dayton world soccer games 2016 - registration packet

9
Recreation and Youth Services..."Re-Creating your Recreation Experience" 2016 DAYTON WORLD SOCCER GAMES September 17, 2016 Action Sports Center 1103 Gateway Drive Dayton, Ohio 45404 Pre-Tournament Registration Packet Get in the Game! #DWSG2016

Upload: city-of-dayton

Post on 20-Feb-2017

247 views

Category:

Sports


1 download

TRANSCRIPT

Page 1: Dayton World Soccer Games 2016 - Registration Packet

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

Page 2: Dayton World Soccer Games 2016 - Registration Packet

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 3: Dayton World Soccer Games 2016 - Registration Packet

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 4: Dayton World Soccer Games 2016 - Registration Packet

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 5: Dayton World Soccer Games 2016 - Registration Packet

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 6: Dayton World Soccer Games 2016 - Registration Packet

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 7: Dayton World Soccer Games 2016 - Registration Packet

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 #

Page 8: Dayton World Soccer Games 2016 - Registration Packet

Wai

ver

and

Rele

ase

Form

All

play

ers

mus

t com

plet

e th

e W

aive

r an

d Re

leas

e Fo

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.

The

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

e

1.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

2.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

3.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

4.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

5.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

6.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

7.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

8.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

9.La

st N

ame:

Firs

t Nam

e:M

ale/

Fem

ale

Recr

eatio

nal/

Sele

ct

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

Page 9: Dayton World Soccer Games 2016 - Registration Packet

Wai

ver

and

Rele

ase

Form

All

play

ers

mus

t com

plet

e th

e W

aive

r an

d Re

leas

e Fo

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.

The

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

e

10.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

11.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

12.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

13.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

14.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

15.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

16.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

17.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r:

18.

Last

Nam

e:Fi

rst N

ame:

Mal

e/Fe

mal

eRe

crea

tiona

l/Se

lect

Play

er o

r Pa

rent

/Gua

rdia

n Si

gnat

ure:

Phon

e N

umbe

r: