a 29501 es a - fusesport
TRANSCRIPT
SOUTH CAROLINA SPORTS CLASSIC
POST OFFICE BOX 3401
FLORENCE, SC 29502
SO
UT
H C
AR
OL
INA
SP
OR
TS
CL
AS
SIC
ST
AT
E G
AM
ES
F
ran
cis Mario
n U
niv
ersity
48
22 E
. Palm
etto S
treet
Flo
rence, S
ou
th C
aro
lina 2
9501
May 1
4-1
5, 2
021
May 2
0-2
2, 2
021
ww
w.scsen
iorg
ames.co
m
Sp
on
sored
by:
Hu
man
a
Blu
e Cro
ss Blu
e Sh
ield
City
of F
loren
ce
Flo
rence C
ou
nty
AA
RP
U S
Fin
an
cial
Lio
ns C
lub
Hartsv
ille SC
Su
pp
orters:
Fra
ncis M
ario
n U
niv
ersity
S.C
. Recrea
tion
an
d P
ark
Asso
ciatio
n
S
an
ction
ed b
y:
Natio
nal S
enio
r Gam
es Asso
ciatio
n
ww
w.n
sga.co
m
General Information Read Before Completing Registration
GENERAL INFORMATION
The SC Sports Classic State Games (SCSC) is a 2-weekend competition in 28 sports for men and women 40 years old and older.
The event has both ambulatory (standing) and non-ambulatory (sitting) athletes. Participation in the SC Sports Classic is open
to anyone from any state meeting the age requirement regardless of race, color, creed, sex, religion, or national origin. Socials
as well as athletic activities are offered including a Friday Evening Celebration of Athletes and Meal Function. The SCSC
requests that all participants consult his or her doctor in regard to preparation for, and competition in, our State Games.
Age Groups: Age is determined by your age as of December 31, 2021. All events are held in the following 5-year age
increments: 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 85-89, 90-94, 95-99, 100+. In doubles competition,
the age of the younger player will determine the age of the team. In team sports, age categories are: 40+, 45+, 50+, 55+, 60+,
65+, 70+, 75+, 80+, 85+ and are determined by the age of the youngest player on the team.
Proof of Age/Gender: Acceptable proof of age/gender including driver's license, passport, or in-force insurance policy ID must
be shown at registration check-in.
Event Venues:
Weekend One: May 14-15, 2021 All events will be held at various offsite venues. (SEE ATTACHED MAP)
Weekend Two: May 20-22, 2021 Most events are conducted at Francis Marion University (4822 East Palmetto Street,
Florence, SC 29501) located on Highways 301 and 76 about 7 miles east of Florence. Cycling and the 5K Run are run at the
Highway 327 Industrial Park, and Bowling and Pocket Billiards at Southgate Bowling Center (SEE ATTACHED MAP)
Registration Check-in: May 14-15, 2021 Athlete check-in is 1 hour prior to event at your individual venues.
Registration Check-in: May 20-22, 2021 Athlete check-in is in the Athlete Village in the Smith University Center Commons of
FMU (843-661-1180). Enter at 4th entrance on left. The Registration Desk will be open Wednesday from 2:00pm-5:00pm
Thursday and Friday from 7:00am -5:00pm, and on Saturday from 7:00am-11:00am.
Housing:
No campus housing is available for May 14-15, 2021 Competitions.
Campus Housing – Available May 20-22, 2021. The first 300 participants requesting housing on campus can be accommodated
at Francis Marion University in dormitory style facilities. Linens are not furnished and there are no TVs in the rooms.
Suitemates must be requested on the Registration form.
Motels: The following motels are a part of the State Games team. When taking advantage of these special rates, please tell
the motel that you are with the SC Sports Classic.
NAME ADDRESS TELEPHONE RATE
Quality Inn 150 Dunbarton Dr 843-664-2400 $90.00
Holiday Inn Express North 2101 Florence Harlee Blvd 843-629-9779 $99.00 King $109.00 Two Queens
Holiday Inn Express 3440 W Radio Dr 843-432-1500 $109.00
Hilton Garden Inn 2671 Hospitality Blvd 843-432-3001 $109.00
Hampton Inn & Suites 3000 W Radio Dr 843-629-9900 $109.00
Hampton Inn & Suites 1735 Stokes Rd 843-662-7000 $109.00
Staybridge Suites 150 Westpark Dr 843-519-5200 $119.00
Awards: Medals will be presented to the first, second and third place finishers in each event. Duplicate awards will be given in
timed events only when there is a tie.
