Buckeye. Wheelchair Games. April 29-30, 2016 in Geneva, Ohio Registration Packet. Sponsors: M.C. Mobility Systems, Inc.

Similar documents
FINALS STATE. June 22-28, 2018 June 11-12, 2018 (GOLF) TENNESSEE SENIOR OLYMPICS. ONLINE REGISTRATION AVAILABLE- VISIT

FINALS STATE. June 19-25, 2015 May 12, 2015 (Golf) TENNESSEE SENIOR OLYMPICS

2014 WESTERN ILLINOIS SENIOR OLYMPICS WESTERN ILLINOIS UNIVERSITY General Information

Western Illinois Senior Olympics Brophy Hall University Circle Macomb, Il

2011 WESTERN ILLINOIS SENIOR OLYMPICS WESTERN ILLINOIS UNIVERSITY General Information

ATHLETICS SCHEDULE (5/5/17) PENTATHLON - Bennett Track FRIDAY 9:15 a.m. 100 M Dash 8-99; M/F 1:00 p.m. Shot Put 8-99; M/F

BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION

INFORMATION IMPORTANT INFORMATION. DON T FORGET: YOU CAN NOW REGISTER ONLINE

BASEBALL AND SOFTBALL 2018 REGISTRATION

2014 BAY STATE GAMES MARATHON TEAM

BAY STATE GAMES MARATHON FUNDRAISING TEAM APPLICATION

Clarion University Athletic Camps. Featuring 2010 PSAC Coach of the Year Rob Eaton

Baseball. Clarion University. Clarion University Summer Baseball Camps. Mike Brown Head Baseball Coach Clarion University of Pennsylvania

REGISTRATION DEADLINE: SATURDAY, JUNE 2 ND

WHO is eligible participate? FULLY WHAT is the weekly schedule like, and what activities do we participate in?

Advance Registration Form

University of Utah Men s Lacrosse Player Information Packet ( Season)

Program Packet. Event Dates: APRIL 27 - MAY 26 TRI-COUNTY SENIOR OLYMPICS. Event Selection & Participant Registration

NANCY WEATHERBEE SCHOLARSHIP

TONY LOMONACO SCHOLARSHIP APPLICATION

HAMILTON. Committed to Excellence. Session Dates: July 22-July 26, Gridiron Champions Camp

SPORTS CAMPS SUMMER 2015

We hope that your school will participate and help us make this program even more successful than last year!

OFFICIAL PROGRAM. 22 nd Annual USA Shooting National Championships Rifle and Pistol

WHAT IS CAMP ENTERPRISE?

K a n s a s. B a s e

East Tipp Middle School

School City of Mishawaka Elementary Athletics at a Glance

The African American Hall of Fame Museum ACADEMIC SCHOLARSHIP AWARDS

2015 U.S. OPEN TAEKWONDO CHAMPIONSHIPS VOLUNTEER GUIDE AND APPLICATION

Volunteer Services. VOLUNTEER POSITIONS AVAILABLE Day Camps Recreation & Special Events Therapeutic After School Programs Special Olympics

Auburn University Marching Honor Band 132 Goodwin Music Building Auburn University, AL

Mindfulness Yoga & Meditation Retreat Registration July 20-26, 2015

Official Program 2009 USMC JROTC SERVICE CHAMPIONSHIP. Camp Perry, Ohio; February 2009

Watermarks MS/HS Camp Information

YOUTH VOLUNTEERS. Dear Parent and Prospective Camp Teen Volunteer:

May 14-17, 2018 Sheraton Four Seasons Koury Convention Center Greensboro, NC

2007 SUMMER VOLUNTEEN PROGRAM APPLICATION PACKET

Name: 44 CAMP HOTLINE 522-SUMM or

2013 EUROPEAN MASTERS WEIGHTLIFTING CHAMPIONSHIP Kusadasi, Turkey - 18th 25th May 2013 (23rd Men s and 21st Women s - Registered for Drug Testing)

Milton Band Marching Band/Colorguard Registration Form. Parent s Signature: Date: Print Name: Milton Band Pledge Form

