District 11 Haliburton / Muskoka SUMMER GAMES 2018 DISTRICT REGISTRATION FORM OPEN TO MEN AND WOMEN 55+ YEARS OF AGE AS OF DECEMBER 31 st 2018. NAME: PHONE #: ADDRESS: EMAIL: Please x the following information Male Female Year of Birth Age 55-59 60-64 65-69 70-74 75-79 80-84 85+ Registration entitles participation to unlimited summer games 2018. REGISTRATION FEE: $17.00 (O.S.G.A. $10.00: District 11 $7.00) Complete and return ONLY pages 1, 2 & 3 with your cheque, payable to: District 11 OSGA 55+ GAMES MAIL ONLY PAGES 1, 2 & 3 WITH YOUR CHEQUE TO: Mrs. Donna Teravainen, Box 7, R.R. # 3 Bancroft, ON K0L 1C0 Registration Deadline is April 16, 2018 DO NOT MAIL PAGES 4, 5, 6 & 7 - KEEP FOR YOUR RECORDS Inquiries: Mary Johnson 705-754-1884 Doug McIntosh 705-489-3850 Page 1
THE ONTARIO SENIOR GAMES ASSOCIATION RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT (For Participants) WARNING! By signing this document, you will waive certain legal rights. Please read carefully 1. This is a binding legal agreement; therefore, clarify any questions or concerns before signing. As a participant in the activities, programs and events of the Ontario Senior Games Association (collectively the Activities ), the undersigned acknowledges and agrees to the following terms: Disclaimer 2. The Ontario Senior Games Association, and its directors, officers, members, employees, coaches, volunteers, officials, participants, agents, sponsors, organizers, districts, and representatives, in addition to the Province of Ontario, all municipalities within the OSGA designated District, (the Organizations ) are not responsible for any injury, property damage, expense, loss of income, damage or loss of any kind suffered by a participant or volunteer during, or as a result of, the Activities, caused in any manner whatsoever including, but not limited to, the negligence of the Organizations. I have read and agree to be bound by paragraphs 1 and 2 Description of Risks 3. I am aware that the Activities which I am entering, may be extremely difficult and hazardous even for well-conditioned athletes under the most favorable conditions. 4. I am participating voluntarily in the Activities. In consideration of my participation, I hereby acknowledge that I am aware of the risks, dangers and hazards associated with or related to the Activities. The risks, dangers and hazards include, but are not limited to, injuries from: a) The risks, dangers and hazards particular to the Activities in which I am participating; b) Exerting and stretching various muscle groups; c) Vigorous physical exertion, strenuous cardiovascular workouts and rapid movements; d) Failing to play safely or within one s ability or to remain with designated areas; e) Physical contact with other people; f) Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment; g) Failing to comply with the rules established for participation; h) Falling, tumbling or hitting other surfaces; i) Falling to the ground due to uneven, slippery or irregular surfaces; j) Contacting, colliding or being struck by other individuals, equipment, stands, or benches; k) Extreme conditions which may result in heatstroke, hypothermia, heart attack, stroke, dehydration or any other condition that results from being exhausted. Agreement to Terms and Release of Liability 5. In consideration of the Organizations allowing me to participate, I agree: a) That my physical condition has been verified by a medical doctor to participate in the Activities and no medical condition will be worsened by my participation in the Activities; b) That I have trained adequately