42nd Annual - Wisconsin Senior Olympics
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42nd Annual
This is the Qualifying year for the National Senior Games
in Greater Fort Lauderdale Florida, May 10-23, 2022
AUGUST 6 - SEPTEMBER 19, 2021
Registration end dates listed under individual sports.
No late registrations accepted
For Men and Women - 40 Years and Older
Register Online at www.wiseniorolympics.com
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
AUGUST 6 AUGUST 7
Registration Deadlines Basketball
Free Throw & 3 Point
July 27, 2021 - Basketball, Bowling, Cornhole, Cycling, Power Walk, Race Walk, Shuffleboard, Shots - 9:00 AM
3-on-3 Tournament
Tennis, Track & Field 10:30 AM
August 16, 2021 - Archery, Badminton, Croquet, Dartball, Golf, Horseshoes, Lawn Bowling, Beulah Brinton
Community Center
Pickleball, Powerlifting, Racquetball, Softball, Table Tennis, Volleyball Milwaukee/Bay View
AUGUST 8 AUGUST 9 AUGUST 10 AUGUST 11 AUGUST 12 AUGUST 13 AUGUST 14
Bowling - Singles Bowling - Doubles Bowling - Mixed Doubles Tennis - Singles Tennis - Doubles
11 AM and 6 PM 11 AM and 6 PM 11 AM and 6 PM 9 AM 9 AM
Classic Lanes Classic Lanes Classic Lanes Elm Grove Village Elm Grove Village
Greenfield Greenfield Greenfield Courts Courts
AUGUST 15 AUGUST 16 AUGUST 17 AUGUST 18 AUGUST 19 AUGUST 20 AUGUST 21
Tennis - Mixed Doubles Shuffleboard Cornhole Volleyball
9 AM 9:00 AM 8:30 AM 9 AM
Elm Grove Village Courts Riverside Park St Francis Lion’s Club Milwaukee Sting
Janesville St Francis Volleyball Center
Track & Field / Power New Location Menomonee Falls
Walk / Race Walk
8:15 AM - check for times
Homestead High School,
Mequon
AUGUST 22 AUGUST 23 AUGUST 24 AUGUST 25 AUGUST 26 AUGUST 27 AUGUST 28
Cycling Cycling Horseshoes - Open Badminton Pickleball - Doubles
10K Time Trial 5 K Time Trial Doubles 5:00 PM 8:30 AM
20K Road Race 40K Road Race 9 AM Lane Intermediate Elite Sports Club
9 AM 9 AM Joe’s K Ranch, School Mequon, WI
Menomonee Park, Menomonee Park, Cudahy West Allis New Location
Menomonee Falls Menomonee Falls
Powerlifting
Horseshoes - Singles 9:00 AM
9 AM Brickyard Gym
Joe’s K-Ranch, Milwaukee/Bay View
Cudahy
AUGUST 29 AUGUST 30 AUGUST 31 SEPTEMBER 1 SEPTEMBER 2 SEPTEMBER 3 SEPTEMBER 4
Pickleball - Mixed Dartball Softball LABOR DAY WEEKEND
Doubles and Singles 9 AM 9:00 AM
8:30 AM Pat’s Oak Manor West Allis Athletic Field
Elite Sports Club South Milwaukee
Mequon, WI New Sport
New Location
SEPTEMBER 5 SEPTEMBER 6 SEPTEMBER 7 SEPTMEBER 8 SEPTEMBER 9 SEPTEMBER 10 SEPTEMBER 11
LABOR DAY WEEKEND LABOR DAY Racquetball Archery
9:00 AM 10 AM
Wisconsin Athletic Club Beloit Field Archers
West Allis Beloit
Table Tennis - Tentative
Date
SEPTEMBER 12 SEPTEMBER 13 SEPTEMBER 14 SEPTEMBER 15 SEPTEMBER 16 SEPTEMBER 17 SEPTEMBER 18
Lawn Bowling Golf Croquet - Singles Croquet - Doubles
1:30 PM 8:30 AM 4:00 PM 9:00 AM
Lake Park Brightondale Links Lake Park Lake Park
Golf Course Milwaukee Milwaukee
Milwaukee Kansasville
SEPTEMBER 19
Swimming
2:00 PM
St. Augustine Prep /
Hall of Fame Induction and Opening Ceremony - Wednesday, July 14, 2021
Ramirez Aquatics Center
Milwaukee Bavarian Bierhaus, Glendale - RSVP by July 7th
New Location
www.wiseniorolympics.com or 414-755-1025
New in 2021
The WSO’s Hall of Fame Induction & Dinner Ceremony
and our Opening Ceremony Dinner
Are Teaming Up to Bring You One Fantastic Event!
