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Revision Dated: 6/2/19 1 2019 US Youth Soccer Southern Regional Championships Team Representative Handbook June 20 – June 27, 2019 Burbank Soccer Complex Baton Rouge, LA Southern Regionals

2019 US Youth Soccer Southern Regional Championships Team ... · system for Bench Credentials. Official must have a US Youth Soccer pass and cleared Risk Management. Official must

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Revision Dated: 6/2/19 1

2019 US Youth Soccer

Southern Regional Championships

Team Representative Handbook

June 20 – June 27, 2019

Burbank Soccer Complex Baton Rouge, LA

Southern Regionals

Revision Dated: 6/2/19 2

Dear Team Representative: Welcome to Baton Rouge, Louisiana and the 2019 US Youth Soccer Southern Regional Championships! Each of you – players, parents, coaches and managers – has worked hard, made many sacrifices, and shown great dedication to become National League Conference Champions and/or State Champions, thereby qualifying to attend this year’s event. We applaud you and your team for demonstrating such a breadth of skill, dedication, and determination that place you among the top teams for 2019 in the US Youth Soccer South Regional. You have now reached the next level of competitive youth soccer play, the U.S. Youth Soccer Southern Regional Championships. We are pleased to return to Baton Rouge. Take time to enjoy the Greater Baton Rouge area, and don’t forget to thank the many hundreds of volunteers who have worked countless hours to make this week a special one for you. Please let them know how much you appreciate their hard work. Players: play hard and play fair. Obey the laws of the game, accept the official’s decisions, and give it your best. Treat your opponent with respect and dignity; remember that they have worked hard to get here, too. Adults: let’s set the best examples ever from the sidelines – encourage, support, and respect the game. We would like to give special thanks to all of our National US Youth Soccer sponsors and local supporters that help make this event possible. We would also like to thank Louisiana Soccer Association and Baton Rouge Soccer Club for sharing this great venue and wonderful Southern hospitality. A final thank you goes to the US Youth Soccer national office staff that has tirelessly worked for months to make this year’s US Youth Soccer Southern Regional Championships a premier event. Remember that regardless of the outcome of your games, you came to Baton Rouge a champion and will leave a champion. On behalf of the US Youth Soccer Southern Regional Tournament Committee, we want you to have a great week, best wishes and good luck in the Championships, and most of all, have fun! With best regards, Jane Llewellyn, Chair Southern Regional Tournament Committee

Revision Dated: 6/2/19 3

Table of Contents

General Information Schedule of Events Page 4

Team Representative Information Team Representative Deadlines Page 5 Team Representative Info & Responsibilities Page 6-9 Patch Placement Page 10 Player Profile Information Page 11

Team Registration (FYI) Procedures Page 12-13 Schedule Page 14

Hotel Information Page 15

Tournament Parking Passes Page 16

Championship Team Photo Information Page 17

Medical Information Page 18

Registration Forms (available online Southern Regionals) Code of Conduct Page 19 Eligibility Verification Page 20

Worksheet for Team Bench Passes (option for clubs to use to coordinate request) Page 21

Game Schedule Page 22-23

Complex Map Burbank Soccer Park Page 24

2019 US Youth Soccer Southern Regional Championship Rules Page 25-36 Wild Card Addendum Page 37

US Youth Soccer Concussion Procedure & Policy Page 38-39 US Youth Soccer: Possible Concussion Notification Page 40-41

Revision Dated: 6/2/19 4

2019 US Youth Soccer Southern Regional Championships Baton Rouge, LA

Schedule of Events

Wednesday, June 19, 2019

5:00 pm

State Rep Meeting

The Renaissance Hotel

Thursday, June 20, 2019

12:00 pm – 4:00 pm

Team Check-In

Thursday,

June 20, 2019 6:00 pm – 7:30 pm Player Fest @ Olympia Stadium

7211 Perkins Rd, Baton Rouge, LA

Friday, June 21, 2019

7:45 am – 6:30 pm (first & last game start times)

Preliminary Round Games

Saturday, June 22, 2019

7:45 am – 6:30 pm (first & last game start times)

Preliminary Round Games

Sunday, June 23, 2019

7:45 am – 6:30 pm (first & last game start times)

Preliminary Round Games

Monday, June 24, 2019

8:15 am – 1:15 pm (first & last game start times)

Quarterfinals:13UB, 14U, 15U, 16U

Tuesday, June 25, 2019

8:15 am – 1:15 pm (first & last game start times)

Quarterfinals: 13UG, 17U, 18U, 19U G

Semi-finals: 19U Boys

Wednesday, June 26, 2019

8:30 am –1:30 pm (first & last game start times)

Semifinals: 13U-18U, 19U G Finals:19U Boys

Thursday, June 27, 2019

8:15 am – 11:30 am (first & last game start times)

Championships: 13U – 18U & 19U Girls

All games scheduled to be played at Burbank Soccer Complex, 12400 Burbank Drive, Baton Rouge

Revision Dated: 6/2/19 5

2019 US Youth Soccer Southern Regional Championships

Team Representative Deadlines

Roster Freeze Date: 11:59 pm CT, Tuesday June13th, 2019

American Eagle instructions for entering team information available electronically at Southern Regionals. Team Rosters will be imported into the system by your State Rep.

Check with your State Representative for specific instructions!

Team Officials named in

the American Eagle system for

Bench Credentials.

Official must have a 2018/19 validated

US Youth Soccer pass and cleared Risk Management.

Official must be a member of the

team’s club – not required to be on the

roster

Monday, June 3, 2019

Limit of four (4)

Team Officials Per team.

Player Profiles

For the College Coaches

Southern Regionals

Select SOUTH

Team info click Team Manager Log In

(for American Eagle)

Tuesday, June 11, 2019 Information added online after

deadline date may not be included in the Player Profile Book

Media Information

Southern Regionals Select SOUTH

Sign-in under team info in

American Eagle pencil icon/ media information

Friday, June 14, 2019

*Bench Pass Requests

Southern Regionals

Select SOUTH *Sign-in under team info in

American Eagle

Friday, June 14, 2019 ($10 fee for requests after this date)

Monday June 3, 2019

for preprinted Bench Pass credentials

Pre-printed Parking Pass Pre-Order

Two free parking passes per team

ONE order per team please

Southern Regionals

Select SOUTH - Team info

Team Orders ONLY – individual orders not accepted online

Friday, June 14, 2019

Team T-Shirt Pre-Order

Southern Regionals

Select SOUTH

Team info To Be Announced

Tournament Check-In Times

Southern Regionals

Select SOUTH Team info or Document & Forms

Thursday, June 21, 2019

Revision Dated: 6/2/19 6

*In American Eagle: Go to my team; click on red & white calendar (left of team name) then click on pencil to add or make changes. Save and finish)

Team Representative Information

Once your team has qualified for the US Youth Soccer Southern Regionals, your State Rep will:

• Contact you with information and instructions pertaining to registering your team in the Southern Regionals event management system - American Eagle. Instructions are located online at: Southern Regionals Select the SOUTH tab – then click on Team Info. Located below – the General Information Section will be information for the Event Management System.

