September 12 - 13, 2014Action Sports Center1103 Gateway DriveDayton, Ohio 45404

2014 Dayton World Soccer GamesPre-Tournament Packet

www.daytonworldsoccer.org

2014 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 to celebrate the culture and diversity that makes up 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 23, 2014. 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,

Joseph Parlette

Page 1

Fact Sheet

Tournament: Dayton World Soccer Games Community Soccer Event

Dates: September 12–13, 2014 (Friday and Saturday) Friday, September 12 – Opening Ceremony and Police/Fire Scrimmage Match Saturday, September 13 – 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 of 5 age brackets: 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 of 2 age brackets: 1. Ages 19–30 (no more than 20 players per team) 2. Ages 31 + (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 1, 2014.

Entry Fee: Youth Teams – $75 if registered by August 9, 2014 $100 if registered after August 9, 2014

Adult Teams – $100 if registered by August 9, 2014 $125 if registered after August 9, 2014

Entry fee must be paid at time of registration. Cash, checks or money orders are accepted.

Entry Deadline: Saturday, August 23, 2014

Send 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: DAYTON CULTURAL & RTA TRANSIT CENTER 40 S. EDWIN C. MOSES BOULEVARD DAYTON, OHIO 45402 Open M-F; 8 am – 5 pm 937-333-2489

2014 Dayton World Soccer Games

Page 2

2014 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. The Greater Dayton Regional Transit Authority (RTA)will provide shuttle buses on Saturday.

Game schedule, rules and field layout are available on-line at www.welcomedayton.org.

Registration ChecklistThe following items must be submitted by Saturday, August 23, 2014 to be registered.

○ Registration Form

○ Team Roster

○ Waiver and Release of Liability

○ Registration Fee

○ Concussion Training Certification

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 Friday, September 12, 5:30 pm – 8 pm All teams must check in between 5:30 pm and 8 pm at the registration table.

Exhibition Games Friday, September 12, 6 pm – 8 pm The Exhibition will include a Scrimmage between the Dayton Police versus Dayton Fire Departments. We will also have the the Parade of Nations. All teams are encouraged to participate.

Tournament Kick Off Saturday, September 13, 7:30 am At 7:30 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.

Adult Championship Saturday, September 13, 6 pm The Adult Championship Game will begin at approximately 6 pm.

2014 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 Concussion Training. Once the training has been completed, a certificate can be printed. Please submit the certificate with your Registration Packet.

Certification can be acquired at the following websites:

NFHS (preferred): http://www.nfhslearn.com/electiveDetail.aspx?courseID=38000CDC: http://www.cdc.gov/concussion/HeadsUp/online_training.html

2014 Dayton World Soccer Games

Page 5

2014 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: The City of Dayton. Retain your receipt.

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 up

TEAM WAIVER AND RELEASE

I would like to register a team for the 2013 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 OnlyReceived by: Receipt #

Wa

iver

an

d r

elea

se f

or

m

All p

laye

rs m

ust c

ompl

ete t

he W

aive

r and

Rel

ease

Form

. Play

ers 1

7 and

unde

r mus

t hav

e the

waiv

er an

d rele

ase s

igned

by a

pare

nt or

guar

dian.

The

form

mus

t be t

urne

d int

o reg

istra

tion

befo

re pa

rticip

ation

in th

e Wor

ld So

ccer G

ames

. If a

play

er fa

ils to

subm

it th

eir W

aiver

and R

eleas

e for

m, a

ll liab

ility a

nd le

gal is

sues

will

be th

e res

pons

ibilit

y of t

he te

am ca

ptain

. The

Wor

ld So

ccer

Gam

es or

the C

ity of

Day

ton w

ill no

t be r

espo

nsibl

e for

play

ers t

hat d

o not

subm

it a p

layer

Waiv

er an

d Rele

ase F

orm

.