Please join us on Wednesday, July 14th at the
Bavarian Bierhaus
700 W. Lexington Blvd, Glendale, WI 53217
Cocktails and Silent Auction 5:00 P.M.
Dinner 6:00 P.M., with Guest Speaker and Induction of Athletes
RSVP by July 7th
How to Register to attend:
During your WSO Registration; either on-line or by paper
Visit our website at: www.wiseniorolympics.com
or
Contact our office at 414-755-1025
More information on our Guest Speaker and Inductees can be found
At the end of the Registration Games Book
Looking forward to seeing you there!
MEDALS: New this year: Medals will be awarded to only the top three finishers in each gender and age
division regardless of state. You must pick up medals the day of the event. If you leave early, your medals
will not be mailed. You may pick them up at our offices with prior arrangements.
OUT OF STATE PARTICIPANTS: WSO does accept out-of-state athletes and teams. However, an out-of-state
athlete or team will not take away a qualifying NSGA spot from a Wisconsin athlete or team. Only one Gold,
Silver and Bronze medal will be award in each age and gender division.
2021 Refund Policy
The WSO does not issue refunds when you are unable to compete in events you signed up in. In the event
the WSO cancels an event, fees associated with that event along with your general registration fee, if
applicable, will be refunded to you, credited to your account for use in the 2022 season, or you may donate
your fees the WSO to help defray the costs associated with planning the 2021 season.
Wisconsin Senior Olympics partners with FuseSport for our athlete registration system in addition to
Braintree, a PayPal affiliate, to register, collect and process athlete registrations. A portion of your
registration covers the cost associated with these partnerships. Fees also support a portion of the cost of
conducting the games, including medals, supplies, printing costs and independent contractors. Facility fees
cover the costs of the sport including the venue and officials associated with that specific sport. Athletes
have the option to register on our website or by mailing in a paper form. Both forms incur processing fees
that are non-refundable.
INFORMATION FOR REGISTRANTS
ATHLETES 40 YEARS and OLDER MAY PARTICIPATE IN THE WISCONSIN SENIOR OLYMPICS
Photo ID with Birthdate may be requested
There will be two registration closing dates, July 27 and August 11, the closing date for each
sport is shown at the end of each sport information section
ELIGIBILITY: Men and Women who will be age 40 years QUALIFICATION: The National Senior Games Association
and older as of Dec. 31, 2020. As the division is computer (NSGA) runs the National Senior Games every other year in
calculated based on the birth date, all participants must pro- different cities throughout the United Sates. Athletes qualify to
vide their birth date when registering for the Wisconsin Sen-
compete in the NSGA games during a qualifying year, which is
ior Olympics.
defined as the year prior to the NSGA game. This year, the
NSGA has an adjusted qualifying process for 2022 games.
AGE GROUPS: Age groupings for events are in five year For additional information regarding this one time adjusted
increments (e.g., 40-44, 45-49, 50-54, 55-59 etc.). Events will
process, go the NSGA website at www.nsga.com - the rules for
be conducted in these age groups where there is sufficient
participation or age groups may be combined. You must qualification are on the NSGA website. NSGA has not added age
compete in your proper age division, except in doubles and brackets 40-44 and 45 to 49. Until they do so, athletes 40 years
team events where you must compete in the age group of to 49 years will not be able to qualify for the National games.
the youngest participant on your team.
ONLINE REGISTRATION: Wisconsin Senior Olympics
T-SHIRTS: T-shirts are not included in the registration fee. partners with FuseSport for our online registration system.