Rules & Policies: 1) Athletes are responsible for knowing the rules, regulations, physical requirements, and abilities needed for the event.
2) Play will be governed by the National Governing Body rules for each sport unless modified by the SC Sports Classic rulebook. The SCSC rulebook is available on the SC Sports Classic website, scseniorgames.com.
3) All athletes must be pre-registered. Participants will not be allowed to change or add events at the Games.
4) Doubles partners must be registered participants and listed on their partner's registration form including year of birth. Only properly registered doubles teams will be allowed to play. Partners cannot be selected or paired at the event. Ambulatory athletes must have ambulatory partners and non-ambulatory athletes must have non-ambulatory partners.
5) Triathlon Relay Team consists of 1 Runner, 1 Cyclist, and 1 Swimmer. Age category is determined by the age of the youngest player on the team.
6) Participants must use equipment provided by the SCSC where required, otherwise, they may use their own. All personal equipment to be used including horseshoes, shuffleboard cues and track implements must be pre-certified at the Events Stations.
7) ONLY track shoes or running shoes may be used for Track & Field.
8) Participants are limited to 6 swimming events and 5 track running events. Walkers may participate in power walk or race
walk, but not both.
9) During play, all protests must be filed immediately with the appropriate fee to the Event Manager who will contact the
Protest Committee for a ruling. This ruling is final.
10) Due to the number of events, many will run simultaneously. It is the athlete's responsibility to check for any conflicts and
not register for events that may run at the same time. Athletes registering for events in the same time frame will be scratched
from all but one event as determined by the SCSC.
11) Games officials reserve the right to cancel any event due to insufficient registration or combine age groups if fewer than 5
participants signed up for an event in any age group.
12) Event Roll Call: Athletes must check-in at their event venue at least 15 minutes prior to scheduled starting time. Once roll
is called and the event meeting held, absentees will be scratched, and the event will start on time. No late check-in will be
allowed.
13) Team events and Pickleball will be double elimination tournaments. All other bracketed events will be a single elimination
tournament with consolation game/match.
14) Games officials reserve the right to cancel or postpone events in case of inclement weather or unusual extenuating
circumstances. There will be no refund for a cancelled, postponed or rescheduled event. Come prepared for all types of
weather. On May 14-15, 2021 it is your responsibility to check at your event venue for schedule changes.
On May 20-22, 2021 it is your responsibility to check at the Event Station in the Athlete Village for schedule changes.
*** TEAM SOFTBALL WILL BE PLAYED ON MAY 7-8, 2021 AT EAST RIVERSIDE PARK
1555 S SUBER RD, GREER SC, 29650 ***
PLEASE READ THIS INFORMATION BEFORE COMPLETING YOUR REGISTRATION FORMS.
REGISTRATION INFORMATION • Registration is open from January 1, 2021 through May 1, 2021 at scseniorgames.com.
• Ways to register:
1) On-line at the SC Sports Classic website, scseniorgames.com. Payment made by credit card.
2) By printing an entry form on-line and mailing it to SCSC, PO Box 3401, Florence, SC 29502 along with your check or
money order.
3) By completing this entry form and returning as directed. Registrations will not be accepted that are not
accompanied by the required fee and forms. Any incomplete registrations that are returned will incur a $10 processing fee. No
faxes or emails will be accepted as registration. Checks are to be made payable to South Carolina Sports Classic. There will be a
$35 returned check fee and athlete is not registered until all fees are paid.
• Please note on your entry form if you participated in a sanctioned SCSC Local Games in 2020.
• Deadlines: Registration deadline is May 1, 2021. Early registration deadline is April 15, 2021. No registrations will be
accepted if not received by May 1, 2021.
• Fees:
Entry fees:
State resident registrations received by April 15th $45
State resident registrations received from April 16-May 1 $55
Out of state resident registrations received by April 15th $60
Out of state resident registrations received from April 16-May 1 $70
Team player fee (basketball, softball, volleyball) if participating in Team play only and no other events or socials
Received by May 1, 2021. $20 per sport
Team members participating in additional events and/or attending socials would pay the full registration fee as listed
above, and includes an athletic towel, socials, meals, registration processing and all selected events
• Separate facility usage fees will be charged in bowling $7.00 and golf $24.00 and will be paid at the venue.
• A protest fee of $50 is due at the time of the protest. The fee is refundable if the protest is determined to be valid.
• Refund requests must be made in writing and received by May 1, 2021. A 15% processing fee will be retained for
cancellations before May 1, 2021. No refunds for any reason after May 1, 2021.
• The liability release form must be signed, and emergency contacts listed, or your registration is incomplete.
• Those registering on-line will receive an email confirmation. No confirmation will be sent to those not registering
online. However, all those registered will be posted on our website after registration has concluded.
• When entering Event Partners on the "Official Event Registration Form" INCLUDE YEAR OF BIRTH (YOB).
At the Games, have with you: a photo ID or proof of age/gender, list of medications, medical conditions and allergies; and
proof of insurance in case of emergency.
Complete and Return if applicable Make a copy for your records
* 2021 SOUTH CAROLINA SPORTS CLASSIC TEAM ROSTER *
Registration Form Required for each individual team member
____Basketball (max. Roster 10) ____Softball (max. roster 20) ____Volleyball (max. roster 15) ____Triathlon Relay (3 person team)
(max. out of state-3) (max. out of state-5) (max. out of state-4). (Best Swimmer, Runner, Cyclist)
Each team member MUST fill out the "Registration Form" or enter online and include the fees required on the registration form, $20.00 sport ONLY
GENDER/AGE DIVISION:
___Women 40+ ___Women 70+ ___Men 40+ ___Men 70+
___Women 45+ ___Women 75+ ___Men 45+ ___Men 75+
___Women 50+ ___Women 80+ ___Men 50+ ___Men 80+
___Women 55+ ___Women 85+ ___Men 55+ ___Men 85+
___Women 60+ ___Men 60+
___Women 65+ ___Men 65+
TEAM NAME ____________________________________ REPRESENTING STATE ___________________
TEAM CAPTAIN FIRST NAME: _________________ LAST NAME: ______________________________
MAILING ADDRESS: _____________________________________________________________________
CITY: ________________________ STATE: ______ ZIP: ___________
HOME PHONE: _____/_______/____________ CELL PHONE: _____/________/_________
E-mail: ________________________________________________
Attach the Team Roster on a separate sheet to this form Include:
Players and Coaches First and Last Name, Complete mailing address, Phone
Number, Email, and DOB.
PLEASE TYPE OR PRINT ALL INFORMATION OR IT WILL NOT BE ACCEPTED
MAIL COMPLETED ROSTER AND REGISTRATIONS TO:
Debbie Eaddy, SCSC, P.O. Box 3401, Florence, SC 29502
Contact Debbie Eaddy at (843) 229-1665 or email [email protected] for information concerning team matters.
Rosters received after May 1, 2021 will not be accepted!
****************************************************************************************************************
* VOLUNTEER APPLICATION * Return With Registration if Applicable
Anyone interested in volunteering during the “SC Sports Classic” State Games may apply by filling out the following application.
Spouses/family members are eligible to volunteer. You will be contacted by the volunteer coordinator.
Name: ___________________________________________Email: ____________________________________________________
Address: ___________________________________________________________________________________________________
Phones: _____/_____/_______ Home _____/_____/_______ Cell
Shirt size (please circle) S M L XL XXL XXXL
Please check the WEEKEND, DAY & TIME you are available. If you prefer to work a certain event, please note below. If not, we will use
you where we need you the most.
