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September 12, 2015
Action Sports Center
1103 Gateway Drive
Dayton, Ohio 45404
Recreation and Youth Services..."Re-Creating your Recreation Experience"
Pre-Tournament
Registration Packet
Get in the Game!
2015 DAYTON WORLD SOCCER GAMES
2015 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, August 29, 2015. 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 12, 2015
	 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 10–12 (10–12 players per team)
		4. Ages 13–14 (16–18 players per team)
		5. Ages 15–18 (16–18 players per team)
	 There will be 8 adult teams in each age bracket.
		1. Ages 19–30 (no more than 20 players per team)
		2. Ages 31 and over (no more than 20 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 2, 2015.
Entry Fee:	 Youth Teams – $75 if registered by or before August 15, 2015
			 $100 if registered after August 15, 2015
	 Adult Teams – 	$100 if registered by or before August 15, 2015
			 $125 if registered after August 15, 2015
	 Entry fee must be paid at time of registration. Cash, checks or money orders are 		
	accepted.
Entry Deadline:	 Saturday, August 29, 2015
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
2015 DAYTON WORLD SOCCER GAMES
Page 2
2015 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 Stephan Marcellus
	 at 937-333-1724 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, August 29, 2015 to be registered:
○ Team Registration Form
○ Team Roster
○ Waiver and Release Form
○ Registration Fee
○ Concussion Training Certification
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 12, 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 12, 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 12, 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.
2015 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://www.nfhslearn.com/electiveDetail.aspx?courseID=38000
CDC: http://www.cdc.gov/concussion/HeadsUp/online_training.html
2015 DAYTON WORLD SOCCER GAMES
Page 5
2015 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 years ○ 8 – 9 years ○ 10 – 12 years ○ 13 – 14 years ○ 15 – 18 years
Adults ○ 19 – 30 years ○ 31 and over
TEAM WAIVER AND RELEASE
Iwouldliketoregisterateamforthe2015WorldSoccerGames.Ifthisregistrationisaccepted,Iwillberesponsibleformyteam’sfulfillmentofallrulesandregulationsestablishedfortheoperationofthe
tournament.
Bysigningthisapplicationform,Iamacknowledgingonbehalfofmyselfandmyorganizationorgroup(“theparticipants”)thatuseoftheDaytonWorldSoccerGamesandActionSportsfacilitiescarries
ariskofpersonalinjury. TheparticipantsRELEASEorDISCHARGETheCityofDayton,itsagents,sponsors,employeesandvolunteers,DaytonWorldSoccerGames,ActionSports,andtheiragentsand
employees,fromliabilityforinjuriesordamage,includinganylossesCAUSEDBYTHENEGLIGENCEORSTRICTLIABILITYofthereleasedparties. Theparticipantsagreenottosueormakeaclaimagainst
thoseagenciesandagreetoholdthemharmlessandindemnifythemfromallclaimsandsuitsthatmaybebroughtasaresultofuseofthesefacilitiesorparticipationinsportsand/orprogramsheldat
thesefacilities. Idoherebygrantandgivethesegroupstherighttousemyormychild'sphotographorimagewithorwithoutmyormychild'sname,bothsingleandinconjunctionwithotherpersons
orobjectsforanyandallpurposesincluding,butnotlimitedto,privateorpublicpresentations,advertising,publicityandpromotionrelatingthereto. IwarrantthatIhavetherighttoauthorizethe
foregoingusesanddoherebyagreetohold TheCityofDayton,itsagents,sponsors,employeesandvolunteers,DaytonWorldSoccerGames,ActionSports,andtheiragentsandemployeesharmlessof
andfromanyandallliabilityofwhatevernaturewhichmayariseoutofresultfromsuchuses.
Signature: Date:
For Staff Use Only
Received by: Receipt #
WaiverandReleaseForm
AllplayersmustcompletetheWaiverandReleaseForm.Players17andundermusthavethewaiverandreleasesignedbyaparentorguardian.Theformmustbeturnedintoregistrationbeforeparticipation
intheWorldSoccerGames.IfaplayerfailstosubmittheirWaiverandReleaseform,allliabilityandlegalissueswillbetheresponsibilityoftheteamcaptain.TheWorldSoccerGamesortheCityofDaytonwillnotbe
responsibleforplayersthatdonotsubmitaplayerWaiverandReleaseForm.
Inconsiderationofthefurtheranceofyourpurposes,objectivesandaims,andinconsiderationofyourpermittingmetoparticipateinyourtournament,onbehalfofmyself,myheirs,executors,administratorsand
assigns,IherebywaiveandreleaseanyandallclaimsfordamageswhichImayhaveagainstyou,theCityofDayton,theWorldSoccerGames,aswellasanyotherperson,sponsors,organizationsorcorporation,their
heirs,executors,administrators,andassignswhoareprovidingservicesorassistanceasaresultthereof.
*HighschoolsoccerathletesmaybeinviolationofOHSAAregulationsbyplayingintheDaytonWorldSoccerGames.PleasecheckwiththeOHSAA,yourcoachand/or
athleticsdirectorbeforeplayinginthistournament.
TeamName:Division:
TeamCaptain:Coach:
AdultRepresentative(ifyouthteam):AdultPhoneNumber:
AdultE-mail:
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:
10.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
WaiverandReleaseForm
AllplayersmustcompletetheWaiverandReleaseForm.Players17andundermusthavethewaiverandreleasesignedbyaparentorguardian.Theformmustbeturnedintoregistrationbeforeparticipation
intheWorldSoccerGames.IfaplayerfailstosubmittheirWaiverandReleaseform,allliabilityandlegalissueswillbetheresponsibilityoftheteamcaptain.TheWorldSoccerGamesortheCityofDaytonwillnotbe
responsibleforplayersthatdonotsubmitaplayerWaiverandReleaseForm.
Inconsiderationofthefurtheranceofyourpurposes,objectivesandaims,andinconsiderationofyourpermittingmetoparticipateinyourtournament,onbehalfofmyself,myheirs,executors,administratorsand
assigns,IherebywaiveandreleaseanyandallclaimsfordamageswhichImayhaveagainstyou,theCityofDayton,theWorldSoccerGames,aswellasanyotherperson,sponsors,organizationsorcorporation,their
heirs,executors,administrators,andassignswhoareprovidingservicesorassistanceasaresultthereof.
*HighschoolsoccerathletesmaybeinviolationofOHSAAregulationsbyplayingintheDaytonWorldSoccerGames.PleasecheckwiththeOHSAA,yourcoachand/or
athleticsdirectorbeforeplayinginthistournament.
TeamName:Division:
TeamCaptain:Coach:
AdultRepresentative(ifyouthteam):AdultPhoneNumber:
AdultE-mail:
GenderAgePastSoccerExperience
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:
19.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:
20.LastName:FirstName:Male/FemaleRecreational/Select
PlayerorParent/GuardianSignature:PhoneNumber:

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