• Assign you to a hotel and provide booking procedures. Teams are REQUIRED to stay in their assigned hotel; and

• Provide you with their contact information and any special instructions.

YOUR STATE REPRESENTATIVE WILL BE YOUR PRIMARY CONTACT FOR ALL ASPECTS OF THE 2019 US YOUTH SOCCER SOUTHERN REGIONAL CHAMPIONSHIP TOURNAMENT

Your responsibilities include:

• Reading this handbook in its entirety and sharing pertinent information with coaches, parents, and players;

• Ensuring all team members are aware of required attendance events, locations and times;

• Meeting all form deadlines as specified;

• Completing required forms (located at Southern Regionals under team info);

• Registering your team once your State Rep has imported your team roster;

• Familiarizing yourself with the US Youth Soccer Southern Regionals Rules, Safety and Emergency procedures; and

• BEING AVAILABLE AND RESPONSIVE TO YOUR STATE REP. Forms required at team check-in:

• Completed NCS Code of Conduct (example on page 19)

• Completed NCS Eligibility Verification (example on page of 20)

• Validated 2018/19 US Youth Soccer passes for all players competing

• Validated 2018/19 US Youth Soccer pass for all Team Officials requesting a Team Bench credential

Revision Dated: 6/2/19 7

Team Representative Responsibilities

Welcome to the 2019 US Youth Soccer Southern Regional Championships. During your team’s stay, you will be the direct communication link between your team (including players, coaches, trainers, parents and spectators) and your State Rep. The State Rep will be your link with the US Youth Soccer Southern Regional Championships.

Communications with your State Rep

• Make sure that you know your State Rep and all of the responsibilities that they have for your team.

• It is important that you know how to contact your State Rep at all times. Your State Rep is the link between you and the tournament staff during the tournament, especially in an emergency or crisis.

• If you have any questions prior to or during the event, please go through your State Rep. Your State Rep will know who can best answer your question and get you a quick response.

Once my team has qualified for the US Youth Soccer Southern Regional Championships, what do I need to do as team representative?

• Contact your State Rep to get your hotel assignment. As the team representative, you will be the sole contact for your team.

• Review the information provided to you by the State Rep. There are several items that you will need to share with your players and parents in this team information.

• Please review all of the forms included in this handbook. Complete the forms and tournament check-in. Forms are located on page 19 & 20.

• Enter player profile information into the American Eagle system by deadline.

• Review with ALL team members & parents the US Youth Soccer Concussion Procedure & Protocol (pages 38-41 in this manual)

• Submit names of team officials for Team Bench Credentials prior to deadline. Maximum of four per team.

• Check with team members and their families to place the orders for parking passes. One order per team, please. Additional passes may be purchased the Player Event and at the fields at a higher rate.

• Review the instructions for tournament check-in and make sure that you know your assigned time. If all of the information is complete and ready, check-in should be a quick and easy process.

• Familiarize yourself and your team with the Regional Rules and Procedures available at Southern Regionals.

• Each State will be assigned a practice field(s). Contact your State Rep to schedule practice time for your team. Practice field assignments will be available in early June.

If you have a player coming to the tournament with hard cast or brace.

• Communicate with your State Rep. All hard casts and braces are required to be reviewed & approved before player can enter the field by the game referee

Revision Dated: 6/2/19 8

• NEW PROCEDURE: refer to the Sports Medicine page 18 of this manual. Once my team arrives in Baton Rouge, what do I need to do as the team representative?

• After checking into your hotel, please contact your State Rep and give them your room number.

• Go through all of your tournament check-in information one last time. If you have any problems, please let your State Rep know in advance so that they can assist you in taking care of the issue.

• Have a team meeting to make sure that everyone on your team knows when and where he or she needs to be. The Player Event is not required; however, attendance is highly encouraged as this gives players the opportunity to exchange pins and relax before the competition begins the next day.

• Get acclimated to the area and locate the venue for check-in and your hotel.

• Arrive at check-in 30 minutes prior to your assigned time. A meeting with your State Rep. will be held.

• If other teams from your club are also competing in the US Youth Soccer Southern Regional Championships, coordinate with their team representative confirming who holds the pass for team officials. Only one bench pass credential will be issued to a team official. The credential will have the official’s club name and state – it will not be team specific. The officials’ US Youth Soccer pass will be attached to their credential. The game referee or Field Marshal may ask to see the pass to verify the identity of the official prior to granting access to the team bench area. A maximum of four (4) team officials with a bench pass credential from your club may be on the bench at one time. Worksheet available on page 30 to use as a guide for coordinating team bench pass requests for more than one team in your club competing.

• To add/replace a Bench Pass after the deadline date of June 14th at team check-in requires a $10 cash payment, coach/team official’s US Youth Soccer pass.

• To add a Bench Pass after team check-in will require an appointment at HQ. Allow at least 30 minutes prior to when your team is to be on the field. State Rep is responsible for making the appointment and must accompany the Team Rep to Tournament Headquarters. The Team Rep may present the coach/official’s US Youth Soccer pass on their behalf. Remember: there will be a late fee of $10 cash assessed.

• Please make sure to pick up pre-ordered parking passes before you leave check-in. Individuals may also purchase parking passes at the player event and at the field but are encouraged to purchase them through you prior to check-in.

• Please make sure that you pick up your team’s goody bag upon leaving check-in.

• Player Fest – Please familiarize yourself with the schedule.

• Please keep your cell phone charged and on at all times during your stay so that your State Rep can reach you.

Revision Dated: 6/2/19 9

Once the tournament starts, what are my responsibilities?

• Make sure that your team is at the proper field location and that your parents are aware of the NCS Policy and US Youth Soccer Southern Regional Championships Rules available at Southern Regionals.

• Communicate daily with your State Rep.

