2007
GREATER
NEW ORLEANS
DISTRICT
SENIOR OLYMPIC
GAMES
Entry Form*
March 3 – April 2, 2007
Entry Deadline February 23
Join us in REBUILDING the Greater New Orleans Senior Games, and experience the joy of competition, develop new friends and visit with old ones. You can help make our games more competitive while visiting a city and area in post-Katrina recovery. Many health-related activities planned in conjunction with these games; compare life-styles with your fellow Senior Olympians. You are welcome and we hope you will enjoy what we have planned for your competitive spirit.
*Revised 3/2/07 as shown highlighted in yellow
Greater New Orleans Senior Olympic Games Registration – Page 1
GREATER NEW ORLEANS DISTRICT
SENIOR OLYMPIC GAMES
Program Director: Bill Pryor: Phone (504) 737-5613 Fax (504) 737-5613
Assistant Bernice Bordelon (504) 834-5279 Fax (504) 834-5279
GNO Senior Olympics
P.O. Box 6255
Metairie, LA 70009-6255
On the Web: www.gnoso.net
E-mail:
GENERAL ENTRY INFORMATION
APPLICATION CHECKLIST:
Did you remember to:
Provide us with an Emergency Contact
Sign the Participant Waver and Model Release
Circle the Sport(s) and Event(s) in which you wish to participate
Circle your tee-shirt size
Sign and enclose your check for the Entry Fees
OFFICIAL 2007 GNO SENIOR OLYMPICS
INDIVIDUAL ENTRY FORM
RETURN THIS PAGE with CHECK or MONEY ORDER for fees to:
Greater New Orleans Senior Olympics, P.O. Box 6255 Metairie, LA 70009-6255
Last Name ___________First Name ______MI______
Address _____________PARISH______
CITY: ______STATE______ZIP______
Phone home ____________Phone work ______Sex ________
Age as of 12/31/07 _______ Date of Birth ______E-mail: ______
PARTICIPANT WAIVER SIGN BELOW
In consideration of being allowed to participate in any way in the Greater New Orleans District Senior Olympic Games program, related events and activities, the undersigned acknowledges, appreciates and agrees that:
1. The risk of injury from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my/or heirs, assigns, personal representatives and next of kin, HEREBY RELEASE the Greater New Orleans Senior Olympics, its officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of the premises used to conduct the event (“Releasees”), with RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I, the undersigned participant, grant to the Greater New Orleans Senior Olympics the right to use any pictures taken of me during the Greater New Orleans Senior Olympics without my remuneration and in any medium the photographer/staff sees fit for art, advertisement, exhibition, editorial, or any purpose whatsoever.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULL UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
SIGNATURE______PRINTED_______DATE _______
EMERGENCY CONTACT______Phone ______
2007 Greater New Orleans Senior Games (Return this page)
2007 ENTRY FEES
Entry fees must be sent with this form to be eligible.
Checks Payable to: GNO Senior Olympic Foundation
Number of Banquet Guests____
All participants will receive an original GNO Senior Olympic T-Shirt and Banquet Meal.
Circle your size preference (Size not guaranteed)
M L XL XXL XXXL
2007 Individual Events (Return this page)
Qualifying Events for the 2007 State Games indicated by *
Registration Deadline is February 23, 2007
2007 Individual Events (Return this page)
2007 TEAM SPORTS
* COACH OR CAPTAIN MUST CALL FOR A TEAM ROSTER AT (504) 834-5275
* SEPARATE ENTRY FORMS ARE REQUIRED FOR EACH PARTICIPANT
Basketball 3 on 3 M or F Age Group ______
Team Name ______
Captain’s Name ______Phone: ())
Volleyball M or F Mixed Age Group ______
Team Name ______
Captain’s Name ______Phone: ())
Softball M or F Age Group ______
Team Name ______
Captain’s Name ______Phone: ())
2007 GREATER NEW ORLEANS SENIOR OLYMPIC GAMES SCHEDULE
(Keep this page)
Event Check-in Start Site Special Instructions
SATURDAY, March 3
Bocce / American Bocce Center / Clinics Feb 3,10 and 24th9:00 AM / 9:30 AM / John Wolken / starting at 10:00 AM
(504) 835-4456
TUESDAY, March 6
Pickle Ball / Harahan and Delta Gyms+8:00 AM / 8:30 AM / Mary Anne Poche / (504) 239-9406
Carole Bradford / (504) 488-9564
SATURDAY, March 10