In co

nside

ratio

n of t

he fu

rther

ance

of yo

ur pu

rpos

es, o

bjecti

ves a

nd ai

ms,

and i

n con

sider

ation

of yo

ur pe

rmitt

ing m

e to p

artic

ipate

in yo

ur to

urna

men

t, on

beha

lf of m

yself

, my h

eirs,

exec

utor

s, ad

mini

strat

ors a

nd as

signs

, I he

reby

waiv

e and

relea

se an

y and

all c

laim

s for

dam

ages

whic

h I m

ay ha

ve ag

ainst

you,

the C

ity of

Day

ton,

the W

orld

Socce

r Gam

es, a

s well

as an

y oth

er pe

rson,

sp

onso

rs, or

ganiz

ation

s or c

orpo

ratio

n, th

eir he

irs, e

xecu

tors,

adm

inistr

ator

s, an

d assi

gns w

ho ar

e pro

viding

serv

ices o

r assi

stanc

e as a

resu

lt th

ereo

f.

Team

Nam

e:Di

vision

:Te

am Ca

ptain

:Co

ach:

Adult

Repr

esen

tativ

e (if y

outh

team

):Ad

ult Ph

one N

umbe

r:Ad

ult E-

mail

:

Gend

erAg

ePa

st So

ccer

Expe

rienc

e1.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

2.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:3.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

4.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:5.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

6.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:7.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

8.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:9.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

10.

Last

Nam

e:Fir

st Na

me:

Male

/Fem

aleRe

creat

ional/

Selec

tPla

yer o

r Par

ent/G

uard

ian Si

gnat

ure:

Phon

e Num

ber:

Wa

iver

an

d r

elea

se f

or

m

All p

laye

rs m

ust c

ompl

ete t

he W

aive

r and

Rel

ease

Form

. Play

ers 1

7 and

unde

r mus

t hav

e the

waiv

er an

d rele

ase s

igned

by a

pare

nt or

guar

dian.

The

form

mus

t be t

urne

d int

o reg

istra

tion

befo

re pa

rticip

ation

in th

e Wor

ld So

ccer G

ames

. If a

play

er fa

ils to

subm

it th

eir W

aiver

and R

eleas

e for

m, a

ll liab

ility a

nd le

gal is

sues

will

be th

e res

pons

ibilit

y of t

he te

am ca

ptain

. The

Wor

ld So

ccer

Gam

es or

the C

ity of

Day

ton w

ill no

t be r

espo

nsibl

e for

play

ers t

hat d

o not

subm

it a p

layer

Waiv

er an

d Rele

ase F

orm

.

In co

nside

ratio

n of t

he fu

rther

ance

of yo

ur pu

rpos

es, o

bjecti

ves a

nd ai

ms,

and i

n con

sider

ation

of yo

ur pe

rmitt

ing m

e to p

artic

ipate

in yo

ur to

urna

men

t, on

beha

lf of m

yself

, my h

eirs,

exec

utor

s, ad

mini

strat

ors a

nd as

signs

, I he

reby

waiv

e and

relea

se an

y and

all c

laim

s for

dam

ages

whic

h I m

ay ha

ve ag

ainst

you,

the C

ity of

Day

ton,

the W

orld

Socce

r Gam

es, a

s well

as an

y oth

er pe

rson,

sp

onso

rs, or

ganiz

ation

s or c

orpo

ratio

n, th

eir he

irs, e

xecu

tors,

adm

inistr

ator

s, an

d assi

gns w

ho ar

e pro

viding

serv

ices o

r assi

stanc

e as a

resu

lt th

ereo

f.

Team

Nam

e:Di

vision

:Te

am Ca

ptain

:Co

ach:

Adult

Repr

esen

tativ

e (if y

outh

team

):Ad

ult Ph

one N

umbe

r:Ad

ult E-

mail

:

Gend

erAg

ePa

st So

ccer

Expe

rienc

e11

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:12

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:13

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:14

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:15

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:16

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:17

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:18

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:19

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r:20

.La

st Na

me:

First

Nam

e:M

ale/F

emale

Recre

ation

al/Se

lect

Playe

r or P

aren

t/Gua

rdian

Sign

atur

e:Ph

one N

umbe

r: