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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
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 Sheet
TOURNAMENT:	 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 Checklist
The 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 Agenda
This 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 Information
In 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/officials
CDC: http://www.cdc.gov/HeadsUp/youthsports/training/index.html
2016 DAYTON WORLD SOCCER GAMES
Page 5
2016 DAYTON WORLD SOCCER GAMES
Team Registration Form
Please 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 #
WaiverandReleaseForm
AllplayersmustcompletetheWaiverandReleaseForm.Players17andundermusthavethewaiverandreleasesignedbyaparentorguardian.Theformmustbeturnedintoregistrationbefore
participationintheWorldSoccerGames.IfaplayerfailstosubmittheirWaiverandReleaseform,allliabilityandlegalissueswillbetheresponsibilityoftheteamcaptain.TheWorldSoccerGames
ortheCityofDaytonwillnotberesponsibleforplayersthatdonotsubmitaplayerWaiverandReleaseForm.
Inconsiderationofthefurtheranceofyourpurposes,objectivesandaims,andinconsiderationofyourpermittingmetoparticipateinyourtournament,onbehalfofmyself,myheirs,executors,
administratorsandassigns,IherebywaiveandreleaseanyandallclaimsfordamageswhichImayhaveagainstyou,theCityofDayton,theWorldSoccerGames,aswellasanyotherperson,
sponsors,organizationsorcorporation,theirheirs,executors,administrators,andassignswhoareprovidingservicesorassistanceasaresultthereof.
*HighschoolsoccerathletesmaybeinviolationofOHSAAregulationsbyplayingintheDaytonWorldSoccerGames.PleasecheckwiththeOHSAA,yourcoachand/orathleticsdirectorbeforeplayingin
thistournament.
TeamName:Division:
TeamCaptain:Coach:
AdultRepresentative(ifyouthteam):AdultPhoneNumber:
AdultE-mail:RecreationalorSelect:
GenderAgePastSoccerExperience
1.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
2.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
3.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
4.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
5.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
6.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
7.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
8.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
9.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
WaiverandReleaseForm
AllplayersmustcompletetheWaiverandReleaseForm.Players17andundermusthavethewaiverandreleasesignedbyaparentorguardian.Theformmustbeturnedintoregistrationbefore
participationintheWorldSoccerGames.IfaplayerfailstosubmittheirWaiverandReleaseform,allliabilityandlegalissueswillbetheresponsibilityoftheteamcaptain.TheWorldSoccerGames
ortheCityofDaytonwillnotberesponsibleforplayersthatdonotsubmitaplayerWaiverandReleaseForm.
Inconsiderationofthefurtheranceofyourpurposes,objectivesandaims,andinconsiderationofyourpermittingmetoparticipateinyourtournament,onbehalfofmyself,myheirs,executors,
administratorsandassigns,IherebywaiveandreleaseanyandallclaimsfordamageswhichImayhaveagainstyou,theCityofDayton,theWorldSoccerGames,aswellasanyotherperson,
sponsors,organizationsorcorporation,theirheirs,executors,administrators,andassignswhoareprovidingservicesorassistanceasaresultthereof.
*HighschoolsoccerathletesmaybeinviolationofOHSAAregulationsbyplayingintheDaytonWorldSoccerGames.PleasecheckwiththeOHSAA,yourcoachand/orathleticsdirectorbeforeplayingin
thistournament.
TeamName:Division:
TeamCaptain:Coach:
AdultRepresentative(ifyouthteam):AdultPhoneNumber:
AdultE-mail:RecreationalorSelect:
GenderAgePastSoccerExperience
10.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
11.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
12.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
13.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
14.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
15.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
16.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
17.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
18.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:

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