Senior Games Entry Form Please complete this form to compete in the NW LA Senior games. Payment will be required to complete registration. We accept credit, debit, and e-check as payment. Step 1 of 3 33% HiddenExpert Form Tip: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. Important: Delete this tip before you publish the form.Contact DetailsName* First Last Gender*Please selectMaleFemalePhoneEmail Enter Email Confirm Email Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Age as of Dec 31, 2024*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Are you a veteran?*Please ChooseNoYesHow did you hear about this event?Please selectPast ParticipantFriendWord of MouthSocial MediaGoogleOther GamesCompetition GamesChoose all games / sports you will compete in. Additional charges may apply for some and will be added to your total as you choose them. Archery - Sat, May 18 Beanbag Baseball - Tue, Apr 23 (Finals Apr 25) Beanbag Baseball - Wed, Apr 24 (Finals Apr 25) Beanbag Baseball (Senior Residence) - Thur, July 11 Bocce Ball - Tue, Apr 9 Bowling Mixed - May 1(+$11) Bowling Doubles - May 3(+$11) Bowling Singles - May 8 (+$11) Bowling Scotch Doubles - May 10 (+$11) Bowling 9-Pin No tap - May 15 (+$11) Bowling Team - May 17 (+$11) Cornhole - Thu, Jun 6 Darts - Fri, May 24 Ladders Golf - Wed, Apr 17 Marksmanship (.22 pistol) - Thu, April 18 Marksmanship (.22 rifle) Thur, Apr 18 Miniature Golf (added facility fee) - Tue, Apr 23 (+$6) Pool (8-ball) - Fri, May 24 Recreational One Mile Walk - Mon, Apr 15 Recreational 5K Walk - Mon, Apr 15 Table Tennis Singles - Fri, May 24 Celebration of Athletes Celebration of Athletes EventWednesday, June 21 Limited to the athlete and one guest.Celebration of Athletes Participant Ticket (+$10) Guest Ticket (+$10) HiddenWould you like to order a T-shirt? No Yes T-Shirt (S)Small T-Shirt Price: T-Shirt (M)Medium T-Shirt Price: T-Shirt (L)Large T-Shirt Price: T-Shirt (XL)XL T-Shirt Price: T-Shirt (2X)2XL T-Shirt Price: T-Shirt (3X)3XL T-Shirt Price: T-Shirt (4X)4XL T-Shirt Price: T-Shirt (5X)5XL T-Shirt Price: Senior Games Registration TotalsGeneral Entry Fee Price: Singles Bowling Price: Doubles Bowling Price: Beanbag Baseball Team Name* Beanbag Baseball Captain* Senior Residence Beanbag Baseball Team Name* Senior Residence Beanbag Baseball Captain* Doubles Bowling Partner* Doubles Bowling Partner Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Mixed Doubles Bowling Price: Mixed Doubles Bowling Partner* Mixed Doubles Bowling Partner Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Scotch Doubles Bowling Price: Scotch Doubles Bowling Partner* Scotch Doubles Bowling Partner Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Nine Pin No Tap Bowling Price: Team Bowling Price: Bowling Team Name* Team Bowling Partner 1* Team Bowling Partner 1 Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Team Bowling Partner 2* Team Bowling Partner 2 Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Team Bowling Partner 3* Team Bowling Partner 3 Age*Please select49-5050-5455-5960-6465-6970-7475-7980-8485-8990-9495-99100+Golf Usage Fee (No Lunch) Price: Golf Usage Fee (Lunch Included) Price: Your Average Golf ScoreTo be used to form foursomes. Hidden* Hidden* Miniature Golf Fee Price: Celebration Ticket - Participant Price: Celebration Ticket - Guest Price: Subtotal $0.00 Processing Fee $0.00 Total $0.00 Payment InformationPayment Method*Please choose a payment method. Credit / Debit Card Credit Card*Card Details Cardholder Name Subtotal $0.00 Total $0.00 Release of Liability* I release NWLSG of any liability related to my participation in the games.I have read this release of liability and assumption of risk agreement and I understand fully its terms. I understand that I have given up substantial rights by signing and I sign freely and without any inducement. I also agree to the stated model release.Signature*