Doubles Skyway Lanes Wednesday, April 29 10:00AM Bowling Singles Skyway Lanes Thursday, April 30 10:00AM Horseshoes/Shuffleboard (WOMEN) (Tournaments w/ Assigned Start Times) Parks Williams Field Monday, May 4 (Rain Date: May 5) 10:00AM Pickleball Dickerson Center Tuesday, May 5 9:00AM Spades Tournament** Ellen Fitzgerald Senior Center Wednesday, May 6 (Rain Date: May 7) 10:00AM Horseshoes/Shuffleboard (MEN) (Tournaments w/ Assigned Start Times) Parks Williams Athletic Complex Friday, May 8 5:30PM Closing Ceremony (Ticket required) Covered Dish /Awards/ Performing Arts Monroe Country Club Ballroom TBA TBA Swimming MAFC ** Event not sanctioned by NCSG Dates and Times are subject to change due to inclement weather. For more detailed information about dates, times, and events contact: Ellen Fitzgerald Senior Center 704-282-4657
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