Boccia Bash Tournament - Registration Form

Boccia Bash Tournament - Registration Form
Get ready for a fun and friendly day of competition at the 2nd Annual Boccia Bash Tournament, presented in partnership with New Horizons Village. This indoor tournament brings together Gaylord Sports Association athletes and New Horizons Village residents of all experience levels for a competitive and inclusive day of boccia at New Horizons Village in Unionville, CT. The event will follow USA Boccia rules and use a double-elimination format, giving players multiple opportunities to compete. Lunch will be provided, and the day will conclude with an awards ceremony.

To register, please complete the online registration form and required waivers. Registration will be confirmed by email and additional event details will be shared prior to the tournament. Space is limited. Registration closes Wednesday, February 11, 2026.

For more information, contact the Gaylord Sports Association at 203-284-2772 or sports@gaylord.org.
I am a member of:*

Gaylord Sports AssociationNew Horizons Village
I am registering as a:*

ParticipantVolunteerGuest
I would like to attend the NHV Boccia Clinic on Wednesday, January 28 from 10:30 AM -12:00 PM

YesNo
I would like to register for the Boccia Bash Tournament on Thursday, February 26, 2026 from 10:30 AM - 2:00 PM at New Horizons Village, Unionville, CT.*

YesNo
If Guest, please check relationship

FamilyFriendGuideGaylord StaffOther
If you know who you would like to be on your team for the tournament, please list names below (3 people per team). This is optional, we will assign you to a team if blank.
Please indicate how you plan to travel to New Horizons Village in Unionville*

I will provide my own transportationI would like to use Gaylord-provided transportation(van from Gaylord)
Participant Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Date of Birth

MonthDayYear
Date
Please select:*

I am over the age of 18 and can legally sign for myself.I am either under the age of 18, legally conserved or not my own guardian.
Name of Legal Guardian or Conservator

First NameLast Name
Phone Number of Legal Guardian
Please enter a valid phone number.
Relationship to Legal Guardian
Emergency Contact *

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Participant*
Sports Association Membership
Have you participated in a Gaylord Sports Association Program in the past?*

YesNo
Medical Information
What is your primary diagnosis?*

Spinal Cord InjuryTraumatic Brain InjuryMultiple SclerosisStrokeAcquired Brain InjuryAmputeePTSDSpina BifidaVisual ImpairmentI do not have a disabilityCOPDOther
Secondary Diagnosis (if applicable)
Please indicate if you have any of the below conditions?*

AllergiesAsthmaDiabetesCardiac ConditionHearing ImpairmentSeizures/History of seizuresDifficulty breathingHospitalization(s) within the past yearChronic PainMobility ImpairmentsCognitive Impairments (learning new things, following directions, memory)Difficulty with communication, making my needs known or people understanding meMental Health condition (readjustment issues, anxiety, depression)Behavioral or emotional difficulties (impulsive, easily frustrated)Use of a mobility device (wheelchair, cane, walker, scooter)I have none of the above conditionsOther
If any of the above apply, please provide additional information here. Or, please make any additional comments about your disability or medical history that we should be aware of:
Please feel free to add any information about your boccia experience or any additional questions you may have.
Do you have any dietary restrictions?*

YesNo
Please indicate type of dietary restrictions.
Acknowledgment
By submitting this form, I verify that the above information is current and accurate. I understand that the above information will be kept confidential. In order to provide a safe and fun experience your information may be shared with: (1) Sports Association staff, coaches or instructors (2) other adaptive sports programs who will be working with you (3) medical professionals in case of emergency (4) as required for Sports Association grant reports. I understand that it is my responsibility to inform the Sports Association regarding changes to my: (1) contact information such as address, phone and email; (2) medical status including new diagnosis, surgery or medical changes; (3) any other information that is relevant to the safety of myself or others regarding my participation in Sports Association programs.
Today's Date*

MonthDayYear
Date
Name of person completing form:*

First NameLast Name
Signature*

Clear
Liability & Media Waiver
All participants, volunteers, and coaches must sign an annual liability waiver and optional media release. Once this form is submitted, please follow the instructions provided to sign the online waiver.
Should be Empty:

Boccia Bash Tournament - Registration Form

Participant Information

Sports Association Membership

Medical Information

Acknowledgment

Liability & Media Waiver