SOUTHERN UNIVERSITY 2014 HIGH SCHOOL SUMMER BAND AND DANCE TEAM CAMP JUNE 22-27, 2014

CYO Registration Packet. To Sign Up: Return all 6 pages completed with payment

Junior Baseball Spring 2017 Ages 8 & 9

June 1, 2, and 3, 2018 $25 per person

Christina Benton. If you have any questions, please Christina Benton at

2018 MARSHALL COUNTY LAW ENFORCEMENT YOUTH CAMP APPLICATION

ARLINGTON SPORTSMAN'S CLUB, INC. MEMBERSHIP PACKET

FLGISA ANNUAL CONFERENCE. Attendee Information. July 30-August 2, 2018 Boca Raton Resort & Club GENERAL MEETING INFORMATION WHY YOU NEED TO ATTEND THE

SCHOOL GROUP REGISTRATION INFORMATION

Onondaga County Sheriff s Office Youth Law Enforcement Academy Application

July 19 July 23, 2016

This is an important notice. Please have it translated.

July 24 July 29, 2018

All girls games will be held on Saturday, February 18 at Pine Belt Arena. Games will be at 11:00 am; 12:45 pm; 2:30pm; & 4:15 pm

2018 CAMP Registration Packet. Roxborough YMCA PHILADELPHIA FREEDOM VALLEY YMCA. Important Registration Information:

HAMILTON. Elite Women s Basketball Prospect Camp. Outstanding instruction from top notch coaches and players. Take part in the Hamilton experience!

OHIO TRUCKING ASSOCIATION 2017 TECHNICIAN COMPETITION

Fall Youth Soccer League

PLAY TIME. Youth flag football. Recreation Newsletter March/April 2016

After School Program ABBOT DOWNING SCHOOL BEAVER MEADOW SCHOOL

FC Bayern South ID Residential Camp Handbook

Participant Application Form 2018 Audrey Walton Youth Leadership Conference July 19-21, 2018 Hosted by the Show-Me STATE GAMES

2017 Fall Field Hockey Co-ed, Grades 1-8

Zionsville Athletic Booster Club Scholarship Application

A Total Commitment is Required Including Attending All Practices and Games

2018 Summer Camp Registration

High School Theatre Camp Texas Tech University

Frozen Ropes Summer Program Information Packet

2017 VENTURA COUNTY JUNIOR LIFEGUARD PROGRAM HELD ON SILVER STRAND BEACH IN OXNARD

Camp Connect 2018 ENROLLMENT APPLICATION

Touch Foundation s Application Form and Fundraising & Release Agreement for the 2017 TCS New York City Marathon on November 5, 2017

Table of Contents GENERAL INFORMATION...3 TEAM REGISTRATION PROCEDURE...4 CAMP ACTIVITIES..5 MEAL PLANS...6 LORAS COLLEGE CAMP FACILITIES.

Timberlane Regional High School. Athletic Department. Booster Handbook

Timberlane Regional High School. Athletic Department. Booster Handbook

Virginia / North Carolina Tour: January 15-18, 2007 Jackson Preparatory School

2014 MASH CAMP. June 9-12 Basic (15 student limit) Grades 9-12 June Advanced (15 student limit) Juniors/Seniors ONLY

Summer Program Staff Application Packet Southwest Virginia 4-H Educational Center, Inc.

Huntington University Nursing Career Academy Application Process Summer 2015

SUMMER. Mt. Vernon Department of Recreation CAMP JULY & AUGUST

What are the benefits of being a summer camp program staff member at Holiday Lake 4-H Educational Center? Weekly salary (Starting at $215 for 1st

mobility plus application package SECTION A: For completion by applicant

FLAT ROCK WARRIORS FOOTBALL REGISTRATION

FAIRMAN S Skate Shop 2018 Summer Skateboarding Day Camp Programs

Brighton High School Band Information

You Won t Want to Miss the MML Fall Conference, October 10-12, 2018 The Westin Annapolis, MD

Alexander Bands. o Required forms packet (Medical Form, Code of Conduct, Drug Testing Awareness, Attendance Policy, Video/Photo Permission)

