2016 Warrior Sports Program Registration Form
Open to all Military Personnel, active and retired. Ages 18 years and up.
VA Health Cards are Required.
Last Name: First name: Middle Init:
Address: ______
Street City State Zip
E-mail: ______DOB:
Phone(h): ______Phone(w): ______Phone(c): ______
Emergency Contact:
Name Relationship Phone
Sport Options: (check box for registration)
TRANSPORTATION TO EVENTS FROM VA HOSPITAL IS AVAILABLE (SEE BELOW).
Pickleball Lessons/ScrimmagesA sport that is tennis, badminton & table tennis all in one. Easier on the body than other court sports.
· Meet 11:30am at Manzano Mesa Multigenerational Center: 501 Elizabeth St. SE Albuquerque, New Mexico 87123, event is 12:30-2:50pm / Saturday
Saturday
Saturday / June 18
July 16
August 20 / ¨
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Closed Course Cycling
Have you ever wondered how fast you can cycle on a closed course? Test your speed at the Balloon Fiesta Park Tuesday nights in June and July at 5:00pm. Please arrive by 4:00pm.
· Meet at 4:00 at Balloon Fiesta Park: 5500 Balloon Fiesta Parkway, Albuquerque 87113, event is at 5:00pm / Tuesday
Tuesday
Tuesday
Tuesday / June 7
June 14
June 21
June 28 / ¨
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¨ / Tuesday
Tuesday
Tuesday
Tuesday / July 5
July 12
July 19
July 26 / ¨
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Badminton
A sport that is tennis, badminton & table tennis all in one. Easier on the body than other court sports.
· Meet 11:30am at Manzano Mesa Multigenerational Center: 501 Elizabeth St. SE Albuquerque, New Mexico 87123, event is 12:30-2:50pm
/ Saturday
Saturday / July 23
August 6 / ¨
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Mountain Bike Trips to the Bosque
Join us in experiencing the Albuquerque Bosque on two wheels. Try mountain biking through the heart of the city, with these 4-6 mile group rides. Please come prepared for warm weather with drinking water and sun protection. Mountain bike group rides are limited to 8 participants, and all riders must be above 16 years of age. Helmets will be provided and are required.
· Meet 8:00am at VA Hospital, return 12:30pm / Monday
Monday
Monday
Monday
Monday / June 13
June 27
July 11
July 25
August 8 / ¨
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Golf
Golf Center at Balloon Fiesta Park. Bucket of balls and unlimited par 3 walking course play.
· Meet at 9:00am, play at 10:00am / Monday Monday Monday / June 13
July 11
August 8 / ¨
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Hiking Trip
Sandia Mountain: Spring Trail (No.147) North Sandia
4 miles RT Elevation: 8470-9440 ft Gain: 880 ft
Trailhead: I-40 east to NM14, turn North, continue 6 miles on NM14. Turn left onto NM536, drive 5.6 miles to parking lot for Tree Spring Trail
· Meet at 8:00am at the VA Hospital, return approx. 4:00pm / Monday / June 6 / ¨
Tennis
A free instructor-led “introduction to tennis” clinic for Veterans. There will be four consecutive 1-hour sessions progressing from rules of the game to holding a racket, various swings, strategies, and then some doubles play. Rackets and Balls will be provided, dress with shorts, t-shirt and athletic shoes. This clinic will be held from 9:00am-1:00pm. / Saturday / August 20 / ¨
Home Run Derby
Hit the ball out of the park during our Home Run Derby at USS Bullhead Park. Equipment will be provided.
· Meet at 8:00am at Field#4 Bullhead Park, event is 9:00am – 12:00pm / Saturday / August 27 / ¨
Water Fitness
Hour long, guided workout completed in about 4 feet of water.
· Meet at 7:00am at Highland Pool: 400 Jackson SE, Albuquerque 87108, event is 8:00 – 9:00am / Thursday
through / June 6
August 25 / ¨
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Watch for information coming this fall for the winter sports!
Winter Fatbike Trips & Snow Shoeing, Cross Country & Downhill Skiing and Boarding
I would like transportation from VA Hospital to my events (initial for yes)
Please be at the VA Hospital 60 minutes prior to “meet” time listed under event.
2016 Warrior Sports
LIABILITY WAIVER
I, the undersigned participant, hereby agrees to indemnify and hold harmless, the City of Albuquerque, their agents, employees, representatives and assigns, New Mexico Veterans Hospital, from any and all actions, or claims of whatsoever kind or nature which I or my representatives or assigns may have or at any time in the future have as a result of injury arising out of my participation in the Warrior Sports Program. I warrant and represent to the City of Albuquerque, their agents, employees, representatives and assigns, New Mexico Veterans Hospital, that I have prepared myself for the events which I have entered by practicing the same prior to my participation. I warrant and represent that I am physically able to participate in the events I have selected. I know of no physical restrictions which would prohibit my participation in the events I have selected. I have been advised by the City of Albuquerque, their agents, employees, representatives and assigns, New Mexico Veterans Hospital, that it would be in my best interest to consult my physician prior to my preparation in regard to my participation in the Warrior Sports Program. I recognize and understand that the preparation and the participation in the event may necessitate strenuous physical activity, and could possibly activate any unrecognized pre-existing medical disorder which I may have, thereby resulting in serious or life-threatening harm to me.
I agree to the following:
The City of Albuquerque has my permission to have a physician treat me, if needed, during my participation in the events of the Warrior Sports Program. ¨ yes ¨ no _____ initials
The undersigned does hereby consent to the photographing of the undersigned, and does hereby authorize the City of Albuquerque, Department of Parks and Recreation to cause the same to be exhibited with advertising sponsorship as still photographs, transparencies, vehicle wraps, motion picture film and video tape for use on television, or in other printed and graphic materials.
¨ yes ¨ no _____ initials
The undersigned does hereby release the City of Albuquerque, Department of Parks and Recreation and their associates and assignees from any and all claims for damages for libel, slander, invasion of the right of privacy or any claims based on the use of said material.
¨ yes ¨ no _____ initials
Signature Date
By completing this registration, I agree to abide by all the rules and regulations of and by the Warrior Sports Program, to observe all rules of play, to exercise good sportsmanship and follow all written and or oral instructions given to me by authorized personnel of the Warrior Sports Program.
How did you learn of this program? ______
Turn these forms into John Shields at the Veterans Hospital
His contact number is 505-265-1711 ex. 2030