APRIL 16 24 2022 - Village Community Development Districts
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REGISTRATION OPEN!
2022
APRIL 16 - 24
LOCAL GAMES SANCTIONED BY
THE FLORIDA SPORTS FOUNDATION
AND A QUALIFIER FOR
THE FLORIDA SENIOR GAMES
TheVillagesSeniorGames.com
For more information, call 352-753-1716
or visit TheVillagesSeniorGames.com
Welcome
2022
ATHLETES
to Florida’s Friendliest Hometown!
CELEBRATING OVER YEARS 20
of SPORTS & COMMUNITY
APRIL 16-24
Our dedicated team of professionals and volunteers
are here to provide you with an exciting opportunity
to compete in our local qualifying games.
Purpose – To provide and preserve Mission – To create and implement excellent
the lifestyle of The Villages® – Florida’s recreational opportunities that promote an
Friendliest Hometown®. active and healthy lifestyle.
Vision – The Recreation & Parks staff along Questions? For more information,
with resident volunteers will be the leader in email: SeniorGames@DistrictGov.org
changing the concept of recreation activities or call 352-753-1716.
in the retirement community.
WHAT’S INSIDE?
Packet Pickup . . . . . . . . . . . . . . . . . . 3 How to Register . . . . . . . . . . . . . . . . . 8
Celebration of Athletes. . . . . . . . . . . . 3 Individual Entry Form . . . . . . . . 9-10
Schedule of Events . . . . . . . . . . . . . 4-5 Team Entry Form . . . . . . . . . . . 11-12
Event Codes . . . . . . . . . . . . . . . . . . . . 6 Event Location Map . . . . . . . . . . . . 13
Local Qualifying Information . . . . . . 7 2022 Sponsors . . . . . . . . . . . . . . 14-16
Good luck Athletes, and thank you to all Event Directors
and Volunteers for your dedication to this year’s games.
2
GATHERING OF ATHLETES
& PACKET PICKUP
Monday, April 18 | 4-7PM
Lake Sumter Landing Market Square
During your stay, take some time to discover to all athletes 50 years of age and older.
what The Villages Lifestyle is all about. Photo identification may be requested
The Villages Florida Senior Games are open to determine eligibility.
CELEBRATION OF ATHLETES
Thursday, April 21 at 4PM or 7PM
Savannah Recreation Complex
All registered athletes and guests are invited Tickets are FREE for athletes only. There is
to attend. Celebration of Athletes will feature also a check box for any additional guest that
dinner, music & beverages. Tickets will be the athlete wishes to bring. The cost for your
given to you at Packet Pickup in your packet. guest is $10.00 and is to be paid in advance
If you would like additional tickets, when registering.
you MUST request them on your
registration form.
2022
PROUDLY HOSTED
& SPONSORED BY:
3
Schedule of Events
SATURDAY, APRIL 16
Archery 8AM Paradise Archery Range
5K Road Race *** 8AM Spanish Springs Town Square
*** Separate registration form.
MONDAY, APRIL 18
Clay Shooting - Trap & 5 Stand 8AM Off-Site/Robinson Ranch
Tennis - MXD 8AM Paradise/Tierra Del Sol
Horseshoes 8AM Paradise
Bowling - Singles/MXD 9AM/12PM Fiesta Bowl
Gathering of Athletes 4-7PM Lake Sumter Landing Market Square
and Packet Pickup
TUESDAY, APRIL 19
Tennis - MXD 8AM Paradise/Tierra Del Sol
Lawn Bowling - Triples 8AM Rio Grande Lawn Bowling Court
Sporting Clays 8AM Black Jack Sporting Clays, Sumterville
Bowling - M/W Dbls 9AM Fiesta Bowl
Golf 12PM Hacienda Hills CC
Water Volleyball - Basic 1PM SeaBreeze Sports Pool
WEDNESDAY, APRIL 20
Pickleball - Doubles 7:30AM The Villages Pickleball Courts
Bag Toss - Singles 8AM Laurel Manor
Bocce - MXD 60-64, 70-74 8AM Laurel Manor/SeaBreeze
Lawn Bowling - Doubles 8AM Rio Grande Lawn Bowling Court
Platform Tennis - Doubles 8/9/11AM SeaBreeze
Sand Volleyball* 8AM/1PM SeaBreeze
Swimming ** 8AM Laurel Manor Sports Pool
Shuffleboard - M Singles 8AM Laurel Manor/SeaBreeze
Table Tennis - M/W Singles 8AM Laurel Manor/SeaBreeze
Tennis - M/W Doubles 8AM Paradise/Tierra Del Sol
Water Volleyball - Int. 8:30AM/12PM SeaBreeze Sports Pool
Sr. Int. 65+/Open Int. 50+
Billiards - M/W Singles 9AM The Villages Billiard Halls
THURSDAY, APRIL 21
Pickleball - Doubles 7:30AM The Villages Pickleball Courts
Air Gun 8AM Soaring Eagle Air Gun Range
Bocce - MXD 8AM Laurel Manor/SeaBreeze/Rohan
4 * We reserve the right to modify to co-ed if participation numbers do not support two separate divisions. ** See separate order of events list on website.
