2015 Championships Diving Entry Form Sunday June 28th, 2015

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State Games

Program Participant

2015 Championships

Diving Entry Form

Sunday June 28th, 2015

Tolleson Pool, Smyrna


    • Sanctioned by the State of Georgia

    • Recognized by U.S.A. Diving, G.H.S.A., G.R.P.A., G.A.H.P.E.R.D.

    • No additional memberships required

    • T-shirts to all participants

    • Advanced online registration discount

    • Gold, silver, and bronze medals for each division

    • Place and points contribute to your school’s Georgia Scholastic Olympiad totals

    • Parks & Rec. Summer League Divers are highly encouraged to participate

    • National Qualifier for the National State Games of America 2015 and 2017



Georgia Games | P.O. Box 2043 | Kennesaw, GA. 30156

staff.rachel.coe@georgiagames.org | 1 (518) 729-9960


From Atlanta:

Take I-20 W/GA-402 W. After about 5 ½ miles merge onto I-285 N/GA-407 N via EXIT 51B toward Chattanooga/Greenville. Take the GA-280/S Cobb Dr. EXIT 15, toward Smyrna. Turn left onto GA-280/S Cobb Dr. After 3 miles, turn right onto King Springs Rd SE. The Tolleson Pool will be on your left, just past Hayes Dr. SE. If you reach Starline Dr. SE you’ve gone too far.


Date: Sunday June 28, 2015

Venue: Tolleson Pool, Smyrna

Time: Sunday, June 28th competitors can arrive at 8 a.m. to register. Warm-ups will begin at 8:30 a.m., event starts at 9 a.m.

Entry Fee: $21.00/event, $10.00/Late registration fee added after June 27th, 2015

Entry forms submitted without completed diving sheets will NOT be accepted. Entry fees must be paid for entry forms to be accepted.

*Out of State Residents add $5.00 to entry fee*

*Depending on number of competitors, the number of dives and/or dive criteria is subject to change at the discretion of the meet director

REGISTER ONLINE at www.georgiagames.org

Entry Deadline: June 27, 2015 at midnight. Walk-up and/or day-of registration might be accepted at the desecration of the meet director

with additional late fees.

Divisions: Level 1 & Level 2: 9-U, 10-11, 12-13, 14-15, 16-18, 19 & over (7-U will be added on 1m if numbers permit) Age is determined as of June 28, 2015

Contact: Rachel Coe Email: staff.rachel.coe@georgiagames.org Phone: 1 (518) 729-9960


Eligibility: Open to all GRPA, GHSA, USA Diving members or other interested individuals.

Rules: Governed by United States Diving.

Facilities: Two – 1 Meter & One – 3 Meter

Dives for Competition

7 & Under - (3 dives) All divers shall perform a forward or back jump (100 or 200 A,B,C) – using a DD of 1.0. The jump shall be done at the beginning of the competition and shall be followed by two dives from any group, using true DD.

8 & 9 - (4 dives) All divers shall perform a forward and back jump (100 and 200 A,B,C) using a DD of 1.0. These jumps shall be done at the beginning of the competition and shall be followed by two dives in any group, using true DD.

1 0 & 1 1 - (4 dives) All divers shall perform a forward jump (100 A,B,C) or a back jump (200 A,B,C) using a DD of 1.0 at the beginning of the competition and shall be followed by three dives from at least two different groups, using true DD.

1 2 & 1 3 - (4 dives) All divers shall perform a forward dive 101 (A, B, or C) using a DD of 1.8 one/three meter, plus three dives from two different groups. Any dive on the table may be used. The optional dives shall be calculated with their true DD.

1 4 & 1 5 a n d 1 6 & 1 8 - (5 dives) All divers shall perform five dives from at least three different groups, with no more than two dives being from any group. Dives shall be calculated with their true DD.

** 3-meter list will be the same as one 1M in all age groups.

Except for the jumps will be line-ups (001/002 A,B,C) using a DD of 1.0.

Line-ups are judged how you enter (only) the water.

NOTE: Jumps will be allowed if not already required. Example - If you are doing a front jump in 7 & U, you can do a back jump as one of your two dives.



