february 26- march 3, 2018 - pei55plusgamessociety · february 26- march 3, 2018 ... darts $5 55+...
TRANSCRIPT
Hosted by:
REGISTRATION FORMParticipant Information (must be completed by all participants)
Name: Year of Birth:
Address: Phone Number:
City: E-mail Address:
Postal Code: Gender:
Signature of participant: Date:
NOTE:
Release: I hereby release, remise and forever discharge the 55+ Winter Games host committee and
the PEI 55+ Games Society for/from all causes of action, damages or claims arising out of any injury
which I may suffer while participating in the said Games, no matter what the cause of such injury
and/or personal medical emergency.
I consent to the release of participant photos and videos for use in the newspaper, on the PEI 55+
Games Society website, and in other promotional materials. I consent to my e-mail address being
used for general information mail-outs by the PEI 55+ Games Society. (If you would like to opt-out of
the photo release, please contact the office at 902-368-6570.)
All Participants must be 55 years or older by December 31, 2018
2018 PEI 55+ Winter Games
February 26- March 3, 2018www.pei55plusgamessociety.ca
Release must be signed by all participants.
Registration Deadline: February 15th, 2018
EVENT REGISTRATION- fees are per person
If you participate in 4 events, the lowest cost event will be FREE
5 Pin Team Bowling $10 55+ c 65+ c 75+ c
Team Captain: Your Average_______
5 Pin Singles Bowling $10 55+ c 65+ c 75+ c
Scratch c OR POA c Your Average _______
Auction 45 $5 Partner's Name:
Contract Bridge $5 Partner's Name:
Cribbage $5 Partner's Name:
Crokinole $5 (per event) Singles c Pairs c
Partners Name:
Curling $15 55+ Men's
55+ mixed/women’s
Team Skip:
8 Ball Pool $5
Darts $5 55+ Women c 55+ Men c 70+ Women c 70+ Men c
Duplicate Bridge $5 Partner's Name:
Hockey $20*see reverse 55+ Men's c 60+ Men's c
55+ Women's c 65+ Men's c 70+ Men's c
Team Name:
Pickleball $5 (per event) Men's c Women's c Partner's Name:
16 team maximum Mixed c Partner's Name:
Scrabble $5 Can you bring a scrabble board?
Snowshoeing $5 2km Predicted Time
Stick Curling $15 Open c Women's Open c
Team Skip:
Celebration Ceremony & Luncheon $10 Stratford Town Hall, Stratford, PEI
Guest $10 Guest's Name:
+Total Payable
Registration Deadline: February 15th, 2018
Cheques are payable to: 2018 55+ Stratford Winter Games
Event Fee
2018 Winter Games Administration Fee
(compulsory -except for Life Members) $5
*Please Note that refunds are only issued if participants cancel prior to the event and make a refund
request in writing within 7 days of the event. Refunds will not be issued for "no shows" or for banquet
cancellations made after Tuesday of Games week.
