Stte Ges Progr Prticipnt 2018 Chpionships Diving Entry For Sturdy July 14 th, 2018 Snctioned by the Stte of Georgi Recognized by U.S.A. Diving, G.H.S.A., G.R.P.A., nd G.A.H.P.E.R.D. No dditionl eberships required T-shirts to ll prticipnts Advnced online registrtion discount Gold, silver, nd bronze edls for ech division Plce nd points contribute to your school s Georgi Scholstic Olypid totls Middle school nd high school divers re encourged to prticipte Prks & Recretion Suer Legue Divers re highly encourged to prticipte Ntionl Qulifier for the Ntionl Stte Ges of Aeric 2019 in Virgini! Fcebook.co/georgiges @georgiges @georgiges www.georgiges.org Georgi Ges P.O. Box 2043 Kennesw, GA. 30156 Eil: info@georgiges.org

G eo rg i G es C h pi o ns hi p E nt ry F or --SPORT SPECIFIC INFORMATION-- Dte: Sturdy, July 14, 2018 Venue: Georgi Ges Chpionships Diving Generl Infortion July 14, 2018 Steve Lundquist Aqutic Center t the Ji Huie Recretion Center Tie: Sturdy, July 14th copetitors cn rrive t 8:30.. to register. Wr-ups t 9:00.., event strts 9:30.. Entry Fee: $21.00/event, $10.00/Lte registrtion fee dded fter June 18 h, 2018 Entry fors subitted without copleted diving sheets will NOT be ccepted. Entry fees ust be pid for entry fors to be ccepted. *Out of Stte Residents dd $5.00 to entry fee* *Depending on nuber of copetitors, the nuber of dives nd/or dive criteri is subject to chnge t the discretion of the eet director REGISTER ONLINE t www.georgiges.org Entry Dedline: Divisions: Contct: July 13, 2018 t idnight. Wlk-up nd/or dy-of registrtion ight be ccepted t the desecrtion of the eet director with dditionl lte fees. Level 1 & Level 2: 9-U, 10-11, 12-13, 14-15, 16-18, 19 & over (7-U will be dded on 1 if nubers perit) Age is deterined s of July 14, 2018 Eil: info@georgiges.org --COMPETITION DESCRIPTIONS-- Eligibility: Open to ll GRPA, GHSA, USA Diving ebers or other interested individuls. Rules: Fcilities: Governed by United Sttes Diving. Two 1 Meter & One 3 Meter Dives for Copetition 7 & Under - (3 dives) All divers shll perfor forwrd or bck jup (100 or 200 A,B,C) using DD of 1.0. The jup shll be done t the beginning of the copetition nd shll be followed by two dives fro ny group, using true DD. 8 & 9 - (4 dives) All divers shll perfor forwrd nd bck jup (100 nd 200 A,B,C) using DD of 1.0. These jups shll be done t the beginning of the copetition nd shll be followed by two dives in ny group, using true DD. 1 0 & 1 1 - (4 dives) All divers shll perfor forwrd jup (100 A,B,C) or bck jup (200 A,B,C) using DD of 1.0 t the beginning of the copetition nd shll be followed by three dives fro t lest two different groups, using true DD. 1 2 & 1 3 - (4 dives) All divers shll perfor forwrd dive 101 (A, B, or C) using DD of 1.8 one/three eter, plus three dives fro two different groups. Any dive on the tble y be used. The optionl dives shll be clculted with their true DD. 1 4 & 1 5 n d 1 6 & 1 8 - (5 dives) All divers shll perfor five dives fro t lest three different groups, with no ore thn two dives being fro ny group. Dives shll be clculted with their true DD. ** 3-eter list will be the se s one 1M in ll ge groups. Except for the jups will be line-ups (001/002 A,B,C) using DD of 1.0. Line-ups re judged how you enter (only) the wter. NOTE: Jups will be llowed if not lredy required. Exple - If you re doing front jup in 7 & U, you cn do bck jup s one of your two dives. --DIRECTIONS TO VENUE-- Address: 9045 Tr Boulevrd, Jonesboro, Georgi 30236 Fro Atlnt: Tke I-75 South. For bout 11 iles then tke exit 235 towrd US-19, US-41. In less thn.5 ile continue onto Tr Boulevrd. Sty on Tr Boulevrd for 5.4 iles nd turn right t Deputy Rick Dly Meoril Boulevrd. Follow the signs to the Ji Huie Recretion Center. (The recretion center will be on your left)

G e or gi G es C h pi o n s hi p E nt ry F Sport Event Infortion: Level: (plese circle one) Level 1 Level 2 USD #(REQUIRED): **Level 2 divers only.