Georgia Games Championships

Diving General Information

June 28, 2015

Account Summary:
# of Events ____ x $21 =_______
# of Events (Late Fee)

____ x $10 =_______

Out of State Fee

Per Player ($5) =_______

Donations =_______
Total =_______

Georgia Games Official Individual

Athlete Form & Waiver

Sport Event Information:

Level: (please circle one)
 Level 1
 Level 2

Divisions: (please circle one)
 7-U 1M (#’s permitting)

 9-U 1M 3M

 10-11 1M 3M

 12-13 1M 3M

 14-15 1M 3M

 16-18 1M 3M

 19-Over 1M 3M

USD #(REQUIRED):____________

**Level 2 divers only.**Must be a member of US Diving.

Athlete Information: __________________________________________________________________________________________

Last Name First Name Middle Initial

Street Address/Apt #_____________________________________________________________________________________________

City/Town County State Zip

School Name: _______________________________________________________ Grade: __________________________

Phone Numbers: __________________________________________________________________________________________________

Daytime Evening Cell Phone

Email Address: _____________________________________________________________________________
Date of Birth: (M/D/Y)______________________ Sex: _____ T-Shirt Size (Youth: YS, YM, YL or Adult: -AS, AM, AL, AXL, AXXL): _____

EMERGENCY CONTACT INFORMATION: _______________________________________________________________________________

  1. Name of Athlete (print) Signature of Athlete (if at least 18 years of age) Date

    Name of Parent/Legal Guardian if Athlete is a minor (print) Signature of Parent/Guardian, Individually and in the capacity Date

    as Parent/Legal Guardian if Athlete is under 18 years of age.


    In consideration of being permitted to participate in or assisting others in participation in the Georgia Games Championships/District Sports Festivals, and related events and activities, on behalf of myself, or a minor child or ward, heir, next of kin, personal representative, successor or assign;


    1. To the best of my knowledge, I am in GOOD PHYSICAL CONDITION and have no disease or injury that would be aggravated by participating in activities related to the Championships;

    2. Participating or assisting other in participating in the Championships may involve RISK OF INJURY TO ME, INCLUDING DEATH, LOSS OR DAMAGE TO ME OR MY PROPERTY, or other consequences, which might result not only from my own actions, in actions or negligence but also the actions, in actions or negligence of others, the rules play, or the conditions of the premises or of any equipment used;

    3. There may be OTHER RISKS not known or not reasonably foreseeable; and Understanding All of the Above,


    1. The State of Georgia or any of its agencies, District Sports Festivals, the Georgia State Games Commission, the Georgia Sports Foundations, its Commissioners, its Board of Directors, its employees, agents, volunteers, coaches, trainers, or officials affiliated with their programs;

    2. Any affiliated subsidiary, successor, organization, or related companies or businesses, other participants, participating or sponsoring municipalities, governmental agencies, international organizations, agencies, sponsors, or advertisers, the respective administrators, officers, directors, agents, representatives, employees, or volunteers of such entities or organizations;

    3. The National Congress of State Games (NCSG), the United States Olympic Committee (USOC) and/or their respective representatives, officers, directors, employees, agents, successors and assigns;

    4. Owners, lessors and lessees of premises used to conduct the Games FROM ANY AND ALL LIABILITY FOR INJURY, INCLUDING DEATH, LOSS OR DAMAGE TO PERSON OR PROPERTY, OR ANY OTHER CONSEQUENCE in connection with entry in or arising out of participation in, performance in or lack of performance in, including travel en route to and from the Championships.

    1. I AGREE THAT:

    1. Prior to participating as an athlete, I, or in the case of a minor, a parent or guardian, will INSPECT the facilities and equipment to be used, and If I believe same to be unsafe, I will immediately REPORT such condition(s) to the athletic coach, supervisor or official connected with the Championships of same and either DECLINE TO PARTICIPATE or ASSUME THE RISK of participating;

    2. I will ALLOW my PHOTOGRAPH, PICTURE or LIKENESS and/or VOICE to APPEAR in any official documentary, promotional (including and all advertisements), television, radio or film coverage of the Championships, WITHOUT COMPENSATION.

    1. I CONSENT TO:

    1. ALL EMERGENCY MEDICAL TREATMENT as may be deemed appropriate under existing circumstances by medical personnel or personnel associated with the Championships. I HAVE READ THIS FORM IN ITS ENTIRITY AND HAVE PROVIDED TRUTHFUL INFORMATION.

    Last Name First Name Phone:

State Gamesseal_ga.gif

Program Participant

Georgia Games Championships

Diving General Information

Georgia Games

Georgia Games | P.O. Box 2043 | Kennesaw, GA. 30156

staff.rachel.coe@georgiagames.org | 1 (518) 729-9960


Georgia State Games – Developed to promote “grassroots” amateur sports and an improved quality of life, the Georgia State Games attracts athletes from a variety of backgrounds, ages and skill levels. Each year the Georgia Games continues to develop programs that fit the athletic and lifestyle needs of the Georgia public. As a member of the National Congress of State Games (NCSG), which is a community based, multi-sport member of the United States Olympic Committee (USOC), the Georgia Games is committed to enhance and promote participation in amateur sports.

