2015 WS NSW Lawn Bowls State Championships. Taree Leagues Sports Club. Athlete Nomination Pack

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1 2015 WS NSW Lawn Bowls State Championships 4 th -8 th August, 2015 Taree Leagues Sports Club Athlete Nomination Pack

2 VENUE Taree Leagues Sports Club 43 Cowper Street, Taree ACCOMMODATION All nominating athletes will be required to make their own accommodation arrangements for the duration of the Championships. Listed below are some of the local accommodation options and contacts: Comfort Inn Country Plaza Taree Phone: (02) Crescent Motel Phone: (02) Alabaster Lodge Motor Inn Phone: (02) FOOD AND BEVERAGE A Welcome function will be held on the evening of the Wednesday 5th August which will be a dinner for the athletes, partners and guests. One ticket is included in the full athlete nomination fee. Extra dinner tickets must be pre-paid and cannot be purchased during the Championships. Bowlers will be required to source their own lunch each day. SCHEDULE OF EVENTS Tuesday 4 th Wednesday 5 th Thursday 6 th Friday 7 th Saturday 8 th Pairs Pairs Welcome Dinner Singles Singles Singles Presentation

3 NOMINATION FEES Please note that ALL registrations will close on Friday 3rd July, Late nominations and entries received after this date will not be processed. o Full Athlete Nomination Fee (Includes one ticket to presentation dinner) $100 o Athlete Event Entry Only (excludes ticket to welcome dinner) $65 o Presentation Dinner Guest/Partner Fee (per person) $35 o WS NSW 2014 State Championships Event Pack (Bucket Hat and Towel) $25 PAIRS NOMINATION Athletes are entitled to nominate their own pairs partners for the Championships provided that both athletes have given their consent. If you do not have a pair s partner, the organising committee may nominate a partner if requested. EQUIPMENT REQUIRMENTS To avoid potential damage to lawn bowls greens, whether grass or synthetic, wheelchair users should endeavour to show due care and consideration to ensure marks left on the green are negligible or, at worst, can be removed by a greens roller. The following guidelines should be observed: Where possible, take a wide circle when turning on the green. Large, usually rear, tyres (preferably pneumatic) with a minimum of two x 620 x 45mm is required. The most suitable tread patterns are slicks or inverted tread tyres (eg. a standard BMX tyre). The most suitable tyres for the small or front wheels are 200mm x 50mm with a pneumatic tyre. Castors, made of nylon or polyurethane are becoming increasingly popular. The width of these should be a minimum of 75mm. If the edges are sharp they must be rounded off.

4 Open to all people with a physical disability who: ELIGIBILITY are financial members of Wheelchair Sports NSW or equivalent state disability sports organisation. are financial members of clubs affiliated to Bowls NSW hold an official bowls classification- if you do not currently have an official classification please select that option in this entry form. NSW REPRESENTATIVE SELECTION Please note participation in this event is compulsory should you want to be selected on the NSW Representative Team. If you are unable to enter due to extenuating circumstances then a formal letter requesting exemption must be sent in writing to: Mark Wilson Sports Development Officer Wheelchair Sports NSW PO Box 3244 PUTNEY 2112 WHAT YOU NEED TO RETURN Individual Registration Form Pairs Nomination (only to be completed by athletes nominating for Pairs Draw); Code of Conduct; and Athlete Declaration & Indemnity Document. Please return completed forms no later than FRIDAY JULY 3 rd 2015 to: Wheelchair Sports NSW Attention: Mark Wilson Mail: PO Box 3244 Putney NSW markw@wsnsw.org.au Fax: (02)

5 INDIVIDUAL REGISTRATION FORM WS NSW Multi-Disability Lawn Bowls State Championships Individual Nomination First Name Last Name Address Suburb Post Code Phone Number Date of Birth Classification Bowls NSW Club Pairs Nomination Do you wish to play pairs? Yes No Preferred pairs partner Lead/Skip Meal Requirements I am a vegetarian I have dietary requirements (please specify) I have food allergies (please specify) Yes Yes Yes

