2018 Registration Bklt - thevillagesseniorgames.com · 2018 Local games sanctioned by the Florida...

16
2018 Local games sanctioned by the Florida Sports Foundation and a qualifier for the Florida Senior Games. Registration open! www.eVillagesSeniorGames.com Hosted by April 23-29

Transcript of 2018 Registration Bklt - thevillagesseniorgames.com · 2018 Local games sanctioned by the Florida...

2018

Local games sanctioned by the Florida Sports Foundation and a

qualifier for the Florida Senior Games.

Registration open!

www.TheVillagesSeniorGames.com

Hosted by

April 23-29

Purpose – To provide and preserve the lifestyle of The Villages® – Florida’s Friendliest Hometown®.

Vision – The Recreation Team of staff and resident volunteers will be the leader in changing the concept of recreation activities in the retirement community.

Mission – To create and implement excellent recreational opportunities that promote an active and healthy lifestyle.

Questions? For more information, email: [email protected] or call 352-753-1716.

WelcomeAthletes!

WHAT’S INSIDE?Sports Expos/Packet Pickup . . . . 3 Athlete’s Hours

Schedule of Events . . . . . . . . . . 4-5

Event Codes . . . . . . . . . . . . . . . . . 6

Local Qualifying Information . . . 7

How to Register . . . . . . . . . . . . . . 8

Individual Entry Form . . . . . . 9-10

Team Entry Form . . . . . . . . . 11-12

Event Location Map . . . . . . . . . 13

2018 Sponsors . . . . . . . . . . . 14-16

2018 SENIOR GAMES REGISTRATION OPEN!2

Good luck Athletes, and thank you to all Event Directors and Volunteers for your dedication to this year’s games.

2018

Our dedicated team of professionals and volunteers is here to provide you with an exciting opportunity to compete

in our local qualifying games.

April 23-29

CELEBRATING 18 YEARS of SPORTS & COMMUNITY

© 2018 Villages Center Community Development District. All Rights Reserved.

Thinking about competing in this year’s Senior Games? We invite you to learn more about this year’s Senior Games events, and the many resident volunteer opportunities!

During your stay, take some time to discover what The Villages Lifestyle is all about. The Villages Florida Senior Games are open

All registered athletes and guests are invited. Each days’ Athlete Hour will feature lunch, music & beverages. Tickets will be given to you at Packet Pickup in your packet. If you would like additional tickets, you MUST request them on your registration form.

Recreation representatives will answer questions, help you fill out your entry forms and get you registered.

to all athletes 50 years of age and older. Photo identification may be requested to determine eligibility.

Tickets are FREE for athletes only, one for each day they compete. There is also a check box for any additional guest that the athlete wishes to bring. The cost for your guest is $10.00 and is to be paid in advance when registering.

Welcome to Florida’s Friendliest Hometown®!

Calling all residents of The Villages® no matter your skill level. Saturday, February 24 | 9a.m.-3p.m.Sunday, February 25 | 10a.m.-3p.m.

Rohan Regional Recreation Center

Tuesday, April 24 | 4-7p.m. Lake Sumter Landing Market Square®

Wednesday, April 25 through Saturday, April 2811a.m.-2p.m.

SENIOR GAMES SPORTS EXPO

GATHERING OF ATHLETES & PACKET PICKUP

ATHLETE’S HOURS

PROUDLY HOSTED BY:

2018

3

SATURDAY, FEBRUARY 24 and SUNDAY, FEBRUARY 25 Sports Expo Sat. 9-3p.m. Rohan Regional Recreation Center Sun. 10-3p.m. Rohan Regional Recreation Center

TUESDAY, APRIL 24Gathering of Athletes 4-7p.m. Lake Sumter Landing Market Square® and Packet Pickup

MONDAY, APRIL 23Clay Shooting 8a.m. Off-Site/Robinson Ranch Trap & 5 StandTennis - MXD 8a.m. Paradise/Tierra Del Sol/Hacienda Hill CC

TUESDAY, APRIL 24 Tennis - MXD 8a.m. Paradise/Tierra Del Sol/Hacienda Hill CCGolf 12p.m. Hacienda Hills CC

WEDNESDAY, APRIL 25 Pickleball - Doubles 7:30a.m. The Villages® Pickleball CourtsBag Toss - Singles 8a.m. Laurel ManorBilliards - M/W Singles 8a.m. The Villages® Billiard HallsBocce - MXD 60-64, 70-74 8a.m. Laurel Manor/SeaBreezeLawn Bowling - Doubles 8a.m. Rio Grande Lawn Bowling Court Platform Tennis - Doubles 8/9/11a.m. SeaBreezeSand Volleyball* 8a.m./1p.m. SeaBreezeSwimming - Events #1-16** 8a.m. Laurel Manor Sports PoolShuffleboard - M Singles 8a.m. Laurel Manor/SeaBreezeTable Tennis - M/W Singles 8a.m. Laurel Manor/SeaBreezeTennis - M/W Doubles 8a.m. Paradise/Tierra Del Sol/Hacienda Hill CC

