REGISTRATION BOOK. FEBRUARY 7-12, 2018 (Dancesport - 2/18)

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1 REGISTRATION BOOK FEBRUARY 7-12, 2018 (Dancesport - 2/18)

2 REGISTRATION DEADLINE: JANUARY 19, 2018 Office: (248) ) Website: FIND US ON FACEBOOK: Michigan Senior Olympics VOLUNTEERS NEEDED! 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 7-12, If you are interested in volunteering please call or

3 FREE EVENT - PLATFORM TENNIS The Michigan Senior Olympics would like to invite all of our athletes and their friends/families to come out and learn a new sport, Platform Tennis. Platform Tennis is a racquet sport that four players can enjoy outdoors in the cold weather because the floor is heated. This is a fun, easy to learn, family sport! Come on out to Waterford Oaks County Park on Wednesday, February 7th from 1pm-2:30pm to learn more. To sign-up please call If you are unable to make this date there are two more free clinics being hosted by Oakland County Parks on Nov. 9th from 7-9pm and Jan. 14th from 1:30-3:30. We hope to see you out there! CROSS COUNTRY SKIING at Huron Meadows - 8K& 12K The Michigan Senior Olympics has partnered with the Krazy Klassic Cross Country Ski Race presented by Epic Racing on Sunday, January 14th at Huron Meadows Metropark in Brighton. The event features an 8K and 12K race. Please sign-up through MSO Participants will receive Michigan Senior Olympic medals and have your times recorded for MSO. GUARANTEED SNOW!!! MSO HALL OF FAME The Michigan Senior Olympics is accepting nominations for the MSO Hall of Fame. We will be selecting three 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! NEW EVENT COMING TO SUMMER GAMES - POWERWALK We are excited to announce the addition of Powerwalk to the 2018 Summer Games Schedule. This event will include both a 1500M and 5K Race! Stay tuned for more information.

4 Michigan Senior Olympics 2018 Winter Games EVENTS TIER I EVENTS TIER II EVENTS 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. Online registration is available at 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. TEAM SPORTS MEN 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. VOLLEYBALL (Co-Ed) 6 vs 6 3 men and 3 women on court. Event will take place at Oakland Elite Volleyball. 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 CrossFit Deviate in Rochester, MI. 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. BASKETBALL SKILLS COMPETITION Includes a free throw contest and 3pt contest. Athletes will shoot 2 rounds of 20 shots each for Free Throw and 2 rounds of 15 shots each for the 3pt contest. OTHER EVENTS CROSS COUNTRY SKIING (Krazy Klassic 8K & 12K) Please register for this event through This event will receive MSO Medals and have times recorded in MSO results book (no t-shirts, unless purchased separately) PLATFORM TENNIS Racquet sport that four players can enjoy outdoors in the cold weather. Come learn more at this FREE CLINIC! (MSO t-shirts not included, unless purchased separately) 2018 MSO Board of Directors Porferia Mellado, Chair Oakland County Circuit Court Ann Conklin, Vice Chair Michigan Recreation & Parks Assoc. Sharon Hunt, Secretary Retired, Waterford Parks & Rec Eric Engelbarts II, Treasurer Meijer State Games of Michigan Steve Langlois Oakland County Parks & Recreation

5 2018 Michigan Senior Olympics Winter Games Registration Form All persons 50 years of age by December 31st, 2018 are eligible to participate (EVENTS AND SCHEDULE ON REVERSE SIDE OF FORM) Name Age Birthdate Last First Middle Initial As of 12/31/2018 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 Deadline: January 19, 2018 How to register: Either mail this form to MSO, 650 Letica Dr., Rochester, MI or call (248) or (248) (Visa and MasterCard Accepted) 2018 MSO MEMBERSHIP FEE:...$25.00 = $ TIER I REGISTRATION FEE (Includes unlimited Tier I & II events)... $38.00 = $ TIER II REGISTRATION FEE: (If only doing Tier II events).. $15.00 = $ MEDICAL WAIVER FEE (Optional): $ 8.00 = $ MEN S HOCKEY TEAM FEE (Must pay individual MSO Membership). $ = $ VOLLEYBALL TEAM (Membership included - Exhibition Event). $ = $ ADDITIONAL T-SHIRT:..... Size $ 5.00 = $ DONATION (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 Waiver $ Amount CK# Cash C. Card Excel Verified By

