25th Annual
Macon County Senior Games
Official Registration Form
April 27th – May 16th 2015
Hosted by Macon County Recreation Department
This program is sanctioned by the N.C. Senior Games, Inc. NCSG is sponsored
statewide by N.C. Division of Aging.
Please take time to review the schedule of events.
You may enter all the events you wish on the entry form.
WE WILL NOT BE ABLE TO ADMIT LATE ENTRIES OR MAKE CHANGES AFTER YOUR
REGISTRATION IS SUBMITTED.
Please take an entry form for a friend and introduce them to Senior Games.
Thanks for your cooperation.
Macon County Senior Games
“Life is over when you quit, join Senior Games and you’ll stay fit”
“Fun, Fellowship and Fitness”
To be eligible to participate, complete the registration form and return to the Macon
County Community Facilities Building by the
Deadline of April 21st 2015
Registration $20.00
Reminder that all events are Non-Smoking!
Macon County Senior Games
1288 Georgia Rd.
Franklin, NC 28734
828-349-2090
maconcountyseniorgames.org
Official Events
Archery
Badminton (Singles, Doubles, Mixed)
Basketball Shooting
Basketball Tournament
Billiards
Bocce
Bowling (Singles, Doubles, Mixed)
Cornhole (Singles)
Croquet
Cycling 1mile 5K 10K
Field events
Discus
Shot put
Long Jumps (Standing and Running)
Football Throw
Golf
Horseshoes
Pickleball (Singles, Doubles, Mixed)
Raquetball
Shuffleboard
Softball Throw
Spincasting
Swimming
50, 100, 200 yd. Backstroke
50, 100, 200 yd. Breaststroke
50, 100, 200 yd. Butterfly 50,
100, 200 yd. Individual Medley
100, 200, 500 yd. Freestyle
Table Tennis (Singles, Doubles, Mixed)
Tennis (Singles, Doubles, Mixed)
Track Events
100m, 200m, 400m Dash
800m, 1500m, 5K Runs
1500m, 5K Race Walks
Silver Striders Fun Walk
Age categories
Your age group is determined by your age as of December 31, 2015 Men and women compete
in separate categories in the following age groups: 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84,
85+, except in tournament doubles where the age of the youngest player will determine the age
group.
Eligibility
You must be a resident of Macon County for 3 months. You must be present at each event
that you are registered for. You can not submit a time or score for these events.
Fees
There is a registration fee of $20.00. If you bowl, or play billiards, racquetball or golf there is
an extra fee to be paid on site. Registration fee includes: T-Shirt and Banquet with lots of fun
and fellowship.
Registration
You must register by April 21, 2015. Complete the registration form in this pamphlet. Be sure
to fill in all information and sign the liability waiver. Mail Registration form to: Macon County
Recreation Department, 1288 Georgia Rd., Franklin, NC 28734 or drop off at the Macon County
Community Building.
Silver Arts – Visual, Heritage, Literary and Performing
The Silver Arts exhibit will be held in the Macon County Community Building, 1288 Georgia
Road. We encourage everyone to view these pieces of work May 5th thru May 6th between the
hours of 10 and 4.
Entries are due at the Comm. Bldg. May 2nd between 9:00 pm and 1:00 PM.
Our performing arts category, competition will be in conjunction with the Banquet.
State Finals
Participants may qualify for the NC Senior Games State Finals by placing 1st, 2nd, or 3rd in our local
games, except in the performing arts category in which only the 1st place winner is eligible. It is the
participant’s responsibility to check with your local Games to determine if you are eligible. It
is also your responsibility to pick up your State Final form and return it to the State Games by
August 1, 2015 by 5:00 p.m. No one can do this for you. It is your responsibility.
Official Entry Form
Must be filled out signed and returned by April 21st 2015
Registration Fee $20.00
Men
50-54
Women
50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+
(Please circle age group you are in as of December 31, 2015)
Please Print:
55-59
60-64 65-69
70-74 75-79
80-84
85+
(A participant must be a North Carolina resident for a minimum of 3
consecutive months of the year.)
NAME________________________________________Male______Female_____
Macon County Address______________________________________Age______
City/State/Zip________________________________________
Date of Birth________________________________________
Macon Co. Phone #___________________________________
Shirt Size: (Circle One) Sm.