THURSDAY, APRIL 26 Pickleball - Doubles 7:30a.m. The Villages® Pickleball Courts Air Gun 8a.m. Soaring Eagle Air Gun RangeBilliards - Doubles 8a.m. The Villages® Billiards HallsBocce - MXD 8a.m. Laurel Manor/SeaBreeze/RohanKickball - Mixed Teams 8a.m. Saddlebrook Softball FieldsPlatform Tennis - MXD 8a.m. SeaBreezeShuffleboard - W Singles 8a.m. SeaBreeze/RohanSwimming - Events #17-36** 8a.m. Laurel Manor Sports Pool

Schedule of Events

* We reserve the right to modify to co-ed if participation numbers do not support two separate divisions. ** See separate order of events list on website.4

THURSDAY, APRIL 26 (continued) Table Tennis - Dbls/MXD 8a.m./12:30p.m. SeaBreeze/RohanTennis - M/W Doubles 8a.m. Paradise/Tierra Del Sol/Hacienda Hill CCQuoits 8a.m. SaddlebrookWater Volleyball - Int. 8a.m. SeaBreeze Sports Pool

FRIDAY, APRIL 27 Pickleball - MXD 7:30a.m. The Villages® Pickleball CourtsAir Gun 8a.m. Soaring Eagle Air Gun RangeBadminton 8/9/10a.m./12p.m. Oxford Church GymShuffleboard - MXD 8/11a.m. Laurel Manor/SeaBreeze/RohanTennis - M/W Singles 8a.m. Tierra Del Sol/ParadiseClay Shooting - 8a.m. Off-Site/Robinson Ranch Skeet & Crazy Quail Water Volleyball 8/11:30a.m. SeaBreeze Sports Pool Basic/Adv. Int./Adv.Billiards - Mixed 9a.m. The Villages® Billiards HallsBasketball Shooting Events 5p.m. VCS High School Gym

SATURDAY, APRIL 28 Pickleball MXD 7:30a.m. The Villages® Pickleball CourtsArchery 8a.m. Paradise Archery RangeBasketball - M/W 3v3 8a.m./1:30p.m. VCS High School GymBocce Golf 8a.m. Paradise Bocce CourtsFencing 8a.m. La HaciendaHorseshoes 8a.m. ParadisePetanque - MXD 8a.m. ParadiseRacquetball 8a.m. Too Your Health SpaTrack & Field (Track Events) 8a.m. VCS High School TrackTennis - M/W Singles 8a.m. Paradise/Tierra Del SolBilliards 9 Ball - MS/WS/MXD 9a.m./2p.m. The Villages® Billiards Halls Bowling - Singles/MXD 9a.m./12p.m. Fiesta Bowl

SUNDAY, APRIL 29 Pickleball - Singles 7:30a.m. The Villages® Pickleball CourtsRacquetball 8a.m. Too Your Health SpaTrack & Field (Field Events) 8a.m. VCS High School TrackVolleyball - M/W 8a.m VCS Middle School High School/4th and 5th Grade CenterBowling - M/W Dbls 9a.m. Fiesta Bowl

REGISTRATION DEADLINE Completed Registration Forms (see pages 9-12), including fees

must be received by 4p.m., Wednesday, April 11

5

2018

SH04MS Men’s 5 StandSH04WS Women’s 5 StandFENCINGFN01 V50 Combined FoilFN02 V60 Combined FoilFN03 V70 Combined FoilFN04 V80 Combined FoilFN05 V50 Combined EpeeFN06 V60 Combined EpeeFN07 V70 Combined EpeeFN08 V80 Combined EpeeFN09 V50 Combined SabreFN010 V60 Combined SabreFN011 V70 Combined SabreFN012 V80 Combined SabreGOLFGF00MS Men’s GolfGF00WS Women’s GolfHORSESHOESHS00MS Men’s SinglesHS00WS Women’s SinglesKICKBALLKB00XT Mixed TeamsLAWN BOWLSLB00XD Open PairsPETANQUEPQ00XD Mixed (3) Person TeamPLATFORM TENNISPT00MD Men’s DoublesPT00WD Women’s DoublesPT00XD Mixed Doubles PICKLEBALLPB00MS Men’s SinglesPB00WS Women’s SinglesPB00MD Men’s DoublesPB00WD Women’s DoublesPB00XD Mixed DoublesQUOITSQT00MS Singles – AllRACQUETBALLRQ00MS Men’s SinglesRQ00WS Women’s SinglesRQ00MD Men’s DoublesRQ00WD Women’s DoublesSAND VOLLEYBALLSV00MT Men’s TeamSV00WT Women’s TeamSHUFFLEBOARDSF00MS Men’s SinglesSF00WS Women’s SinglesSF00XD Doubles*SWIMMINGSW01MS Men’s 200yd FreestyleSW01WS Women’s 200yd FreestyleSW02MS Men’s 50yd BackstrokeSW02WS Women’s 50yd BackstrokeSW03MS Men’s 100yd BreaststrokeSW03WS Women’s 100yd BreaststrokeSW04MS Men’s 100yd ButterflySW04WS Women’s 100yd ButterflySW05MS Men’s 100yd Individual MedleySW05WS Women’s 100yd Individual MedleySW06MS Men’s 50yd BreaststrokeSW06WS Women’s 50yd BreaststrokeSW07MS Men’s 500yd Freestyle

