40th ANNUAL TRI-STATE WHEELCHAIR GAMES Fri May 21 st, Sat May 22 nd & Sun May 23 rd, 2010 Edison, New Jersey SANCTIONED BY WASUSA, US PARALYMPICS AND USA TRACK & FIELD SOCIAL BANQUET EVENTS: Archery Field Table Tennis Weight Lifting Track (electronically timed) Including Race Runner Events 5K Road Race o (C,D & E adults and masters) o Handcycle & Wheelchair Divisions For more information on these events, please consult the Wheelchair Sports USA Official Rule Book under Track & Field. Tri-State Games will again be a part of the Wheelblazers Grand Prix. The 5K road race and the 5000 meter Open are registered events for this competition. For further information and Grand Prix entry, please consult the Tri-State website at www.tswaa.com. Sponsored by: JFK Johnson Rehabilitation Institute www.njrehab.org Wheelchair and Ambulatory Sports, USA www.wasusa.org Tri-State Wheelchair Athletic Association www.tswaa.com
REGISTRATION: This is a Wheelchair and Ambulatory Sports USA (WASUSA) sanctioned qualifying meet for athletes in both the Adult and Junior divisions. Each competitor must be a member of WASUSA. If you plan to compete in more than one sport, you must join each respective National Governing Body (NGB)/ Sports Technical Committee (STC) prior to competition. You can obtain a membership application through Wheelchair and Ambulatory Sports USA: Website: www.wasusa.org. Email: director@wasusa.org Phone: (636) 614-6785 FEES: The fees include: registration, lunch, medals, qualification for nationals & meet sanctioning. All registration forms and payment must be received postmarked by April 30 th, 2010 to avoid a late fee of $15. Applications or event add-ons will not be accepted if postmarked after May 7, 2010. Please note that the fees are non-refundable. The fees for on-time registration are as follows: For Tri-State Members: For non Tri-State Members: Juniors: $40.00 Juniors: $45.00 Adults: $45.00 Adults: $50.00 If postmarked between May 2 nd & May 7 th, the fees for registration must add a $15 late fee as follows: For Tri-State Members: For non Tri-State Members: Juniors: $55.00 Juniors: $60.00 Adults: $60.00 Adults: $65.00 Tri-State reserves the right to limit or cancel events based on enrollment as of May 10, 2010. Make checks payable to "JFK Johnson Rehabilitation Institute", & return with completed forms to: Tatiana Rodriguez, Tri-State Wheelchair Games Pediatric Rehabilitation Dept 2050 Oak Tree Rd Edison, NJ 08820 CLASSIFICATION: In order to participate, you must be classified in each sport you wish to compete in. If you have not been classified, you must report as follows: Friday 5/21 Table Tennis 6:00-7:00 pm JFK Pediatric Rehabilitation Dept Saturday 5/22 Track & Field 8:00-11:00 am Thomas Edison Park If you have any questions with regard to classification, please contact Ralph or Debbie Armento at (732) 422-9094. Lunches will be provided without an additional charge to athletes, coaches, officials, volunteers and meet staff. For all others, lunches will be available for $5.00. 2 of 14
Schedule of Events (subject to change) Date Time Event Location Friday, May 21 st Table Tennis & Weight Lifting 6:00 pm-7:00 pm Classification for Table Tennis JFK Pediatric Rehabilitation Dept Registration & Weigh In for Weight Lifting 7:00 pm-9:30 pm Weight Lifting JFK Pediatric Rehabilitation Dept 7:00 pm-9:30 pm Table Tennis JFK Pediatric Rehabilitation Dept Saturday, May 22 nd Field 8:00am - 11:00 am Classification & Registration Thomas Edison Park (track area) for Track & Field events 8:00 am - 8:30 am Warm up for 5K Road Race Thomas Edison Park 8:45 am - 9:45 am Park CLOSED to vehicles Thomas Edison Park 9:00 am 9:45 am 5K Road Race Thomas Edison Park Wheelblazers Grand Prix (Handcycles & Wheelchairs) 10:00 am -12:00 pm Archery Thomas Edison Park 11:30 am 12:30 pm Lunch Thomas Edison Park 12:30 pm - 5:00 pm Junior & Adult Field Thomas Edison Park Banquet 7:00 pm-10:00 pm Banquet JFK Conference Center Sunday, May 23 rd Track 7:30 am - 8:00 am Track Registration Thomas Edison Park 7:30 am - 8:00 am Open for Warm-ups Thomas Edison Park 8:00 am 5000m Open: Adults/Juniors Thomas Edison Park 9:00 am - 3:00 pm Track: Adults/Juniors (20min. warm-up after 5,000) Thomas Edison Park Athletes must be registered by the start of the competition or he/she will not be able to compete that day The final schedule of events will be posted by 5/14/2010 on the Tri-State Website: www.tswaa.com 3 of 14
Adult Athlete Registration Form Part I Last Name First Name WASUSA ID No Address City State Zip Code Home Phone Work Phone Email Address Date of Birth Senior (19-39 years of age) M / F Master (over 40 years of age) M / F Team Name (if applicable) Independent A. Track and Field Events Track Classification T11-T54) Field Classification (F11-F58) If you have multiple field classifications, please indicate each class below: Track Events Class 11-13 31 32U 32L 33 34 35a 35b 36 37 38 40 41-42 43-46 51-54 20 Meter Dash 40 Meter Dash 60 Meter Dash 60 Meter Weave 100 Meter 200 Meter 400 Meter 800 Meter 1500 Meter 5000 meter (track) Field Events Class 11-13 31 32U 32L 33 34 35a 35b 36 37 38 Shotput Discus Javelin Club Softball Throw Long Jump High Jump Class 40 41 42-43 44-46 51 52 53 54 55 56 57 58 Shotput Discus Javelin Club Softball Throw Long Jump High Jump Details for the 5K Road Race registration can be found on Part II of the Registration Form 4 of 14
Junior Athlete Registration Form; Track and Field Classes 11-13, 40-58 (Part I) Last Name First Name WASUSA ID No Address City State Zip Code Home Phone Work Phone Email Address Date of Birth Age* Age Division: Future/U7 (Under Age 7) A./U11 (Ages 7-10) B/U14 (Ages 11-13) C/U17 (Ages 14-16 D/U20 (Ages 17 19) E/U23 (Ages 20-22) *Age is determined by the age of the athlete on 12/31 of the current competition year (2010) A. Track and Field Events Track Classification T11-T54) Field Classification (F11-F58) If you have multiple field classifications, please indicate each class: Track Events Classes 11,12,13 Class 40 Classes 41-42 Classes 43-44 Classes 45-46 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 20 Meter 40 meter 60 Meter 100 Meter 200 Meter 400 Meter 800 Meter 1500 Meter 5000 meter M M Class 51 Class 52 Class 53 Class 54 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 60 Meter 100 Meter 200 Meter 400 Meter 800 Meter 1500 Meter 5000 Meter Field Events Classes 11,12,13 Class 40 Classes 41-42 Classes 43-44 Classes 45-46 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 Shotput Discus Javelin Softball High Jump Long Jump Triple Jump M M M M M M Class 51 Classes 52-58 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 Shotput Discus Javelin Softball Club 5 of 14
Junior Athlete Registration Form; Track and Field Classes 31-38 (Part I) Last Name First Name WASUSA ID No Address City State Zip Code Home Phone Work Phone Email Address Date of Birth Age* Age Division: Future/U7 (Under Age 7) A./U11 (Ages 7-10) B/U14 (Ages 11-13) C/U17 (Ages 14-16 D/U20 (Ages 17 19) E/U23 (Ages 20-22) *Age is determined by the age of the athlete on 12/31 of the current competition year (2010) CLASS 31 38 TRACK CLASS: FIELD CLASS: RACE RUNNERS/CLASS: Track Events Class 31 Class 32U Class 32L Class 33 Class 34 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 20 Meter Dash 60 Meter Dash 60 Meter Weave 100 Meter 200 Meter 400 Meter 800 Meter 1500 Meter 5000 meter Class 35a (assist device) Class 35b(ambulatory) Class 36 Class 37 Class 38 Class/Age Div