Recreation and Youth Services..."Re-Creating your Recreation Experience"
2016 DAYTON WORLD SOCCER GAMES
September 17, 2016Action Sports Center
1103 Gateway DriveDayton, Ohio 45404
Pre-Tournament Registration Packet
Get in the Game!
#DWSG2016
2016 DAYTON WORLD SOCCER GAMES
Dear Team,Thank you for your interest in participating in the Dayton World Soccer Games! This event is an opportunity for the Dayton region to come together and celebrate the cultural diversity of our community.
The information in this packet should answer most of your questions regarding the tournament. Additional information can be found on our web site at www.welcomedayton.org.
Completed packets must be received by the City of Dayton, Department of Recreation and Youth Services on or before Saturday, September 3, 2016. We will contact you once your packet is received to confirm your information. Please include a current e-mail address or valid phone number so we can keep you updated with the most current information. We look forward to making this event enjoyable for your team and fans. Please contact us at 937-333-8400 for more information.
Good luck this year! Sincerely,
Lamonte Hall Jr.John Parker
Page 1
Fact SheetTOURNAMENT: Dayton World Soccer Games Community Event
DATE: Saturday, September 17, 2016 Opening Ceremony and Youth and Adult Soccer Games
LOCATION: Action Sports Center 1103 Gateway Drive Dayton, Ohio 45404
AGE BRACKETS: There will be 4 youth teams in each age bracket. 1. Ages 6–7 (6–8 players per team) 2. Ages 8–9 (10–12 players per team) 3. Ages 10–11 (10–12 players per team) 4. Ages 12–13 (15–18 players per team) 5. Ages 14–18 (15–18 players per team)
There will be 8 adult teams in each age bracket. 1. Ages 19–30 (no more than 18 players per team) 2. Ages 31 and over (no more than 18 players per team) *Brackets are subject to change based upon registrations received
TEAM REGISTRATION: Each team must represent one country and have at least one member on the team who is from that country. Countries will be accepted on a first-come-first-served basis. Duplicate countries will be put onto a waiting list and informed of whether or not they are accepted no later than September 10, 2016.
ENTRY FEE: Youth Teams – $75 if registered by or before August 20, 2016 $100 if registered after August 20, 2016
Adult Teams – $100 if registered by or before August 20, 2016 $125 if registered after August 20, 2016
Entry fee must be paid at time of registration. Cash, checks or money orders are accepted.
ENTRY DEADLINE: Saturday, September 3, 2016
SUBMIT ENTRY FORM AND ROSTER TO:
By Mail: Dayton World Soccer Games Attn: Lamonte Hall, Jr. Department Of Recreation And Youth Services 101 West Third Street, Mezzanine Floor Dayton, Ohio, 45402
In Person: Department Of Recreation And Youth Services 101 West Third Street, Mezzanine Floor Dayton, Ohio, 45402 Open M-F; 8 am – 5 pm 937-333-8400
2016 DAYTON WORLD SOCCER GAMES
High school soccer athletes may be in violation of OHSAA regulations by playing in the Dayton World Soccer Games. Please check with the OHSAA, your coach and/or athletics director before playing in this tournament.
Page 2
2016 DAYTON WORLD SOCCER GAMES
Fact Sheet (Continued)
UNIFORMS: Teams will supply their own uniforms. Teams must wear matching uniforms, but should be creative in representing their country. Each uniform must have a number specific to the player in bold font with a line width of no less than one (1) inch. Each player must also have soccer cleats, shin guards, and soccer socks. Uniforms cannot interfere with the game, pose a distraction to another team, or present a danger.
CONCESSIONS: Concessions will be available at the tournament site. Alcohol must be purchased on site and can only be consumed in designated areas.
For more information on being a food or craft vendor, contact Lamonte Hall, Jr. at 937-333-3393 or visit www.welcomedayton.org.
PARKING: Limited parking will be available on site. Carpooling is recommended.
Game schedule, rules and field layout are available on-line at www.welcomedayton.org.
Registration ChecklistThe following items must be submitted by Saturday, September 3, 2016 to be registered:
○ Team Registration Form
○ Team Roster
○ Waiver and Release Form
○ Registration Fee
○ Concussion Training Certification (for youth coaches)
Page 3
Event AgendaThis agenda is tentative and is subject to change. A final event schedule will be provided at Team Check-In.
TEAM CHECK-IN Saturday, September 17, 6:30 am – 8:30 am All teams must check in between 6:30 am and 8:30 am at the registration table.
PARADE OF NATIONS Saturday, September 17, 8:30 am Teams will line up from 8:30 am – 8:50 am. The Parade will be from 8:50 am – 9:15 am, and will include all teams representing their countries, marching under the country's flag.
TOURNAMENT KICK OFF Saturday, September 17, 9:30 am At 9:30 am all first round teams must report to their field for their match. A listing of the order of each game will be provided in your check-in packet.
2016 DAYTON WORLD SOCCER GAMES
Page 4
Coaches Concussion InformationIn order to protect young athletes, the State of Ohio has passed a concussion law, commonly called the "Return to Play" law. Therefore, all Ohio Tournaments are responsible to monitor and track compliance with the concussion training requirements of the Return to Play law. It is required that each coach receive approved concussion training prior to the Dayton World Soccer Games. Below you will find two links for the Free Concussion Training. Once the training has been completed, a certificate can be printed. Please submit the certificate with your Pre-Tournament Registration Packet and other required forms.