2022
REGISTRATION DEADLINE
Completed Registration Forms (see pages 9-12), including fees
must be received by Monday, March 28 by 4PM.
THURSDAY, APRIL 21 (CONTINUED)
Kickball - Mixed Teams 8AM Saddlebrook Softball Fields
Platform Tennis - MXD 8AM SeaBreeze
Shuffleboard - W Singles 8AM SeaBreeze/Rohan
Swimming ** 8AM Laurel Manor Sports Pool
Beach Tennis 8AM SeaBreeze
Table Tennis - Dbls/MXD 8AM/12:30PM SeaBreeze/Rohan
Tennis - M/W Doubles 8AM Paradise/Tierra Del Sol
Quoits 8AM Saddlebrook
Billiards - Doubles 9AM The Villages Billiards Halls
Water Volleyball 8:30AM/1PM SeaBreeze Sports Pool
Adv. Div I/Adv. Div II
FRIDAY, APRIL 22
Pickleball - MXD 7:30AM The Villages Pickleball Courts
Air Gun 8AM Soaring Eagle Air Gun Range
Badminton 8/9/10AM/12PM Oxford Church Gym
Shuffleboard - MXD 8/11AM Laurel Manor/SeaBreeze/Rohan
Tennis - M/W Singles 8AM Paradise/Tierra Del Sol
Clay Shooting - 8AM Off-Site/Robinson Ranch
Skeet & Crazy Quail
Billiards - Mixed 9AM The Villages Billiards Halls
Basketball Shooting Events 5PM VCS High School Gym
SATURDAY, APRIL 23
Pickleball MXD 7:30AM The Villages Pickleball Courts
Basketball - M/W 3v3 8AM/1:30PM VCS High School Gym
Bocce Golf 8AM Paradise Bocce Courts
Fencing 8AM La Hacienda
Petanque - MXD 8AM Paradise
Track & Field (Field Events) 8AM VCS High School Track
Tennis - M/W Singles 8AM Paradise/Tierra Del Sol
Billiards 9 Ball - MS/WS/MXD 9AM/2PM The Villages Billiards Halls
SUNDAY, APRIL 24
Pickleball - Singles 7:30AM The Villages Pickleball Courts
Track & Field (Track Events) 8AM VCS High School Track
Volleyball - M/W 8AM VCS Middle School
High School/4th and 5th Grade Center
* We reserve the right to modify to co-ed if participation numbers do not support two separate divisions. ** See separate order of events list on website.
5
EVENT CODES PLEASE USE THESE CODES WHEN FILLING OUT REGISTRATION FORMS
CLAY SHOOTING SW14MS Men’s 200yd Backstroke
AIR GUN SW14WS Women’s 200yd Backstroke
SH01MS Men’s Trap SW05MS Men’s 100yd Individual Medley
AG01MS Men’s 10m Rifle Off-Hand SH01WS Women’s Trap SW05WS Women’s 100yd Individual Med.
AG01WS Women’s 10m Rifle Off-Hand SH02MS Men’s Skeet Men’s 200yd Freestyle Relay
AG02MS Men’s 10m Pistol Off-Hand SH02WS Women’s Skeet Women’s 200yd Freestyle Relay
AG02WS Women’s 10m Pistol Off-Hand SH03MS Men’s Crazy Quail
AG03MS Men’s 10m Benchrest Rifle SH03WS Women’s Crazy Quail SWIMMING DAY 2
AG03WS Women’s 10m Benchrest Rifle SH04MS Men’s 5 Stand SW09MS Men’s 50yd Freestyle
AG04MS Men’s 10m Benchrest Pistol SH04WS Women’s 5 Stand SW09WS Women’s 50yd Freestyle
AG04WS Women’s 10m Benchrest Pistol SH05MS Men’s Sporting Clays SW17MS Men’s 200yd Butterfly
SH05WS Women’s Sporting Clays SW17WS Women’s 200yd Butterfly
ARCHERY
FENCING SW02MS Men’s 50yd Backstroke
AR01MS Men’s Compound Finger SW02WS Women’s 50yd Backstroke
AR01WS Women’s Compound Finger FN01 V50 Combined Foil SW12MS Men’s 200yd Individual Medley
AR02MS Men’s Compound Release FN02 V60 Combined Foil SW12WS Women’s 200yd Individual Med.