SW07WS Women’s 500yd FreestyleSW08MS Men’s 200yd BreaststokeSW08WS Women’s 200yd BreaststokeSW09MS Men’s 50yd FreestyleSW09WS Women’s 50yd FreestyleSW10MS Men’s 100yd BackstrokeSW10WS Women’s 100yd BackstrokeSW11MS Men’s 50yd ButterflySW11WS Women’s 50yd ButterflySW12MS Men’s 200yd Individual MedleySW12WS Women’s 200yd Individual MedleySW13MS Men’s 100yd FreestyleSW13WS Women’s 100yd FreestyleSW14MS Men’s 200yd BackstrokeSW14WS Women’s 200yd BackstrokeSW15MS Men’s 25yd Freestyle**SW15WS Women’s 25yd Freestyle**SW16MS Men’s 25yd Backstroke**SW16WS Women’s 25yd Backstroke**SW17MS Men’s 200yd ButterflySW17WS Women’s 200yd ButterflySW18MS Men’s 400yd Individual MedleySW18WS Women’s 400yd Individual MedleyTABLE TENNISTT00MS Men’s SinglesTT00WS Women’s SinglesTT00MD Men’s DoublesTT00WD Women’s DoublesTT00XD Mixed DoublesTENNISTN00MS Men’s SinglesTN00WS Women’s SinglesTN00MD Men’s DoublesTN00WD Women’s DoublesTN00XD Mixed DoublesTRACK & FIELDF101MS Men’s DiscusF101WS Women’s DiscusF102MS Men’s High JumpF102WS Women’s High JumpF103MS Men’s JavelinF103WS Women’s JavelinF104MS Men’s Long JumpF104WS Women’s Long JumpF105MS Men’s Shot PutF105WS Women’s Shot PutF106MS Men’s Triple JumpF106WS Women’s Triple JumpTR00MS Men’s 50mTR00WS Women’s 50mTR01MS Men’s 100mTR01WS Women’s 100mTR02MS Men’s 200mTR02WS Women’s 200mTR03MS Men’s 400mTR03WS Women’s 400mTR04MS Men’s 1500mTR04WS Women’s 1500mTR05MS Men’s 800mTR05WS Women’s 800mTR06MS Men’s 1500m Race WalkTR06WS Women’s 1500m Race WalkVOLLEYBALLVB00MT Men’s TeamVB00WT Women’s TeamWATER VOLLEYBALLWV00XT Mixed Teams

*Partners may be same or mixed gender. **Not a qualifying event.

EVENT CODESAIR GUNAG01MS Men’s 10m Rifle Off-HandAG01WS Women’s 10m Rifle Off-HandAG02MS Men’s 10m Pistol Off-HandAG02WS Women’s 10m Pistol Off-HandAG03MS Men’s 10m Benchrest RifleAG03WS Women’s 10m Benchrest RifleAG04MS Men’s 10m Benchrest PistolAG04WS Women’s 10m Benchrest PistolARCHERYAR01MS Men’s Compound FingerAR01WS Women’s Compound FingerAR02MS Men’s Compound ReleaseAR02WS Women’s Compound ReleaseAR03MS Men’s RecurveAR03WS Women’s RecurveAR04MS Men’s Barebow CompoundAR04WS Women’s Barebow CompoundAR05MS Men’s Barebow RecurveAR05WS Women’s Barebow RecurveBADMINTONBM00MS Men’s Badminton SinglesBM00WS Women’s Badminton SinglesBM00MD Men’s Badminton DoublesBM00WD Women’s Badminton DoublesBM00XD Mixed Badminton DoublesBAG TOSS (CORN HOLE)BT00XD SinglesBASKETBALL 3-on-3B300MT Men’s 3-on-3 Half CourtB300WT Women’s 3-on-3 Half CourtBASKETBALL SHOOTINGBK01MS Men’s Free ThrowBK01WS Women’s Free ThrowBK02MS Men’s Spot Field GoalBK02WS Women’s Spot Field GoalBK03MS Men’s Timed Field Goal BK03WS Women’s Timed Field GoalBILLIARDSBL00MS Men’s SinglesBL00WS Women’s SinglesBL00MD Men’s DoublesBL00WD Women’s DoublesBL00XD Mixed DoublesBL01MS 9 Ball: Men’s SinglesBL01WS 9 Ball: Women’s SinglesBL01XD 9 Ball: Mixed DoublesBOCCEBC00XD (2) Person Teams*BOCCE GOLFBC01XD (2) Person Teams*BOWLINGBW00MS Men’s SinglesBW00WS Women’s SinglesBW00MD Men’s DoublesBW00WD Women’s DoublesBW00XD Mixed DoublesCLAY SHOOTINGSH01MS Men’s TrapSH01WS Women’s TrapSH02MS Men’s SkeetSH02WS Women’s Skeet SH03MS Men’s Crazy QuailSH03WS Women’s Crazy Quail

6

PLEASE USE THESE CODES WHEN FILLING OUT REGISTRATION FORMS

Age Divisions:50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, 90-94, 95-99, 100+

About The EventsThe local qualifying events will be held at The Villages, starting April 23, 2018. The top five (5) athletes in their age divisions will be invited to compete in the Florida Senior Games being held in the Clearwater, Florida area.

Open & Exhibition Events ”OPEN” events are ones in which the athlete is not required to participate in a sanctioned Florida Senior Games Series Qualifier: Archery, Badminton, Bag Toss, Basketball 3v3, Billiards, Fencing, Lawn Bowls, Race Walk, Racquetball, Road Race, and Volleyball are considered “OPEN” events. “EXHIBITION” events are events offered at the local level; they are not qualifying events in the Florida Senior Games 2018.