T-shirts are available starting at $12, if ordered. You can find the registration on our website
www.wiseniorolympics.com. Athletes may still use the paper
TEAM INFORMATION: Team roster must be submitted form, however, there is a $8 paper registration fee to do so.
to the office by team captain, deadline dates:
July 27th - Basketball POSTING OF RESULTS: Results are manually entered
August 11th - Softball, Volleyball into the FuseSport online system. With this system, results
are easily transmitted to the National Senior Games for
qualification purposes. We ask that you let us know about
To qualify as a Wisconsin Team, the team must have more
errors or omissions that need to be corrected. Please email
than 50% of the registered players residing in Wisconsin.
Yvonne Lewandowski at yvonne@wiseniorolympics.com.
Team clothing should be of like design and color with
numbers on the front and back of the shirt. REGISTRATION FEE Includes participation in up to four
sports. Registration also supports a portion of the cost of
Refer to the NSGA Rulebook for uniform guidelines if
conducting the games including medals, supplies, printing costs
intending to compete in Fort Lauderdale, FL in May 2022.
and independent contractors.
EVENT FEE covers the costs of the sport including the venue,
officials and other costs associated with that specific sport.
PRIVACY POLICY
Wisconsin Senior Olympics, Inc. is recognized by the National Senior Games Association (NSGA) to host Senior Olympics National
Qualifying Games in the state of Wisconsin. As part of our relationship with NSGA, we are required to share with the NSGA the
names, addresses, phone numbers, email addresses and birth dates of the athletes participating in the WSO.
In addition, because of your expressed interest in participating in the games, WSO reserves the right to:
share the names, age groups, city locations and results of its athletes to various media sources including on our website;
use any photographs or video from any WSO sponsored event in displays, publications and other marketing material;
contact athletes via telephone, through email or mail on matters of interest or importance.
NEED HELP WITH ENTRY FEE?
We are committed to ensuring all seniors are able to participate in the games regardless of their ability to
pay. Participants interested in a scholarship should contact the Wisconsin Senior Olympics Executive
Director, Yvonne Lewandowski, at 414-755-1025 or at email: yvonne@wiseniorolympics.comNew For 2021
New Event: Dartball New Locations: Pickleball, Shuffleboard, Swimming, Table Tennis
Notice: Cornhole will be an “open” sport at the National Senior Games in 2022 any athlete
age 50 or older is eligible to compete in this event at the National Senior Games.
Note: Horseshoes will not be offered at the 2022 National Senior Games
MISSION STATEMENT
The purpose of the Wisconsin Senior Olympics, Inc. is to provide Wisconsin’s
older adults the opportunity to maintain and improve their overall fitness and
wellness, through recreational, social and competitive events.
CODE OF CONDUCT
The Wisconsin Senior Olympics (WSO) organization prides itself on our moral values of
honesty, transparent communication, and teamwork. In turn, we expect these same values to
be present in all participating athletes. All athletes are expected to abide by the Code of
Conduct as established by WSO.
STANDARDS OF BEHAVIOR
Athletes are responsible for their words and actions while participating in WSO, and athletes
shall comply with the following Code of Conduct:
Treat all those involved in competition (umpires, athletes, spectators, administration) with
respect.
Demonstrate fair play and sportsmanship.
Do not engage in the use of profanity or other offensive language.
Follow the WSO and National Senior Olympics policies and official sport rules.
Refrain from the use of tobacco and alcohol where prohibited. (School grounds, public
buildings etc.)
Athletes are responsible for their conduct from the time they reach the venue until the time
they leave and are also encouraged to communicate this responsibility to any and all
teammates.
Failure to abide by the rules and guidelines outlined by WSO may subject an athlete to
disciplinary action enforced by the WSO Games Coordinator and/or Executive Committee.
Depending on the severity of the infraction, disciplinary action may include, but not limited to
the following:
Verbal warning
Written warning
Suspension
Termination of playing privileges
The Wisconsin Senior Olympics organization reserves the sole authority to determine what, if
any, disciplinary action is appropriate for any conduct infraction. Each situation will be
evaluated on a case-by-case basis.2021 WSO Athlete T-Shirt Options
This year, we are offering two colors for you to choose from. You are able to
order one, both during your registration process. If you are not
competing this year, you can email or call the office with your order.