AR02WS Women’s Compound Release FN03 V70 Combined Foil SW11MS Men’s 50yd Butterfly
AR03MS Men’s Recurve FN04 V80 Combined Foil SW11WS Women’s 50yd Butterfly
AR03WS Women’s Recurve FN05 V50 Combined Epee SW13MS Men’s 100yd Freestyle
AR04MS Men’s Barebow Compound FN06 V60 Combined Epee SW13WS Women’s 100yd Freestyle
AR04WS Women’s Barebow Compound FN07 V70 Combined Epee SW08MS Men’s 200yd Breaststroke
AR05MS Men’s Barebow Recurve FN08 V80 Combined Epee SW08WS Women’s 200yd Breaststroke
AR05WS Women’s Barebow Recurve FN09 V50 Combined Sabre SW07MS Men’s 500yd Freestyle
FN010 V60 Combined Sabre SW07WS Women’s 500yd Freestyle
BADMINTON FN011 V70 Combined Sabre Men’s 200yd Medley Relay
BM00MS Men’s Badminton Singles FN012 V80 Combined Sabre Women’s 200yd Medley Relay
BM00WS Women’s Badminton Singles GOLF SW16MS Men’s 25yd Backstroke**
BM00MD Men’s Badminton Doubles SW16WS Women’s 25yd Backstroke**
BM00WD Women’s Badminton Doubles GF00MS Men’s Golf
SW15MS Men’s 25yd Freestyle**
BM00XD Mixed Badminton Doubles GF00WS Women’s Golf
SW15WS Women’s 25yd Freestyle**
BAG TOSS (CORN TOSS/HOLE) HORSESHOES
TABLE TENNIS
BT00XD Singles HS00MS Men’s Singles
HS00WS Women’s Singles TT00MS Men’s Singles
BASKETBALL 3-ON-3 TT00WS Women’s Singles
KICKBALL TT00MD Men’s Doubles
B300MT Men’s 3-on-3 Half Court TT00WD Women’s Doubles
B300WT Women’s 3-on-3 Half Court KB00XT Mixed Teams
TT00XD Mixed Doubles
BASKETBALL SHOOTING LAWN BOWLS
TENNIS
BK01MS Men’s Free Throw LB00XD Open Pairs
BK01WS Women’s Free Throw LB01XD Open Triples TN00MS Men’s Singles
BK02MS Men’s Spot Field Goal TN00WS Women’s Singles
PETANQUE TN00MD Men’s Doubles
BK02WS Women’s Spot Field Goal
BK03MS Men’s Timed Field Goal PQ00XD Mixed (3) Person Team TN00WD Women’s Doubles
BK03WS Women’s Timed Field Goal TN00XD Mixed Doubles
PLATFORM TENNIS
BEACH TENNIS TRACK & FIELD
PT00MD Men’s Doubles
BT01XD Mixed (3) Person Team PT00WD Women’s Doubles F101MS Men’s Discus
Must include min. one woman per team PT00XD Mixed Doubles F101WS Women’s Discus
F102MS Men’s High Jump
BILLIARDS PICKLEBALL F102WS Women’s High Jump
BL00MS Men’s Singles PB00MS Men’s Singles F103MS Men’s Javelin
BL00WS Women’s Singles PB00WS Women’s Singles F103WS Women’s Javelin
BL00MD Men’s Doubles PB00MD Men’s Doubles F104MS Men’s Long Jump
BL00WD Women’s Doubles PB00WD Women’s Doubles F104WS Women’s Long Jump
BL00XD Mixed Doubles PB00XD Mixed Doubles F105MS Men’s Shot Put
BL01MS 9 Ball: Men’s Singles F105WS Women’s Shot Put
QUOITS F106MS Men’s Triple Jump
BL01WS 9 Ball: Women’s Singles
BL01XD 9 Ball: Mixed Doubles QT00MS Singles – All F106WS Women’s Triple Jump
TR00MS Men’s 50m
BOCCE SAND VOLLEYBALL TR00WS Women’s 50m
BC00XD (2) Person Teams* SV00MT Men’s Team TR01MS Men’s 100m
SV00WT Women’s Team TR01WS Women’s 100m
BOCCE GOLF TR02MS Men’s 200m
SHUFFLEBOARD TR02WS Women’s 200m
BC01XD (2) Person Teams*
SF00MS Men’s Singles TR03MS Men’s 400m
BOWLING SF00WS Women’s Singles TR03WS Women’s 400m
SF00XD Doubles* TR04MS Men’s 1500m
BW00MS Men’s Singles TR04WS Women’s 1500m
BW00WS Women’s Singles SWIMMING DAY 1 TR05MS Men’s 800m
BW00MD Men’s Doubles TR05WS Women’s 800m
BW00WD Women’s Doubles SW04MS Men’s 100yd Butterfly
SW04WS Women’s 100yd Butterfly TR06MS Men’s 1500m Race Walk
BW00XD Mixed Doubles TR06WS Women’s 1500m Race Walk
SW01MS Men’s 200yd Freestyle
SW01WS Women’s 200yd Freestyle VOLLEYBALL
SW06MS Men’s 50yd Breaststroke
SW06WS Women’s 50yd Breaststroke VB00MT Men’s Team
*Partners may be same VB00WT Women’s Team
SW10MS Men’s 100yd Backstroke
or mixed gender. SW10WS Women’s 100yd Backstroke WATER VOLLEYBALL
**Not a qualifying event SW18MS Men’s 400yd Individual Medley
for FL Senior Games. SW18WS Women’s 400yd Individual Med. WV00XT Mixed Teams
SW03MS Men’s 100yd Breaststroke
6 SW03WS Women’s 100yd Breaststroke
LOCAL QUALIFYING INFORMATION
2022 GENERAL RULES PACKET PICKUP FOR EVENTS
All sports/events shall be Lake Sumter Landing
governed by the rules of the
Monday, April 18
National Governing Body for that
sport as modified herein, in the 4-7PM
best interest of the participants.