MAY 14-15, 2021 WEEKEND MAY 20-22, 2021 WEEKEND
_____Friday 8:30am-12:00pm _____ Thursday 7:30am-11:30am
_____Friday 12:00pm-4:00pm _____ Friday 7:30am-11:30am
_____Saturday 7:00am-11:00am _____ Friday 11:30am-3:30pm
_____Saturday 11:00am-3:00pm _____ Saturday 7:30am-12:30pm
Event Requested: ________________________ Event Requested: _________________________
For more information Contact: Robin Parker 843.667.6999 HOME [email protected]
Return This Page to SCSC Make a copy for your records
Official Registration Form Registration Deadline: Received by May 1, 2021
Name: _______________________________________________________________________________________ Date of Birth __________________________
Street Address: ________________________________________________ City: ____________________________ State: _____ Zip: ______________________
Phone Numbers: ___________________________________________________Age: ________ (as of 12/31/21) County: _________________________________
Email Address: ________________________________________________________________________________________ (PLEASE PRINT CLEARLY)
SEX: □ Male □ Female Category: □ Standing (Ambulatory) □ Non-Ambulatory (Sitting at all times)
Have you participated in any 2020 Local Games sanstioned by SCSSC YES NO Location ___________________
Participation Fees: (Please check all that apply)
□ SCSC Registration Fee Received By April 15, 2021 ( Includes athletic towel, selected events, meal functions)
In State $45.00 $________
Out of State $60.00 $________
□ Registration Fee Received Between April 16, 2021– May 1, 2021
In State $55.00 $________
Out of State $70.00 $________
Do you plan to attend the Meal Function on Friday May 14h (circle one) Yes No
Additional Meal Function Ticket for guest $20.00 each $________
Do you plan to attend the Meal Function on Friday May 21th (circle one) Yes No
Additional Meal Function Ticket for guest $20.00 each $________
Torch Club Gold $100.00 Silver $50.00 Bronze $25.00 Participation $15.00 $________
Team Sport Registration (Includes athletic towel only) (All team rosters must be RECEIVED by May 1, 2021)
Basketball $20.00 $________
Softball $20.00 $________
Volleyball. $20.00 $________
Triathlon Relay $20.00 $________
May 19-22, 2021 Francis Marion University Campus Housing is $50.00 per night
Suitemate Name (if applicable) ___________________________________________________
Please Circle Night(s) Staying On Campus: Weds Thursday Friday Saturday ($50.00 x # of nights) $_________
TOTAL FEES ENCLOSED $_________
(Make check payable to SC Senior Sports Classic, PO Box 3401, Florence SC 29502)
****************************************************************************************** Athlete Village Schedule of Events
Friday May 14, 2021
6:30pm Celebration of Athletes and Dinner at The Leatherman Center 600 Senior Way Florence SC 29505
Thursday, May 20, 2021
7:00am-5:00pm Registration and Personal equipment certification at the Smith Center
Friday, May 21, 2021
7:00am-11:00am Registration and Personal equipment certification at the Smith Center
10:00am-11:00am Bingo, Smith Center Commons balcony
6:00pm-6:30 pm Come THANK our Sponsors at the Sponsors Social at Irving Dining Hall
6:30pm Hall of Fame Induction and Dinner at Irving Dining Hall
Saturday, May 21, 2021
7:00am-11:00am Registration and Personal equipment certification at the Smith Center
* 2021 SOUTH CAROLINA SPORTS CLASSIC *
OFFICIAL EVENT REGISTRATION FORM - COMPLETE AND RETURN
NAME: ____________________________________ This form must be completed in order to participate in individual competition.
Friday & Saturday, May 7-8, 2021 ________ 10:00 am Team Softball East Riverside Park, Greer, SC
Friday, May 14, 2021
_______ 9:00 am. Golf The Traces Golf Course
________ 12:00 pm Pickleball Mixed Doubles Timrod Park
Partner ____________________ YOB ____________
Saturday, May 15, 2021
Track and Field Events West Florence High School
Participants limited to five (5) running events
_________ 7:30 am 5000M Race Walk
_________ 8:00 am 1500 M Powerwalk
_________ 8:00 am Discus Men
_________ 8:00 am High Jump Women
_________>>>>>>>>> 50 M Dash
_________>>>>>>>>> 800 M Run
_________>>>>>>>>> 400 M Run
_________>>>>>>>>> 100 M Dash
_________>>>>>>>>> 1500 M Run _________>>>>>>>>> 200 M Dash
_________ 9:15 am High Jump Men
_________ 9:15 am Discus Women
_________ 10:15 am Standing Long Jump Women NQE _________ 10:30 am Javelin Men
_________ 10:30 am Running Long Jump Women
_________ 10:30 am 1500 M Race Walk AWARDS PRESENTATION BREAK
_________ 11:30 am Standing Long Jump Men NQE
_________ 11:45 am Running Long Jump Men
_________ 11:45 am Javelin Women _________ 1:00 pm Shot Put Men
_________ 1:00 pm Triple Jump Women
_________ 1:30 pm Shot Put Women
_________ 1:30 pm Triple Jump Men
Non-Track and Field
_________ 9:00 am Pickleball Singles Timrod Park
_________ 12:00 pm. Pickleball Doubles Timrod Park
Partner ____________________ YOB ____________
Thursday, May 20, 2021
________ 8:00 am Horseshoes Men (Ambulatory/non-ambulatory)NQE
________ 8:00 am Triathlon Relay (Teams must be listed on team roster)
________ 9:00 am Bocce NQE
________ 10:00 am Tennis Singles
________ 3:00 pm Bowling Mixed Doubles Southgate Bowling Center
Partner _____________________ YOB _________
(Ambulatory or non-ambulatory)
________ 3:00 pm Racquetball Singles
________ 4:00 pm Racquetball Doubles
________ 5:00 pm Racquetball Mixed Doubles
Friday, May 21, 2021
________ 8:00 am Triathlon (400-yard swim, 20K cycle, 5K run)
________ 8:00 am Horseshoes Women(Ambulatory/non-ambulatory)NQE
________ 9:00 am Shuffleboard Men Singles
(Ambulatory/non-ambulatory)
________ 9:00 am Badminton Singles ________ 9:30 am Tennis Doubles
Partner ______________________ YOB _________
* Personal Equipment Certification will be at the Smith Center Commons
area the day before the scheduled event and at the Track & Field Event.