**must be eber of US Diving. Athlete Infortion: Lst Ne First Ne Middle Initil Street Address/Apt # City/Town County Stte Zip School Ne: Grde: Phone Nubers: Dytie Evening Cell Phone Eil Address: Dte of Birth: (M/D/Y) Sex: Georgi Ges Officil Individul Athlete For & Wiver Divisions: (plese circle one) 7-U 1M (# s peritting) 9-U 1M 3M 10-11 1M 3M 12-13 1M 3M 14-15 1M 3M 16-18 1M 3M 19-Over 1M 3M T-Shirt Size (Youth: YS, YM, YL or Adult: -AS, AM, AL, AXL, AXXL): EMERGENCY CONTACT INFORMATION: Lst Ne First Ne Phone: AGREEMENT, RELEASE AND WAIVER OF LIABILITY Account Sury: In considertion of being peritted to prticipte in or ssisting others in prticiption in the Georgi Ges Chpionships/District Sports Festivls, nd relted events nd ctivities, on behlf of yself, or inor child or wrd, heir, next of kin, personl representtive, successor or ssign; (1) I ACKNOWLEDGE, UNDERSTAND AND DECLARE THAT: () To the best of y knowledge, I in GOOD PHYSICAL CONDITION nd hve no disese or injury tht would be ggrvted by prticipting in ctivities relted to the Chpionships; (b) Prticipting or ssisting other in prticipting in the Chpionships y involve RISK OF INJURY TO ME, INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, or other consequences, which ight result not only fro y own ctions, in ctions or negligence but lso the ctions, in ctions or negligence of others, the rules ply, or the conditions of the preises or of ny equipent used; (c) There y be OTHER RISKS not known or not resonbly foreseeble; nd Understnding All of the Above, (2) I ASSUME ALL OF THE ABOVE RISKS AND RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, INDEMNIFY AND COVENANT NOT TO SUE: () The Stte of Georgi or ny of its gencies, District Sports Festivls, the Georgi Stte Ges Coission, the Georgi Sports Foundtions, its Coissioners, its Bord of Directors, its eployees, gents, volunteers, coches, triners, or officils ffilited with their progrs; (b) Any ffilited subsidiry, successor, orgniztion, or relted copnies or businesses, other prticipnts, prticipting or sponsoring uniciplities, governentl gencies, interntionl orgniztions, gencies, sponsors, or dvertisers, the respective dinistrtors, officers, directors, gents, representtives, eployees, or volunteers of such entities or orgniztions; (c) The Ntionl Congress of Stte Ges (NCSG), the United Sttes Olypic Coittee (USOC) nd/or their respective representtives, officers, directors, eployees, gents, successors nd ssigns; (d) Owners, lessors nd lessees of preises used to conduct the Ges FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE in connection with entry in or rising out of prticiption in, perfornce in or lck of perfornce in, including trvel en route to nd fro the Chpionships. (3) I AGREE THAT: () Prior to prticipting s n thlete, I, or in the cse of inor, prent or gurdin, will INSPECT the fcilities nd equipent to be used, nd If I believe se to be unsfe, I will ieditely REPORT such condition(s) to the thletic coch, supervisor or officil connected with the Chpionships of se nd either DECLINE TO PARTICIPATE or ASSUME THE RISK of prticipting; (b) I will ALLOW y PHOTOGRAPH, PICTURE or LIKENESS nd/or VOICE to APPEAR in ny officil docuentry, prootionl (including nd ll dvertiseents), television, rdio or fil coverge of the Chpionships, WITHOUT COMPENSATION. (4) I CONSENT TO: () ALL EMERGENCY MEDICAL TREATMENT s y be deeed pproprite under existing circustnces by edicl personnel or personnel ssocited with the Chpionships. I HAVE READ THIS FORM IN ITS ENTIRITY AND HAVE PROVIDED TRUTHFUL INFORMATION. Ne of Athlete (print) Signture of Athlete (if t lest 18 yers of ge) Dte Ne of Prent/Legl Gurdin if Athlete is inor (print) Signture of Prent/Gurdin, Individully nd in the cpcity s Prent/Legl Gurdin if Athlete is under 18 yers of ge. # of Events x $21 = # of Events (Lte Fee) x $10 = Out of Stte Fee Per Plyer ($5) = Dontions = Totl = Dte

G e or gi G es C h pi o n s hi p E nt ry F Stte Ges Progr Prticipnt Georgi Ges Georgi Chpionships Ges Diving Generl Infortion Georgi Stte Ges Developed to proote grssroots teur sports nd n iproved qulity of life, the Georgi Stte Ges ttrcts thletes fro vriety of bckgrounds, ges nd skill levels. Ech yer the Georgi Ges continues to develop progrs tht fit the thletic nd lifestyle needs of the Georgi public. As eber of the Ntionl Congress of Stte Ges (NCSG), which is counity bsed, ulti-sport eber of the United Sttes Olypic Coittee (USOC), the Georgi Ges is coitted to enhnce nd proote prticiption in teur sports. Advnce to Ntionls NATIONALS - Every two yers, 40 Stte Ges coe together s one to prticipte in ntionl copetition, the Stte Ges of Aeric. All edl winners fro Stte Ges progrs re eligible to copete. For ore infortion, visit www.stteges.org About the Georgi Ges Chpionships The Georgi Ges Chpionships is sports festivl creted for Georgi s teur thletes. Ptterned fter the Suer Olypics, the 2009 Chpionships will consist of 40 sports providing Georgi s teur thletes, of ll ges nd skill levels, eningful opportunity to prticipte in true teur sport copetition. Who Cn Copete All residents of