Email: info@wiseniorolympics.com Office: 414-755-1025
Women's V-Neck Tech Shirt - Royal Blue and Teal
Sizes: Small - X-Large $12.00 / XXLarge $13.25 / XXXLarge $14.50
New T-shirt
Logo Design
Men's Crew Neck Tech Shirt - Royal Blue and Teal
Sizes: Small - X-Large $12.00 / XXLarge $13.25
XXXLarge $14.50Please complete both sides of this form, sign the liability waiver and return it with fees by the
registration end date listed under individual sports. NO LATE REGISTRATIONS WILL BE ACCEPTED.
PERSONAL INFORMATION (Name as it appears on I.D.)
First Name_____________________________ M.I._____ Last ___________________________________________
Birth Date_________________ Age as of Dec. 31, 2021_______ Gender: O Female O Male
Email_____________________________ Mobile Phone _______________________ Primary Phone ____________________
Address________________________________ City________________ State_____ Zip_______ County ______________
Emergency Contact Name______________________ Relationship ____________ Emergency Phone ( )__________________
Ethnicity (Circle) White Black Asian Native American Hispanic Other
Are you a Veteran? Yes No What is your Annual Income? (Optional) _____________
Is this your first time participating in the games? Yes No
How did you hear about us? _________________________________________________________________________
National Games Participated in (circle): 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019
REGISTRATION FEES:
Determine Your Cost Registration Cost\Event Subtotal
A. Registration Fee includes up to 4 sports (T-shirt not included, can purchase separately below) $___35.00__
B. Additional Sports (over 4) _____# of Sports X $10 (No Limit) .................................................. $__________
C. T-Shirts - Small, Medium, Large, X-Large $12 / XX Large $13.25 / XXX Large $14.50
Ladies: Size(s):__________ Quantity: Royal Blue ________ Teal ________ $ __________
Mens: Size(s): __________ Quantity: Royal Blue ________ Teal ________ $ __________
The following events require an additional fee:
Archery: $10 per athlete…. ............................................................................................................ $___________
Basketball - Individual Events Free Throws and Three Point Shots $5 for one or both ……………… $ ___________
Bowling: $10 per event Singles $10, Doubles $10, Mixed Doubles $10 ..................... $____________
Croquet: $20 per athlete ……………………………………………………………………………...…………………………..$____________
Cycling: $20 per athlete ................................................................................................................ $____________
Dartball: $5 per athlete …….………………………………………………………………………………..…………………….$ ____________
Golf: $39 Masters / $27 Novice……………………………………………………………………………………..………… $____________
Pickleball: $15 per athlete for 1st event / $9 for each additional event ...................................... $____________
Powerlifting: $5 per event (Bench Press, Deadlift) ........................................................................ $____________
Racquetball: $20 per athlete (WAC members exempt) ................................................................ $____________
Table Tennis: $15 per athlete ........................................................................................................ $____________
Tennis: $15 per athlete ................................................................................................................. $____________
Track & Field: $20 fee per athlete $5 per event over four events ................................................ $____________
Swimming: $20 per athlete……………………………………………………………………………….……………………… $ ____________
Paper Registration Fee (Basketball, Softball & Volleyball exempt from fee) ..…...…………………….. $_____8.00____
DONATION TO SENIOR OLYMPICS .......................................................................................................... $____________
Hall of Fame Induction & Opening Ceremony Dinner - Please indicate your dinner choice and quantity below
$35 per dinner: Smoked Pork Chop: _________ Sautéed Spinach and Quinoa Dish __________ $____________
Check payable to "Wisconsin Senior Olympics" TOTAL ENCLOSED: ............................................................ $____________
Please mail to : Wisconsin Senior Olympics, 7700 West Bluemound Road, Wauwatosa, WI 53213
Liability Waiver: (Must be signed by all participants) In consideration of the acceptance of my application for registration in the WISCONSIN
SENIOR OLYMPICS, I hereby waive and release for myself, my heirs, executors, and administrators any and all rights and claims for injuries,
damages and/or losses, to include loss of life, which I may have against the sponsors/co-sponsors and their agents, employees or representatives
for any and all activities connected with the WISCONSIN SENIOR OLYMPICS and Waukesha County Parks and Land Use. I warrant and represent
that I am in good physical health and condition, and I am physically able to compete in the events I have selected. I know of no physical
restrictions whatsoever which would prevent my participation in these events. Please Note: For promotional purposes, photographs and videos
may be taken of participants. By signing, you give permission for the use of your likeness or image to be used for promotional purposes
associated with the Wisconsin Senior Olympics.