for the Activities; c) That the sole responsibility for my safety remains with me; d) To remove myself if I sense or observe any unusual hazard or unsafe condition; or feel unable or unfit to safely continue; e) To ASSUME all risks arising out of, associated with, or related to, my participation; f) To WAIVE any and all claims that I may have against the Organizations now or in the future; g) To freely ACCEPT AND FULLY ASSUME all such risks and possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from my participation in the activities, events, and programs of the Organizations; and h) To FOREVER RELEASE the Organizations from any and all liability for any and all claims, demands, actions, damages (including direct, indirect, special and/or consequential), losses, actions, judgments, and costs (including legal fees) (collectively, the Claims ) which I may have now or in the future, that might arise out of, result from, or relate to my participation in the Activities, even though such Claims may have been caused by any manner whatsoever, including but not limited to, the negligence, gross negligence, negligent rescue, omissions, carelessness, breach of contract and/or breach of any statutory duty of care of the Organizations. I have read and agree to be bound by paragraphs 3-5 Acknowledgment 6. I acknowledge that I have read this agreement and understand it, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, spouse, children, parents, guardians, next of kin, executors, administrators and legal or personal representatives. Signature of Participant Printed Name of Participant District Date
DISTRICT 11 HALIBURTON / MUSKOKA OSGA 55+ SUMMER EVENTS CALENDAR 2018 MARK X EVENT LOCATION BID EUCHRE MINDEN LEGION Y BID EUCHRE CARDIFF COMMUNITY CENTRE Y BID EUCHRE GRAVENHURST SENIORS CENTRE Y BOCCE BALL WEST GUILFORD COMMUNITY CENTRE Y BOWLING 5 pin FAST LANE MINDEN TEAM Mixed Team 1 Single Ladies Single Men BRIDGE - CONTRACT STANHOPE COMMUNITY CTR Y BRIDGE - DUPLICATE STANHOPE COMMUNITY CTR Y CARPET BOWLING CARDIFF COMMUNITY CENTRE Y CRIBBAGE KINMOUNT LEGION Y CRIBBAGE GRAVENHURST SENIORS CENTRE Y CROKINOLE GRAVENHURST SENIORS CENTRE Y EUCHRE Cardiff COMMUNITY CENTRE Y EUCHRE GRAVENHURST SENIORS CENTRE Y EUCHRE MINDEN LEGION Y GOLF M/L Callaway PINESTONE GOLF, HALIBURTON 1 See general information SHOT GUN START AT 10:00 AM 2 PICKLEBALL MINDEN COMMUNITY CENTRE Preferred SHUFFLE/BOARD GRAVENHURST SENIORS CENTRE Y SHUFFLEBOARD MINDEN COURTS Y TENNIS M/L doubles, mixed doubles STANHOPE COURTS Y WALKING Mens & Ladies HALIBURTON DOCKS N Division 1 Prediction: 55+ 3.0 km (3000m) 75+ 1.6 km (1600m) N 2 3 4 5 PARTNER REQIRED (Name) 3 4 N Division 2 Nordic Prediction: 1 km (1000m) 3 km (3000m) N N Page 3
GENERAL INFORMATI0N ~ Please keep for your records. Golf: Registrations will be accepted up to MAY 28th, 2018 Tennis: Registrations will be accepted up to JUNE 14th 2018 Bowling: There are 5 members on each Bowling Team. Singles Ladies & Men will also be played. LANE FEES EXTRA. Please pay fees that day, ($18.00 includes shoes, snacks & HST). Please try to register as a team. Each participant must fill out a Registration Form. List the names of all players. Pins over average score required. Contract & Duplicate Bridge: These two events are being played on the same day. If you intend to play both activities please bring your lunch. Beverages will be provided. Bid Euchre: There are 3 playing locations. Please register at only the ONE closest to you. The top teams will compete at the District finals in Gravenhurst on Monday, June 4th 2018 For further information, please