WELCOME FRIENDS! It s once again time for our annual Senior Olympics for the year 2019, Sponsored by the NWLA District Senior Olympic Group.

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1 WELCOME FRIENDS! It s once again time for our annual Senior Olympics for the year 2019, Sponsored by the NWLA District Senior Olympic Group. Your Committee members have restructured and condensed the attached entry form information to better serve you, our participants. Should you have any questions or concerns, you have names, dates and times listed on the following pages, along with the necessary information and rules for all events. Don t Forget to Mark your Calendar and Attend Our Annual Senior Health and Fitness Expo on Monday, April 8, 2019, Bossier Civic Center 9:00am to 1:00. Many new vendors and special offers are included in this years event. Don t Miss It! HELLO CONTESTANTS... Once again there are changes you need to be aware of. The Opening Ceremony and Senior Health Fair will again be held in the Bossier City Civic Center. Admission, as always, is FREE as well as ample free parking! There will be door prizes as well as a Grand Prize so be sure to come and celebrate with us! We will again have a Continental Breakfast (various pastries, juices, coffee and soft drinks) with the Celebration of Athletes. The fee for the Celebration of Athletes is still $5.00. Attention Bowlers: All bowling events will be held at All Star Lanes in Shreveport! PLEASE NOTE! Our basic entry fee is now $ We held the line at $15 for as long as we could, but rising costs and the loss of our storage unit has forced us to make this change. We will continue to do everything possible to keep our costs as low as possible. Remember, your Steering Committee members and Event Coordinators are all volunteers! We don t get paid anything for making these games possible for you! Be sure to check our web site ( ) the day before and morning of your event to learn if there have been any changes to your event. In the event of a weather cancellation, every reasonable effort will be made to notify you, however, we cannot be responsible if we cannot reach you! 1

2 Here s What NW La. District Senior Olympics Offers This Year March 15-May 28 Friday, March 15 Friday, March 29 Senior Residence Communities Competition BEAN BAG BASEBALL, 9 A.M. Bellaire Fitness Center, 4330 Panther Drive, Bossier City. WASHER PITCH, 9 A.M. Azalea Estates, 516 Flournoy Lucas Rd., Shreveport. Open Division Friday, March 22 & BEANBAG BASEBALL, 9 A.M., VFW Post #4588, 1004 Jeter St., Bossier City, NOTE: Teams that avoid Saturday, March 23 elimination continue play on Saturday, March 30, 9 a.m., Knights of Columbus, 5400 E. Texas, Bossier City Thursday, April 4 TABLE GAMES, 9 A.M. (Skipbo, Phase 10, Mexican Train Dominoes) Bossier Council on Aging, 706 Bearkat Dr., Bossier City (Choose and list your partner for Skipbo) Friday, April 5 DOMINOS, 9 A.M. NW La. War Veterans Home, Arthur Ray Teague Parkway, Bossier City. Monday, April 8 OPENING CEREMONY & SENIOR HEALTH & FITNESS EXPO, 9 A.M. Bossier City Civic Center, 620 Benton Road, Bossier City (Doors open for admission promptly at 9am) Wednesday, April 10 RECREATIONAL & 5K WALK, 9 A.M., Brownlee Park Pavilion #1 off Brownlee Road, Bossier City. Thursday, April 11 TABLE TENNIS, 5:30 P.M., Bossier Recreation Offices, 3223 Old Shed Road., Bossier City. Saturday, April 13 KORNHOLE, 10:30 A.M., Bossier Council on Aging, 706 Bearcat Dr., Bossier City. Thursday, April 18 MARKSMANSHIP, 1 P.M., 22 rifles and pistols, Shooters USA, 357 Magnum Drive, Bossier City. Saturday, April 20 DARTS/ACCURACY THROWS, 9 A.M. Knights of Columbus Bossier, 5400 E. Texas, Bossier City. Monday, April 