2016 Winter Games Registration Book

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1 2016 Winter Games Registration Book 2016 MSO Board of Directors Porferia Mellado, Chair Oakland County Circuit Court Ann Conklin, Vice Chair Michigan Recreation & Parks Association Sharon Hunt, Secretary Retired, Waterford Parks & Rec Eric Engelbarts II, Treasurer Meijer State Games of Michigan Steve Langlois Oakland County Parks & Recreation Tim Soave Older Persons Commission Honorary Chair, Ted Lindsay Detroit Red Wings Alumni REGISTRATION DEADLINE: JANUARY 15, 2016 (248) or (248) Website: FIND US ON FACEBOOK: Michigan Senior Olympics MSO Needs You! Michigan Senior Olympics includes a dedicated group of volunteers. They range from games organizers, photographers, membership recruiters, sports coordinators, fund-raisers, office assistants and more. MSO could not survive without the generosity of all the people who volunteer throughout the year. MSO is also looking for scorekeepers, timers, registration table staff, etc., for the Winter Games to be held February 9-15, If you are interested in volunteering please call or volunteer@michiganseniorolympics.org. 1

2 NATIONAL SENIOR GAMES Congratulations to the athletes who competed in the 2015 National Senior Games in Minnesota. We had 366 athletes represent the state of Michigan. The 2016 Summer Games will be the qualifier for the 2017 National Senior Games in Birmingham, AL. The 2016 Winter Games are NOT considered a qualifier for the 2017 National Senior Games. NEW EVENTS COMING TO THE WINTER GAMES We have added Cross Country Skiing and Snowshoeing back to the Winter Games schedule. They will take place at Independence Oaks on Friday, February 12, Cross Country Skiing will involve a 5K and 10K and Snowshoeing will consist of 100yd and 200yd race. Rentals will be made available for purchase (if needed). We will also have snacks and refreshments available for participants and spectators. Oakland County Parks is also hosting a Learn to Cross Country Ski School in January. I recommend trying it out if you are looking for something fun to do this Winter. Please check out the flyer on page 12. MSO HALL OF FAME The Michigan Senior Olympics is accepting nominations for the MSO Hall of Fame. We will be selecting 3 athletes in Please visit the MSO website for requirements and application form at Inductees will be awarded at the Celebration of Athletes Dinner during the Summer Games. Applications are due: June 1st! 2

3 WOMEN S ICE HOCKEY TOURNAMENT The 3rd Annual Women s Ice Hockey Tournament is scheduled for April 15-17, 2016 at the Ann Arbor Ice Cube. Please spread the word to help grow this fantastic event!!! DETROIT PISTONS FUNDRAISER (Flyer on page 10) Come join us for Michigan Senior Olympic Night at the Palace of Auburn Hills on Friday, April 1st to watch the Detroit Pistons vs. Dallas Mavericks at 7:30pm. Tickets are $15 Upper Level or $30 Lower Level. A portion of each ticket sold will come back to benefit the MSO. Each guest will have the once-in-a-lifetime chance to take a shot on The Palace court at the end of the game!!! Feel free to bring your grandchildren and family for this great event. *Each person will also be given a FREE giveaway items (TBD) RED WINGS FUNDRAISER (Flyer on page 11) MSO has partnered with the Detroit Red Wings to provide discounted tickets to our supporters!!! Two price levels $40 each (reg. $65) or $25 each (reg. $55). This is a great deal! MSO Night will be Tuesday, February 23rd at 7:30pm vs. Columbus Blue Jackets. $5 from each ticket sold will be donated back to the Michigan Senior Olympics. *Nicklas Lidstrom Hall of Fame Night VOLUNTEERS NEEDED MSO is in need of volunteers to help with both the 2016 Winter and Summer Games. If you are interested please visit the MSO website at to view the volunteer schedule. All volunteers will receive a free t-shirt!!! 3