• Review instructions for Safety and Emergencies with all team members and leaders

• If a serious injury or illness occurs, dial 9-1-1 and notify a member of the tournament staff (ex. field marshal, trainer). In the case of a less serious injury or illness, ask an event official to radio the medical team for assistance. Remain with the injured or ill person until you are relieved of duty or otherwise instructed by an event official.

• Immediately inform your State Rep.

• Respond promptly to calls and messages left on your cell or hotel phone.

My team is in the Quarterfinals; what do I need to do?

• Verify the day, time and field assignment for your team by contacting your State Rep.

My team is in the Semi-Finals; what do I need to do?

• Verify the day, time and field assignment for your team by contacting your State Rep.

We just advanced to the Finals; what are my duties?

• Verify time and field with your State Rep.

• Complete and return to HQ prior to your finals’ game the Champions Info form (will be provided by State Rep at the conclusion of your semi-final game)

• Both teams will be required to attend the awards ceremony immediately after the conclusion of the finals match.

• Proceed as a group to the US Youth Soccer stage. Your State Rep and a volunteer will direct you to a staging area where you will wait with your team until called to the stage for the medal presentation.

We are Regional Champions! What do I need to do?

• Your State Rep. will meet you after your game to escort your team to the Awards Ceremony.

• Make sure that your team is properly dressed for the Awards Ceremony and the team pictures afterwards.

• There will be a table near the Awards Ceremony for you to meet with a tournament representative to pick up your team information for Nationals.

• A commitment as to who the official team rep will be for each advancing team is required. This needs to be coordinated with your State Rep.

• You will receive information about travel arrangements for the National Championship Series.

Revision Dated: 6/2/19 10

The tournament committee and staff thank you for the time and dedication that you give as the team representative. We hope that you will enjoy your team’s experience as they battle for the right to be called US Youth Soccer Southern Regional Champions.

State Champion Patch Placement State Cup Champion patches go on the RIGHT sleeve of the jersey, approximately 1” above the bottom edge of the sleeve. If your team wins Regionals, Region Champion patches go on the LEFT sleeve of the jersey.

Front

Revision Dated: 6/2/19 11

Team & Player Profile Information

Entering your Team & Players Profile Information is an important part of the Tournament. Player information not submitted by midnight on Tuesday, June 19th will NOT be included in the Players Profile Book.

Go to: Southern Regionals

Open the menu under South Click on Team Registration Info and

you will be directed to instructions on how to access the American Eagle EMS.

There are three (3) steps to the process: 1. Create or Edit Your Team Profile 2. Register Your Team 3. Confirm Your Team into the Event

State Representative will import all team rosters. Team Reps are not permitted to enter rosters. The role of the Team Representative in the EMS:

1. Enter information about your team history and accomplishments. 2. Enter Hotel information. 3. Enter Coach and Team Official details. One team official must have a contact number that

can receive tournament messages in LA. Tournament will be using a Broadcast texting system and you want to make sure your team receives any and all updates.

4. Enter Team Officials that will require Bench Passes (limit of 4 per team) 5. Enter player profiles to include college information for College Profile Book (SAT, ACT,

graduation year, status (committed, uncommitted) 6. Confirm with State Rep that player information is accurate. 7. Notify State Rep if there is a change in your team roster (add/drop a player)

All instructions for entering the above data is included in the EMS Team Representative Instructions – please review carefully.

Ask for help if you have questions.

IMPORTANT: The College Profile Book is only as good as the information it contains. Please make every effort to input your player college details. Information not entered by Tuesday, June 11, 2019, will NOT be included in the Profile Book. College Coaches use the Profile Book as a tool for recruiting and contacting players. Make sure your players have every opportunity to provide relevant profile information – confirm details with each of your players and enter the information by the June 11th deadline date.

Revision Dated: 6/2/19 12

Tournament Check-in Procedures and Schedule

Thursday, June 20, 2019

People Required at Check-in

• State Rep • Coach, manager or team representative • No players will be permitted in the check-in area.

These individuals should meet with their State Rep prior to the assigned time. In order to stay on schedule, it is important that all teams arrive at check-in on time and with the proper paperwork. Due to logistics, players are not to attend check-in.

Required Check in Forms

Coach / Manager / Team Representative must provide:

• US Youth Soccer Player Pass for every player with a current picture, signature of state official and/or stamped with the official state stamp, laminated individually and placed in alphabetical order

• US Youth Soccer Pass for each of the four people requesting bench passes (picture, signature of state official and/or stamped with state stamp and laminated individually)

• Code of Conduct Form (sample page 19)

• Eligibility Verification Form (sample page 20)

• Forms Located at - Southern Regionals

• ALL forms MUST be signed.

Check-in Procedures

• Locate State Rep and proceed to your state assigned meeting room – look for signs! (arrive 30-minute before scheduled check-in time)

• Check-in will be by state

• Pick up parking passes and team goody bag.

Revision Dated: 6/2/19 13

Players

Please Note: Proof of age for each player is not required at check-in but must be available within 24 hours if requested or if a protest of eligibility is made. It is strongly suggested that this information be available throughout the tournament.

Acceptable proof of age documents includes a birth certificate or birth registration issued by an appropriate government agency, passport, alien registration card issued by the US Government, certificate issued by the US Immigration and Naturalization Service attesting to age or a certification of an American Citizen born abroad issued by the appropriate government agency. Not accepted are hospitals, baptismal or any religious certificates.

Coaches and Team Officials

Four Bench Passes are available for each team. Those individuals must have Risk Management approved for the 2018/19 soccer season and hold a valid 2018/19 US Youth Soccer pass. If other teams from your club are also competing in the US Youth Soccer South Regional Championships, coordinate with their team representative confirming who holds the pass for team officials. Only one bench pass credential will be issued to a team official. The credential will have the official’s name, club and state – it will not be team specific. A maximum of four (4) club officials with a bench pass credential are permitted on the bench at any one time. The team official’s US Youth Soccer pass will be attached to the back of their team bench credential. The game referee or Field Marshal may ask to see the pass to confirm official’s identity prior to granting access to the bench.

There is a $10 fee for each name addition after the deadline of June 14, 2019. *To request a Bench Pass at team check-in, Team Rep must present the coach/team official’s US Youth Soccer pass and $10 in cash.

*To add a Bench Pass after team check-in, the State Rep. must make an appointment with the Tournament Registrar and must accompany the Team Rep to the appointment. The Team Rep must show the US Youth Soccer pass and pay $10 in cash. *NOTE: Coach/team official requesting the credential is not required to be present. Team registration will be held at the Renaissance Hotel, 7000 Bluebonnet Blvd, Baton Rouge, LA. Parking for State and Team Reps will be in the parking lots adjacent to the hotel. Upon arrival, look for signs directing you to State Rep Meeting Room.