Sport RegistrationYou may enter as many sports, or events within a sport as you desire, as long as they are not held at conflicting times, with these exceptions: Swimming – up to six (6) events; Archery – one (1) event; Tennis – two (2) events. Check the schedule of events carefully for the date, times and sites of the sports you wish to enter. It is the responsibility of the athlete to make sure there are no schedule conflicts.

General RulesAll sports/events shall be governed by the rules of the National Governing Body for that sport as modified herein, in the best interest of the participants. It is the responsibility of the participants to familiarize themselves with the rules and requirements of the Florida Senior Games. Competition must take place to determine qualifiers. If there is only one individual entered in an age group, that athlete must enter and complete the event in order to be given the gold medal,and to qualify for the Florida Senior Game. Athletes should be placed in the age division nearest their own in order to compete. Competition for the athletes in the “closest age division” shall be considered exhibition. If there is only one team entered in an age division, that team should be given exhibition opportunities with the closest age division. No team shall be qualified without participating in a qualifying game. The NSGA shall determine if an athlete has met the qualifying criteria for “limited” sports events.

FormatsFormats are subject to change due to participation numbers. You will be notified in the event the format changes for your sport.

Athlete Registration PacketAll registered athletes will receive an athlete registration packet which will include a personalized schedule and commemorative T-shirt. Further bracket and flight information will be available on the day of the event at the event site.

Packet Pickup For EventsLake Sumter Landing™

Tuesday, April 24 4-7p.m.

Insurance/MedicalInsurance is the responsibility of each participant. Be sure to have proof of insurance.

AwardsGold, silver, and bronze medals will be awarded to the first, second and third place finishers in each age division, per event. Runner-up ribbons will be given to the fourth and fifth place. 1st through 5th place qualifiers will advance to the Florida Senior Games in the Clearwater, Florida area. All qualified athletes will receive State registration information by mail by October, 2018.

Inclement WeatherThe Villages Recreation Team is not responsible for changes to the event program, postponements or cancellations due to inclement weather or other circumstances beyond our control. In the event of inclement weather, every effort will be made to complete all games and events scheduled. However, the District Recreation Team reserves the right to change the schedule or format of the competition, postpone events or even cancel events due to inclement weather. NO REFUNDS will be given as a result of these circumstances.

LOCAL QUALIFYING INFORMATION

7

2018

www.DistrictGov.org

HOW TO REGISTER

Only cOmplete fOrms will be prOcessed. there will be nO refunds.

PLEASE READ BEFORE YOU PROCEED

8

Individual EntriesTo enter an individual sport (non-team sport), please complete the individual Entry Form provided in this booklet. For “doubles” categories, each partner MUST fill out an Individual Entry Form separately.1. Complete your personal information at the top of the Individual Entry Form. Your age group is based on your age as of December 31, 2018. BOTH PARTNERS MUST BE REGISTERED. Please have your partner listed at the time of registration, including name and date of birth. For doubles, the age group is determined by the age of the youngest partner as of December 31, 2018.2. Write the event code(s) and title(s) for the event(s) you wish to enter in the space provided. Each event entered counts separately when calculating fees. Please make sure to check the schedule in this brochure to avoid any conflicts. There will be NO REFUNDS for scheduling conflicts.3. Calculate your fees from A, B and C. (A) is the cost for the number of events you entered, (B) is any additional fees you would incur for specific sports, and (C) is the Athlete’s Hour. The Athlete’s Hour is free each day the athlete participates, but there is an added fee of $10.00 for each guest requested.

You MUST pre-register on your entry form for the Athlete’s Hour.4. Don’t forget to fill out your emergency contact information and sign the release.5. Packets for all athletes will be available for pickup on Tuesday, April 24, 2018 from 4-7:00p.m. at the PACKET PICK-UP SITE: Lake Sumter Landing Market Square. Athletes outside The Villages will be mailed an individual Event Schedule, but will need to pick up their packet once arriving in The Villages at the PACKET PICK-UP SITE or at the first competition site on event schedule.

Team EntriesTo enter a team sport (volleyball or basketball), the team manager or coach must complete the Team Entry Form provided in this booklet, and each team member must sign the Activity Release. Each team member does not need to fill out an Individual Entry Form or pay individual fee, unless they wish to enter an individual sport.1. Complete the general information section at the top of the Team Entry Form with contact information for the manager or captain.2. Remember to mark the sport for which the team is registering on the top line of the roster.3. Please print legibly and list the full name, mailing address, date of birth, and T-shirt size for all members on the team, including all managers. The age division is determined by the age of the youngest player as of December 31, 2018.

4. Don’t forget to request your Athlete’s Hour ticket(s). All registered athletes attend free on days they compete. Guests may attend for an additional $10.00 each and must be requested on the entry form and included with team fees.

5. Please complete the Activity Release. All team members must sign and date the release.

Check Your EntryMake sure all Personal Information is completed.Entering a PARTNERS event? Each partner MUST fill out a separate Entry Form indicating Event(s) entered and your partner’s name and birth date.List your Emergency Contact Person.Sign the Activity Release located on the back of each Entry Form.

