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The game starts off by throwing a special white target ball, called the 'jack', and alternately throwing six red balls and six blue balls as close to the jack as possible. Players who are unable to throw a ball using their hands are permitted to use their feet, or use an assistive device such as a ramp with the help of an assistant.

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Boccia is the Italian word for 'ball'. The sport was originally designed in Europe for people with severe cerebral palsy or disabilities affecting motor skills. Boccia is a highly strategic sport in which players can attempt to throw accurate shots to the jack one by one, or leverage on their opponents' balls to move their balls closer to the jack. Tensions flare as the individual players' strategies clash.

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