Revision Dated: 6/2/19 14

2019 US Youth Soccer Southern Regional Championship Tournament

Baton Rouge, LA

State Check-In Schedule

Renaissance Hotel 7000 Bluebonnet Blvd, Baton Rouge, LA

Thursday, June 20, 2019

State State Meeting Team Check-In

Louisiana 11:30 AM 12:00 PM

Mississippi 11:45 PM 12:20 PM

South Texas 12:00 PM 12:40 PM

Arkansas 12:30 PM 1:00 PM

Alabama 12:45 PM 1:20 PM

North Texas 1:00 PM 1:40 PM

Oklahoma 1:30 PM 2:00 PM

Georgia 1:45 PM 2:20 PM

Florida 2:00 PM 2:40 PM

South Carolina 2:30 PM 3:00 PM

Tennessee 2:45 PM 3:20 PM

North Carolina 3:00 PM 3:40 PM

• Parking is located adjacent to the hotel. • A meeting room is available for State Reps to meet with Team Reps • Registration will include a review of American Eagle roster, player passes, and distribution of team bench

credentials & goody bags

Teams will enter check-in area as a group with their State Rep.

Revision Dated: 6/2/19 15

2019 US Youth Soccer Southern Regional Championship Tournament

Hotels

• State Reps will assign teams to the hotel properties.

• No one but the state representative will be allowed to change the rooms blocked out for a team.

• Your room blocks will solely be handled by your State Reps. If you have additional questions, please work with your State Rep.

• TEAMS ARE REQUIRED TO STAY IN THE ASSIGNED BLOCK FOR YOUR STATE.

Revision Dated: 6/2/19 16

Tournament Parking Passes

Pre-orders are to be submitted by team, not individuals.

Parking Options

1.) Weekly Pass for Cars - $40.00 – Preordered Only - Weekly tournament pass is good for duration of tournament

2.) Weekly Pass for Cars - $40.00 – Purchased at check-in

3.) Weekly Pass for Cars - $50.00 – Purchased at the fields

4.) Daily Pass for Cars - $15.00

5.) Weekly Pass for RV’s and Buses - $75

Additional Information

• Two complimentary ($40) parking passes will be provided for each team.

• Pre-ordered passes will be picked up at the parking pass booth, after team registration, on Thursday 6/20.

How to Order your Parking Passes:

• Submit your order online at Southern Regionals- Order Parking Pass .

• If you have any questions, please email Hannah Gill @ [email protected].

Deadline is Friday, June 14, 2019 at 5 pm CST

Revision Dated: 6/2/19 17

2019 US Youth Soccer Southern Regional Championships

Team and Action Photos

Information about team photos and action photos

will be posted on the website when available.

Merchandise

Items may be pre-ordered online Or purchased on site at the tournament.

Look for the Link on Southern Regionals

Revision Dated: 6/2/19 18

2019 US Youth Soccer Southern Regional Championship Tournament

Sports Medicine Information - Medical Staffing

Baton Rouge Soccer Club is providing staffing for the 2019 Regionals in partnership with several Baton Rouge-based Orthopedic Providers. The certified Athletic Trainers (ATC) will be located throughout the facility at the fields and will also be manning the 2 permanent medical training rooms located on each side of Burbank Soccer Park. General and Orthopedic Physician expertise will be present at the site during set hours, and available via phone while not on site. EMS will be on site throughout the tournament as well. A designated taping station with ATCs and AT students will be available for athletes who only need to be taped. Additionally, we will have on hand portable defibrillators and immersion tubs. The medical staff will provide all basic athletic training supplies to all competing athletes (i.e. tape, pre-wrap, band aids, ice bags, etc.). Athletes who need pre-game assistance should report to one of the designated medical tents 30 minutes prior to the time that their coach has told them to arrive.

Facility Medical Setup

• One Athletic Trainer per two fields

• Two Athletic Trainers in each training room

• Two Student Trainers at each Tape Station

• One Trainer at the referee station

• Ambulance on-site

• Defibrillator at each training room

• Ice machines located at each training room location

• Golf cart at each training room

Cast Review Process:

Players entering the competition with a hard cast or brace must be approved by the referees at the field prior to game time.

A review station will be available, as a service, at the ACT/Medical tent in the Referee area. At least 90-minutes prior to game time, a player may have their hard cast or brace reviewed to make sure it is “game

safe”. A limited amount of padding will be available, should it be needed. A State Rep or Team Rep must accompany a player to the Referee area.

REMEMBER: The referee at the field has the final decision on the player’s eligibility to play with a hard cast or brace.

Questions related to Cast Review are to be directed to South Regional Risk Management, Becky McLaren, [email protected] .

Revision Dated: 6/2/19 19

CODE OF CONDUCT

Revision Dated: 6/2/19 20

ELIGIBILITY VERIFICATION Form available on website: Southern Regionals

Revision Dated: 6/2/19 21

TEAM BENCH CREDENTIAL WORK SHEET

(Worksheet not required for check-in . This is provided to help coordinate Bench Passes within a Club. To avoid the $10 fee, Bench Pass requests must be submitted via American Eagle by June 14, 2019

STATE: ___________ CLUB: _________________________________________________ # Club Teams in Competition: ___________ # Bench Passes Requested (4 per team): ___________

First Name

Last Name

Bench Pass

Requested

USYS Pass

NOTES

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Revision Dated: 6/2/19 22

2019 US YOUTH SOCCER SOUTHERN REGIONAL CHAMPIONSHIPS

Master Field Schedule Round-Robin Games

Friday, June 21 – Sunday, June 23, 2019 Burbank Soccer Park

Baton Rouge, LA

REMINDER: Official Schedule will be available at the State Rep Meeting.

NOTE: 19U Boys Schedule has changed due to 12 team group.

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2019 US YOUTH SOCCER SOUTHERN REGIONAL CHAMPIONSHIPS

* REMINDER: Official Schedule will be available at the State Rep Meeting.