It is the responsibility of the INSURANCE/MEDICAL
AGE DIVISIONS: participants to familiarize
themselves with the rules and Insurance is the responsibility of
50-54, 55-59, 60-64, 65-69, requirements of the Florida each participant. Be sure to have
70-74, 75-79, 80-84, 85-89, 90- Senior Games. Competition proof of insurance.
94, 95-99, 100+ must take place to determine
qualifiers. If there is only one AWARDS
ABOUT THE EVENTS individual entered in an age Gold, silver, and bronze medals
The local qualifying events will group, that athlete must enter will be awarded to the first,
be held at The Villages, starting and complete the event in order second and third place finishers
April 16, 2022. The top five (5) to be given the gold medal,and in each age division, per event.
athletes in their age divisions to qualify for the Florida Senior 1st through 5th place finishers
will be invited to compete in the Game. Athletes should be placed in qualifying events will advance
Florida Senior Games being held in the age division nearest to the Florida Senior Games
in the greater Ft. Lauderdale, their own in order to compete. in the greater Ft. Lauderdale,
Florida area. Competition for the athletes in Florida area. All qualified athletes
the “closest age division” shall will receive State registration
be considered exhibition. If there information by email by
OPEN & EXHIBITION EVENTS
is only one team entered in an
”OPEN” events are ones in age division, that team should October, 2022.
which the athlete is not required be given exhibition opportunities
to participate in a sanctioned with the closest age division. No INCLEMENT WEATHER
Florida Senior Games Series team shall be qualified without The Villages Recreation & Parks
Qualifier: Archery, Badminton, participating in a qualifying Team is not responsible for
Basketball 3v3, Race Walk, game. The NSGA shall determine changes to the event program,
Racquetball, Road Race, and if an athlete has met the postponements or cancellations
Volleyball are considered qualifying criteria for “limited” due to inclement weather or
“OPEN” events. “EXHIBITION” sports events. other circumstances beyond
events are events offered at the our control. In the event of
local level; they are not qualifying FORMATS inclement weather, every effort
events in the Florida Senior will be made to complete all
Games 2022. Formats are subject to change
due to participation numbers. games and events scheduled.
You will be notified in the However, the District Recreation
SPORT REGISTRATION
event the format changes & Parks Team reserves the right
You may enter as many sports, for your sport. to change the schedule or format
or events within a sport as you of the competition, postpone
desire, as long as they are not events or even cancel events
held at conflicting times, with ATHLETE REGISTRATION PACKET due to inclement weather. NO
these exceptions: Swimming – up REFUNDS will be given as a
All registered athletes will
to six (6) events; Archery – one result of these circumstances.
receive an athlete registration
(1) event; Tennis – two (2) events. packet which will include a
Check the schedule of events personalized schedule and
carefully for the date, times and VENUES
commemorative T-shirt. Further
sites of the sports you wish to bracket and flight information Parking is available at all
enter. It is the responsibility of will be available on the day of locations. Use designated
the athlete to make sure there the event at the event site. space only.
are no schedule conflicts.
7
HOW TO REGISTER PLEASE READ BEFORE YOU PROCEED
INDIVIDUAL ENTRIES Athletes outside The Villages CHECK YOUR ENTRY
To enter an individual sport should visit the website for Event Make sure all Personal Information
(non-team sport), please complete Schedule, but may pick up their is completed.
the individual Entry Form provided packet once arriving in The Villages
in this booklet. For “doubles” at the PACKET PICK-UP SITE or Entering a PARTNERS event?
categories, each partner at the first competition site on Each partner MUST fill out a
MUST fill out an Individual event schedule. separate Entry Form indicating
Entry Form separately. Event(s) entered and your partner’s
TEAM ENTRIES name and birth date.
1. Complete your personal
information at the top of the To enter a team sport (volleyball List your Emergency Contact Person
Individual Entry Form. Your age or basketball), the team manager and phone number.
group is based on your age as of or coach must complete the Team
December 31, 2022. Both partners Entry Form provided in this booklet, Sign the Activity Release located on
must be registered. Please have and each team member must sign the back of each Entry Form.
your partner listed at the time of the Activity Release. Each team
registration, including name and member does not need to fill out SENIOR GAMES HEADQUARTERS
date of birth. For doubles, the age an Individual Entry Form or pay
individual fee, unless they wish to La Hacienda Regional
group is determined by the age of Recreation Complex
the youngest partner as of enter an individual sport.
December 31, 2022. 1200 Avenida Central
1. Complete the general information
section at the top of the Team Entry The Villages
2. Write the event code(s) and
title(s) for the event(s) you wish to Form with contact information for
Monday-Friday: 8:30AM-4:00PM
enter in the space provided. Each the manager or captain.
event entered counts separately Phone: 352-753-1716
2. Remember to mark the sport for
when calculating fees. Please make
which the team is registering on the
sure to check the schedule in this HOW TO PAY FOR YOUR EVENTS
top line of the roster.
brochure to avoid any conflicts.
There will be NO REFUNDS for In person or mail
3. Please print legibly and list by March 28 by 4PM. (Completed
scheduling conflicts. the full name, mailing address, form and payment required).
date of birth, and T-shirt size for
3. Calculate your fees from A, B
all members on the team, La Hacienda Regional
and C. (A) is the cost for the number
including all managers. The age Recreation Complex
of events you entered, (B) is any
division is determined by the age 1200 Avenida Central
additional fees you would incur for
of the youngest player as of The Villages, Florida 32159
specific sports, and (C) is the COA
December 31, 2022.
(Celebration of Athletes). The COA
or FAX: 352-753-2305*
is free for the athletes, but there 4. Don’t forget to request your COA
is an added fee of $10.00 for each ticket(s). All registered athletes *Please include credit card
guest ticket requested. attend free. Guests may attend information and/or your check
for an additional $10.00 each and made payable to: VCDD.
You MUST pre-register on your
must be requested on the entry
entry form for the COA.
form and included with team fees.
4. Don’t forget to fill out your
5. Please complete the Activity
emergency contact information and
Release. All team members must
sign the release. 2022
sign and date the release.
5. Packets for all athletes will be
available for pickup on Monday,
April 18, 2022 from 4-7PM at
the PACKET PICK-UP SITE: Lake
Sumter Landing Market Square.
8 ONLY COMPLETE FORMS WILL BE PROCESSED. THERE WILL BE NO REFUNDS.
INDIVIDUAL ENTRY FORM REGISTER AT LA HACIENDA BY MARCH 28 BY 4PM
Registration includes: 2022 Return completed form with payment to:
T-shirt & Registration Packet Senior Games Headquarters
Athletes receive one (1) complimentary La Hacienda Regional Recreation Center
ticket to the Celebration of Athletes. 1200 Avenida Central, The Villages
Guests may attend. Only complete forms will be processed.
Each additional ticket is $10.00. There will be no refunds. Use BLUE or BLACK ink.
Last Name (Please print legibly, using capital letters) First Name
Street Address
City State Zip Code
M M D D Y Y S M L XL XXL
Daytime Phone (Area Code + Number) Date Of Birth Age on 12/31/22 Male Female Unisex T-Shirt Size
Email Address
Emergency Contact Name Emergency Contact Phone
Event Code Event Title Partner Last Name Partner First Name Partner DOB
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
A. ENTRY FEES + B. ADDITIONAL
EVENT FEES + C. CELEBRATION
OF ATHELETES = GRAND TOTAL
OF ALL FEES
Each entry in the event code These fees are per event. Celebration of Athletes # of Events _________
column counts as one event. Guests(s) Tickets A. $ _________
Bowling Single $14 + Additional Event Fees
One Event $16
Each Additional $3
Bowling Doubles
Golf
$14
$25 # # of COA tickets needed?
B. $
+ COA Tickets
_________
Event Sporting Clays $30 C. $ _________
Trap or Skeet $15 ______ x $10 per guest
Crazy Quail $15 GRAND TOTAL
5 Stand $15 =$ _________
Grand total = A + B + C
Make checks payable to: VCDD
Cash Check#_________ La Hacienda Regional Recreation Complex
1200 Avenida Central - The Villages, FL 32159
There will be a $30.00 charge for all returned checks. All credit
card numbers are disposed of after registration is complete.
MasterCard Visa M M Y Y
Credit Card Number Expiration Date SVC
(Security Code)
Participant’s Signature for Card AuthorizationACTIVITY RELEASE PLEASE READ BEFORE YOU PROCEED
In consideration of being permitted to this Release shall remain in force and royalty or remuneration of any kind. I
participate in recreational activities or effective until specifically revoked by waive any rights to inspect or approve
events as may be sponsored, promoted, signer in writing. the Images or the Testimonials, their use,
held, or conducted by Releasees (as or any printed or audio matter that may
defined below), and in consideration of 2. INDEMNIFY AND HOLD HARMLESS be used in connection therewith, without
being allowed to use any facilities of the Releasees from and against any loss, restriction or limitation, whatsoever. I
Village Center Community Development liability, damage or cost that I or any of hereby release and forever discharge
District, the Sumter Landing Community my guests may occur due to participation Releasees from any and all claims and
Development District, the Brownwood or involvement in or presence at any demands arising out of or in connection
Community Development District District Activity or volunteer RLG Activity, with the use of the Images or the
or Village Community Development whether caused by neg-ligence, action or Testimonials, including, but not limited
District Nos. 1-11 in conjunction with inaction of Releasees, or other individual to, any claims for slander, libel or invasion
participation in any volunteer Resident or entity. of privacy or right of publicity, as well
Lifestyle Group (RLG) Activity (as defined as any claims due to any technical
below), for myself and for my executors, 3. ASSUME FULL RESPONSIBILITY failures or distortions in the Images or
administrators, personal representatives, FOR AND RISK OF BODILY INJURY, Testimonials that may occur in taking the
assigns, heirs, and next of kin, I HEREBY: DEATH OR PROPERTY DAMAGE original Images or Testimonials, or in the
arising out of or in any way connected subsequent processing thereof. I waive
1. RELEASE, WAIVE, FOREVER with my participation or involvement in any right, title or interest in or to the
DISCHARGE, HOLD HARMLESS, or presence at any District Activity or Images or Testimonials and acknowledge
AND COVENANT NOT TO SUE The volunteer RLG Activity, suffered before, that Releasees are the sole and absolute
Villages of Lake Sumter, Inc., The during or after activity, whether caused owners thereof and of any printed
Villages Holding Company, The Villages by the negligence, action or inaction of material, electronic media, negatives,
Operating Company, The Village the Releasees or otherwise. I understand film, video tape or audio tape containing
Center Community Development my participation or involvement in or such Images or Testimonials.