6 PAYMENT OPTIONS AMOUNT TO BE PAID (PLEASE COMPLETE THE TABLE BELOW): ENTRY FEE (CLOSES 15 TH AUGUST) AMOUNT QUANTITY TOTAL ATHLETE ENTRY FEE (INCLUDING PRESENTATION DINNER) ATHLETE ENTRY FEE (EXCLUDING PRESENTATION DINNER) ADDITIONAL PRESENTATION DINNER GUEST/PARTNER FEE WS NSW STATE CHAMPIONSHIPS EVENT PACK (BUCKET HAT AND TOWEL) $ $65.00 $35.00 $25.00 TOTAL $ WHEELCHAIR SPORTS NSW WILL ONLY ACCEPT PAYMENTS IN THE FOLLOWING METHODS (PLEASE TICK ONE BOX ONLY): CASH DEPOSIT TRANSFER BSB: Account Number: Account Name: Wheelchair Sports NSW CHEQUE (MADE OUT TO WHEELCHAIR SPORTS NSW ) WSNSW LEVY ACCOUNT (WS NSW MEMBERS ONLY) CREDIT CARD (SEE BELOW) We do not accept American Express Card Type: VISA MasterCard Bank Card Name on Card: Card Number: Expiry Date: / Amount to be paid = $ SIGNATURE: DATE: / / OFFICE USE ONLY: DATE OF RECEIPT:

7 PLAYER CODE OF CONDUCT In addition to WHEELCHAIR SPORTS NSW s General Code of Behaviour, you must meet the following requirements in regard to your conduct during any activity held or sanctioned by WHEELCHAIR SPORTS NSW, a member association or an affiliated club and in your role as a player/participant in any activity held by or under the auspices of WHEELCHAIR SPORTS NSW, a member association or an affiliated club: 1. Respect the rights, dignity and worth of fellow players, coaches, officials and spectators. 2. Do not tolerate acts of aggression. 3. Respect the talent, potential and development of fellow players and competitors. 4. Care for and respect the equipment provided to you as part of your program. 5. Be frank and honest with your coach concerning illness and injury and your ability to train fully within the program requirements. 6. At all times avoid intimate relationships with your coach. 7. Conduct yourself in a professional manner relating to language, temper and punctuality. 8. Maintain high personal behaviour standards at all times. 9. Abide by the rules and respect the decision of the official, making all appeals through the formal process and respecting the final decision. 10. Be honest in your attitude and preparation to training. Work equally hard for yourself and your team. 11. Cooperate with coaches and staff in development of programs to adequately prepare you for competition at the highest level. I hereby agree to the conditions set within the WSNSW Code of Conduct. Signature: Date: / / Declaration for minors (under 18) must be signed by parent/guardian. Parent / Guardian Signature: Date: / /

8 ATHLETE DECLARATION AND INDEMNITY INDEMNITY DISCLAIMER: This waiver must be signed by all participants / competitors. 1. I, whose signature appears on the bottom hereof in consideration of and as a condition of acceptance of my entry/participation in the 2015 WS NSW Lawn Bowls State Championships or associated event for myself, my heirs, executors and administrators hereby waive all and any claim, right of cause of action which I or they might otherwise have for or arising out of loss of my life or injury, damage or loss of any description whatsoever, which I may suffer or sustain in the course of or consequent upon my entry or participation in the above event. I will abide by the Competition/ activity rules governing these events/programs. 2. This waiver, release and discharge shall be and operate separately in favour of all persons, corporations and bodies involved or otherwise engaged in the promoting or staging of the event and the servants agents; representatives and officers of any of them and includes, but is not limited to Wheelchair Sports NSW Inc., Event Sponsors, Producers, Directors, Volunteers and Officials. 3. I attest that I am physically fit and have sufficiently training for competition of the entered events. 4. I consent to receive medical treatment, which may be advisable in the event of illness or injuries suffered by me during this event. 5. I give permission for the free use of my name, voice or picture in any broadcast, telecast, advertising promotion or other account of this event or the Association. 6. Should the event be cancelled for any reasons I understand that entry / participation fees will not be refunded and that no liability of any kind will attach to any person, corporation or body involved or otherwise engaged in promoting or staging of the event. 7. Safety precautions undertaken by qualified officials / program organisers are a service to me and other competitors / participants but are not a guarantee of safety. I agree to abide by the conditions of the events / program as stated in the declaration above and upon literature and other material distributed in connection with the event / program. Signature: Date: / / Declaration for minors (under 18) must be signed by parent/guardian. Parent / Guardian Signature: Date: / /