Revision Dated: 6/2/19 24

2019 US YOUTH SOCCER SOUTHERN REGIONAL CHAMPIONSHIPS Burbank Soccer Park

Baton Rouge, LA

June 21 - June 23: Round-Robin Games: ALL AGE GROUPS -----------------------------------

June 25 & 26: Quarter-finals: All Age Groups, except 19U B June 26: Semi-finals: 19U Boys

-----------------------------------

June 27: Semi-finals: All Age Groups, except 19U B June 27: Finals: 19U Boys

-----------------------------------

June 28: Finals: All Age Groups, except 19U B

Revision Dated: 6/2/19 25

2019 US YOUTH SOCCER SOUTHERN REGIONAL CHAMPIONSHIP TOURNAMENT

1.1 GENERAL INFORMATION

A Fees 1. Entry Fees

The $9100 entry fee is required for each participating state (14 x $650/ team). Each State Association entered into the competition must pay the entry fee. A check should be made payable to US Youth Soccer South Region and is due in the National office no later than April 1st.

2. The National League (i.e. Piedmont Conference; Frontier Conference; Sunshine Conference and Mid-South Conference) entry fee of $36,400 will be paid directly to the National office by the National League no later than March 1st (56 x $650 /team).

B Discipline

Tournament discipline will be the responsibility of the Regional Tournament Committee (RTC). Failure to comply with requirements could result in a fine, probation, suspension or a combination of these determinations. It is the responsibility of the State Association to enforce all sanctions levied on their teams, players and coaches.

C Hotels

Teams are required to stay in their state’s hotel cluster for the duration of their participation in the tournament unless authorized in writing by the RTC to relocate.

D Team Forms Teams must complete all forms as required by the tournament and RTC.

E Late Withdrawal from Regional Championship In the event that a team withdraws from the tournament, a fine will be assessed as follows:

a. 45 days from the beginning of the tournament - $750 (May 7, 2019)

b. 30 days from the beginning of the tournament - $1000 (May 22, 2019) c. 20 days from the beginning of the tournament - $1500 (June 1, 2019) d. 15 days from the beginning of the tournament - $2000 (June 6, 2019) e. 10 days from the beginning of the tournament - $3000 (June 11, 2019) a)

The team’s State Association shall pay the fine to the South Region. Fines must be paid prior to that state’s participation in the current Southern Regional Tournament.

F. National Championships Withdrawal: It is expected that teams who win the South Regional Championships will represent the region at the National Championships. If a team withdraws from the National Championships at any point following the South Regional Championships, the team shall be fined $5,000. The State Association shall be responsible for payment of any fine(s) and is responsible for collecting any fine(s) from the teams that are penalized by fines.

If a team withdraws from the National Championships, the runner-up will be given the

first opportunity to represent the region at the National Championships. If the runner-up is

not available, the remaining semi-finalist teams will be given the opportunity in order of highest points in their respective brackets

Revision Dated: 6/2/19 26

G Bad Standing: Any State Association that does not pay the fine(s) assessed by US Youth Soccer shall be considered in bad standing, and no teams from that State Association shall be permitted to participate in future Regional Championships until the fines are paid.

H Team Rosters

All teams will submit a Regional Roster to the RTC within 48 hours of the Regional Roster freeze date.

I Game Rosters

Game rosters will be brought to the fields by the referees. The game roster will have a minimum of 7 and a maximum of 18 eligible players. Teams will designate their eligible players at the field.

J Registration 1. Team registration will be on the day prior to the start of the competition. 2. State registration time will be set by the RTC. 3. A team representative must register the team. 4. All teams must present required forms, completed as specified, and their US Youth Soccer player and/or coach passes. The passes must have a current photograph and properly validated. The passes must be laminated with a material that allows this information to be seen and allows the passes to be punched. Teams, players and coaches without their US Youth Soccer passes cannot compete in the Tournament. 5. Every State Association must have a State Representative present at registration.

K Scheduling of Games 1. The RTC is responsible for developing the schedule of games. 2. The schedule will be posted 10 days before the competition. If teams withdraw prior to 14

days of the start of the competition, wildcards may be used as replacement teams. 3. If teams withdraw within 14 days of the start of the competition, teams may not be

replaced. Scheduled opponents could receive a “bye game” during the preliminary round. 4. The best scheduling to ensure maximum rest for each team is to play one game per day.

All teams are entitled to sufficient rest between games. If it is necessary to schedule two matches on the same day, four and one-half hours between the scheduled start of two successive games is considered to be sufficient rest.

Within the limits imposed by these rules and guidelines and by uncontrollable external conditions, the schedule is developed in an objective manner with no favoritism shown to specific teams or State Associations.

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1.2 COMPETITION FORMAT

A Format 1. Round-Robin

a) Wildcard teams may be used as necessary to bring age divisions to an even number of teams.

b) Teams are not seeded. State Champions (1-12) and Southern Regional Premier League teams are placed within the brackets by random draw, as specified in the bracket below.

c) Each age group will be divided into three or four team sub-groups. The teams in each sub-group will play three preliminary round-robin games according to established matrices. Advancement to the quarterfinal or semi-final round will be determined as follows.

2. Quarter-Finals

a) Quarterfinals will be played in divisions of 16 teams. b) Quarterfinals are single elimination format. Winners of the quarterfinal matches will

advance to the semi-finals. c) If the score is tied at the end of regulation play, two complete overtime periods will be

played at the end of normal playing time. The duration of the overtime periods will be two 10-minute halves for 13U and 14U and two 15 minutes halves for 15U and older.

d) If at the end of the overtime periods a tie still exists, the game result shall be determined by the taking of kicks from the penalty mark in accordance with FIFA rules.

3. Semi-Finals and Finals

a) Games are single elimination format. Winners of the semi-final will advance to the final match.

b) There are no consolation games to determine 3rd and 4th place. The teams that do not advance from the semi-finals will be awarded 3rd place.

c) In 12 team groups, teams from the same bracket, or teams that have already played each other in the round-robin will not play each other in the semi-final games.

d) If the score is tied at the end of regulation play, two complete overtime periods will be played at the end of normal playing time. The duration of the overtime periods will be two 10-minute halves for 13U and 14U and two 15 minutes halves for 15U and older.

e) If at the end of the overtime periods a tie still exists, the game result shall be determined by the taking of kicks from the penalty mark in accordance with FIFA rules.

4. Day of Rest a. Teams will receive a day-of-rest as the schedule permits.

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B. Playing Matrix

12 - Team Divisions

A B C 1 2 3

4 5 6 7 8 9

10 11 12 1.

▪ No quarterfinal will be played. ▪ Semi-final #1: Winner A v Wildcard ▪ Semi-final #2: Winner B v Winner C ▪ If the Wildcard comes from Group A, then

Winner A v Winner C and Winner B v Wildcard.

16 - Team Divisions (includes National League – Conference Teams)

One (1) winner from each of the four conferences (Piedmont; Frontier; Sunshine Conference and Mid-South Conference) will be drawn and placed in the first position of each group.

A B C D

NL NL NL NL

1 2 3 4

5 6 7 8

9 10 11 12

Quarterfinals will be played.

▪ Winner A v 2nd B ▪ Winner B v 2nd A ▪ Winner C v 2nd D ▪ Winner D v 2nd C

The winners of each quarterfinal will play in the semi-finals.

▪ Semi-final #1: Winner A v 2nd B v Winner C v 2nd D ▪ Semi-final #2: Winner B v 2nd A v Winner D v 2nd C

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C Wildcard (see addendum) o Age groups will consist of either 12 or 16 team divisions. Wildcard(s) may be added to meet

the team division requirements.

2. One wildcard team per state, per tournament, will be selected unless no other state can fill the open slot. 3. Procedure for wildcard selection:

• State notifies the RTC that it will not be able to fill their state’s slot in an age group.

• A wildcard may be selected to fill the open slot.

• Order of selection of wildcards: 1) Host state 2) #1 state in random draw for gender group 3) #2 state, #3 state, etc.

A state may accept or decline a wildcard slot in either gender division, or the order selection proceeds. Pairings will not be changed to accommodate states. A state’s team and wildcard team may be in the same bracket.

D National League Conferences (NL-C) The National League consists of four (4) conferences: Piedmont, Frontier, Sunshine and Mid-South. In the 13U-19U age groups the National League Conferences will receive four NL-C slots (one (1) representative from each of the four (4) conferences) bringing the number of teams in these age groups to 16 teams. Pairings will not be changed to accommodate states. A state’s team and NL- Conference team may be in the same bracket.

E Game Cards

The official records of the tournament are the game verification report signed by both team officials at the field and the referee match report submitted to the RTC.

F Game Balls Each team shall be able to provide a game ball at each game. The game ball for each age group must meet US Youth Soccer requirements. Once the game begins, a protest cannot be lodged because of an illegal ball.

G Grace Periods Any team not ready to play at the scheduled start time shall be granted a fifteen (15) minute grace period. Any team not ready to play after this grace period has expired shall be reported to the RTC by the referee. The RTC shall decide when a forfeit is declared. A minimum of seven (7) players constitutes a legal team.

H Home Team/Visiting Team The home team will wear light colored jerseys, shorts and socks. The visiting team will wear dark colored jerseys, shorts and socks. The team in the incorrect color will have to change.

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I Decorum Coaches are responsible for the behavior of themselves, their coaching staff, parents/spectators, and their players. Coaches and other team officials shall be subject to all rules pertaining to misconduct contained in this policy, including cautions, ejections and standard suspension. Any other individuals who may be reasonably construed as being associated with a team, such as relatives and spectators, are also subject to the jurisdiction and authority of US Youth Soccer and the Tournament.

J Team and Spectator Location The teams will sit on the opposite side of the field from the spectators. Teams will be separated by the table/bench/chairs for the officials. Spectators are to remain on the half of the pitch across from their own team’s bench.

K Team Bench and Sidelines 1) Players and up to 4 club-specific credentialed team officials may be on the bench. The

credentials will be issued at registration. 2) Non-game day rostered players may sit on the bench and must wear clothing

distinct from game-day uniform. 3) Each team may order a maximum of four (4) bench passes.

4) Club / State Medical Trainer – Credential trainers electing to be on the bench will count as part of the maximum four (4) team officials permitted and must have a Team Bench Pass. The general medical credential grants individual permission to step on to the field or bench area as only in a supporting role. Tournament Medical Team is primary related to medical care. Club/State Medical Trainer will assume a secondary role.

L Uniforms

1. Each player must wear an official uniform with a number on the back of the jersey. 2. Numbers are not required on goalkeeper jerseys. 3. Duplicate numbers or tape on uniforms is not permitted. 4. HOME teams wear Light colored uniform and socks.

At every level of the National Championships competitions, each player, team and team official may only have on his/her/their apparel the name, logo, or other

identifying mark of US Youth soccer or a member directly or indirectly of US Youth Soccer. (1) A name, logo, or other identifying mark of any youth soccer organization other than US

Youth Soccer or its member must be removed, replaced, or covered before a player, team or team official may enter or remain at a field complex where the National Championships competition is being held. (2) After an initial warning pursuant to (1) above, the name, logo, or other identifying mark of any youth soccer organization other than US Youth Soccer or its member must be removed before the player, team or team official may enter or continue in the competition.

Each team MUST have 2 (TWO) complete kits onsite including socks. (one light, one dark). Home team is required to wear light uniform (including socks). Away team is required to wear dark uniform (including socks). If there is a conflict the HOME team will be required to change.

The RTC shall decide when uniform color conflicts are an issue.

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M Equipment

All players must wear shin guards.

N Player/ Team Official Passes The referee will review all 18 player passes prior to the beginning of the game. Before each half, the referee or assistant referee (AR) will receive the player passes from a team official for the starting 11 players. When a substitute player enters the game, they will hand their pass to the AR. Player passes will be returned to the team official after each half. Beginning with the quarterfinals, the fourth referee official will hold the passes instead of the AR. It will be the responsibility of the team official to obtain the passes at the end of the game. Coaches must have their US Youth Soccer pass and Team Bench Credential on them at all times while on the bench. If teams’ US Youth Soccer passes cannot be produced at the start of a game, the RTC will determine appropriate actions.

O Determination of Winners

1) Scoring Method in Round-Robin

In preliminary round-robin games, points will be awarded as follows:

Win - 3 points Tie - 1 point Loss - 0 points

There will be no overtime played during the round-robin portion of the tournament.

P Advancement The team earning the most points in each group will advance to the next round of the tournament. In groups of 12 teams, the team with the most points after the group winners are declared will advance as the wildcard. In groups of 16 teams, the teams with the 2nd highest points in each bracket will advance as the best 2nd. In groups where crossover games are scheduled, only the game points earned within the bracket will count in determining the bracket winner. To determine the wildcard team all game points earned, including crossover game points, will count.

Q Tiebreakers In the event that teams are tied on the basis of points, the following tiebreakers will be considered in order until the tie is broken:

a. Winner of head-to-head competition. (This criterion is not used if more than two teams are tied.)

b. Most wins. c. Team with greatest net goal difference (NGD), which is computed as ‘goals for’ minus

‘goals against’ with a maximum of 4 NGD in each game. d. Team with least goals against (there is NO limit on the number of goals that will be

counted to determine this tiebreaker). e. Team with the most goals (maximum of 4 goals in each game). f. Kicks from penalty spot per FIFA Laws of the Game (as described in National

Championships Rule 242 Section 2 (c))

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• NOTE: If more than two teams are tied, the sequence will be followed until a team

is eliminated/advanced. The remaining teams will then restart the sequence at Point

“b” above until the tie is broken.

