Test Form January 29, 2020 By ExpAdmin If you would like to register online please complete the form below. After completing the online form you can make payment online. If you want to mail a check then please use Option 1 for registration by mail. Each Athlete Must Fill Out Their Own Separate Form Name* First Last Gender* Male Female Date of Birth* Date Format: MM slash DD slash YYYY Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*CellEmail* Emergency NameEmergency #Please check the box of the event(s) you wish to enter.Archery (900 Round) Barebow Compound Barebow Recurve Compound Fingers Compound Release Recurve Cycling5K10KBoth 5K and 10KLawn Bowling Open Pairs Includes LunchBowling Partner NameEach partner must register separately.GolfScratchCallowayBoth Scratch and CallowayPickleball Doubles Mixed Doubles Singles Pickleball Partner NameEach partner must register separately.Pickleball Partner NameEach partner must register separately.Track & Field Track - 50 M Track - 400 M Track - 200 M Track - 800 M Track - 100 M Track - 1500 M Long Jump High Jump Discus Javelin Shot Put Pole Vault Athletes must bring their own equipment.Sprint Triathlon and Sprint Tri-Relay400M Swim - 20K Cycle - 5K Run To register for the 2020 Qualifier Sprint Triathlon and Sprint Tri-Relay log onto www.runsignup.com for complete details. Event name is Lake Senior Games.Individual Entry FeesArchery Entry Price: $15.00 Cycling 5k Price: $18.00 Cycling 10k Price: $22.00 Cycling 5k & 10k Price: $30.00 Lawn Bowling (Includes Lunch) Price: $18.00 Golf Scratch Price: $60.00 Golf Calloway Price: $60.00 Golf Scratch & Calloway Price: $80.00 1st Event - $60 2nd Event - $20Pickleball - First Entry Price: $25.00 Pickleball - 2nd Event (add 1 to Quantity) Price: $15.00 Quantity: Track & Field Event Price: $15.00 PLEASE READ: You must indicate the number of additional Track & Field events in the quanity field below otherwise you will only be registered for one event. Price: $7.00 Quantity: TOTAL REGISTRATION FEE $0.00 Method of Payment For Online Registration*I will send payment by PayPal after submitting this form. (Please make note of the total registration fee for payment and double check all entry fees were included.)Partners In Doubles Sports - I understand that if I am participating in a sport with doubles that any partners must register and pay separately.*(This includes sports such as Pickleball and Lawn Bowling).YesAcknowledgementSignature of Registered Participant*By typing my name above this shall act as my signature to indicate I have read and understood the Waiver and Release of Liability (click here to read).Date* Date Format: MM slash DD slash YYYY I am ready to submit this form.*YesAfter submitting the registration form you will be automatically directed to the online payment page where you can make secure payment with credit card or PayPal. You will also receive a copy of this submission form by email. Please click the SUBMIT button below.