Horseshoes / Waggaman Playground10:15 AM / 11:00 AM / Landry Carmadelle / (504) 431-9092
Gail Guidry / (504) 431-8136
SATURDAY, March 10
Basketball (Team) / Tulane Reily Center / 3 on 3Women / 8:00 AM / 8:30 AM / Susan Johnson / (504) 831-8160
Men / 12:30 PM / 1:00 PM / Lorraine Rizzuto / (504) 737-1220
SUNDAY, March 11
Weightlifting12:30 PM / 1:00 PM / Metairie YMCA
Lou Riecke / (504) 733-7848
SUNDAY, March 11
Racquetball Tournament / On-site Registration OKay10:00 AM / 10:30 AM / Elmwood Fitness / Please bring balls & equip-
Singles and / ment. Free showers & lockers
Doubles / Al Reagle / (504) 482-3600
MONDAY, March 12
Golf / Bayou Barriere8:00 AM / 9:00 AM / Lynn Wolken / (504) 835-4456
TUESDAY, March 13
Physical Fitness Challenge / YMCA of Greater New Orleans9:30 AM / 10:00 AM / Bernice Bordelon / (504) 834-5279
THURSDAY, March 15
Shuffleboard Singles / PARD50 – 69 / 8:00 AM / 8:30 AM / Jeanne Ellis / (504) 349-5036
70+ / 10:00 AM / 10:30 AM
FRIDAY, March 16
Shuffleboard / PARDDoubles / 8:00 AM / 8:30 AM / Jeanne Ellis / (504) 349-5036
2007 GREATER NEW ORLEANS SENIOR OLYMPIC GAMES SCHEDULE
(Keep this page)
Event Check-in Start Site Special Instructions
SATURDAY, March 17
Tennis / City Park of New OrleansMen’s, Women’s / 7:30 AM / 8:00 AM / Bill Pryor / (504) 737-5613
Singles, then / Tennis Balls will be provided
Doubles, then
Mixed Doubles
SUNDAY, March 18
Bill Klock Track & Field / Same day registration 8:00 -Track Events / 8:00 AM / 9:00 AM / Kings Grant Playground / 9:00 AM, late entrants not
Field Events / 9:30 AM / 10:15 AM / Bernice Bordelon / guaranteed a t-shirt. Order of
(504) 834-5279 / events as listed on Entry Form.
TUESDAY, March 20
Bowling / AMF Allstar LanesSingles / 12:30 PM / 1:00 PM / Nova Dee Carbo / (504) 341-1876
Note $5.00 per event Extra
WEDNESDAY, March 21
Bridge / Lakeshore Playground9:30 AM / 10:00 AM / Carole O’Hare / (504) 456-6384
THURSDAY, March 22
Bowling / AMF Allstar LanesDoubles / 12:30 PM / 1:00 PM / Nova Dee Carbo / (504) 341-1876
Note $5.00 per event Extra
FRIDAY, March 23
Table TennisWomen 65+ / 9:10 AM / 9:30 AM / Belle Terre Gym / NO orange shirts,
Women 60-64 / 9:10 AM / 9:30 AM / Mel & Shirley Coulon / Please bring own paddle.
Men 75+ / 10:10 AM / 10:30 AM / (504) 248-8880 / Orange 40 mm balls will
Men 50-74 / 11:00 AM / 11:10 AM / be provided.
All Doubles / 1:00 PM / 1:10 PM
SATURDAY, March 24
Softball / LaSalle Park10:00 AM / 10:30 AM / Fred Eitman / (504) 888-3672
SATURDAY, March 24
Cycling / 7:30 AM / 8:00 AM / Zephyrs Stadium Parking LotRobin Robert / (504) 550-7369
SATURDAY, March 24
5 K Walkathon and / LaSalle ParkAND / 8:30 AM / 9:00 AM / Bill Elrod / (985) 785-0950
1 Mile Recreational Walk
FRIDAY, March 30
Washer Pitch / PARDWomen / 8:30 AM / 9:00 AM / Jane Marchese / (504) 362-4341
Men / 10:30 AM / 11:00 AM / Dot Tourelle / (504) 341-0285
2007 GREATER NEW ORLEANS SENIOR OLYMPIC GAMES SCHEDULE
(Keep this page)
Event Check-in Start Site Special Instructions
FRIDAY, March 30
The Throws & Basketball Free-throws / PARDMen / 8:30 AM / 9:00 AM / Thais Lacrouts / (504) 835-1562
Women / 10:30 AM / 11:00 AM
SATURDAY, March 31
Volleyball / Delta Gym&Bright GymWomen / 9:00 AM / 9:30 AM / Janey Witt / Coordinators will call.
(504) 736-6992 / team captains with Gym
Pat Dover / Assignments.
(504) 895-8888
SUNDAY, April 1
Volleyball / Delta Gym&Bright GymMen & Mixed / 9:00 AM / 9:30 AM / Janey Witt / Coordinators will call.
(504) 736-6992 / team captains with Gym
Pat Dover / Assignments.
(504) 895-8888
SUNDAY, March 25
Elmwood Swimming Event / Elmwood Fitness / Registration Deadline 3/20/0710:30 AM / 11:00 AM / Bill Jennings / (504) 887-3530
MONDAY, April 2
BANQUET / Harahan Gym6:00 PM / 6601 Tenth St
Harahan, LA / (504) 737-2166
Marynell Schweinfurth / (985) 370-4027
SATURDAY, April 14
5 K Run and / I-310 & River Road, Destrahan, LARace-walk / - / 8:30 AM / Bill Elrod / (985) 785-0950
This event is free, but you
United Way of St. Charles Bridge Run / To obtain entry form call / must complete a New Orleans
(504) 467-8626 / Track Club entry form.
http://www.runnotc.org/races/index.html
Greater New Orleans Senior Olympic Games Registration – Page 11
Greater New Orleans Senior Olympic Games Registration – Page 11