Senior Games Headquarters La Hacienda1200 Avenida Central The VillagesMonday-Friday: 8:30am-4:00pmPhone: (352) 753-1716

How To Pay For Your EventsIN PERSON OR MAIL by April 11 by 4p.m.(Completed form and payment required)La Hacienda Regional Recreation Center1200 Avenida CentralThe Villages, Florida 32159or FAX: (352) 753-2305**Please include credit card information and/or your check made payable to: VCDD.

2018

q Male q Female Date of ______________________________ Age on _______________________________ Birth 12/31/18______________________________ ______________________________ ________________________________Last Name First Name Phone Number _______________________________________________________________________________________________Street Address

T-shirt Size (circle one)_____________________________________ ____________ ____________ City State Zip Women’s S M L XL XXL_______________________________________________________________Email Address Men’s S M L XL XXL ____________________________________ __________________________ Emergency Contact Name Phone Number Villages resident? q Yes q No Is this the first time participating Number of Athlete’s HourWhich neighborhood do you reside in? in our games? q Yes q No tickets needed?_______________________________ (including Athlete)

Cash _____ MasterCard _____ Visa _____ Check _____ For Credit Card, please write card number and expiration information: ______ ______ ______ ______Exp. _____ /_____ SCV _____ Signature for CC ____________________________

Return completed form with payment to: SENIOR GAMES HEADQUARTERSLa Hacienda Regional Recreation Center, 1200 Avenida Central, The Villages, Florida 32159

ONLY COMPLETE FORMS WILL BE PROCESSED. THERE WILL BE NO REFUNDS.

INDIVIDUAL ENTRY FORMRegistration includes: T-shirt, Athlete’s Hour Ticket(s) and Registration Packet. Athletes receive one (1) complimentary ticket to the Athlete’s Hour for each day they compete. Guests may attend. Each additional ticket is $10.00. Please use BLUE or BLACK ink.

A. entry fees b. AdditiOnAl c. Athlete’s hOur GrAnd tOtAl event fees (eAch dAy Athlete cOmpetes) Of All fees

Each entry in the event # column counts as one event. One Event $16 Two Events $19 Three Events $22 Four Events $25 Five Events $28 Six+ Events $30

These fees are per eventper event.

Bowling Single $14 Bowling Doubles $14 Golf $25 Racquetball $14 Trap or Skeet $12 Crazy Quail or $12 5 Stand

Athlete Attending? q Yes q No

____ # days athlete competes

Athlete’s Hour Guest(s)______ x $10 per evening

# of Events _________ A $ _________ + Additional Event Fees B $ _________ + Athlete’s Hour Tickets C $ _________ GRAND TOTAL = $ _________ Grand total + A + B + C

+ + =

Event Code Event Title Partner Last Name Partner First Name Partner DOB

1. ___________________________________________________________________________________________

2. ___________________________________________________________________________________________

3. ___________________________________________________________________________________________

4. ___________________________________________________________________________________________

5. ___________________________________________________________________________________________

6. ___________________________________________________________________________________________

7. ___________________________________________________________________________________________

8. ___________________________________________________________________________________________

9. ___________________________________________________________________________________________

10. ___________________________________________________________________________________________

11. ___________________________________________________________________________________________

12. ___________________________________________________________________________________________Make checks payable to VCDD. There will be a $30.00 charge for all returned

checks. All credit card numbers are disposed of after registration is complete.

REGISTER AT LA HACIENDA BY APRIL 11 BY 4P.M.

9

2018

In consideration of being permitted to participate in recreational activities or events as may be sponsored, promoted, held, or conducted by Releasees (as defined below), and in consideration of being allowed to use any facilities of the Village Center Community Development District, the Sumter Landing Community Development District, the Brownwood Community Development District or Village Community Development District Nos. 1-11 in conjunction with participation in any volunteer Resident Lifestyle Group (RLG) Activity (as defined below), for myself and for my executors, administrators, personal representatives, assigns, heirs, and next of kin, I HEREBY:1. RELEASE, WAIVE, FOREVER DISCHARGE, HOLD HARMLESS, AND COVENANT NOT TO SUE The Villages of Lake Sumter, Inc., The Villages Holding Company, The Villages Operating Company, The Village Center Community Development District, Sumter Landing Community Development District, Village Community Development District Nos. 1-11, The Villages Recreation Department, The Villages Golf Department, Golf Management Solutions, LLC, State of Florida Sports Foundation, and any sponsor, advertiser, and promoter of any recreational activities, or events of such entities (collectively, District Activity or Activities), and any owner or lessee of the premises where the District Activity, or volunteer RLG meetings, events, or other volunteer RLG activities (collectively, volunteer RLG Activity or Activities) are held or conducted, and each of them, and their officers, directors, members, executives, agents, employees, affiliates, representatives, successors and assigns (collectively, Releasees), each an indemnified party, of all liability to me or my executors, administrators, personal representatives, assigns, heirs, and next of kin, for any and all loss or damage, and all claims or demands therefore, on account of injury to my person or property or resulting in my death, arising out of or in any way connected with my participation or involvement in or presence at any District Activity or volunteer RLG Activity, suffered before, during or after any District Activity or volunteer RLG Activity, whether caused by the negligence, action or inaction of the Releasees, or other individual or entity. This release applies for all future entrances to the premises or Releasees, and applies each and every time a person is on the premises of Releasees. I agree this Release shall remain in force and effective until specifically revoked by signer in writing.2. INDEMNIFY AND HOLD HARMLESS Releasees from and against any loss, liability, damage or cost that I or any of my guests may occur due to participation or involvement in or presence at any District Activity or volunteer RLG Activity, whether caused by neg-ligence, action or inaction of Releasees, or other individual or entity.3. ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or in any way connected with my participation or involvement in or presence at any District Activity or volunteer RLG Activity, suffered before, during or after activity, whether caused by the negligence, action or inaction of the Releasees or otherwise. I understand my participation or involvement in or presence at any District Activity or RLG Activity carries the risk of injury or death or property damage, and I accept and assume that risk fully, freely and voluntarily.4. AGREE the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as is permitted by Florida law,