Return this page and make a copy for your records
Friday, May 21, 2021 _______ 10:00 am Table Tennis Singles
________ 10:00 am Bowling Singles Southgate Bowling Center
________ 11:00 am Badminton Doubles
Partner ______________________ YOB _________
________ 11:30 am Tennis Mixed Doubles Partner _____________________ YOB _________
________ 12:00 pm Shuffleboard Women Singles
(Ambulatory/non-ambulatory)
________ 12:00 pm Pocket Billiards Southgate Bowling Center
12:00 pm Swimming Participants are limited to 6 events
________ >>>>>>>> 100 Yard Butterfly
________ >>>>>>>> 200 Yard Freestyle
________ >>>>>>>> 50 Yard Breaststroke
________ >>>>>>>> 100 Yard Backstroke
________ >>>>>>>> 400 Yard IM AWARDS PRESENTATION BREAK
________ >>>>>>>> 100 Yard Breaststroke ________ >>>>>>>> 200 Yard Backstroke
________ >>>>>>>> 100 Yard IM
________ >>>>>>>> 50 Yard Freestyle
________ >>>>>>>> 200 Yard Butterfly AWARDS PRESENTATION BREAK
________ >>>>>>>> 50 Yard Backstroke
________ >>>>>>>> 200 Yard IM ________ >>>>>>>> 50 Yard Butterfly
________ >>>>>>>> 100 Yard Freestyle
________ >>>>>>>> 200. Yard Breaststroke
________>>>>>>>> 500 Yard Freestyle ________ 12:00 pm Table Tennis Doubles
Partner ______________________ YOB _________
________ 1:00 pm Badminton Mixed Doubles
Partner ______________________ YOB _________
________ 2:00 pm Table Tennis Mixed Doubles: Partner ______________________ YOB _________
________ 3:00 pm Shuffleboard Doubles
Partner ______________________ YOB _________
________ 3:00 pm Cycling 20k Pee Dee Industrial Park
6:00-6:30 Sponsor Social /6:30pm Hall of Fame Induction and Dinner
Saturday, May 22, 2021 ________ 8:00 am 5K Run Pee Dee Industrial Park
________ 9:00 am Free Throw NQE
________ 10:00 am Cycling 5K Pee Dee Industrial Park TT
________ 10:00 am Spot Shooting NQE
10:00 am Archery
_________>>>>>>>>> Re-curve, with sights
_________>>>>>>>>> Bare-bow re-curve, with no sights
_________>>>>>>>>> Compound fingers, with sights
_________>>>>>>>>> Bare-bow Compound, with no sights
_________>>>>>>>>> Compound Release, unlimited ________ 10:00 am Bowling Doubles Southgate Bowling Center
Partner _____________________ YOB _________
(Ambulatory/non-ambulatory)
________ 11:00 am Disc Golf NQE OC
________ 11:00 am Team Basketball
Team Name ___________________________________________
________ 12-1 pm Corn Hole
________ 12:00 pm Cycling 10k Pee Dee Industrial Park TT
________ 12:00 pm Team Volleyball
Team Name ___________________________________________
TT Time Trial
OC Event Held Off Campus
NQE Non-Qualifying Event
Extra Fees: Bowling $7.00 per event at the venue
Golf $24.00 at the venue
6:00pm Celebration of Athletes and Dinner at Leatherman Center
* THIS IS A RELEASE * WAIVER & RELEASE FROM LIABILITY - READ BEFORE SIGNING
In consideration of being allowed to participate in any way with South Carolina Sports Classic, its related events and activities, the
undersigned, acknowledge, appreciate, and agree that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent
paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious
injury can exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM
THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe
unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the
attention of the Classic personnel immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE
INDEMNIFY, AND HOLD HARMLESS S.C. SENIOR SPORTS CLASSIC, their officers, officials, agents and/or
employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors
of premises for activity (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or
damage to person or property associated with my presence or participation, WHETHER ARISING FROM THE
NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
5. I hereby release any pictures or videos made of me to the S. C Senior Sports Classic to be posted on their web site or other
electronic media and social media including but not limited to brochures, videos, or advertisements and other promotional
materials.