22 GOLF, 9 A.M., Querbes Park, 3500 Beverly Place, Shreveport Sponsored by Lander s Dodge CHIP & PUTT, 1 P.M., Quebes Park, 3500 Beverly Place, Shreveport Sponsored by Lander s Dodge Tuesday, April 23 POOL, 8-BALL, 9 A.M., Bill Cockrell Community Center, 4109 Pines Rd., Shreveport. Wednesday, April 24 CHESS, NOON, Bossier Council on Aging, 706 Bearkat Drive, Bossier City. Saturday, April 27 TRACK AND FIELD, 8:30 A.M., Benton High School, LA Hwy.3, Benton, LA. Monday, April 29 WASHER PITCH, 9 A.M., Bellaire Fitness Center, 4330 Panther Drive, Bossier City. Wednesday, May 1 TENNIS, 9 A.M., Bossier Tennis Center, 4330 Benton Road, Bossier City ( flexible scheduling ) Thursday, May 2 BOCCE BALL, 9 A.M., Betty Virginia Park, 3800 Line Ave., Shreveport Note: Bring your own chair! Friday, May 3 HORSESHOES, RECREATIONAL, 8 A.M., Loyal Order of Moose Lodge #2239, 9113 Bert Kouns, Shreveport HORSESHOES, ADVANCED, 9 A.M., Loyal Order of Moose Lodge #2239, 9113 Bert Kouns, Shreveport Saturday, May 4 ARCHERY, 9 A.M., Red River Archery Range, 4099 Radcliff Rd., Shreveport Monday, May 6 SHUFFLEBOARD, 8 A.M., SINGLES. Bill Cockrell Community Center, 4109 Pines Rd., Shreveport Tuesday, May 7 SHUFFLEBOARD, 8 A.M., DOUBLES. Bill Cockrell Community Center, 4109 Pines Rd., Shreveport Wednesday, May 8 BOWLING, MIXED DOUBLES, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. Friday, May 10 BOWLING, DOUBLES, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. (Choose your own partner). Saturday, May 11 LADDERS GOLF, 8 A.M., Knights of Columbus Bossier, 5400 E. Texas, Bossier City. Tuesday, May 14 MINIATURE GOLF, 6 P.M., Party Central, 4401 Viking Drive, Bossier City. Wednesday, May 15 BOWLING, SINGLES, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. Friday, May 17 BOWLING, SCOTCH DOUBLES, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. (Choose your own partner. Teams are either one man and one woman or two women). Wednesday, May 22 BOWLING, 9 PIN NO TAP, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. Friday, May 24 BOWLING, TEAM, 1 P.M., All-Star Lanes, 9130 Mansfield Road, Shreveport. (Four players to a team, either two men and two women or four women. Make up your own teams) Tuesday, May 28 CELEBRATION 10 A.M., VFW Post #4588, 1004 Jeter St., Bossier City Rain Dates: Bocce Ball, May 9; Rec. & 5K Walk, April 17; Mini Golf, May 21; Horseshoes, May 16; Golf and Chip & Putt, April 25 Track & Field, May 18 NOTE: If you are unable to play in an event you signed for, please cntify Jackie Conner at at least a day prior to your event., or as soon as you are aware you cannot compete. COMPETITORS PLEASE NOTE: If you have questions specific to events, contact the following parties who act as coordinators of events: Accuracy Throws, Bocce Ball, Bowling, Darts, Shuffleboard, Washer Pitch, or Retirement Community Activities: Marilyn Hainey ( ) Archery: Emma Brown ( ) Beanbag Baseball: Duane Chilton ( or ) Chess: Bob Taylor ( ) Dominoes: Lowrane Johns ( Ext. 127) 8-Ball Pool, Lillian Trammel ( ) Golf, Chip & Putt and/or Miniature Golf: Marilyn Creswell ( ) Korn Hole and/or Ladders Golf: Gary Price ( ) Marksmanship and/or Table Games: Jackie Conner ( ) Opening Ceremony and/or Celebration: Ronny Comstock ( ) Recreational and/or 5-K Walk: Duane Chilton ( or ) Table Tennis: Velma Johnson ( ) Tennis: Todd Killen ( ) Horseshoes: Loyal Order Moose Lodge, Shreveport ( ) Track and Field: Frank Trammel ( or ) 2