Cu
rlin
gC
ha
rlo
ttet
ow
n C
url
ing
C
lub
8:0
0am
Ho
ckey
Po
wn
al S
po
rts
Cen
tre
8:0
0a
ma
nd
Bel
fast
Rec
Cen
ter
7:1
0p
m
Op
enin
g C
erem
on
ySt
ratf
ord
To
wn
Ha
ll1
0:0
0am
20
18
Vo
gue
Op
tica
l 55
+ P
rovi
nci
al W
inte
r G
ames
Dai
ly S
ched
ule
Frid
ayM
arch
2
Stic
k C
url
ing
Ch
arl
ott
eto
wn
Cu
rlin
g C
lub
8:0
0am
Du
plic
ate
Bri
dge
Ch
arl
ott
eto
wn
Bri
dg
e C
lub
9:0
0am
5 P
in B
ow
ling
Mu
rph
y's
Co
mm
un
ity
Cen
tre
9:3
0am
sin
gles
Sno
wsh
oei
ng
Co
tto
n P
ark
Tra
il1
0:0
0am
Cel
ebra
tio
n C
erem
on
y &
Lu
nch
eon
Stra
tfo
rd T
ow
n H
all
1:0
0p
m
Pic
kle
bal
l-m
ixed
Stra
tfo
rd T
ow
n H
all
Gym
6:0
0p
m
8 B
all P
oo
lD
oo
ly's
Ch
arl
ott
eto
wn
1:3
0p
m
Thu
rsd
ayM
arch
1
Stic
k C
url
ing
Ch
arl
ott
eto
wn
Cu
rlin
g
Clu
b8
:00
am
Cri
bb
age
Stra
tfo
rd T
ow
n H
all
9:0
0am
5 P
in B
ow
ling
Mu
rph
y's
Co
mm
un
ity
Cen
tre
9:3
0a
m t
eam
Au
ctio
n 4
5St
ratf
ord
To
wn
Ha
ll1
:00
pm
Wed
nes
day
Feb
ruar
y 2
8
Cu
rlin
gC
ha
rlo
ttet
ow
n C
url
ing
C
lub
8:0
0am
Ho
ckey
Po
wn
al S
po
rts
Cen
tre
8:0
0am
Co
ntr
act
Bri
dge
Stra
tfo
rd T
ow
n H
all
9:3
0am
Cro
kin
ole
Bu
nb
ury
Co
tto
n C
entr
e9
:00
am s
ingl
es1
:00
pm
pai
rs
Pic
kle
bal
l-m
en
’s &
w
om
en
’sSt
ratf
ord
To
wn
Ha
ll G
ym6
:00
pm
Dar
tsW
insl
oe
Lio
ns
Clu
b7
:00
pm
Cu
rlin
gC
ha
rlo
ttet
ow
n C
url
ing
C
lub
8:0
0am
Ho
ckey
Po
wn
al S
po
rts
Cen
tre
8:0
0a
m
and
Bel
fast
Rec
Cen
ter
7:1
0p
m
Scra
bb
leSt
ratf
ord
To
wn
Ha
ll9
:30
am
Sch
ed
ule
is
sub
ject
to
ch
ange
d
ue
to
we
ath
er
or
oth
er
un
fore
see
n
circ
um
stan
ces
Mo
nd
ayFe
bru
ary
26
Tues
day
Feb
ruar
y 2
7
Satu
rday
Mar
ch 3
SEND YOUR COMPLETED REGISTRATION FORM:
Mail to: Drop off at: Drop off at:
PEI 55+ Games OR 55+ Winter Games OR PEI 55+ Games Society Office
203- 40 Enman Cres. Host Office 40 Enman Crescent
Charlottetown, PEI 234 Shakespeare Drive Sport PEI, Charlottetown
C1E 1E6 Stratford Town Hall Room 203 (upstairs)
Please include payment (cheque payable to "2018 55+ Stratford Winter Games") with registration form
Contact:Provincial office: 902-368-6570, [email protected], fax: 902-368-4548
Host office: 902-569-6922 , [email protected]
Please support our Sponsors!
Registration forms are also available at 5 Vogue Optical locations:
MONTAGUE
Celebration Ceremony & Luncheon
The PEI 55+ Games Society recommends the use of protective headgear or other safety equipment when
applicable. Participants must follow facility regulations at all times.
Friday, March 2, 1:00 PM at the Stratford Town Hall, Stratford, PEI
*Special Note for Hockey- The schedule for the hockey event will depend on teams entered. Any team without
players registered by the deadline will not be scheduled. It is planned that all divisions will play a minimum of 2
games. In the event that more games are scheduled, an extra fee may be charged. Divisions may need to be
combined depending on teams confirmed. Priority for evening times will be given to the 55+ men's and women's
divisions.
Tickets $10 each for a luncheon and must be enclosed with your form
505 Granville Street
Saint John, NB is hosting the Canada 55+ Games, August 21-24,
2018 Contact Ernie Stavert for information on how to participate
[email protected], 902-566-2467
www.canada55plussj.ca
CHARLOTTETOWN
ALBERTON
479 Church Street
SUMMERSIDE
5 Brackley Point Road
Confederation Court Mall
521 Main Street