ACTIVITY RELEASEand that if any portion is held invalid for any reason, the balance should continue in full legal force and effect.5. AGREE the Release is intended to apply to my or my guest’s participation or involvement in or presence at any District Activity or volunteer RLG Activity. Releasees have made no representations or inducements apart from the foregoing.6. IRREVOCABLY GRANT to Releasees the absolute right and permission to use any pictures, photographs, movies, videos, recordings, or motion pictures taken of me or my property by Releasees (collectively, the Images) and to further use any statements, quotes, recordings or testimonials made by me (collectively, the Testimonials); to publish, display or reproduce the Images or Testimonials in any medium and for any commercial purpose whatsoever, including but not limited to, promotion, advertising, display, sale or trade, without restriction or limitation; to use my name in connection with the use of any Images or Testimonials at the Releasees’ sole discretion; all without compensation, royalty or remuneration of any kind. I waive any rights to inspect or approve the Images or the Testimonials, their use, or any printed or audio matter that may be used in connection therewith, without restriction or limitation, whatsoever. I hereby release and forever discharge Releasees from any and all claims and demands arising out of or in connection with the use of the Images or the Testimonials, including, but not limited to, any claims for slander, libel or invasion of privacy or right of publicity, as well as any claims due to any technical failures or distortions in the Images or Testimonials that may occur in taking the original Images or Testimonials, or in the subsequent processing thereof. I waive any right, title or interest in or to the Images or Testimonials and acknowledge that Releasees are the sole and absolute owners thereof and of any printed material, electronic media, negatives, film, video tape or audio tape containing such Images or Testimonials.7. AGREE to abide at all times to the following Code of Conduct at any District Activity or volunteer RLG Activity: “The use of obscenity or vulgarity in any conversations involving participants will not be tolerated. It is everyone’s responsibility to maintain a safe, pleasant and comfortable atmosphere. Every individual who participates has the right to be treated with respect. No one should be disparaged or criticized in front of participants, teammates, guests, or spectators. Please bring your complaints or concerns to a recreation department representative. The representative may investigate and address any concerns. I agree my participation or involvement in or presence at any District Activity or volunteer RLG Activity is a privilege rather than a right, and Releasees reserve the right within their sole discretion to revoke my or my guest’s activity privileges for violations of the Code of Conduct.”I HAVE READ THE FOREGOING AGREEMENT AND THE CODE OF CONDUCT IN ITS ENTIRETY, AND I HEREBY FREELY AND VOLUNTARILY SIGN THIS AGREEMENT, INTENDING TO BE BOUND THEREBY. I AGREE THAT THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT SHALL REMAIN IN EFFECT AS TO EACH INDEMNIFIED PARTY UNTIL RELEASED IN WRITING BY EACH INDEMNIFIED PARTY.

__________________________________________ __________________________________________ _________________Participant/Releasor Signature Participant/Releasor (Please Print) Date

__________________________________________ _________________________________ __________ ______________Street Address City State Zip

__________________________________________ Village ID Number

10

I am currently an employee of (circle all that apply):The Villages of Lake-Sumter, Inc. The Village Center CDDThe Village Holding Company The Village Operating CompanyGolf Management Solutions, LLC

Age Division: q 50+ q 55+ q 60+ q 65+ q 70+ q 75+ Age of youngest player on team ____ (As of 12/31/18)Men’s Division: q Women’s Division: q Manager’s T-shirt size: (Circle one) Women’s S M L XL XXLTeam Fees (Please circle category)

Manager attending Athlete’s Hour: q Yes q NoBasketball Men’s B300MT $60Basketball Women’s B300WT $60Kickball/Coed KB00XT $70Volleyball Men’s VB00MT $70Volleyball Women’s VB00WT $70Sand Volleyball Men’s SV00MT $60Sand Volleyball Women’s SV00WT $60 Water Volleyball WV00XT $70Athlete’s Hour Guest(s) ____ x $10 each

= TOTAL FEES $ ____________

TEAM ROSTER Basketball 3-on-3 (Maximum 10 players) Kickball (Maximum 15 players)Sand Volleyball (Maximum 6 players) Volleyball (Maximum 15 players) Water Volleyball (Maximum 10 players) Athlete’s Hour T-Shirt Attending? # of Size W or M*

Player Name (Print) Address/City/State/Zip DOB Player Signature/Date Yes/No Guests S-XXL

1. ___________________________________________________________________________________________

2. ___________________________________________________________________________________________

3. ___________________________________________________________________________________________

4. ___________________________________________________________________________________________

5. ___________________________________________________________________________________________

6. ___________________________________________________________________________________________

7. ___________________________________________________________________________________________

8. ___________________________________________________________________________________________

9. ___________________________________________________________________________________________

10. ___________________________________________________________________________________________

11. ___________________________________________________________________________________________

12. ___________________________________________________________________________________________

13. ___________________________________________________________________________________________

ONLY COMPLETE FORMS WILL BE PROCESSED. THERE WILL BE NO REFUNDS.

TEAM ENTRY FORM REGISTER AT LA HACIENDA BY APRIL 11 BY 4P.M.

Cash _____ MasterCard _____ Visa _____ Check _____ For Credit Card, please write card number and expiration information: ______ ______ ______ ______Exp. _____ /_____ SCV _____ Signature for CC ____________________________

Return completed form with payment to: SENIOR GAMES HEADQUARTERSLa Hacienda Regional Recreation Center, 1200 Avenida Central, The Villages, Florida 32159

(NOTE: Look on PAGE 12 for continued Volleyball Team Roster Form and Activity Release.)

Men’s S M L XL XXL

*Please specify Women’s or Men’s Size S, M, L, XL, XXL

Make checks payable to VCDD. There will be a $30.00 charge for all returned checks. All credit card numbers are disposed of after registration is complete.

____________________________ ______________________________Team Name Coachs/Managers’ Name (First, Last)

____________________________________________________________Street Address

_____________________________________ __________ ___________City State Zip

(__________) _______________________________________________Phone Number

____________________________________________________________Email

11

Registration includes: T-shirt, Athlete’s Hour Ticket(s) and Registration Packet. Athletes receive one (1) complimentary ticket to the Athlete’s Hour for each day they compete. Guests may attend. Each additional ticket is $10.00. Please use BLUE or BLACK ink.

2018

TEAM AGREEMENT AND ACTIVITY RELEASE

Athlete’s Hour T-Shirt Attending? # of Size W or M*

Player Name (Print) Address/City/State/Zip DOB Player Signature/Date Yes/No Guests S-XXL

14. ___________________________________________________________________________________________

15. ___________________________________________________________________________________________ *Please specify Women’s or Men’s

Size S, M, L, XL, XXL

In consideration of being permitted to participate in recreational activities or events as may be sponsored, promoted, held, or conducted by Releasees (as defined below), and in consideration of being allowed to use any facil-ities of the Village Center Community Development District, the Sumter Landing Community Development District, the Brownwood Community Development District or Village Community Development District Nos. 1-11 in conjunction with participation in any volunteer Resident Lifestyle Group (RLG) Activity (as defined below), for myself and for my execu-tors, administrators, personal representatives, assigns, heirs, and next of kin, I HEREBY:1. RELEASE, WAIVE, FOREVER DISCHARGE, HOLD HARMLESS, AND COVENANT NOT TO SUE The Villages of Lake Sumter, Inc., The Villages Holding Company, The Villages Operating Company, The Village Center Community Development District, Sumter Landing Community Development District, Village Community Development District Nos. 1-11, The Villages Recreation Department, The Villages Golf Department, Golf Management Solutions, LLC, State of Florida Sports Foundation, and any sponsor, advertiser, and promoter of any recreational activities, or events of such entities (collectively, District Activity or Activities), and any owner or lessee of the premises where the District Activity, or volunteer RLG meet-ings, events, or other volunteer RLG activities (collectively, volunteer RLG Activity or Activities) are held or conducted, and each of them, and their officers, directors, members, executives, agents, employees, affiliates, repre-sentatives, successors and assigns (collectively, Releasees), each an indem-nified party, of all liability to me or my executors, administrators, personal representatives, assigns, heirs, and next of kin, for any and all loss or dam-age, and all claims or demands therefore, on account of injury to my person or property or resulting in my death, arising out of or in any way connected with my participation or involvement in or presence at any District Activity or volunteer RLG Activity, suffered before, during or after any District Ac-tivity or volunteer RLG Activity, whether caused by the negligence, action or inaction of the Releasees, or other individual or entity. This release applies for all future entrances to the premises or Releasees, and applies each and every time a person is on the premises of Releasees. I agree this Release shall remain in force and effective until specifically revoked by signer in writing.2. INDEMNIFY AND HOLD HARMLESS Releasees from and against any loss, liability, damage or cost that I or any of my guests may occur due to participation or involvement in or presence at any District Activity or volunteer RLG Activity, whether caused by negligence, action or inaction of Releasees, or other individual or entity.3. ASSUME FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or in any way connected with my participation or involvement in or presence at any District Activity or volunteer RLG Activity, suffered before, during or after activity, whether caused by the negligence, action or inaction of the Releasees or otherwise. I understand my participation or involvement in or presence at any District Activity or RLG Activity carries the risk of injury or death or property damage, and I accept and assume that risk fully, freely and voluntarily.4. AGREE the foregoing release, waiver and indemnity agreement is intend-