Med.
Lg.
XLg.
XXLg.
E-mail Address: (Please Note that NCSG is asking for this information at the State Level)
Email__________________________________________
If you live out of town in the winter months please fill out below:
Winter Address: ___________________________________________________
City/State/Zip:
Winter Phone # (
___________________________________________________
)______________________________________________
Please provide this info to help us. It will be kept confidential. Thank you!
My ethnicity: _Black or African American; Asian; American Indian or Alaska Native; White;
Native Hawaiian or other Pacific Islander; Hispanic;or Unknown/Refused..
My annual household income is less than $11,670 (1 person in household) _ Yes
My annual household income is less than $15,730 (2 people in household) _ Yes
No response __.
“To qualify for State Finals, golfers need to meet a minimum performance score (MPS) and finish in the top 3 in their
age group.” MPS available from your coordinator.
“To promote total health and physical fitness, events of longer duration and lower intensity are strongly
recommended. High-intensity types of activities are offered primarily for the conditioned, trained athlete.”
Name____________________________________________________________________________Age__________________
Male____
Female___
Phone Number_________________________________________
For Bracketed Events Roll call will be 10 minutes before start time. If you are not present at Roll Call you will forfeit
the event. THERE WILL BE NO EXCEPTIONS.
Please indicate the events in which you would like to participate by marking with an X.
___Banquet
How many guests? ___________ Amount for Guest ($10.00 each) _________________
This must be attached with the Senior Games Application Form
_____Archery Recurve Bare Bow
_____Archery Recurve with site
_____Archery Recurve with Site & Release
_____Archery Compound Bare Bow
_____Archery Compound with Site
_____Archery Compound with Site & Release
_____Badminton Doubles___________ _____________partner
_____Badminton Mixed Doubles __________________partner
_____Badminton Singles
_____Basketball Shooting
_____Billiards
_____Bocce Doubles (fun game)____________________partner
_____Bocce Mixed Doubles (fun game)______________partner
_____Bocce Singles
_____Bowling Doubles
________________________partner
_____Bowling Mixed Doubles ____________________partner
_____Bowling Singles
_____Bridge (fun)_______________________________partner
_____Corn Hole doubles (fun) ___________________partner
_____Corn Hole mixed doubles (fun)______________partner
_____Corn Hole Singles
_____Croquet
_____Cycling 1K
_____Cycling 5K
_____Cycling 10K
FIELD EVENTS
_____Discus
_____Running Long Jump
_____Shot-put
_____Standing Long Jump
_____Football Throw
_____Golf – Additional cost
_____Horseshoes Doubles (fun)___________________partner
_____Horseshoes Mixed doubles__________________partner
_____Horseshoes Singles
_____Pickle ball Doubles __ ______________________partner
_____Pickle ball Mixed Doubles___________________partner
_____Pickle ball Singles
_____Racquetball
_____Shuffleboard doubles (fun)___________________partner
_____Shuffleboard Mixed doubles (fun)_____________partner
_____Shuffleboard Singles
_____Silver Striders fun walk
_____Softball Tournament
_____Softball Throw
_____Spelling Bee (fun)
_____Spin Casting
_____Table Tennis Doubles ______________________partner
_____Table Tennis Mixed Doubles ________________partner
_____Table Tennis Singles
_____Tennis Doubles ___________________________partner
_____Tennis Mixed Doubles _____________________partner
_____Tennis Singles
SWIMMING
_____100 yd. Backstroke
_____100 yd. Breaststroke
_____100 yd. Butterfly
_____100 yd. Free
_____100 yd. Medley
_____200 yd. Backstroke
_____200 yd. Breaststroke
_____200 yd. Butterfly
_____200 yd. Free
_____200 yd. Medley
_____50 yd. Backstroke
_____50 yd. Breaststroke
_____50 yd. Butterfly
_____50 yd. Free
_____500 yd. Free
TRACK
_____100 M Dash
_____1500 M Racewalk
_____1500 M Run
_____200 M Dash
_____400 M Dash
_____5 K Racewalk
_____800 M Run
_____5K Run
_____Performing Arts (please fill out additional form)
_____Silver Arts (please fill out additional form)
(fun) games are not official State games.