I will abide by the Wisconsin Senior Olympics Code of Conduct, as stated on the WSO Website and in the 2021 PDF Booklet.
SIGNED__________________________________________________________ DATE_____________________________ARCHERY CORNHOLE SWIMMING
Compound Fingers Singles Doubles (Limit of five [5] events)
Barebow Recurve Partner___________________________ You may enter one division, Novice or Masters
Compound Release Birthdate__________________________ Novice Masters Seed Time
Barebow Compound Email_____________________________ Provide SEED Times when possible in following format.
00:37 would be 37 seconds. (do not include hundredths)
Recurve CROQUET If you are registered Master Swimmer and would like
Singles Doubles times to qualify for records (optional) provide your USMS
BADMINTON
Partner___________________________ # here: _______________
Singles Doubles
Birthdate__________________________
Partner____________________________ 400 IM __________
Email_____________________________
Birthdate__________________________ 200 FREE __________
Email_____________________________ CYCLING 100 FLY __________
Mixed Doubles Time Trial 5K 10K 50 BREAST` __________
Partner____________________________ 100 BACK __________
GOLF Novice Masters
Birthdate__________________________ 200 FLY __________
Email_____________________________ HORSESHOES 100 BREAST __________
Wednesday Singles 50 FREE __________
BASKETBALL Thursday Doubles 100 IM __________
_________________________________ Partner___________________________ 200 BACK __________
Team Name Birthdate__________________________ 50 FLY __________
Email_____________________________ 100 FREE __________
_____________________________________
200 IM __________
Captain's Name LAWN BOWLING
(Basketball Players 75 & over may register as Singles 50 BACK __________
individuals and be assigned to teams later.) Doubles 200 BREAST __________
Partner___________________________ 500 FREE __________
BASKETBALL FREE THROW Birthdate__________________________ 50 SIDESTROKE NOVICE __________
Email_____________________________ 50 BREAST NOVICE __________
BASKETBALL 3 POINT SHOT 50 FREE NOVICE __________
BOWLING Average______ PICKLEBALL 100 FREE NOVICE __________
Check event, circle day and time you will Singles Doubles 50 BACK N0VICE __________
Partner___________________________
play and list partners, if playing doubles
Singles Scratch August 10 Birthdate__________________________
TABLE TENNIS
11 am/6 pm Email_____________________________
Singles Doubles
Mixed Doubles Partner___________________________
Singles Handicap August 10 Birthdate__________________________
11 am/6 pm Partner___________________________
Email_____________________________
Birthdate__________________________
Doubles Scratch August 11 Email_____________________________ Mixed Doubles
11 am/6 pm Partner___________________________
Partner___________________________ POWERLIFTING Birthdate__________________________
Birthdate__________________________ Bench Press Dead Lift Email_____________________________
Email_____________________________
POWER WALK
TENNIS (limit of two events)
Doubles Handicap August 11 1500 5000 Singles Doubles
11 am/6 pm Partner___________________________
Partner___________________________ RACE WALK Birthdate__________________________
Email_____________________________
Birthdate__________________________
RACQUETBALL
Email_____________________________
Singles Mixed Doubles
Mixed Dbls. Scratch August 12 Doubles / Mixed Doubles Partner___________________________
11 am/6 pm Partner___________________________ Birthdate__________________________
Email_____________________________
Partner___________________________ Birthdate__________________________
Birthdate__________________________
Email_____________________________ TRACK AND FIELD
Email_____________________________
5K /10K ROAD RACE CANCELLED
50 M
Mixed Dbls Handicap August 12 5K RUN 10K RUN WALK 100 M Discus
11 am/6 pm 200 M Shot Put
Partner___________________________ SHUFFLEBOARD
400 M High Jump
Birthdate__________________________ Singles Doubles 800 M Long Jump
Email________________________ _____ Partner____________________________ 1500 M Triple Jump
Birthdate__________________________
DARTBALL (2 person Team) Email_____________________________ VOLLEYBALL- return completed form
Team Name _______________________ SOFTBALL - return completed form to team captain
to team captain Men Women
Captain’s Name ____________________ Team Name_________________________
Team Name _______________________
Captain’s Name ______________________
Captain’s Name ____________________You can also read