3 Please return only this page completed on the front and back 2019 NW La. District Senior Olympics Entry Form Please read and sign Contestant Waiver on back of this page. Compute appropriate fees. Send your check for that amount with fully completed and signed form to NW La. District Senior Olympics, 915 E. First St., Bossier City, LA Make checks payable to NW La. District Senior Olympics. Entry deadline noon, Tuesday, March 5 for Senior Residence competitions and noon, Friday, March 15 for Open Division Beanbag Baseball. All others, PLEASE return your entry form and fees AS SOON AS POSSIBLE! Thank you and Good Luck! Preferred or First Name Last Name Gender: Male / Female Address City State ZIP Home Phone () Cell Phone () AGE AS OF DEC. 31, 2019 Date of Birth m /d /y_ T-Shirt Size (circle one): Small / Med / Large / XL / XX / XXX ($4.00 extra for XX or XXX - $5.00 extra for 4X or 5X). 4X / 5X Check space of activity you will participate in and circle or check specific categories. Name Partner or Team where it applies. All applicable spaces must be filled in. Where or how did you obtain this form? Archery Saturday, May 4 Recurve (with sights) Bare bow Recurve (no sights) Compound Fingers (with sights) Compound Release Bare bow Release Beanbag Baseball First Round, Friday, March 22, Second Round, Saturday, March 23, Finals, Saturday, March 30 Team Name Captain Bocce Ball Thursday, May 2 Note: Bring your own lawn or folding chair! Bowling (add $10.00 facility fee for each category) Mixed with Age Wed, May 8 Doubles with Age Fri, May10 Singles Wed., May 15 *Scotch Doubles w/ Age Fri., May 17 9-Pin No Tap Wed., May 22 *Team Bowling, Team Name Fri., May 24 *Note: Must name your own teammates or partner. See Schedule or Participant information for details. Chess Wednesday, April 24 Chip & Putt Monday, April 22 Kornhole (circle one or both) Saturday, April 13 Singles Doubles Partner Darts / Accuracy Throws Saturday, April 20 Dominos Friday, April 5 Golf (added $35 cart/greens fee applies) Monday, April 22 (List average score to be used to form foursomes ) Horseshoes (Select one division only) Friday, May 3 Advanced Recreational Ladders Golf Saturday, May 11 Marksmanship (circle event or events) Thursday, April 18 Provide your own weapon.22 pistol.22 rifle Miniature Golf (add $5.00 facility fee) Tuesday, May 14 Pool, 8-Ball Tuesday, April 23 Recreational one mile and 5-K Walk Wednesday, April 10 (Circle one or both) One mile 5-K Shuffleboard (Singles) Monday, May 6 Shuffleboard (Doubles) Tuesday, May 7 List Partner _ Table Games (circle event or events) Thursday, April 4 SKIPBO Phase 10 Mexican Train SKIPBO Partner Table Tennis (circle event or events) Thursday, April 11 Singles Doubles Partner_ Mixed Doubles Partner Tennis (circle event or events) Wednesday, May 1 Gender Doubles (partner s name) Mixed Doubles (partner s name Singles (if entry warrants) Throws for Accuracy Saturday, April 20 (Scoring will be football and Frisbee combined) Track and Field (circle event or events) Saturday, April meters 100 m 200 m 400 m 800 m 1500 m Discus Javelin Shot Put Washer Pitch Monday, April 30 Celebration of Athletes Tuesday, May 28 SENIOR RESIDENCE COMPETITION Beanbag Baseball Friday, March 15 Team name Captain s Name Washer Pitch Friday, March 29 Please be sure all the above information is legible! 3

4 PARTICIPANT RELEASE OF LIABILITY AND MODEL RELEASE In consideration of being allowed to participate in any way in the State Olympic Games athletic/sports program and related events and activities such as the Northwest Louisiana District Senior Olympics, the undersigned acknowledges, appreciates and agrees that: The risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment and personal discipline may reduce this risk, the risk of serious injury to me does exist; and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and I willingly agree to comply with the stated and customary terms and conditions of participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately; and I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE THE Louisiana Senior Olympic Games Inc., its officers, officials, sponsors, advertisers, and if applicable, owners or leasers of premises used to conduct the events ( Releases ), WITH RESPECT TO ANY INJURY, DISABILITY, DEATH, OR LOSS OF PARTICIPATION IN THESE PROGRAMS, whether ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY indemnify and hold harmless all of the above Releases from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent by law. I, the undersigned participant, grant to the Northwest Louisiana District Senior Olympics and its sanctioning organization, Louisiana Senior Olympic Games, Inc., the right to use any pictures taken of me during the district competition without my remuneration and in any medium the photographer/ staff sees fit for art, advertising, exhibition, editorial or any purpose whatsoever. Entry Fee Recap General Entry Fee $20.00 I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION Golf Usage Fee ($35.00) OF RISK AGREEMENT AND I UNDERSTAND FULLY IT S TERMS. Miniature Golf Fee ($5.00 I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL Mixed Doubles Bowling ($10.00) RIGHTS BY SIGNING AND I SIGN FREELY AND WITHOUT Doubles Bowling ($10.00) ANY INDUCEMENT. I ALSO AGREE TO THE STATED MODEL Singles Bowling ($10.00) RELEASE. Scotch Doubles Bowling ($10.00) Nine Pin No Tap Bowling ($10.00) PRINTED NAME Team Bowling ($10.00) XX or XXX T-shirt add ($4.00) SIGNATURE 4X or 5X T-shirt add ($5.00) Celebration Tickets ($5.00 participants) ($ guest ONLY) AGE DATE I want to make a voluntary donation to the NOTE: THIS FORM MUST BE SIGNED AND NW LA District Senior Olympics RETURNED WITHPARTICIPANT APPLICATION FORM AND FEES BEFORETHE NW LA. DISTRICT SENIOR OLYMPICS WILL ALLOW AN INDIVIDUAL TO TAKE PART IN ANY EVENTS. Grand Total 4

5 NEED TO KNOW Direct questions to Coordinator Ronny Comstock, or Jackie Conner Jackie may be TO YOUR GOOD HEALTH: Louisiana Senior Olympic Games Inc., the sanctioning agency of our competition, str ongly ur ges that all participants consult their physicians regarding their practice for and participation in this program. ELIGIBILITY: This is an OPEN competition. Out-of-district and out-of-state entries are welcomed and encouraged. Anyone who will be 50 years of age as of December 31, 2018 is eligible. District competitors are those from Caddo, Bossier, Bienville, Claiborne, Webster, Desoto and Red River parishes. '' PLEASE READ REGISTRATION INFORMATION CAREFULLY! " REGISTRATION: Use entr y blank in this publication or download entr y for m fr om our website ( and return with all fees and the signed release of liability BY THE ENTRY DEADLINE OF 12 pm (noon), TUESDAY, March 12, for Senior Residence Division and 12 pm (noon) FRIDAY, March 15 for Open Division! QUALIFYING EVENTS: Athletes must qualify for state competition in Bowling Singles (top thr ee scr atch scor es or age qualifying scores), Advanced Horseshoes (top 3 places), and Table Tennis (top 3 places). Top two finishers in age groups in Discus, Shot Put, Javelin and Shuffle board qualify for state competition. Bowlers may qualify by reaching determined scoring levels. Golfers may qualify by finish ing or by meeting minimum scores (men or less, or less, 80-plus must complete round in four hours. Women or less, or less, 80-plus must complete round in four hours). TEAM SPORTS: Bean Bag Baseball teams must have a minimum of 9 player s (maximum 15). Team Bowling r equir es four individ uals, two males and two females or four females. Scotch Doubles bowling makeup is two females or a male and a female. 5

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