Silver Arts Official Registration
Please circle (category) of entry and write a full description of entry
Visual Art
Categories (circle one)
Oil, Acrylics, Mixed Media, Watercolor, Pastels, Drawing, Sculpture, Photography
Limit one per category
(Describe)
Title of art
description
age completed
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Heritage Arts
categories (circle one) Quilting, Weaving, Tatting & Needle lace, Crocheting, Knitting, Rugs (hooked,
braided, woven), Basket Weaving, Pottery – Hand built & thrown, Woodworking, Woodcarving,
Woodturning, Needlework, Jewelry, China Painting, Stained Glass & Tole Painting
(Describe)
Title of art
description
age completed
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Literary Arts
Categories (circle one)
Essays, Life Experiences (Autobiographical), Poems & Short Stories
Limit Two (Must be different Category)
(Describe)
Title of art
description
age completed
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Performing Arts
Categories (circle one) Dance,
Vocal, Instrumental, Comedy & Drama, Cheerleading
Limit 2 – (1 Act in 2 different category)
Title of song/act___________________________________________
Names of participants
_____________________________
___________________________
_____________________________
___________________________
_____________________________
___________________________
Are you a Competing act?__________
Are you a Non competing act?_________
Entry is limited to 3 minutes. This is one of the judging points as well as DIFFICULTY, ORIGINALITY, SKILL &
SHOWMANSHIP. Props are pe rformer’s responsibility. Voice presentations must be live. Background music can be taped.
These are the standards used by the State finals in Raleigh.
Non competing acts also must not exceed 3minutes
DELIVER SILVER ARTS ON MAY 2nd FROM 9:00 TO 1:00 ONLY
PICKUP SILVER ARTS ON MAY 7th FROM 9:00 TO 12:00
Liability Waiver
I understand, that although every effort will be taken to insure proper care of art work submitted, The Macon
County Senior Games or associated organizations are not liable for loss, theft or damage to work.
STATE FINALS “I understand that it is my responsibility to check with my local Senior Games Coordinator
immediately following my local Senior Games to determine if I qualified for State Finals and to get a
State Finals Entry Packet if I do not have internet access. My State Finals registration with payment
and all required items must be received in the NCSG office in Raleigh by 5:00 p.m. on August 1st!
I understand that this deadline is strictly enforced in fairness to all and it is my responsibility to make sure I am
registered.”
Health & Emergency Information
The staff of the Macon County Senior Games is committed to creating a healthy and safe environment for all participants.
To promote total health and physical fitness, events of longer duration and lower intensity are strongly recommended.
High-intensity types of activities are offered primarily for the conditioned, trained athlete. Please complete the following
information. Please Print.
List any Medications that you are currently taking: ____________________________________________
___________________________________________________________________________________
List any specific health conditions or problems that you have: ____________________________________
___________________________________________________________________________________
Name of Physician and office number: ______________________________________________________
Emergency contact person and phone number:________________________________________________
PLEASE READ AND SIGN THE WAIVER BELOW: THIS IS A REQUIREMENT!!!!!
I, the undersigned participant, hereby agree to indemnify, save and hold harmless the Macon County Recreation Park,
Macon County Senior Games, North Carolina Senior Games, Inc., Mill Creek Country Club, Franklin Lanes, Franklin
Health and Fitness Center, Holly Springs Babtist Church hall, and Franklin High School or any of their agents, sponsors
or representatives for my health, safety, or any injury resulting from my participation in the Macon County Senior Games
Program.
I have prepared myself for the events, which I have entered by practice prior to the actual competition. To the
best of my knowledge and belief, I have no physical restrictions, which would prohibit my participation in the events that
I have selected. I have been advised by the Macon County Senior Games Coordinators that it would be in my best
interest to consult with my physician prior to my preparation for actual participation in the events of my choice. The
Macon County Senior Games Coordinators have my permission to have a physician/EMT attend me if it is deemed
necessary during my participation in the Macon County Senior Games Program. I am covered by hospitalization or
medical insurance through private carrier, Medicare, Medicaid or otherwise which provides for the payment for health
care benefits for illness or injury from my participation in the Senior Games.
The undersigned has read the above waiver and release and understands that they have given up substantial rights by
signing it and voluntarily sign it. I have read this waiver/release.
________________________________________
Signature
_________________
Date
2015 SCHEDULE OF EVENTS
MONDAY APRIL 27th (last day to register for the
games)
10;30 am OPENING CEREMONIES & covered dish lunch
1:00 pm
Pickleball singles
1:00 pm
shuffleboard (fun) – men’s doubles
1:00 pm
bocce (fun) – women’s doubles
3:00 pm
horseshoes (fun) -- mixed doubles
TUESDAY APRIL 28th
9:00 am
Pickleball doubles
9:30
1:00
1:00
3:00
am
pm
pm
pm
corn hole (fun) – men’s doubles
shuffleboard (fun) – women’s doubles
bocce (fun) – men’s doubles
horseshoes (fun) singles
WEDNESDAY APRIL 29th
9:00 am
Pickleball mixed doubles
10:00 am
corn hole (fun) –mixed doubles
1:00 pm
shuffleboard (fun) – mixed doubles
3:00 pm
horseshoes (fun) -- men & women’s
doubles
THURSDAY APRIL 30th
9:00 am
pickleball mixed doubles – at the
Armory
10:00 am
corn hole (fun) – women’s doubles
1:00 pm
bocce (fun) – mixed doubles
3:00 pm
croquet (fun)
FRIDAY MAY 1st
8:30 am
5K run - at Franklin High school
track
10:00 am
corn hole men 75-79
1:00 pm
basketball shoot – at Comm. Bldg.
gym
2:00 pm
softball throw-at softball field
2:30 pm
football throw - at Comm. Bldg. gym
SATURDAY MAY 2nd
9:00am to 12:00 pm Drop off Silver arts at comm.
bldg..
9:00 am
race walk -- 1500 meter – at FHS
track
9:00 am
dashes – 400, 200, & 100 meter
9:30 am
fun walk
10:00 am
long jumps, discus, shot put &spin
casting
MONDAY MAY 4TH
9:30 am
corn hole - women 70-74
9:30 am
corn hole -- men 50-74 & 80+
1:00 pm
bowling – doubles – at Franklin Lanes
TUESDAY MAY 5th
Tuesday–Wednesday view silver arts at comm. Bldg
8:30 am
breakfast for all sr. games
participants
10:00 am – 2:00 pm HEALTH FAIR
1:30 am
bocce – men 75-79
1:00 pm
shuffleboard – women 70-74
WEDNESDAY MAY 6th
8:30 am
run – 1500 meter – FHS track
9:00 am
table tennis - all – at Comm. Bldg.
2015 SCHEDULE OF EVENTS
THURSDAY MAY 7th
9:00 am
swimming -at Franklin Health & Fitness
Ctr.
If you are swimming long events, you can get
someone
to time you earlier; otherwise you will swim
at this time
9:00 am to Noon - pickup silver arts
1:00 pm
bocce – women 50-69
1:30 pm
shuffleboard – men 50-69 & 75-79
1:30 pm
bocce – women 70-74
FRIDAY MAY 8th
9:00 am
run -- 800 meter – at FHS track
10:00 am
rained out events 1:00 pm
rained
out events
1:00 pm
bowling -- singles – at Franklin Lanes
MONDAY
8:00
8:30
1:00
4:00
Rd
MAY 11th
am
golf – at Mill Creek Golf Course
am
race walk – 5K – at FHS track
pm
shuffleboard women 75-79
pm
croquet - men-at Fred’s 607 Rabbit
Crk
TUESDAY MAY 12th
900 am
tennis – all
10:00 am
Bingo
11:30 am
spelling bee--at Comm. Bldg. meeting room
12:30 pm
PRESIDENTS LUNCH
1:30 pm
horseshoes -- women
4:00 pm
croquet- women–at Fred’s 607 Rabbit Crk Rd
WEDNESDAY MAY 13th
9:00 am
billiards -- men - at Franklin Lanes
10:00 am
billiards – women – at Franklin Lanes
1:00 pm
bowling--mixed doubles–at Franklin
Lanes
THURSDAY MAY 14th
8:00 am
cycling – all
10:00 am
badminton - doubles
1:00 pm
shuffleboard -- women 50-69 & 80+
1:00 pm
bocce -- men 50-64, 65-74 & 80+
FRIDAY MAY 15th
9:00 am
badminton – singles & mixed doubles
1:00 pm
bocce -- women 80+
1:00 pm
horseshoes -- men 75-79 & 80+
1:30 pm
bocce – women 75-79
2:00 pm
shuffleboard – men 70-74 & 80+
SATURDAY MAY 16th
9:30 am
Archery - venue tba
6:00 pm
Banquet – at Holly Springs Church Hall
TUESDAY MAY 19th
10:30 am
bingo
12:00 am
covered dish lunch, recognize medal
winners, election of officers, and
pickup state registration forms
bridge
DATES TO BE ANNOUNCED
racket ball
rest home games
gym
1:00 pm
2:00 pm
horseshoes – men 50-74
corn hole – women 50-69,75-79 & 80+
(fun) games are not official state games
SILVER ARTS GENERAL GUIDELINES
1.The SilverArts entry/entries entered at State Finals must be the same entry/entries that won
in the Local Games competition.