If FIFA penalty kicks have to be taken, there will be a draw by the Region Tournament Committee. The first team drawn will receive the bye; the next team drawn will be the home team against the remaining team in the first contest of penalty kicks. The winner of the first contest will then compete against the bye team in penalty kicks to determine the round robin winner. The bye team will be the home team. This is only if there are more than two (2) teams tied after going through the Tie Breakers. The same tiebreakers will be used to determine wildcard teams.

R Forfeiture Rule In the event a team in round-robin competition forfeits any match, the official game scores for all of that team’s games will be recorded as 4-0 losses. A team that forfeits a match will be considered to have withdrawn from the tournament.

S Unfinished Games Unfinished game due to any cause shall be replayed providing neither team is at fault and play has not begun in the second half. If play is stopped after completion of the first half and cannot be resumed as determined by the Southern Regional Tournament Committee (RTC), and provided neither team is at fault, the RTC may deem the game complete. Should play be stopped at any time due to one of the teams being adjudged at fault, it shall be at the discretion of the RTC as to whether the game is to be replayed, stand as is, or declared a forfeit.

T Terminated/Suspended Games Once play has begun, games may only be terminated/suspended by the RTC or his/her representative.

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1.3 Ejections

A Player Ejection:

1. A player who is sent off from the field must remain in the team bench area until the conclusion of the match. Coaches are responsible for the behavior of their players at all times.

2. The player’s pass, together with the referee report, shall be turned over to the RTC or his/her designee by the referee.

3. The minimum penalty for an ejection is that the player shall not be permitted to play in the immediate next competition match of his or her team. This penalty may be increased at the determination of the Southern Regional Conduct Committee.

4. Any appeal of an increased suspension by the Southern Regional Conduct Committee must be submitted in writing to the Southern Regional Appeals Committee within two hours of notification of increased suspension.

5. If the team of an ejected player allows the player to participate in the game he or she is to be sitting out, that team will automatically forfeit the game.

6. A player is allowed to serve their suspension at the game on the team bench, provided they are not in uniform.

7. A member of the RTC or their designee shall notify the player’s State Representative of the send-off. The player’s pass shall be returned to the State Representative following the disciplinary period.

B Coach or Credentialed Team Representative: If a coach or credentialed team official is ejected from any game, they will be escorted by the State Representative out of sight and sound of the field and may not coach another team during the time slot for which they were ejected. The ejected coach or credentialed official may not be in sight or sound of the field while serving their suspension. The minimum penalty for an ejection is a one game suspension to be served in the next US Youth Soccer National Championship Series game played by the team where the ejection was received. The penalty may be increased at the determination of the Southern Regional Conduct Committee. Any appeal of an increased suspension must be submitted in writing to the Southern Regional Appeals Committee within two hours of notification of the increased suspension. Any other individuals who may be reasonably construed as being associated with a team, such as relatives and spectators, are also subject to the jurisdiction and authority of US Youth Soccer and the Tournament.

C Player and Coach Suspension Any player, coach or bench personnel who have been suspended may appeal the decision to the Southern Regional Tournament Appeals Committee. This appeal must be made within two hours of notification of the suspension.

D Substitutions The number of substitutions shall be unlimited for 13U and 14U. For all other age groups, a maximum of 7 substitutions for each team shall be allowed in each game during each half of play and during overtime play. After leaving the game during a half of play, the substituted player may not re-enter the game during that same half of play. After

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leaving the game during overtime play, the substituted player may not re-enter the game. Substitutions may be made with the consent of the referee, at the following times:

1. Prior to a throw-in in your favor. 2. Prior to a goal kick by either team. 3. After a goal by either team. 4. After an injury by either team when the referee stops play. 5. At half time. 6. When the referee stops play to caution a player, only the cautioned player may be

substituted prior to the restart of the game

Per Rule 242 Playing Rules Section 3 (subsection 3) Medical Substitution from the USYSNC National Championships Policy:

(3) If a player is suspected of suffering a head injury, they may be substituted for evaluation without the substitutions counting against the team’s total number of allowed substitutions during each half or overtime period. If the player with the suspected head injury has received clearance from the events’ Health Care Professional, the player may re-enter at any stoppage of play. The evaluated player must replace the original substitute and will not count as a substitution. The temporary substituted player may re-enter the game as a regular substitute. A team may only make a temporary substitution if they have a substitution available.

E Player Equipment The referee is the sole judge of allowed player equipment as prescribed by the FIFA Laws of

the Game.

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1.4 PROTESTS All questions relating to the qualifications of the competitors or interpretation of the rules, or any dispute or protest shall be referred to the Southern Regional Tournament Protest Committee.

A Validity To be valid and eligible for consideration: 1. All protests relating to the ground, goal posts, bars or other appurtenances of the games

shall be entertained only if a written objection has been lodged with the referee and the opposing coach prior to the start of the game.

2. All protests must be filed in writing with the Chair of the Protest Committee or his/her representative within two hours of the completion of the game in protest and must include:

3. A fee in the amount of $300. This fee may be in cash, cashier’s check or money order. Personal checks will not be accepted. Checks or money orders must be made payable to US Youth Soccer South Region.

4. Full particulars of the grounds on which the protest is lodged.

B Timing 1. Game situations

Notification of protest must be received by the chair of the Protest Committee or his/her or designee within two hours of the completion of the game being protested.

2. Non-game situations Notification of protest must be received by the chair of the Protest Committee or his/her or designee within two hours of completion of the last game in the bracket or division in question, whichever is latest.

C Procedures

The committee shall immediately upon the receipt of a protest notify the team against which the protest is made and shall give a copy of the protest and all particulars to that team, which will then have the right to defend its case, with or without witnesses. A written response must be made within 2 hours of notification.

A plea of ignorance to the rules and policies of the US Youth National Championship Series and/or the US Youth Soccer Southern Regional Championships is not sufficient grounds for protest. Judgment decisions of the referee are not subject to protest.

The committee shall compile the necessary information to hear the protest from all available sources, before the protest is heard. This shall include, but not be limited to, coaches, field marshals, referees, assessors, witnesses if necessary, etc. All materials will be treated with confidentiality.