6 TIER I EVENTS Badminton (Feb 9th 11:00am) (OPC) 1-Day Only Singles Doubles Partner s Name Mixed Doubles Partner s Name Pickleball (Feb 10-12) (OPC Senior Center) Singles (MS - 2/10 & WS - 2/12) Doubles Partner s Name (WD - 2/10 & MD - 2/12) Mixed Doubles (2/11) Partner s Name Table Tennis (Feb 10, 9:00 am) (Hart Middle School) Singles Doubles Partner s Name Mixed Doubles Partner s Name OTHER EVENTS Cross Country Skiing (Jan. 14th) For more information please call the MSO Office or visit to register. Platform Tennis - FREE CLINIC (Feb 7th 1:00pm) (Waterford Oaks County Park) TIER II EVENTS Billiards (Feb 9, 1:00 pm) (OPC) Singles Bocce Ball (Feb 7, 10:00 am) (Palazzo di Bocce) Partner s Name Basketball Skills (Feb 9, 9am) (OPC Senior Center) Free Throw 3pt Contest Powerlifting (Feb 12, 10:00 am) (CrossFit Deviate) Bench Press Deadlift TEAM SPORTS Men s Hockey (Feb 7-9, 9:00 am) (Troy Sports Center) Team Name Co-Ed Volleyball (Feb. 11, 10am) (Oakland Elite) Team Name Michigan Senior Olympics - Amateur Athletic Waiver and Release of Liability Please Read Before Signing 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. Print Your Name Signature Date Emergency Contact Phone

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 19, 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. You must collect your medal(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 You can pick your welcome bag up Wednesday-Monday, February 7-12 from 8am-Noon. Medical Waiver: You may purchase an optional Medical 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. Refund Policy: Without a medical waiver, refunds will be made before January 19, A refund will be made with a deduction of $5.00 for a processing 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. SAVE THE DATE MSO SUMMER GAMES August 10-19, 2018 Registration Deadline: July 21, 2018!!!! Archery, Badminton, Basketball, Billiards, Bocce Ball, Bowling, Cycling, Dancesport (8/5), Disc Golf, Golf, Free Throw & 3Pt Contest, Horseshoes, 5K & 10K, Pickleball, Powerlifting, Power Walk, Race Walk, Racquetball, Shuffleboard, Softball, Swimming, Table Tennis, Tennis, Track & Field, Triathlon, Volleyball Michigan Senior Olympics Phone: or

8 Lodging Information Extended Stay America February 7-12, University Dr., Auburn Hills, MI Call: MSO Preferred Rate: (Single Room - $75.00) (Doubles Room - $80.00) Reserve your room by Jan. 24, 2018 Royal Park Hotel (4 Star Hotel) ONLY FOR SUNDAY, February 18, 2018 Dancesport Event 600 E University Dr., Rochester MI MSO Preferred Rate: $169 Reserve your room by Jan. 18, 2018

9 Michigan Senior Olympics Men s Hockey Team Roster Team Fee: $650 (Individuals must also pay $25 MSO Membership Fee) Team Name: Age Group 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 T-Shirt

10 Michigan Senior Olympics Co-Ed Volleyball Team Roster Team Fee: $175/team (includes MSO membership fee) Team Name: Team Captain: Phone # Street: City: State: Zip: County: Team Manager Phone # Street: City: State: Zip: Maximum Players - 15 All players MUST fill out an individual registration form. Player s Name Birthdate Phone T-Shirt

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