District, Sumter Landing Community presence at any District Activity or RLG
Development District, Village Community Activity carries the risk of injury or death 7. AGREE to abide at all times to the
Development District Nos. 1-11, The or property damage, and I accept and following Code of Conduct at any District
Villages Recreation Department, assume that risk fully, freely Activity or volunteer RLG Activity: “The
The Villages Golf Department, Golf and voluntarily. use of obscenity or vulgarity in any
Management Solutions, LLC, State of conversations involving participants
Florida Sports Foundation, and any 4. AGREE the foregoing release, waiver will not be tolerated. It is everyone’s
sponsor, advertiser, and promoter of any and indemnity agreement is intended to responsibility to maintain a safe, pleasant
recreational activities, or events of such be as broad and inclusive as is permitted and comfortable atmosphere. Every
entities (collectively, District Activity or by Florida law, and that if any portion is individual who participates has the right
Activities), and any owner or lessee of the held invalid for any reason, the balance to be treated with respect. No one
premises where the District Activity, or should continue in full legal force should be disparaged or criticized in front
volunteer RLG meetings, events, or other and effect. of participants, teammates, guests, or
volunteer RLG activities (collectively, spectators. Please bring your complaints
volunteer RLG Activity or Activities) are 5. AGREE the Release is intended to or concerns to a recreation department
held or conducted, and each of them, apply to my or my guest’s participation representative. The representative may
and their officers, directors, members, or involvement in or presence at any investigate and address any concerns. I
executives, agents, employees, affiliates, District Activity or volunteer RLG Activity. agree my participation or involvement
representatives, successors and assigns Releasees have made no representations in or presence at any District Activity
(collectively, Releasees), each an or inducements apart from the foregoing. or volunteer RLG Activity is a privilege
indemnified party, of all liability to me or rather than a right, and Releasees reserve
my executors, administrators, personal 6. IRREVOCABLY GRANT to Releasees the right within their sole discretion
representatives, assigns, heirs, and next the absolute right and permission to to revoke my or my guest’s activity
of kin, for any and all loss or damage, use any pictures, photographs, movies, privileges for violations of the
and all claims or demands therefore, videos, recordings, or motion pictures Code of Conduct.”
on account of injury to my person or taken of me or my property by Releasees
property or resulting in my death, arising (collectively, the Images) and to further I HAVE READ THE FOREGOING
out of or in any way connected with my use any statements, quotes, AGREEMENT AND THE CODE OF
participation or involvement in or recordings or testimonials made by CONDUCT IN ITS ENTIRETY, AND
presence at any District Activity or me (collectively, the Testimonials); to I HEREBY FREELY AND VOLUNTARILY
volunteer RLG Activity, suffered before, publish, display or reproduce the Images SIGN THIS AGREEMENT, INTENDING
during or after any District Activity or or Testimonials in any medium and for TO BE BOUND THEREBY. I AGREE
volunteer RLG Activity, whether caused any commercial purpose whatsoever, THAT THIS INDEMNIFICATION AND
by the negligence, action or inaction including but not limited to, promotion, HOLD HARMLESS AGREEMENT SHALL
of the Releasees, or other individual or advertising, display, sale or trade, without REMAIN IN EFFECT AS TO EACH
entity. This release applies for all future restriction or limitation; to use my name INDEMNIFIED PARTY UNTIL
entrances to the premises or Releasees, in connection with the use of any Images RELEASED IN WRITING BY EACH
and applies each and every time a person or Testimonials at the Releasees’ sole INDEMNIFIED PARTY.
is on the premises of Releasees. I agree discretion; all without compensation,
_________________________________________________ ______________________________________________________________ ________________________
Participant’s/ Releasor Signature Participant’s/ Releasor Name (Please Print) Date
___________________________________________________________________ ______________________________________ ___________ _________________
Street Address City State Zip
I am currently an employee of (check all that apply):
__________________________________________
The Villages of Lake-Sumter, Inc. The Village Holding Company
Village ID Number (if applicable) The Village Center CDD The Village Operating Company
10 Golf Management Solutions, LLCTEAM ENTRY FORM REGISTER AT LA HACIENDA BY MARCH 28 BY 4PM
Registration includes: T-shirt and Registration Packet. Athletes receive one (1) complimentary ticket to the
Celebration of Athletes. Guests may attend. Each additional ticket is $10.00. Please use BLUE or BLACK ink.
