Chestercounty Senior Games

36thANNUAL

CHESTERCOUNTY SENIOR GAMES

39thANNUAL

CHESTERCOUNTY SENIOR PICNIC

Hosted by the Chester County Commissioners and the Chester County Department of Aging Services. . . a sports and recreation competition for ChesterCounty residents age 50 and older

SENIOR GAMES DAYAND PICNICTHURSDAY, MAY 17, 2018

(Rain Date: Thursday, May 24, 2018)

REGISTRATION FORM

YOUR REGISTRATION FORM MUST BE RECEIVED BY MONDAY, APRIL 30 2018

One form per person. NO LATE REGISTRATIONS CAN BE ACCEPTED.

In order to participate, you must sign the liability waiver below:

Mail this form to:

Chester County Department of Aging Services

601 Westtown Road, Suite 320

P.O. Box 2747

West Chester, PA19380-0990

Be sure your registration reaches us by Monday, April 30, 2018.

For more information, call: 610-344-6733

You must complete both sides of this form

GAMES DAY AND PICNIC REGISTRATION

Name: Phone:

(PLEASE PRINT)

Address:

STREETCITYSTATEZIP

E-Mail: ______

Date of birth: Sex: -Female -Male T-shirt Size: -S-M-L-XL-XXL

Age Group: -50-54 -55-59 -60-64 -65-69 -70-74 -75-79 -80 & over

Insufficient number of participants may limit events and necessitate combining age groups

Lunch: -Yes -No Suggested donation $5.00

*Each person reserving lunch must complete a registration form. os APRIL 29

Transportation to Senior Games Day and Picnicis available from area Senior Centers. Reservations must be made by Monday, April 30, 2018with your local Senior Center.

INDICATE THE EVENTS YOU ARE ENTERING

BINGO (available for play throughout the day beginning at 9:30 AM)

Bocce (Partner): If you do not list a preferred partner,

you will be matched accordingly.Competition is in the morning beginning at 9:30 AM

Table Tennis Competition is in the afternoon beginning at 12:30 PM

To provide participants the opportunity to enter multiple events, the following events will be available for competition throughout the day. Events begin at 9:30 AM and continue after lunch at 12:30 PM until 2:00 PM:

Darts Corn Hole (bean bag toss)

Football Throw Frisbee Putting

Hot Shot Basketball Horseshoes

Softball Throw

9:00 AM Exhibitor Fair Begins9:30 AM Competition Events Begin

11:45AM - LUNCH (PAVILION)

The Chester County Department of Aging Services is pleased to provide you with the opportunity to participate in the Senior Games Day events free of charge. You may make a voluntary contribution to assist us in continuing to provide the Senior Games.

The suggested donation of $3.00 is requested for your participation in one or more Senior Games events.

Should you choose to contribute toward the Senior Games, you may forward your donation to the Chester County Department of Aging Services prior to the event or you may bring your donation with you on the day of the event and place it in the donation box. Note: Correct change donations are requested as change will not be available.

**NO CHANGES AFTER APRIL 30TH**