2. Entries must be the original work of the artist and must have been completed within 2 years
of the Local Games' qualifying date.
3. An art entry may only be entered in one (1) SilverArts sub-category at State Finals.
4. Artists must not submit an entry if the piece/performance/entry has been showcased in the
previous SilverArts Showcase at State Finals.
5. Art entry/entries incorrectly categorized by the artist, or not in compliance with NCSG
Guidelines and Category Requirements, will not be considered in the judging process.
6. Visual or heritage art pieces that win first, second or third place may be entered in Silver
Arts category at State Finals
7. Literary art pieces that win first or second may be entered in Silver Arts category at State Finals
Macon County Senior Games has the right to refuse or remove any or all art pieces that are deemed obnoxious
or repulsive in character.
Specific Category Requirements for silver artsQUIREMENTS FOR SILVERARTS SPECIFIC
CATEGOR
E A. Heritage Arts
Entries must be the work of the individual and not a group.
Heritage Art entries must be an original work. Patterns may be used, but no stamped pieces will be
accepted.
pottery must be hand built or thrown.
Latch hook rugs and pieces from ceramic molds will not be accepted.
All framed entries must be securely wired, ready to be hung (no serrated hooks or string). Two dimensional
work not properly framed and wired will not be displayed.
Framed entries can be no larger than 36" x 42", including matting and frame.
Entries can be no heavier than 50 pounds.
All entries, except framed work, must be able to be displayed in an area 3'(W) x 3'(L) x 5’(Height).
Groupings (sets) shall have no more than 3 separate pieces per set. All objects within each piece of the
set must be contained within or attached to one of the 3 pieces of the set.
Artist's name and title of entry must appear on, or be attached to, entry for identification.
Artists, or their representatives, are responsible to deliver and pick-up their entry at/during the
designated times.
B. Visual Arts
All artwork, except sculpture, must be framed (or gallery wrapped), securely wired, and ready to be
hung (no serrated hooks or string). Artwork, except sculpture, not properly wired will not be displayed.
Artwork, except sculpture, can be no larger than 36" x 42", including matting and frame.
Entries can be no heavier than 50 pounds.
Sculpture groupings (sets) may have no more than 3 pieces per grouping (set).
Mixed media may be a freestanding piece.
Freestanding entries must be able to be displayed in an area 3’(W) x 3’ (L) x 5’ (height).
Artists, or their representatives, are responsible to deliver and pick-up their entry at/during th
designated times.
The art piece must be an original work, not a print.
Artist's name and title of entry must appear on, or be attached to, entry for identification.
C. Literary Arts
All entries must be typed, double-spaced, on 8-1/2 x 11 paper and have a minimum of 1” margins. A
minimum font size is 10-pt type (preferably “times new roman or arial”).
Poems can be no longer than 40 lines.
Short stories, essays, and life experiences can be no longer than 8 pages.
All entries must have a title page, which includes title of entry, sub-category, and name of artist.
Artist's name must not appear on the content pages.
No framed or matted entries will be accepted.
.
REQUIREMENTS FOR