Advance to Nationals –

NATIONALS - Every two years, 40 State Games come together as one to participate in a national competition, the State Games of America. All medal winners from State Games programs are eligible to compete. For more information, visit www.stategames.org
About the Georgia Games Championships – The Georgia Games Championships is a sports festival created for Georgia’s amateur athletes. Patterned after the Summer Olympics, the 2009 Championships will consist of 40 sports providing Georgia’s amateur athletes, of all ages and skill levels, a meaningful opportunity to participate in a true amateur sport competition.
Who Can Compete – All residents of Georgia who have lived in the state for at least 30 days prior to the date of competition for their sport are eligible if they meet the requirements specified by that sport. Georgia residents attending school or serving in the military in other states are also eligible. Residents of South Carolina and Tennessee are invited to participate as well.
How To Enter ONLINE REGISTRATION! Visit our website www.georgiagames.org to register online and receive a discount. Entry forms may be obtained by visiting our web site or by calling 770-528-3581. Participants are encouraged to note deadlines and register early for all competitions. A signed agreement, release and waiver of liability and payment of an entry fee is required in order to compete.

  • Entry received after maximum numbers of teams or individuals are bracketed.

  • Insufficient number of teams or individuals entered.

  • Entry received from a non-qualified athlete.

Insurance – Insurance is the responsibility of each participant. In some instances, the National Governing Body (NGB), which sanctions an event, may have secondary coverage. Medical aid will be available in the event of an emergency, injury or illness. Preparation for competition, such as taping, will not be provided.
Governing Body Registration/Membership – NGB registration requirements vary between sports. Please check your sport event information for details.
Number of Sports Entered - You may enter as many sports as you wish, as long as the events are not held at conflicting times. It is the athlete’s responsibility to make sure there are no schedule conflicts in the sports he/she enters.
Awards – All participants will receive an official Georgia Games Championships commemorative T-shirt. Gold, silver and bronze medals will be awarded to the first three places. With the inclusion of out-of-state athletes, no Georgian will be displaced for a medal. See your Event Director with any questions regarding this information. The Georgia Games Sportsmanship Award will be presented to the male and female in each sport who best exemplifies the positive attributes of a model competitor. Additionally, one male and one female athlete from the pool of Sportsmanship Award winners will be nominated for the State Games Athlete of the Year Award.
Organizers The Georgia Games staff, assisted by thousands of volunteers, carry out the various tasks associated with the execution of the Georgia Games Championships.
For More Information Contact Rachel Coe:

P.O. Box 2043 Kennesaw, GA. 30156


1 (518) 729-9960

State Games

Program Participant

Georgia Games Scholastic Sports Olympiad
Fundamental Principle: To provide a fun, competitive atmosphere where the Olympic Ideals of the founder of the modern day Olympics, Pierre De Coubertin’s, “ A Celebration of Life through Sports” is a positive attribute that should be encouraged across all youths, all skill levels, all ethnicities and all geographic areas of the state.
What is the Scholastic Sports Olympiad? Its a statewide scholastic sports and fitness competition!
Ask yourself: Is your school the most athletic and physical fitness oriented & spirited?
How can you help your school claim bragging rights for ALL sports and not just a few?

  • Earn your school points via: 1) final standings, 2) participation points, 3) sportsmanship points &

4) distance traveled.

  • Schools win the right for a sports development grants by placing 1st, 2nd or 3rd in their classification.

Over 40 sports being offered!

Archery Diving Rowing Tennis-USTA

Badminton Equestrian Rugby-HS Track & Field

Billiards Fencing Shooting-BB Gun Volleyball-Indoor

Baseball Golf Shooting-Shot Gun Volleyball-Outdoor

Basketball-Boy's Judo Soccer-Boys Weightlifting-Olympic

Basketball-Girl's Lacrosse-Boys Soccer-Girls Weightlifting-Power

Billiards Lacrosse-Girls Swimming-Open Water: Wrestling-Folk,

BMX Cycling Mt. Biking 1K, 3K, 5K Free / Greco

Bowling Racquetball Swimming-Youth Water Polo

Boxing Road Race: 5K & 10K Table Tennis

Cycling-Criterium & Roller Hockey Taekwondo

Road Race
Categories 1A through 5A High Schools and Middle Schools each have their own division.
Eligible Participants:

Anyone who attends and competes from your school can earn points towards the Olympiad!

Every athlete receives a Sports Festival t-shirt just for competing!

Individuals and teams receive Gold, Silver or Bronze medals for winning their respective sports, divisions or events. Thousands of medals are up for grabs!

The majority of the events are in the summer. Visit our website for complete details on scoring, schedules and more!
Supported by: GHSA, GISA, GACA, GADA, GA State Board of Education

Remember, you do not have to be the best to earn points for your school. You just have to compete!

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