Cook Team Application

Mansfield Homecoming Court 2015 Application

Sacred Heart-Griffin 2017 Summer Activities

Friday, May 25 Final Delegation Reports sent to Programs (Final Divisions, Sports Schedules, Housing Assignment)

2018 DETROIT GRAND PRIX ASSOCIATION Renewal Membership Application

11th Annual Conyers Car Show in conjunction with The Taste of Conyers May 5, 2018

27 th CLEVELAND KENDO TOURNAMENT GNEUSKF CHAMPIONSHIPS Albert Gymnasium Case Western Reserve University April 3 5, 2015

TH ANNUAL SAMA CONFERENCE. June 1 st - 3 rd, The Lodge at Torrey Pines SPECIAL ASSETS MANAGEMENT ASSOCIATION (SAMA)

Mindfulness Yoga & Meditation Retreat Registration July 15-21, 2019

DAVIDSON LACROSSE CAMP for GIRLS Box 7158, Davidson, NC * (704) Phone * (704) Fax

SPORTS WILLIAMSBURG SPORTS MARKETING EVENT GRANT PROGRAM

Ardent Credit Union Scholarship Program

Make the commitment to attend the 2017 WVBA Annual Convention and register today.

Transcription:

Buckeye Wheelchair Games 2016 April 29-30, 2016 in Geneva, Ohio Registration Packet Sponsors: M.C. Mobility Systems, Inc. Quicken Loans Paralyzed Veterans of America, Buckeye Chapter Hosted by: SPIRE Institute

About the Games Join fellow wheelchair athletes at the 5th Annual Buckeye Wheelchair Games (BWG) April 29-30, 2016 in Geneva, Ohio. This is NOT a sanctioned event. The Games are sponsored by Paralyzed Veterans of America Buckeye Chapter. The host is SPIRE Institute which is located at 1822 South Broadway in Geneva, Ohio 44041. Events include air guns, bowling, field events, billiards, slalom, swimming, table tennis, track, boccia and weightlifting. Eligibility Participation in the BWG is open to all wheelchair athletes with spinal cord injuries and other disabilities who require the use of a wheelchair for athletic competition. Registration Registration Deadline: Tuesday, March 29, 2016 All athletes and coaches must register by submitting the enclosed registration forms, registration fee, and banquet fees postmarked on or before March 29, 2016. All forms and fees must be completed and submitted to: 5th Annual Buckeye Wheelchair Games, c/o Paralyzed Veterans of America Buckeye Chapter, 26250 Euclid Ave, Suite 115, Euclid, OH 44132. There will be a $25 late fee if the registration is received with a postmark after March 29, 2016. We will not accept any registrations after April 11, 2016. Hotel Accommodations The host hotel for the Games is Quail Hollow Resort. The hotel is located at 11080 Concord- Hambden Rd in Painesville, Ohio. Room rates are $109 (+ tax) per night for participants of BWG. When calling to make reservations, ask for the Buckeye Wheelchair Games group. For reservations, please call the hotel directly at (440) 497-1100. Quail Hollow is conveniently located off Interstate 90 and Rt 44. For more information on the hotel, please visit their website at: www.quailhollowresort.com. Medicine & Equipment Bring all medications and medical supplies with you. Bring any assistive devices, specialty devices, and any other specialty equipment with you, as no such equipment will be available. Bring all athletic equipment for events you are participating in. No equipment will be available to borrow. Closing Banquet BPVA will host the closing banquet Saturday, April 30, at 4:00 p.m. The banquet will be held at the SPIRE Institute Banquet Hall. Meals Meals are available for purchase at the SPIRE cafeteria. No outside food is permitted. Geneva, Ohio Geneva, Ohio averages 58 degrees for a high and 36 degrees for a low in Late April and early May. The beauty of SPIRE Institute is all events will be held indoors. Therefore, inclement weather is not a concern. Questions? Please contact: Paralyzed Veterans of America Buckeye Chapter Phone: (216) 731-1017 Toll Free (in Ohio): (800) 248-2548 Email: info@buckeyepva.org