Georgi who hve lived in the stte for t lest 30 dys prior to the dte of copetition for their sport re eligible if they eet the requireents specified by tht sport. Georgi residents ttending school or serving in the ilitry in other sttes re lso eligible. Residents of South Crolin nd Tennessee re invited to prticipte s well. How To Enter ONLINE REGISTRATION! Visit our website www.georgiges.org to register online nd receive discount. Entry fors y be obtined by visiting our web site or by clling 770-528-3581. Prticipnts re encourged to note dedlines nd register erly for ll copetitions. A signed greeent, relese nd wiver of libility nd pyent of n entry fee re required in order to copete. Refund Policy REFUNDS WILL BE GIVEN UNDER THE FOLOWING CIRCUMSTANCES ONLY: Entry received fter xiu nubers of tes or individuls re brcketed. Insufficient nuber of tes or individuls entered. Entry received fro non-qulified thlete. Insurnce Insurnce is the responsibility of ech prticipnt. In soe instnces, the Ntionl Governing Body (NGB), which snctions n event, y hve secondry coverge. Medicl id will be vilble in the event of n eergency, injury or illness. Preprtion for copetition, such s tping, will not be provided. Governing Body Registrtion/Mebership NGB registrtion requireents vry between sports. Plese check your sport event infortion for detils. Nuber of Sports Entered - You y enter s ny sports s you wish, s long s the events re not held t conflicting ties. It is the thlete s responsibility to ke sure there re no schedule conflicts in the sports he/she enters. Awrds All prticipnts will receive n officil Georgi Ges Chpionships coeortive T-shirt. Gold, silver nd bronze edls will be wrded to the first three plces. With the inclusion of out-of-stte thletes, no Georgin will be displced for edl. See your Event Director with ny questions regrding this infortion. The Georgi Ges Sportsnship Awrd will be presented to the le nd fele in ech sport who best exeplifies the positive ttributes of odel copetitor. Additionlly, one le nd one fele thlete fro the pool of Sportsnship Awrd winners will be nointed for the Stte Ges Athlete of the Yer Awrd. Orgnizers The Georgi Ges stff, ssisted by thousnds of volunteers, crry out the vrious tsks ssocited with the execution of the Georgi Ges Chpionships. For More Infortion Contct: P.O. Box 2043 Kennesw, GA. 30156 info@georgiges.org WWW.GEORGIAGAMES.ORG Georgi Ges P.O. Box 2043 Kennesw, GA. 30156 info@georgiges.org

Stte Ges Progr Prticipnt Georgi Ges Scholstic Sports Olypid Fundentl Principle: To provide fun, copetitive tosphere where the Olypic Idels of the founder of the odern dy Olypics, Pierre De Coubertin s, A Celebrtion of Life through Sports is positive ttribute tht should be encourged cross ll youths, ll skill levels, ll ethnicities nd ll geogrphic res of the stte. Wht is the Scholstic Sports Olypid? Its sttewide scholstic sports nd fitness copetition! Ask yourself: Is your school the ost thletic nd physicl fitness oriented & spirited? How cn you help your school cli brgging rights for ALL sports nd not just few? Ern your school points vi: 1) finl stndings, 2) prticiption points, 3) sportsnship points & 4) distnce trveled. Schools win the right for sports developent grnts by plcing 1 st, 2 nd or 3 rd in their clssifiction. Over 40 sports being offered! Archery Diving Rowing Tennis-USTA Bdinton Equestrin Rugby-HS Trck & Field Billirds Fencing Shooting-BB Gun Volleybll-Indoor Bsebll Golf Shooting-Shot Gun Volleybll-Outdoor Bsketbll-Boy's Judo Soccer-Boys Weightlifting-Olypic Bsketbll-Girl's Lcrosse-Boys Soccer-Girls Weightlifting-Power Billirds Lcrosse-Girls Swiing-Open Wter: Wrestling-Folk, BMX Cycling Mt. Biking 1K, 3K, 5K Free / Greco Bowling Rcquetbll Swiing-Youth Wter Polo Boxing Rod Rce: 5K & 10K Tble Tennis Cycling-Criteriu & Roller Hockey Tekwondo Rod Rce Ctegories 1A through 5A High Schools nd Middle Schools ech hve their own division. Eligible Prticipnts: Anyone who ttends nd copetes fro your school cn ern points towrds the Olypid! Every thlete receives Sports Festivl t-shirt just for copeting! Individuls nd tes receive Gold, Silver or Bronze edls for winning their respective sports, divisions or events. Thousnds of edls re up for grbs! The jority of the events re in the suer. Visit our website for coplete detils on scoring, schedules nd ore! Supported by: GHSA, GISA, GACA, GADA, GA Stte Bord of Eduction www.georgiges.org Reeber, you do not hve to be the best to ern points for your school. You just hve to copete!