U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 U7 U11 U14 U17 U20 U23 20 Meter Dash 60 Meter Dash 100 Meter 200 Meter 400 Meter 800 Meter 1500 Meter 5000 Meter Field Events Softball Throw Club Throw Soft Shot Shotput (Male) Shotput (Female) Soft Discus Discus Turbo Javelin Javelin Class/Age Div Soft Discus Softball Throw Club Throw Shotput (Male) Shotput (Female) Discus Turbo Javelin Javelin Long Jump High Jump Triple Jump Class 31 Class 32U Class 32L Class 33 Class 35 Class 36 Class 37 Class 38 Class 34 Please note: If a race runner is used, it must be used exclusively for all track events. 6 of 14
Junior and Adult Athlete Registration Form All Classes Part II A. Archery (Saturday, May 22) Class (AR1- AR3): Compound Bow: Recurve Bow: Bowstand: Yes No Novice Cadet Cadet Junior Intermediate Advanced Intermediate Adult: FITA Round Adult: Advanced Metric B: Table Tennis (Friday Evening May 21) Class (TT1 TT10): Open Singles Open Doubles C: Powerlifting (Friday Evening May 21)-Competitors must be at least 14 years of age on the date of the competition Powerlift Press Weightlifting Press (a/k/a Bench Press) D. 5K Road Race (Saturday, May 22 @ 9:00AM (U17/U20/U23/Adults/Masters) Wheelchair Division Handcycle Division Track Classification: 7 of 14
Junior Track Relay Team Application TEAM NAME: COACH: *** Please note: Athletes must run in the order listed below ATHLETE NAME CLASS SEX POINTS Male Female TOTAL POINTS Male Male Male Female Female Female EVENT: * Male Female Mixed 4 X 100: Points: 10 20 30 800 Medley: Points 30 40 Junior Relays There will be three types of relay teams; all male, all female and mixed. Points will be assigned to each team member in accordance with the following table: Age Class T32/33 T34 T51/52 T53 T54 A/U11 1 2 1 2 3 B/U14 2 4 2 4 6 C/U17 3 6 3 6 9 D/E/U20-23 6 8 4 8 12 Relay Applications are due at the Registration Table no later than 10:00 AM on Sunday, May 23, 2010 8 of 14
ALL ATHLETES MUST COMPLETE & RETURN THIS FORM WITH REGISTRATION Release of Liability (Required For Athletes) In consideration of acceptance of this entry form, I/we hereby for ourselves, our heirs administrators and assigns, waive and release any and all claims against Wheelchair and Ambulatory Sports, USA, Tri-State Wheelchair Athletic Association, Middlesex County, JFK Johnson Rehabilitation Institute, JFK Medical Center, and Solaris Health Systems, for all injuries and/or expenses incurred by me/us at the Tri-State Wheelchair Games to be held May 21, 22, & 23, 2010 Competitor s Name: Date: please print Competitor s Signature Date: Legal Guardian: Date: Permission to Photograph I hereby authorize the Games Committee to take and use photographs of me during the meet for publicity purposes and/or for use in future programs. Competitor s Name: Date: please print Competitor s Signature Date: Legal Guardian: Date: 9 of 14
Banquet Reservations The JFK Johnson Rehabilitation Institute is proud to host the Tri-State Meet Banquet. The banquet will be held at the JFK Conference Center at 70 James St., Edison, NJ 08817 (across from JFK Medical Center). There will be both dinner and entertainment for athletes, coaches, friends and families. DINNER: Saturday May 22, 2010 7:00 PM - 10:00 PM D.J. Entertainment starts at 7:00 PM Hot Buffet Dinner Dessert Athlete Name: X $10.00 = $ # of Guests X $10.00 = $ GRAND TOTAL $ Please make banquet checks payable to "JFK Johnson Rehabilitation Institute", & return with completed forms to: Tatiana Rodriguez, Tri-State Wheelchair Games Pediatric Rehabilitation Dept 2050 Oak Tree Rd Edison, NJ 08820 10 of 14