4 Michigan Senior Olympics 2016 Winter Games MEDAL EVENTS EVENTS RIBBON EVENTS (ONLY $15) BADMINTON Must provide own racquet. Proper court shoes required. You must register with your own doubles partner. No substitutions allowed. Tournament will take place at the OPC, 650 Letica Dr., Rochester, MI PICKLEBALL Singles, Doubles, Mixed Doubles. Must provide own paddle. Balls will be provided. You must register with your own partner. No substitutions allowed. Tournament will take place at the OPC. RACQUETBALL Singles, Doubles, mixed Doubles. Must provide own racquet. Proper court shoes required. You must register with your own doubles partner. No substitutions allowed. TABLE TENNIS Singles, Doubles and Mixed Doubles. Players must bring their own paddles. Balls will be provided. No substitutions allowed. You must register with a partner for doubles/mixed doubles. Tournament will take place at Hart Middle School. MEN S & WOMEN S ICE HOCKEY The following age divisions will apply: 50+; 60+; and 70+. There is an age allowance for a younger goalie The goalie s age will not be factored into the team s age division calculation. This tournament will be conducted in accordance with USA Hockey rules, except as modified herein. Please go to for a complete set of rules. BOCCE BALL Teams are comprised of two players. You must register with your team. Teams can be mixed. Soft-soled shoes are required for bocce play. Palazzo di Bocce will supply lunch at a discounted rate for participants. POWERLIFTING Bench Press and Deadlift competition is open to men and women and will compete separately. Warm-up and weigh in will be prior to your event. Event will take place at the Rochester Athletic Club. BILLIARDS Men & women will compete separately with the traditional tournament. Standardized 8 Ball rules will apply. This will take place at the Older Persons Commission. CROSS COUTRY SKIING***NEW Athletes may compete in all events. All age divisions will compete simultaneously. All races will be held on groomed trails. Rental equipment is available. Events will consist of a 5K and 10K in the Classic Categories. This event will take place at Independence Oaks County Park. SNOWSHOEING***NEW All age divisions will compete simultaneously. All races will be held on groomed trails. This event will consist of a 100yd and 200yd race. This event will take place at Independence Oaks County Park. 4

5 2016 Michigan Senior Olympics Winter Games Registration Form All persons 50 years of age by December 31st, 2016 are eligible to participate (EVENTS AND SCHEDULE ON REVERSE SIDE OF FORM) Name Age Birthdate Last First Middle Initial As of 12/31/2016 Address Gender: Male Female City State Zip County Phone: Home ( ) Address Phone: Other ( ) Shirt Size: S M L XL XXL XXXL ARE YOU NEW TO MSO? YES or NO If yes, how did you find out about MSO: MEMBERSHIP: MSO is a non-profit organization that organizes sports competitions, instructional clinics and health & wellness programs for persons 50 plus. Why a membership fee? Your membership fee supports MSO s services and mission. Members receive the MSO Newsletter, membership pin and membership card. The membership fee of $25.00 is an annual fee which covers the calendar year. You Must Be A Member To Participate. REGISTRATION: These forms must be filled in completely and the liability waiver must be signed. Registration Deadline: January 15, 2016 How to register: Either mail this form to MSO, 650 Letica Dr., Rochester, MI or call (248) or (248) (Visa and MasterCard Accepted) 2016 MSO MEMBERSHIP FEE: (You Must Be A 2016 Member To Participate)... $25.00 = $ REGISTRATION FEE... $38.00 = $ RIBBON EVENT FEE: If only doing ribbon events... $15.00 = $ HOCKEY TEAM FEE:... $ = $ Medical Waiver Fee (Optional): Without the waiver you are not eligible for a refund... $ 8.00 = $ FUNDRAISERS & DISCOUNTS Discounted Detroit Pistons Tickets (See flyer on page 10)... # of Persons x $15 or $30 = $ Discounted Detroit Red Wings Tickets (See flyer on page 11)...# of Persons x $25 or $40 = $ DONATION (We are a 501(c) 3 non-profit tax-exempt organization) $ GRAND TOTAL $ Please mail forms and check to MSO, 650 Letica Dr, Rochester MI Please Note: There will be a $25.00 charge for returned checks. OFFICE USE ONLY: Date Membership Card Waiver $ Amount CK# Cash C. Card Excel Verified By 5

