Eastern Shore Senior Games

 

Image of Holloway Hall building on SU's campus, fall leaves in the foreground

Eastern Shore Senior Games

2012 Registration Form

Registration is now CLOSED. Please call Dr. Carol Wood at 410-548-3256 or email seniorgames@salisbury.edu and provide the following information if you would like to be considered.

Contact Information:

* - Required field

* Name:
* Address:
* City:       * State:      * Zip:
* Daytime Phone:      Evening Phone:
* E-mail:
* Emergency Contact:     
* Emergency Number:
* DoB (mm/dd/yyyy)   * Sex:    * Shirt Size:
* How did you hear about ESSG?:

Event Sign Up:

Aquatics: Pump:
200 IM Pump-Chest Press
200 Freestyle Walk and Run:
50 Backstroke 5k Race
100 Breaststroke Track and Field:
50 Fly 100 Meters
200 Backstroke  Long Jump
50 Freestroke High Jump
100 IM Running Long Jump
200 Breaststroke Triple Jump
100 Freestroke 200 M
50 Breaststroke One Mile Walk:
100 Backstroke 1 Mile Precision
100 Fly Track and Field:
400 Freestyle 400 Meters
Basketball: Javelin  
Floor Shot Discus
Foul Shot  Shot Put
Cycling: 800 Meters
40K Road Race Fitness:
40K Fun Ride Fitness Assessment

Team Activities:

Golf: Partner Name:
18 hole
 
Bowling:  
Singles no partner
Men's Doubles
Women's Doubles
Mixed Doubles
Pickleball:  
Men's Doubles
Woman's Dbls
Mixed Doubles
Table Tennis:  
Singles no partner
Men's Doubles
Women's Doubles
Mixed Doubles
Tennis:  
Singles no partner
Men's Doubles
Women's Doubles   
Mixed Doubles   
   
Volleyball  
Volleyball Team Fee- $200 - please fill out volleyball roster on the 2012 Senior Games brochure (PDF). Note: individual event registration is NOT required unless participating in additional events

Fee Information:

  • One Event Registration - $30
    Ex: Aquatics (50 fly, 100 IM, & 200 Freestyle) OR Track & Field (javelin, shot put, & discus) OR Tennis (singles & doubles)
  • Unlimited Event Registration - $50

  • Ex: Aquatics (50 fly, 100 IM, & 200 Freestyle) AND Track & Field (javelin, shot put, & discus) AND Tennis (singles & doubles)
  • Note: After March 9th, a $25 dollar late fee will be added to the registration fee. 
Additional Fees (if applicable):
Bowling Lane Fee - $5 (required for bowling)
Golf Fee - $40 (required for Golf)
Polo Shirt - $35       Polo Size -
Donation Amount: (Optional)

You will receive a copy of this information in the email address you provided. Be sure to check your spam folder for email from seniorgames@salisbury.edu, if you do not receive an email in less than 5 minutes. Feel free to email us at the address above or call 410-677-0254 with any questions you may have concerning your Eastern Shore Senior Games Registration.

Payments can be made out to Salisbury University Foundation and sent to:

Salisbury University Foundation, Inc.
Salisbury University
1101 Camden Avenue
Salisbury, MD 21801