call, Gravenhurst, Donna Teravainen, Cardiff 613-339-9960 or Beverly Johnson, Minden 705-286-3085 Euchre: There are 3 locations. Please register at only the ONE closest to you.the top teams will compete at the District finals in Gravenhurst on Friday, June 1st 2018. Shuffleboard - Minden Tues. June 5th. If rained out the event will move to the Stanhope Community Centre, 1123 North Service Road, Algonquin Highlands, the same day. GOLF: List players names on events form, page 3. (#1 being the contact person) The golf will be held at the 18 Hole Pinestone Golf Course. The additional cost is $50.00 which includes a shared power cart, Box Lunch and all taxes. Please pre-pay green fees. See the Golf Registration Form on page 5. Ladies & Men s Callaway Only 55+, 65+, 75+ PICKELBALL: Applicable court fees Ladies/Men s Doubles 55+ & 65+, Mixed Doubles 55+ & 65+ KEEP FOR YOUR RECORDS Page 4
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District #11-2018 OSGA Summer Games PLEASE KEEP THE FOLLOWING 2 PAGES FOR YOUR RECORDS Schedule of Events Summer 2018 DATE EVENT START TIME LOCATION CONVENOR(S) May 3 - Thurs Bid Euchre 1:00 PM May 4 - Fri Cribbage 1:00 PM May 7 - Mon Bid Euchre 1:00 PM May 10 - Thurs Cribbage 1:00 PM Cardiff Community Centre Cardiff Minden Legion 12847 ON-35, Minden Kinmount Legion 11 County Rd. 503, Kinmount John & Donna Teravainen 613-339-9960 Doug Duce 705-687-9056 Beverly Johnson 705-286-3085 John & Donna Teravainen 613-339-9960 May 11 - Fri Euchre 1:00 PM May 14 - Mon Euchre 1:00 PM Minden Legion 12847 ON-35, Minden Beverly Johnson 705-286-3085 May 16 - Wed Carpet Bowl 9:00 AM Cardiff Community Centre 2747 Monck Road, Cardiff Carrol Williams 613-339-1710 Fred Krieger 613-332-1807 May 18 - Fri Bid Euchre 1:00 PM May 24 - Thurs Euchre 1:00 PM Cardiff Community Centre 2747 Monck Road, Cardiff Judy Smith 613-339-2566 Donna Teravainen 613-339-9960 May 25 - Fri Rain date May 28 - Mon May 29 - Tues Bocce 1:00 PM Bridge Duplicate Contract 9:00 AM 1:00 PM West Guilford Community Centre West Guilford Stanhope Community Centre 1123 North Shore Rd. AlgonquinHighlands Bob & Donna Gardner 705-754-0143 Kathie Porter 705-286-3378 Linda Cherry 705-455-2656 May 30 - Wed Bowling 5 Pin 10:00 AM Fast Lane Shell Plaza, Minden Mary Douglas 705-286-3900 May 31 - Thurs Cribbage Final 1:00 PM Kinmount Legion 11 County Rd. 503, Kinmount John & Donna Teravainen 613-339-9960 Page 6
Schedule of Events Summer 2018 June 1 - Fri Euchre Final 1:00 PM June 4 - Mon Bid Euchre Final 1:00 PM June 5 - Tues Shuffleboard 9:00 AM Minden Courts Prentice St., Minden Pearl Cowen 705-286-3473 June 5 - Tues Shuffleboard 10:00 AM Lorne Robertson 705-687-5813 June 6 - Wed Walking 10:00 AM Haliburton Docks Highland St., Haliburton Mike & Mary Johnson 705-754-1884 June 12 - Tues Rain date June 18 Mon Golf 18 Holes Shot Gun start at 10:00 am Pinestone Golf Course Haliburton Graham Hackwood 705-455-9118 Doug McIntosh 705-489-3850 June 13 - Wed Crokinole 10:00 AM Bill Buckley 705-687-3857 June 19 - Tues Shuffleboard Final 9:00 AM Lorne Robertson 705-687-5813 June 20 - Wed Pickleball 9:00 AM Minden Arena 55 Parkside Street, Minden Stuart & Susan Buck 647-476-2102 June 19 - Tues Rain date June 21 - Thurs Tennis Sign in at 8:00 AM Start at 8:30 AM Stanhope Courts Algonquin Highlands Marianne Fenniger 705-754-1067 Ilsa Marie Tarte 705-457-3726 LUNCH GRAVENHURST~available at the Seniors Centre by DONATION KINMOUNT~available at the Legion by DONATION CARDIFF COMMUNITY CENTRE~available by DONATION ALL OTHER LOCATIONS~NOT AVAILABLE Revision 16/JAN/18 Keep For Your Records Page 7