Housing Below are suggestions of hotels in the area. It is suggested you make your reservations as soon as possible. 1. HOST HOTEL: The Hilton Gardens at Raritan Center 50 Raritan Center Parkway, Edison, New Jersey, USA 08837 (732) 225-0900 2. The Hilton Hotel: 120 Wood Ave., Iselin, NJ, 08830 (732) 494-6200 3. The Sheraton Hotel: 515 Route 1 South at Gill Lane, Iselin, NJ, 08830 (732) 634-3600 4. The Clarion Hotel: 2055 Lincoln Highway (Route 27), Edison, NJ, 08817 (732) 287-3500 5. Red Roof Inn: 860 New Durham Road, Edison, NJ 08817 (732) 248-9300 11 of 14
Directions to JFK Pediatric Rehabilitation Dept Driving North on the Garden State Parkway: 1. Take Exit 131. (Please note that you will pass exits 131B and 131A). Turn right at end of exit ramp. 2. Proceed to second traffic light, Wood Avenue (two gas stations on right). 3. Turn right onto Wood Avenue and proceed to first traffic light, Oak Tree Rd. (Burger King on left) 4. Turn left onto Oak Tree Rd. and proceed through 3 traffic lights. 5. Approximately 0.8 miles past the third traffic light (Grove Ave), you will see a large red brick building on the right hand side. It is a former school. Sign on the lawn says Hartwyck at Oak Tree, Pediatric Rehabilitation". 6. Turn right into driveway. 7. Follow directions for Access to Building below. Driving South on the Garden State Parkway: 1. Take Exit 131. Turn right at the end of exit ramp. 2. Proceed to first traffic light, Wood Ave (two gas stations on right). 3. Turn right onto Wood Avenue and proceed to first traffic light, Oak Tree Rd. (Burger King on left) 4. Turn left onto Oak Tree Rd. and proceed through 3 traffic lights. 5. Approximately 0.8 miles past the third traffic light (Grove Ave), you will see a large red brick building on the right hand side. It is a former school. Sign on the lawn says Hartwyck at Oak Tree, Pediatric Rehabilitation". 6. Turn right into driveway. 7. Follow directions for Access to Building below. Driving South on Route 287: 1. Take Exit #3 for Metuchen, New Durham. Turn left at end of exit ramp. 2. Road passes over Rt. 287 and curves right, then immediately bear left at the fork in the road. (Gas station should be on the right after making turn.) 3. Proceed to first light (Central Avenue). Make left onto Central Avenue. (Central Ave becomes Plainfield Rd.) 4. Proceed to fourth traffic light, Oak Tree Rd. 5. Turn right onto Oak Tree Rd. After Commerce Bank, we are the second building on the left (red brick). It is a former school. Sign on the lawn says "Hartwyck at Oak Tree, Pediatric Rehabilitation". 6. Turn right into driveway. 7. Follow directions for Access to Building below. Driving North on Route 1: 1.At Menlo Park Mall, take exit for Parsonage Road on the right. 2.Continue straight on Parsonage Road through 4 traffic lights passing a Rite Aid on your left and a Dunkin Donuts on your right. Parsonage Rd becomes James St. You will also pass JFK Medical Center on your left. Follow James St. to end and make a right at light onto Grove Ave. 3.At first light (Oak Tree Road) make a left. Follow Oak Tree Road for approximately 0.8 miles. You will see a large red brick building on the right hand side. It is a former school. Sign on the lawn says Hartwyck at Oak Tree, Pediatric Rehabilitation". 4.Turn right into driveway. 5.Follow directions for Access to Building below. Access to building: Proceed straight along entrance driveway toward back of building turning right at sign "2050 Johnson Rehabilitation Institute". Proceed to the covered, handicapped accessible entrance with double glass doors marked Pediatric Entrance. Please ring bell to be let in to the building. 12 of 14