6 PLEASE CHECK WHAT EVENTS YOU WILL PARTICIPATE IN... MEDAL EVENTS Badminton (Feb 10-11, 9:00am) (OPC) Doubles Partner s Name (2/10) Mixed Doubles (2/10) Partner s Name Singles (2/11) Pickleball (Feb 12-15, 8:00 am) (OPC ) Mixed Doubles (2/13) Partner s Name Doubles Partner s Name (MD & WD /12, MD & WD /14) Singles (2/15) ICE HOCKEY Men s Hockey (Feb 9-11, 9:00 am) (Troy Sports Center) Team Name Women s Hockey (April 15-17) (Ann Arbor Cube) Team Name RIBBON EVENTS Billiards (Feb 12, 1:00 pm) (OPC) Singles Racquetball (Feb 13, 9:00 am) (Warren Racquet & Fitness Club) Singles Doubles Partner s Name Mixed Doubles Partner s Name Table Tennis (Feb 13, 9:00 am) (Hart Middle School) Singles Doubles Partner s Name Mixed Doubles Partner s Name Bocce Ball (Feb 10, 10:00 am) (Palazzo di Bocce) Partner s Name Cross Country Skiing (2/12, 9AM & 10:30AM) (Independence Oaks) Classical: 5K 10K Snowshoeing (2/12, 1PM) (Independence Oaks) 100yd 200yd Powerlifting (Feb 15, 10:00 am) (RAC) Bench Press Deadlift Michigan Senior Olympics - Amateur Athletic Waiver and Release of Liability Please Read Before Signing Print Name Birth date In consideration of being allowed to participate in any way in the Michigan Senior Olympic, Inc. athletic sports program, related events and activities, the undersigned acknowledges, appreciates, and agrees that: - The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, - I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation; and, - I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Michigan Senior Olympics, Inc., their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event ( releases ), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise. - I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. - I also understand that any and all photographs, videos, and audio taken may be used for MSO publicity, promotion, and publications. X Date Signed (Participant s Signature) 6

7 Eligibility: Men and women at least 50 years of age as of December 31, All participants must be a member of Michigan Senior Olympics. Michigan Senior Olympics is open to out of state residents. Registration: Registrations must be received in the MSO office by January 15, Awards: Awards will be presented at the event venues immediately following the competitions. Medals will be awarded to all 1st, 2nd and 3rd place finishers for individual events and ribbons will be awarded for ribbon events. You must collect your medal(s) and/or ribbon(s) at the conclusion of the event as they will not be mailed out. Check-in and Credentials: Your registration packet and your MSO credentials will be available at the MSO Headquarters in the OPC building at: 650 Letica Dr., Rochester, Michigan Wed.-Fri., Feb. 10th-12th from 8am-4pm and Sat.-Mon., Feb. 13th-15th 8am-Noon. You must produce a valid picture identification to receive your credentials and you may not register for any other athlete. Medical Cancellation Waiver: You may purchase an optional Medical Cancellation Waiver for $ % of the Registration Fee is refundable if you cancel due to a medical condition as long as you can provide documentation from your doctor. The cost of the waiver and the MSO membership are non -refundable. If you did not purchase the medical waiver and cancel after January 15th it will result in a $25 cancellation fee. Schedules: The competition schedules will be based on the number of participants. Updated schedules will be available at each venue and on the MSO website. Hockey schedules will be sent to team captains one week prior to the event. Lodging Information Extended Stay America February 9-15, University Dr., Auburn Hills, MI Call: (Ask for Melissa or Christine) MSO Preferred Rate: (Single Room - $71.24) (Doubles Room - $80.74) Royal Park Hotel (4 Star Hotel) February 20th & 21st - ONLY 600 E University Dr, Rochester MI MSO Preferred Rate: $140 7

8 Michigan Senior Olympics Hockey Team Roster Team Name: Men Women Team Captain: Phone # Street: City: State: Zip: County: Team Manager Phone # Street: City: State: Zip: Maximum Players - 20 All players MUST fill out an individual registration form. Player s Name Birthdate Phone Please mail to MSO, 650 Letica Dr., Rochester, MI

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13 MSO SUMMER GAMES (SAVE THE DATE) August 12-21, 2016 Registration Deadline: July 22, 2016!!!! Archery, Badminton, Basketball, Billiards, Bocce Ball, Bowling, Cycling, Dancesport, Disc Golf, Golf, Horseshoes, 5K, 10K, Pickleball, Powerlifting, Racewalk, Racquetball, Shuffleboard, Softball, Swimming, Table Tennis, Tennis, Track & Field, Triathlon, Volleyball Michigan Senior Olympics Phone: or

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