Age Division: 50+ 55+ 60+ 65+ 70+ 75+ Age of youngest player on team: __________ (As of 12/31/22)
Division: Men’s Division Women’s Division
Team Fees (Please check category) Team Name (Please print legibly, using capital letters)
Basketball Men’s B300MT $70
Basketball Women’s B300WT $70
Kickball/Coed KB00XT $90 Coach/Manager Name (First + Last)
Volleyball Men’s VB00MT $80
Volleyball Women’s VB00WT $80 Street Address
Sand Volleyball Men’s SV00MT $60
Sand Volleyball Women’s SV00WT $60
Water Volleyball WV00XT $80 City
COA Guest(s) Tickets _____ x $10 each
State Zip Code Daytime Phone (Area Code + Number)
= TOTAL FEES $ ____________
TEAM ROSTER: *Maximum number of players. Email Address
Basketball 3-on-3 (10 players*) YES NO S M L XL XXL
Kickball (15 players*) Volleyball (15 players*) Manager Attending COA Manager Unisex
Sand Volleyball (6 players*) Water Volleyball (10 players*) T-Shirt Size
*Activity Release COA # Unisex Shirt
Player Name (Print) Address DOB Player Signature Guests S M L XL XXL
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MasterCard Visa M M Y Y
Credit Card Number Expiration Date SVC
Cash Check#_________ (Security Code)
La Hacienda Regional Recreation Complex There will be a $30.00 charge for all returned checks. All credit
Make checks payable to: VCDD 1200 Avenida Central - The Villages, FL 32159 card numbers are disposed of after registration is complete.
Signature for Credit Card Authorization
Return completed form with payment to: Senior Games Headquarters
La Hacienda Regional Recreation Center, 1200 Avenida Central, The Villages
Only complete forms will be processed. There will be no refunds. (NOTE: *Please Complete Activity Release on Next Page.)
11TEAM AGREEMENT AND ACTIVITY RELEASE
In consideration of being permitted to this Release shall remain in force and royalty or remuneration of any kind. I
participate in recreational activities or effective until specifically revoked by waive any rights to inspect or approve
events as may be sponsored, promoted, signer in writing. the Images or the Testimonials, their use,
held, or conducted by Releasees (as or any printed or audio matter that may
defined below), and in consideration of 2. INDEMNIFY AND HOLD HARMLESS be used in connection therewith, without
being allowed to use any facilities of the Releasees from and against any loss, restriction or limitation, whatsoever. I
Village Center Community Development liability, damage or cost that I or any of hereby release and forever discharge
District, the Sumter Landing Community my guests may occur due to participation Releasees from any and all claims and
Development District, the Brownwood or involvement in or presence at any demands arising out of or in connection
Community Development District District Activity or volunteer RLG Activity, with the use of the Images or the
or Village Community Development whether caused by neg-ligence, action or Testimonials, including, but not limited
District Nos. 1-11 in conjunction with inaction of Releasees, or other individual to, any claims for slander, libel or invasion
participation in any volunteer Resident or entity. of privacy or right of publicity, as well
Lifestyle Group (RLG) Activity (as defined as any claims due to any technical
below), for myself and for my executors, 3. ASSUME FULL RESPONSIBILITY failures or distortions in the Images or
administrators, personal representatives, FOR AND RISK OF BODILY INJURY, Testimonials that may occur in taking the
assigns, heirs, and next of kin, I HEREBY: DEATH OR PROPERTY DAMAGE original Images or Testimonials, or in the
arising out of or in any way connected subsequent processing thereof. I waive
1. RELEASE, WAIVE, FOREVER with my participation or involvement in any right, title or interest in or to the
DISCHARGE, HOLD HARMLESS, or presence at any District Activity or Images or Testimonials and acknowledge
AND COVENANT NOT TO SUE The volunteer RLG Activity, suffered before, that Releasees are the sole and absolute
Villages of Lake Sumter, Inc., The during or after activity, whether caused owners thereof and of any printed
Villages Holding Company, The Villages by the negligence, action or inaction of material, electronic media, negatives,
Operating Company, The Village the Releasees or otherwise. I understand film, video tape or audio tape containing
Center Community Development my participation or involvement in or such Images or Testimonials.