Directions to Thomas Edison State Park From the NJ Turnpike: Take the NJ Turnpike to Exit 10. After the tollbooth, follow signs for Route 514 (County). Get onto 514 West. You will go past Raritan Center (on your left). At approximately 2.0 2.5 miles past the Center, you will see Middlesex County College on your left. Go past the first light opposite the college entrance and look for the next light at Mill Road. Make a left onto Mill Road. Thomas Edison Park is on Mill Road, just past the college, on the left. Look for a stone sign at ground level that says Thomas Edison Park. Look for the track area on your left once inside the park. From the GS Parkway: Take the Garden State Parkway to Exit 129- NJ Turnpike. Take the Turnpike South to Exit 10. After the tollbooth, follow signs for Route 514 (County). Get onto 514 West. You will go past Raritan Center (on your left). At approximately 2.0 2.5 miles past the Center, you will see Middlesex County College on your left. Go past the first light opposite the college entrance and look for the next light at Mill Road. Make a left onto Mill Road. Thomas Edison Park is on Mill Road, just past the college, on the left. Look for a stone sign at ground level that says Thomas Edison Park. Look for the track area on your left once inside the park. 13 of 14
Directions From hotels and park to the Banquet at the JFK Conference Center The banquet will be held at the JFK Conference Center at 70 James St., Edison, NJ 08817 (across the street from JFK Medical Center). There will be dinner and entertainment for athletes, coaches, friends and families. From the Hilton Hotel: Make a right turn upon leaving the hotel parking lot onto Wood Ave. After passing the over-pass, make a left at the light onto Route 27 (Lincoln Highway). Make a right onto James Street (Dunkin Donuts on the corner). Go to the second right turn and turn right into the parking lot. The Conference Center is the white building. From the Sheraton: Take Route 1 South. Make a right onto Parsonage Road. Menlo Park Mall is on the left). Continue on Parsonage Road past the underpass to the traffic light at Route 27. There will be a Rite- Aid on the left and a Dunkin' Donuts on the right. Go straight, crossing Route 27. Parsonage Road becomes James St. at this point. Go to the second right turn and turn into the parking lot. The Conference Center will be the white building. From the Clarion: Follow Route 27 (Lincoln Highway) north as it winds to the left and then to the right. At the Rite-Aid (Dunkin' Donuts is across the street), make a left onto James St. Go to the second right turn and turn into the parking lot. The Conference Center will be the white building. From the Red Roof Inn: Make a left turn upon leaving the hotel and bear right at the Shell station. Stay on this road as it winds around and becomes Route 27 (Lincoln Highway). Continue straight on Route 27 and turn left at the fifth light onto James Street (there will be a Dunkin' Donuts and a Rite-Aid opposite of each other). Go to the second right turn and turn into the parking lot. The Conference Center will be the white building. From Thomas Edison Park: Make a right onto Mill Road. Just before the second light, take the right fork to 514 East. Just before the third traffic light, take the jug handle to 531 North (there is also a sign Route 1 Metuchen ). Cross 514 and take 531 north for approximately 0.7 miles and make a right onto the ramp for Route 1 north. Take Route 1 North for approximately 1.9 miles and take the exit/jug handle for Parsonage Road. Cross Route 1 and stay on Parsonage Road (Menlo Park Mall will be on your left). Continue on Parsonage Road past the underpass to the traffic light at Route 27. There will be a Rite-Aid on the left and a Dunkin' Donuts on the right. Go straight, crossing Route 27. Parsonage Road becomes James St. at this point. Go to the second right turn and turn into the parking lot. The Conference Center will be the white building. 14 of 14