2012 LOCAL SENIOR GAMES EVALUATION

(Must be received by NCSG 30 days after your Games.)

Name of Local Games:

1. ______Number of individuals registered for Local Games. (Refer to Local Games Computer Program):

2. ______Number of volunteers in your year-round Senior Games Program

Include Steering Committee, Ambassadors and volunteers “at the Games”

3. Number of individuals:

  1. Official Sportsa)

b.SilverStriders Funwalkb)

  1. Cheerleadersc)
  2. SilverArts:Total:d)

Heritage Arts _____ Visual Arts _____ Performing Arts _____ Literary Arts _____

  1. Unofficial Sports:

Pickleball ______Mini-golf ______Others: ______e)

  1. Individuals at Special Events:

Health Fair/Expo(s):

Wellness Workshop(s):

Sport/Event Clinic(s):

Reunion:

Kick-off:

SilverArts Show(s) attendees

Awards Banquet

Closing Ceremony

Other:

______

Total of Special Eventsf)

Total Participants in year-round program (3a-f above)Grand Total

Send this Evaluation Form,within 30 days of the Local Games to: NCSG Evaluation, 4603 Western Blvd, Raleigh, NC 27606 or email to

4. Major Sponsors:Type of Contribution:

CashIn-kind

a.

b.

c.

5. Major Coordinating Organizations/Agencies Involved & How:

a.

b.

c.

d.

e.

6. Registration Fee: $______What did fee include?

Additional event fees charged (golf, bowling, SilverArts, etc.):

7. In general, what will you do differently next year and why?

8. What will you do thesame next year (successful ideas)?

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  1. Budget Information: Put the total expenditures and total revenues in the boxes below, if you attach your financial information.

Expenditures:

Item/CategoryCashIn-kind

$

(required)

Total Expenditures$______+$______=

Income/Revenue:

Item/CategoryCashIn-kind

NCSG Games Allowance______

Sponsors______

Participant Fees______

Sale of Souvenirs______

Sale of Ads______

Other (Please list):

______

______

$

(required)

Total Revenue$______+$______=

Thank you for your time! We really do use this information and learn from your comments. Now, how can we help you? Any ideas for the year-round program (workshops, Event Clinics, Local Games, State Finals, Newsletter, etc.)? Any advice or suggestions for the NCSG office staff and our relationship with your Local Games? Please let us know. Your suggestions are important!

Have you?

  • Sent NCSG your database?
  • Notified State Finals qualifiers and informed them of how to receive a State Finals Entry Form and informed them of the August 1st deadline.

Coordinator's Signature: ______Date______

Send this Evaluation Form within 30 days of the Local Games to: NCSG Evaluation, 4603 Western Blvd, Raleigh, NC 27606 or email to

Please keep a copy of this form for your files.

This is excellent information to compare year-to-year.

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