District, Sumter Landing Community presence at any District Activity or RLG
Development District, Village Community Activity carries the risk of injury or death 7. AGREE to abide at all times to the
Development District Nos. 1-11, The or property damage, and I accept and following Code of Conduct at any District
Villages Recreation Department, assume that risk fully, freely Activity or volunteer RLG Activity: “The
The Villages Golf Department, Golf and voluntarily. use of obscenity or vulgarity in any
Management Solutions, LLC, State of conversations involving participants
Florida Sports Foundation, and any 4. AGREE the foregoing release, waiver will not be tolerated. It is everyone’s
sponsor, advertiser, and promoter of any and indemnity agreement is intended to responsibility to maintain a safe, pleasant
recreational activities, or events of such be as broad and inclusive as is permitted and comfortable atmosphere. Every
entities (collectively, District Activity or by Florida law, and that if any portion is individual who participates has the right
Activities), and any owner or lessee of the held invalid for any reason, the balance to be treated with respect. No one
premises where the District Activity, or should continue in full legal force should be disparaged or criticized in front
volunteer RLG meetings, events, or other and effect. of participants, teammates, guests, or
volunteer RLG activities (collectively, spectators. Please bring your complaints
volunteer RLG Activity or Activities) are 5. AGREE the Release is intended to or concerns to a recreation department
held or conducted, and each of them, apply to my or my guest’s participation representative. The representative may
and their officers, directors, members, or involvement in or presence at any investigate and address any concerns. I
executives, agents, employees, affiliates, District Activity or volunteer RLG Activity. agree my participation or involvement
representatives, successors and assigns Releasees have made no representations in or presence at any District Activity
(collectively, Releasees), each an or inducements apart from the foregoing. or volunteer RLG Activity is a privilege
indemnified party, of all liability to me or rather than a right, and Releasees reserve
my executors, administrators, personal 6. IRREVOCABLY GRANT to Releasees the right within their sole discretion
representatives, assigns, heirs, and next the absolute right and permission to to revoke my or my guest’s activity
of kin, for any and all loss or damage, use any pictures, photographs, movies, privileges for violations of the
and all claims or demands therefore, videos, recordings, or motion pictures Code of Conduct.”
on account of injury to my person or taken of me or my property by Releasees
property or resulting in my death, arising (collectively, the Images) and to further I HAVE READ THE FOREGOING
out of or in any way connected with my use any statements, quotes, AGREEMENT AND THE CODE OF
participation or involvement in or recordings or testimonials made by CONDUCT IN ITS ENTIRETY, AND
presence at any District Activity or me (collectively, the Testimonials); to I HEREBY FREELY AND VOLUNTARILY
volunteer RLG Activity, suffered before, publish, display or reproduce the Images SIGN THIS AGREEMENT, INTENDING
during or after any District Activity or or Testimonials in any medium and for TO BE BOUND THEREBY. I AGREE
volunteer RLG Activity, whether caused any commercial purpose whatsoever, THAT THIS INDEMNIFICATION AND
by the negligence, action or inaction including but not limited to, promotion, HOLD HARMLESS AGREEMENT SHALL
of the Releasees, or other individual or advertising, display, sale or trade, without REMAIN IN EFFECT AS TO EACH
entity. This release applies for all future restriction or limitation; to use my name INDEMNIFIED PARTY UNTIL
entrances to the premises or Releasees, in connection with the use of any Images RELEASED IN WRITING BY EACH
and applies each and every time a person or Testimonials at the Releasees’ sole INDEMNIFIED PARTY.
is on the premises of Releasees. I agree discretion; all without compensation,
_________________________________________________ ______________________________________________________________ ________________________
Coach / Manager/ Releasor Signature Coach / Manager/ Releasor Name (Please Print) Date
___________________________________________________________________ ______________________________________ ___________ _________________
Street Address City State Zip
I am currently an employee of (check all that apply):
__________________________________________
The Villages of Lake-Sumter, Inc. The Village Holding Company
Village ID Number (if applicable) The Village Center CDD The Village Operating Company
12 Golf Management Solutions, LLCEVENT LOCATIONS
Paradise Regional
La Hacienda Regional Recreation Complex
Recreation Complex
Hacienda Hills
Country Club Fiesta
Bowl
Saddlebrook
Softball Complex
Saddlebrook Regional
Recreation Complex
Rio Grande
Recreation Center
Charter School High School Laurel Manor Regional
(Middle School (Gym/Track) Recreation Complex
4/5 Grade Center)
Single Event Venue Lake Miona Regional
Recreation Complex
Multiple Event Venue
Please review your schedule
to avoid event time(s) and
date(s) conflicts.
SeaBreeze Regional
Great opportunity to see Recreation Complex
multiple sports and activities
in one location. Cheer on
your friends and neighbors
as they go for the Gold!
2022 Soaring Eagle
Softball Complex
& Gun Range
Rohan Regional
Recreation Complex
13Build a Personal Relationship with Your Doctor
As we age, our relationship with our doctor becomes increasingly important to ensure our good
health. Health care is no longer just about getting care when we are sick – it’s about staying healthy.
The Villages Health takes your health care seriously. As a patient of The Villages Health, you have
access to a team of premier health care providers committed to helping you stay out of the hospital
and getting better faster. It’s all part of our plan to keep you healthy and heal you quickly.
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Appointments Wait Times Helpline
On-site Labs, Same Day Sick Saturday
X-Rays & Testing Appointments EZ-Care Clinic
70+ Board- 9 Convenient World-Class
Certified Physicians Locations Net Promoter Score
SCHEDULE A TOUR TODAY!
352-320-2176 | TheVillagesHealth.com/Games
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• Buying a New or
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• Estate Sales and
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352-753-2270
The Villages of Lake-Sumter, Inc. (“Developer”) is the developer of The Villages. This is not an offering of property in any jurisdiction
where prior registration is required unless Developer has met such requirements. Actual improvements may vary from those shown.
Prices and availability are subject to change without notice. © 2021 – The Villages of Lake-Sumter, Inc., All rights reserved. TV795_0122
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