ed to be as broad and inclusive as is permitted by Florida law, and that if any portion is held invalid for any reason, the balance should continue in full legal force and effect.5. AGREE the Release is intended to apply to my or my guest’s participation or involvement in or presence at any District Activity or volunteer RLG Activity. Releasees have made no representations or inducements apart from the foregoing.6. IRREVOCABLY GRANT to Releasees the absolute right and permis-sion to use any pictures, photographs, movies, videos, recordings, or motion pictures taken of me or my property by Releasees (collectively, the Images) and to further use any statements, quotes, recordings or testimonials made by me (collectively, the Testimonials); to publish, display or reproduce the Images or Testimonials in any medium and for any commercial purpose whatsoever, including but not limited to, promotion, advertising, display, sale or trade, without restriction or limitation; to use my name in connec-tion with the use of any Images or Testimonials at the Releasees’ sole dis-cretion; all without compensation, royalty or remuneration of any kind. I waive any rights to inspect or approve the Images or the Testimonials, their use, or any printed or audio matter that may be used in connection therewith, without restriction or limitation, whatsoever. I hereby release and forever discharge Releasees from any and all claims and demands arising out of or in connection with the use of the Images or the Testimonials, includ-ing, but not limited to, any claims for slander, libel or invasion of privacy or right of publicity, as well as any claims due to any technical failures or dis-tortions in the Images or Testimonials that may occur in taking the original Images or Testimonials, or in the subsequent processing thereof. I waive any right, title or interest in or to the Images or Testimonials and acknowledge that Releasees are the sole and absolute owners thereof and of any printed material, electronic media, negatives, film, video tape or audio tape contain-ing such Images or Testimonials.7. AGREE to abide at all times to the following Code of Conduct at any District Activity or volunteer RLG Activity: “The use of obscenity or vul-garity in any conversations involving participants will not be tolerated. It is everyone’s responsibility to maintain a safe, pleasant and comfortable atmo-sphere. Every individual who participates has the right to be treated with respect. No one should be disparaged or criticized in front of participants, teammates, guests, or spectators. Please bring your complaints or concerns to a recreation department representative. The representative may investi-gate and address any concerns. I agree my participation or involvement in or presence at any District Activity or volunteer RLG Activity is a privilege rather than a right, and Releasees reserve the right within their sole discre-tion to revoke my or my guest’s activity privileges for violations of the Code of Conduct.”I HAVE READ THE FOREGOING AGREEMENT AND THE CODE OF CONDUCT IN ITS ENTIRETY, AND I HEREBY FREELY AND VOLUNTARILY SIGN THIS AGREEMENT, INTENDING TO BE BOUND THEREBY. I AGREE THAT THIS INDEMNIFICATION AND HOLD HARMLESS AGREEMENT SHALL REMAIN IN EFFECT AS TO EACH INDEMNIFIED PARTY UNTIL RELEASED IN WRITING BY EACH INDEMNIFIED PARTY.

12

__________________________________________ __________________________________________ _________________Participant/Releasor Signature Participant/Releasor (Please Print) Date

__________________________________________ _________________________________ __________ ______________Street Address City State Zip

__________________________________________ Village ID Number

I am currently an employee of (circle all that apply):The Villages of Lake-Sumter, Inc. The Village Center CDDThe Village Holding Company The Village Operating CompanyGolf Management Solutions, LLC

EVENT LOCATIONS

pArAdise reGiOn

lAurel mAnOr reGiOn

13

2018

HOSTED BY

Please review your schedule to avoid event time(s) and date(s) confl icts.

Single Event Venue Multiple Event Venue

Great opportunity to see multiple sports and activities in one location. Cheer on your friends and neighbors as they go for the Gold!

Belleview5051 SE 110th StreetBelleview, Florida 34420352-674-1730

Brownwood2910 Brownwood, Boulevard The Villages, Florida 32163352-674-1790

Colony280 Farmer PlaceThe Villages, Florida 32163352-674-1710

Creekside Care Center1050 Old Camp Road Building 100 The Villages, Florida 32162352-674-1760

Patient-Centered Healthcare a Golf Car Ride Away

Mulberry Grove Care Center8877 SE 165th Mulberry Lane The Villages, Florida 32162352-674-1750

Pinellas Care Center2485 Pinellas Place The Villages, Florida 32162352-674-1270

Santa Barbara Care Center1575 Santa Barbara Boulevard The Villages, Florida 32162 352-674-1740

Specialty Care Center1400 US Highway 441 North Suite 810 The Villages, Florida 32159352-674-8700

For more information, call

352-674-1700 Or choose a center located near your home and call that location.

Take a care center tour to see how easy they make health care for you.

Call a service representative today to schedule your tour!

14

PROUD SPONSOR OF

Brownwood® Colony Plaza Lake Sumter Landing™ Lake Deaton Mulberry Grove Pinellas Plaza Southern Trace Spanish Plaines

Spanish Springs™ Fruitland Park Leesburg

352-753-9515www.MyCitizensFirst.com

NMLS#469329

Stop by one of our convenient locations and discoverHometown Banking At Its Best!

15

2018

352-753-2270 | www.TheVillages.com

#thevillages

LifestyleShare LifestyleThe Lifestyleyou love!

©2016 Holding Company of The Villages, Florida, Inc. All Rights Reserved. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google Inc.

Introducing SM

Save & access your favoriteEvents • Homes • Locations

Sign In Today!

FREEDownload for

SM

TheVillages.com &Now available on

352-753-2270 | www.TheVillages.com

#thevillages

LifestyleShare Theyou love!

©2016 Holding Company of The Villages, Florida, Inc. All Rights Reserved. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. Google Play and the Google Play logo are trademarks of Google Inc.

Introducing SM

Save & access your favoriteEvents • Homes • Locations

Sign In Today!

FREEDownload for

TheVillages.com &Now available on

REC256: 1117: 5.5K