DBSS IS PROUD TO PRESENT THIS UNIQUE SUMMER SOCCER TOURNAMENT:
IN ASSOCIATION WITH THE FOREVER STRONG FOUNDATION, DBSS WILL RUN A YEARLY 6V6 SUMMER SOCCER TOURNAMENT TO HONOR TYLER SMITH, TRAGICALLY LOST ON FEBRUARY 20TH, 2016.
This celebration of life and celebration of soccer is an opportunity for the soccer community to come together in a warm and friendly environment to promote the enjoyment of the game.
Pass cards will NOT be needed to allow players from different clubs to form teams with their friends, despite being in different clubs. Birth certificates (copy) must be shown for the entire team upon check-in - along with a signed medical form for each player (towards the end of this page).
Team ages U8-Adult/COED - 4 teams per age group/bracket - 3 games all on one day - $499 per team - Max Roster of 10 - Gold and Silver Brackets Includes 10 T-Shirts
50 minute games (running clock) - NO half time - No Offside - ONE referee - Subs on the fly - 6v6 (Including Goal Keeper)
PLEASE USE AGE FOR 2018/19 SOCCER YEAR (2005 - U14) - Players CAN play up 1-2 years but not encouraged
160 TEAMS - 120 GAMES - SMILES GALORE - FRIENDSHIP - FRIDAY, AUGUST 3rd Event at Revel and Roll - Silent Auction
Please make payment in the form of TBD
Proceeds go to the Forever Strong Foundation and DBSS STING Scholarship Fund.
Please Submit Checks along with the below Team Commitment Form before June 10th.
Team Commitment Form
Team Name Team Age (For Example U14 - 2005's)
Team Manager Email
Phone Number Gold or SIlver Placement (not guaranteed)
Medical Treatment Authorization Form (to be filled out for each player and brought to check-in)
Participants Name
D.O.B __________
1. List any medical conditions that camp personnel should be aware of
2. List any medications currently taking _______________________________
3. List any allergies ________________________________________________
In case of an emergency please contact:
Name _____________________________________________
Cell phone _______________________________________
Email Address
Daytime phone ____________________________________
Medical insurance company ________________________
Insurance policy number __________________________
______________________________________, as parent or legal guardian of the participant named above, authorizes DBSS to seek medical and/or surgical treatment which is reasonably necessary to take care of the participant. I further authorize the medical facility that treats the participant to release all the information needed to complete the insurance claims. I acknowledge my responsibility to pay all costs associated with the participant’s medical care and authorize all insurance payments, if any, to be made directly to the medical facility.
__________________________________________________
Signature (Parent or Guardian)
Date
For questions, please contact Dan by email at dan.bulley@yahoo.com
Brackets:
Boys:
U8
U9A TEAM 1 - TEAM 2 - TEAM 3 - TEAM 4
U9 B
U10 A
U10 B
U11 A
U11 B
U12 A
U12 B
U13 A
U13 B
U14 A
U14 B
U15/16 A
U15/16 B
U17/18 A
U17/18 B
MENS A
MENS B
COED
Girls:
U8
U9A TEAM 1 - TEAM 2 - TEAM 3 - TEAM 4
U9 B
U10 A
U10 B
U11 A
U11 B
U12 A
U12 B
U13 A
U13 B
U14 A
U14 B
U15/16 A
U15/16 B
U17/18 A
U17/18 B
WOMENS A
WOMENS B
COED
IN ASSOCIATION WITH THE FOREVER STRONG FOUNDATION, DBSS WILL RUN A YEARLY 6V6 SUMMER SOCCER TOURNAMENT TO HONOR TYLER SMITH, TRAGICALLY LOST ON FEBRUARY 20TH, 2016.
This celebration of life and celebration of soccer is an opportunity for the soccer community to come together in a warm and friendly environment to promote the enjoyment of the game.
Pass cards will NOT be needed to allow players from different clubs to form teams with their friends, despite being in different clubs. Birth certificates (copy) must be shown for the entire team upon check-in - along with a signed medical form for each player (towards the end of this page).
Team ages U8-Adult/COED - 4 teams per age group/bracket - 3 games all on one day - $499 per team - Max Roster of 10 - Gold and Silver Brackets Includes 10 T-Shirts
50 minute games (running clock) - NO half time - No Offside - ONE referee - Subs on the fly - 6v6 (Including Goal Keeper)
PLEASE USE AGE FOR 2018/19 SOCCER YEAR (2005 - U14) - Players CAN play up 1-2 years but not encouraged
- LOCATION: River Oaks Park, Galesburg MI
- DATE: Saturday, August 4th (U9-U16) Sunday, August 5th (U18, Men's Women's Open, Adult COED)
- Deadline to sign up: July 21st, 2018
160 TEAMS - 120 GAMES - SMILES GALORE - FRIENDSHIP - FRIDAY, AUGUST 3rd Event at Revel and Roll - Silent Auction
Please make payment in the form of TBD
Proceeds go to the Forever Strong Foundation and DBSS STING Scholarship Fund.
Please Submit Checks along with the below Team Commitment Form before June 10th.
Team Commitment Form
Team Name Team Age (For Example U14 - 2005's)
Team Manager Email
Phone Number Gold or SIlver Placement (not guaranteed)
Medical Treatment Authorization Form (to be filled out for each player and brought to check-in)
Participants Name
D.O.B __________
1. List any medical conditions that camp personnel should be aware of
2. List any medications currently taking _______________________________
3. List any allergies ________________________________________________
In case of an emergency please contact:
Name _____________________________________________
Cell phone _______________________________________
Email Address
Daytime phone ____________________________________
Medical insurance company ________________________
Insurance policy number __________________________
______________________________________, as parent or legal guardian of the participant named above, authorizes DBSS to seek medical and/or surgical treatment which is reasonably necessary to take care of the participant. I further authorize the medical facility that treats the participant to release all the information needed to complete the insurance claims. I acknowledge my responsibility to pay all costs associated with the participant’s medical care and authorize all insurance payments, if any, to be made directly to the medical facility.
__________________________________________________
Signature (Parent or Guardian)
Date
For questions, please contact Dan by email at dan.bulley@yahoo.com
Brackets:
Boys:
U8
U9A TEAM 1 - TEAM 2 - TEAM 3 - TEAM 4
U9 B
U10 A
U10 B
U11 A
U11 B
U12 A
U12 B
U13 A
U13 B
U14 A
U14 B
U15/16 A
U15/16 B
U17/18 A
U17/18 B
MENS A
MENS B
COED
Girls:
U8
U9A TEAM 1 - TEAM 2 - TEAM 3 - TEAM 4
U9 B
U10 A
U10 B
U11 A
U11 B
U12 A
U12 B
U13 A
U13 B
U14 A
U14 B
U15/16 A
U15/16 B
U17/18 A
U17/18 B
WOMENS A
WOMENS B
COED