M.C. Mobility Systems M.C. Mobility Systems, Inc. was established in 1985 by Mark DiRosa and Carmen Paterniti to provide vehicle and housing modifications for the physically challenged. Their mission is to bring persons with disabilities the most innovative products available and to empower them to make informed decisions. For more information on M.C. Mobility Systems, visit: www.mcmobilitysystems.com. Quicken Loans Changing Minds, Changing Lives. Our mission is to change the minds and lives of everyone we contact. Whether it be bankers or clients, giving our all, from knowledge and guidance to sheer energy and excitement, we give our all every day. Building and educating both bankers and clients ensures the success not only of the region but the company as a whole, all while allowing us to give back to our Veterans and our Country. Every Client Every Time, No Exceptions, No Excuses. Spire Institute SPIRE Institute is one of the largest indoor, multi-sport, training and competition complexes in the world. With more than 750,000 sq. ft. under roof and acres of outdoor facilities, it has the unique capacity to simultaneously host clubs, leagues, tournaments and championship events no matter the weather or the season. Every consideration has been taken to create an unparalleled experience for the athlete, coach and the spectator. Buckeye Wheelchair Games Tentative Schedule of Events Thursday, April 28 1:00 p.m. 9:00 p.m. Registration Friday, April 29 8:00 a.m. - 8:30 a.m. Track Warm Up 8:00 a.m. - 12:00 p.m. Bowling 8:30 a.m. - 12:00 p.m. Registration 8:30 a.m. - 12:30 p.m. Track 9:00 a.m. - 12:00 p.m. Air Rifle Relay 1 12:00 p.m. - 3:00 p.m. Air Rifle Relay 2 12:00 p.m. - 4:00 p.m. Field Events (Para) 12:00 p.m. - 5:00 p.m. Slalom 1:00 p.m. - 4:00 p.m. Billiards (Quad) 3:00 p.m. - 6:00 p.m. Air Rifle Relay 3 4:00 p.m. - 8:00 p.m. Field Events (Quad) 4:00 p.m. - 8:00 p.m. Billiards (Para) Saturday, April 30 8:00 a.m. - 9:00 a.m. Weightlifting (Weigh-in) 8:00 a.m. - 9:00 a.m. Swim (Warm-up) 9:00 a.m. - 12:00 p.m. Air Rifle Relay 4 9:00 a.m. - 12:00 p.m. Weightlifting 9:00 a.m. - 12:00 p.m. Swimming 12:00 p.m. - 3:00 p.m. Air Rifle Relay 5 1:00 p.m. - 3:00 p.m. Table Tennis 1:00 p.m. - 4:00 p.m. Boccia Ball 5:00 p.m. Awards Banquet All events (except bowling and the boccia clinic) will be held at SPIRE Institute which is east of Cleveland and conveniently located directly off I-90. The complex is located at 1822 South Broadway in Geneva, Ohio 44041. www.spireinstitute.org

BWG REGISTRATION FORM POSTMARK DEADLINE IS MARCH 29, 2016 Incomplete forms will be returned and must be resubmitted by the registration deadline. Check one please: Athlete Head Coach Asst. Coach Parent LAST NAME: FIRST NAME: Male Female BIRTHDATE: / / STREET ADDRESS: CITY, STATE, ZIP: PHONE NUMBER: EMAIL ADDRESS: TEAM AFFILIATION: Are you bringing a service dog? Yes No This is NOT a sanctioned event but in order to be fair to all athletes put your NVWG classification if known. If not known, what is your injury level. Class 1A Class 1B Class 1C II III IV V. Injury level Circle T-Shirt Size: S M L XL 2XL 3XL Release of Liability: In consideration of the acceptance of this entry, I hereby waive, for myself, my heirs, my administrators and assigns, any and all claims of damages which I might have against Buckeye Wheelchair Games or any organization or sponsor for any and all injuries and/or expenses incurred by me in this event. I hereby attest and verify that I am physically qualified and sufficiently prepared for this event. Further, I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of this event. I also consent to medical treatment in case of emergency. I agree to full responsibility for payment of any fees incurred as a result of necessary medical treatment. Signature of Participant: Date: Signature of Parent or Guardian (if Athlete is a minor): FEES TOTALS Registration Fee (Adult) $35.00* = Registration Fee (Junior) $25.00 = Banquet Tickets Qty = @ $30.00/ea = Bowling Fee (3 games) $ 7.50 = Late Fee (if postmasrked after March 29, 2016) $25.00 = TOTAL = We will not accept any registrations after April 11, 2016 Cancellations: Notification must be received via phone by April 11, 2016 for any refund. Please call (216) 731-1017. Make Checks Payable to: Paralyzed Veterans of America Buckeye Chapter Mail to: Buckeye Wheelchair Games, c/o Paralyzed Veterans of America Buckeye Chapter, 26250 Euclid Ave, Suite 115, Euclid, OH 44132. *Buckeye Chapter members Registration fee will be waived however a $75.00 refundable deposit will be required with this application. Once you have registered on site, the $75.00 will be refunded. There will be no exceptions.

EVENT SELECTION Page One Athlete s Name: (Please print): Check the event(s) you wish to enter. MINUMUM 3 EVENTS; MAXIMUM 5 EVENTS TOTAL. Due to scheduling conflicts, some events overlap and may prevent participation in both events. You will not be able to participate in more than one event at a time. No Exceptions. All track, field and swimming events count as one event regardless of how many boxes are checked under each event This is NOT a sanctioned event. Open Masters Athletes over 40 years old. Juniors: ages 5-21 years SWIMMING Note: You must bring your own towel. There will be no towels available. JUNIORS Backstroke Breaststroke OPEN/MASTERS 200 yards 500 yards Freestyle Butterfly 200 yards 500 yards Individual medley 4 x 25 4 x 25 3 x 25 3 x 25 4 x 50 4 x 50 3 x 50 3 x 50 **Continued**

EVENT SELECTION Page Two Athlete s Name: (Please print): Track Junior 60 meters 100 meters 200 meters 400 meters 800 meters 1500 meters 5000 meters Power 100 Meters Power 220 Meters Slalom Motorized Slalom Manual Field **Helmets are mandatory!** Table Tennis Open/Masters 60 meters 100 meters 200 meters 400 meters 800 meters 1500 meters 5000 meters Power 100 Meters Power 220 Meters Slalom Motorized Slalom Manual Club Discus Shot Put Javelin Weightlifting Junior* Open Masters *Juniors must be 16 years old to compete Weight in Lbs: Official weight will be determined at Weigh-in. MUST HAVE GRIP BARBELL PRESS ONLY Quad Billiards Para Need to bring your own equipment. There will be none available to borrow. Singles Junior* Doubles Air Guns Adult *Juniors must be at least 12 yrs of age to compete. Pistol Rifle SH1 Rifle SH2 Relay Time Preferences: 1st Choice (Time & Day): 2nd Choice (Time & Day): 3rd Choice (Time & Day: MUST ADHERE TO ASSIGNED TIMES Need to bring your own equipment. There will be none available to borrow. Bowling RAMP PUSH STICK HANDLE BALL MANUAL Boccia

Directions from Quail Hollow to SPIRE Institute Quail Hollow Resort is located at 11080 Concord-Hambden Road in Painesville, OH 44077. It is 18 miles from SPIRE Institute with a drive time of just 21 minutes as both locations are conveniently located just off of I-90. 1. Head southwest on Concord Hambden Rd toward Auburn Rd 476 ft 2. Turn left onto Auburn Rd.3 mi 3. Turn right onto OH-44 N 0.2 mi 4. Turn right to merge onto I-90 E toward Erie Pa 17.3 mi 5. Take exit 218 for OH-534 toward Geneva 0.2 mi 6. Turn left onto OH-534 N 0.3 mi 7. Destination will be on the right 0.2 mi SPIRE Institute, 1822 South Broadway Geneva, OH 44041

PARALYZED VETERANS OF AMERICA BUCKEYE CHAPTER 26250 Euclid Avenue - Suite 115 Euclid, Ohio 44132