6. I understand that the SCSC State Games includes physical touch and close proximity over extended periods of time. Because
of this, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that
I am aware of the risks involved from competing in the SCSC State Games and I voluntarily agree to assume those risks, and
I release and hold harmless the SCSC from any and all claims related to participating in the SCSC State Games and Social
Events.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND
ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING AND SIGN IT FREELY
AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
SIGNATURE: ___________________________________________ Age: ________ Date: ___________
PRINT NAME: __________________________________________
NOTE: Francis Marion University also requires a “Release” to be signed at registration during check in.
Must be signed to participate.
************************************************************************************************************
Emergency Contact Information
Primary
Contact: _________________________________________________ Relationship: ______________________
Home Phone: _______________________________________ Cell Phone: ______________________________
Secondary
Contact:__________________________________________________ Relationship________________________
Home Phone:________________________________________ Cell Phone_______________________________
CONGRATULATIONS AND GOOD LUCK TO ALL OF OUR ATLETES
WHO WILL BE COMPETING THE NATIONAL SENIOR GAMES IN FT. LAUDERDALE, FLORIDA IN NOVEMBER !!
PLEASE REFER TO THE CHECK LIST BELOW TO MAKE SURE ALL OF
THE CORRECT INFORMATION IS COMPLETED, AND REQUIRED
DOCUMENTATION IS ENCLOSED BEFORE YOU MAIL YOUR
REGISTRATION FORM
ALL REQUIRED FORMS COMPLETELY FILLED OUT AND RECEIVED BY MAY 1, 2021
CHECK ENCLOSED
DATE OF BIRTH AND AGE AS OF 12/31/2021
SIGNED LIABILITY FORM
COMPLETED TEAM ROSTER (If Applicable)
TWO (2) EMERGENCY CONTACTS PROVIDED
WHICH NIGHTS STAYING ON CAMPUS (If Applicable)
VOLUNTEER APPLICATION (if applicable) AND OR TORCH CLUB (donation or membership if desired)
DOUBLES PARTNER NAME AND YEAR OF BIRTH (YOB). MAKE SURE YOUR PARTNER REGISTERS (IF YOU
DO NOT INDICATE A PARTNER OR LIST AN INELIGIBLE PARTNER FOR DOUBLES YOU WILL NOT BE
REGISTERED IN THAT EVENT)
IF ALL INFORMATION IS NOT PRINTED CLEARLY, FULLY COMPLETED, THE REGISTRATION FORM
WILL BE MAILED BACK TO YOU FOR COMPLETION. A TEN DOLLAR ($10.00) HANDLING FEE WILL BE
REQUIRED FOR RETURNED REGISTRATIONS.
THANK YOU FOR REGISTERING. WE ARE LOOKING FORWARD TO SEEING YOU IN FLORENCE AT THE
2021 "SC SPORTS CLASSIC" STATE GAMES.
www.nsga.com
Venue Addresses
1. GOLF TheTraces Golf Club, 4322 Southborough Rd., Florence, SC 29501 843-662-7775
2. TRACK AND FIELD AND WALKS West Florence High School, 221 N Beltline Drive, Florence, SC 29501
3. PICKLEBALL Timrod Park, 400 Timrod Park Dr, Florence, SC 29501
4. BOWLING & POCKET BILLIARDS Southgate Bowling Center 1902 S Irby St., Florence, SC 29505 843-661-5050
5. CYCLING & 5K RUN Highway 327 Industrial Park, Florence, SC, 29506
6. DISC GOLF Behind Wallace Gregg School 515 Francis Marion Rd., Florence SC. 29506
7. LEATHERMAN CENTER 600 Senior Way, Florence SC. 29505
(Map on Adjacent Page)