Certification can be acquired at the following websites:
NFHS (preferred): http://nfhslearn.com/home/officialsCDC: http://www.cdc.gov/HeadsUp/youthsports/training/index.html
2016 DAYTON WORLD SOCCER GAMES
Page 5
2016 DAYTON WORLD SOCCER GAMES
Team Registration FormPlease complete the registration form and submit with your payment, which can be made in the form of cash, check, or money order. Make checks payable to: City of Dayton. Retain your receipt.
* High school soccer athletes may be in violation of OHSAA regulations by playing in the Dayton World Soccer Games. Please check with the OHSAA, your coach and/or athletics director before playing in this tournament.
PLEASE PRINT ALL INFORMATION.
TEAM INFORMATION
Team Name: Team Country:
Captain's Name: First MI Last
Address:
City: State: Zip:
Home #: Cell#:
E-mail:Alternate Contact Name and Phone #:(Must be over 18 years old)
Please Check the Age Bracket in which Your Team Will Compete:YOUTH ○ 6 – 7 ○ 8 – 9 ○ 10 – 11 ○ 12 – 13 ○ 14 – 18
ADULTS ○ 19 – 30 ○ 31 and over
TEAM WAIVER AND RELEASE
I would like to register a team for the 2016 World Soccer Games. If this registration is accepted, I will be responsible for my team’s fulfillment of all rules and regulations established for the operation of the tournament.
By signing this application form, I am acknowledging on behalf of myself and my organization or group (“the participants”) that use of the Dayton World Soccer Games and Action Sports facilities carries a risk of personal injury. The participants RELEASE or DISCHARGE The City of Dayton, its agents, sponsors, employees and volunteers, Dayton World Soccer Games, Action Sports, and their agents and employees, from liability for injuries or damage, including any losses CAUSED BY THE NEGLIGENCE OR STRICT LIABILITY of the released parties. The participants agree not to sue or make a claim against those agencies and agree to hold them harmless and indemnify them from all claims and suits that may be brought as a result of use of these facilities or participation in sports and/or programs held at these facilities. I do hereby grant and give these groups the right to use my or my child's photograph or image with or without my or my child's name, both single and in conjunction with other persons or objects for any and all purposes including, but not limited to, private or public presentations, advertising, publicity and promotion relating thereto. I warrant that I have the right to authorize the foregoing uses and do hereby agree to hold The City of Dayton, its agents, sponsors, employees and volunteers, Dayton World Soccer Games, Action Sports, and their agents and employees harmless of and from any and all liability of whatever nature which may arise out of result from such uses.
Signature: Date:
For Staff Use Only
Received by: Receipt #
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ver
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Form
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play
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t com
plet
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aive
r an
d Re
leas
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rm.
Play
ers
17 a
nd u
nder
mus
t hav
e th
e w
aive
r an
d re
leas
e sig
ned
by a
par
ent o
r gu
ardi
an.
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form
mus
t be
turn
ed in
to r
egist
ratio
n be
fore
pa
rtic
ipat
ion
in th
e W
orld
Soc
cer
Gam
es.
If a
play
er f
ails
to s
ubm
it th
eir
Wai
ver
and
Rele
ase
form
, all
liabi
lity
and
lega
l iss
ues
will
be
the
resp
onsib
ility
of
the
team
cap
tain
. Th
e W
orld
Soc
cer
Gam
es
or th
e C
ity o
f D
ayto
n w
ill n
ot b
e re
spon
sible
for
play
ers
that
do
not s
ubm
it a
play
er W
aive
r an
d Re
leas
e Fo
rm.
In c
onsid
erat
ion
of th
e fu
rthe
ranc
e of
you
r pu
rpos
es, o
bjec
tives
and
aim
s, an
d in
con
sider
atio
n of
you
r pe
rmitt
ing
me
to p
artic
ipat
e in
you
r to
urna
men
t, on
beh
alf
of m
ysel
f, m
y he
irs, e
xecu
tors
, ad
min
istra
tors
and
ass
igns
, I h
ereb
y w
aive
and
rel
ease
any
and
all
clai
ms
for
dam
ages
whi
ch I
may
hav
e ag
ains
t you
, the
City
of
Day
ton,
the
Wor
ld S
occe
r G
ames
, as
wel
l as
any
othe
r pe
rson
, sp
onso
rs, o
rgan
izat
ions
or
corp
orat
ion,
thei
r he
irs, e
xecu
tors
, adm
inist
rato
rs, a
nd a
ssig
ns w
ho a
re p
rovi
ding
ser
vice
s or
ass
istan
ce a
s a
resu
lt th
ereo
f.
* Hig
h sc
hool
socc
er a
thle
tes m
ay b
e in
vio
latio
n of
OHS
AA re
gula
tions
by
play
ing
in th
e Da
yton
Wor
ld S
occe
r Gam
es.
Plea
se ch
eck
with
the
OHSA
A, y
our c
oach
and
/or a
thle
tics d
irect
or b
efor
e pl
ayin
g in
th
is to
urna
men
t.
Team
Nam
e:D
ivisi
on:
Team
Cap
tain
:C
oach
:
Adu
lt Re
pres
enta
tive
(if y
outh
team
):A
dult
Phon
e N
umbe
r:
Adu
lt E-
mai
l:Re
crea
tiona
l or
Sele
ct:
Gen
der
Age
Past
Soc
cer
Expe
rienc
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rst N
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17.
Last
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rst N
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18.
Last
Nam
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rst N
ame:
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