After compiling the necessary information, the committee will meet to conduct the protest hearing. The decisions of the committee shall be binding on all parties.

The Southern Regional Protest Committee will notify the parties of the committee’s decision.

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1.5 APPEALS

The decisions of the Tournament Committee and the Tournament Conduct and Protest Committees may be appealed to the Tournament Appeals Committee. The appellant shall bear the burden of showing that the decision being appealed is clearly erroneous. No new evidence may be presented to the Appeals Committee unless circumstances have materially changed, or new facts are discovered that were unavailable at the time of the original hearing.

1. An appeal must be filed in writing with the Chairman of the Appeals Committee or their representative within two hours of notification of the Conduct or Protest Committees decision and include:

• A fee in the amount of $500. This fee may be in cash, cashier’s check or money order. Personal checks will not be accepted. Cashiers’ checks and money orders must be payable to US Youth Soccer South Region.

2. Ignorance

• A plea of ignorance to the rules of the competition is not sufficient grounds for appeals or protests.

3. Judgment decisions

• Judgment decisions of the referees are not subject to appeal or protest.

1.6 LAWS OF THE GAME

Except as otherwise provided herein, the rules of US Youth Soccer and FIFA Laws of the Game shall apply.

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Wild Card Draw Addendum

(Adopted by Presidents 1/17/2014)

One wildcard team per state, per tournament, will be selected unless no other state can fill the open slot. Procedure for wildcard selection:

• State notifies the RTC that it will not be able to fill their state’s slot in a gender group.

• A wildcard may be selected to fill the open slot.

• Order of selection of wildcards: 1) Host state 2) #1 state in random draw for gender group 3) #2 state, #3 state, etc.

Wild Card Slot #1: State informs RTC they cannot field a team in a gender (age group does not matter)

• RTC will contact the Host State and offer them the slot;

• Host State can fill the slot;

• Selection complete.

Wild Card Slot #2: State informs RTC they cannot field a team in a gender (age group does not matter)

• Since the Host State accepted Wild Card slot #1, the State listed #1 random draw is offered the slot and accepts;

• Selection complete.

OR • #1 in random draw cannot fill the slot, continue to #2 in random draw;

• #2 does not accept;

• #3 does not accept;

• #4 DOES accept;

• Selection complete.

Wild Card Slot #3: State informs RTC they cannot field a team in a gender (age group does not matter)

• Draw continues from the last “accepted” slot and #5 in the random draw is offered the open spot;

• And so on…

After the entire draw selection has been rotated thru, start at the top with the order of selection, and those states who could not fill the initial slot offered, are given first chance at the open slot. No state may accept a second wild card slot until all other states have refused the option.

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Concussion Procedure and Protocol

For US Youth Soccer Events

Concussion: a traumatic brain injury that interferes with normal brain function. Medically, a concussion is a complex, pathophysiological event to the brain that is induced by trauma which may or may not involve a loss of consciousness (LOC). Concussion results in a constellation of physical, cognitive, emotional, and sleep-related symptoms. Signs or symptoms may last from several minutes to days, weeks, months or even longer in some cases.

CONCUSSION SIGNS, SYMPTOMS, AND MANAGEMENT AT TRAINING AND COMPETITIONS Step 1:

Did a concussion occur? Evaluate the player and note if any of the following signs and/or symptoms are present:

(1) Dazed look or confusion about what happened. (2) Memory difficulties. (3) Neck pain, headaches, nausea, vomiting, double vision, blurriness, ringing noise or

sensitive to sounds. (4) Short attention span. Can’t keep focused. (5) Slow reaction time, slurred speech, bodily movements are lagging, fatigue, and slowly

answers questions or has difficulty answering questions. (6) Abnormal physical and/or mental behavior. (7) Coordination skills are behind, ex: balancing, dizziness, clumsiness, reaction time.

Step 2:

Is emergency treatment needed? This would include the following scenarios:

(1) Spine or neck injury or pain. (2) Behavior patterns change, unable to recognize people/places, less responsive than usual. (3) Loss of consciousness. (4) Headaches that worsen (5) Seizures (6) Very drowsy, can't be awakened (7) Repeated vomiting (8) Increasing confusion or irritability (9) Weakness, numbness in arms and legs

Step 3:

If a possible concussion occurred, but no emergency treatment is needed, what should be done now? Focus on these areas every 5-10 min for the next 1 - 2 hours, without returning to any activities:

(1) Balance, movement. (2) Speech. (3) Memory, instructions, and responses. (4) Attention on topics, details, confusion, ability to concentrate. (5) State of consciousness

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(6) Mood, behavior, and personality (7) Headache or “pressure” in head (8) Nausea or vomiting (9) Sensitivity to light and noise

Players shall not re-enter competition, training, or partake in any activities for at least 24 hours. Even if there are no signs or symptoms after 15-20 min, activity should not be taken by the player.

Step 4: A player diagnosed with a possible concussion may return to US Youth Soccer play only after release from a medical doctor or doctor of osteopathy specializing in concussion treatment and management.

Step 5: If there is a possibility of a concussion, do the following:

(1) The attached Concussion Notification Form is to be filled out in duplicate and signed by a team official of the player’s team.

(2) If the player is able to do so, have the player sign and date the Form. If the player is not able to sign, note on the player’s signature line “unavailable”.

(3) If a parent/legal guardian of the player is present, have the parent/legal guardian sign and date the Form, and give the parent/legal guardian one of the copies of the completed Form. If the parent/legal guardian is not present, then the team official is responsible for notifying the parent/legal guardian ASAP by phone or email and then submitting the Form to the parent/legal guardian by email or mail. When the parent/legal guardian is not present, the team official must make a record of how and when the parent/legal guardian was notified. The notification will include a request for the parent/legal guardian to provide confirmation and completion of the Concussion Notification Form whether in writing or electronically.

(4) The team official must also get the player’s pass from the referee and attach it to the copy of the Form retained by the team.

References: Kissick MD, James and Karen M. Johnston MD, PhD. “Return to Play After Concussion.” Collegiate Sports Medical Foundation. Volume 15, Number 6, November 2005. http://www.csmfoundation.org/Kissick_-_return_to_play_after_concussion_-_CJSM_2005.pdf. April 22, 2011. National Federation of State High School Associations. “Suggested Guidelines for Management of Concussion in Sports”. 2008 NFHS Sports Medicine Handbook (Third Edition). 2008 77-82. http://www.nfhs.org. April 21, 2011.

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Possible Concussion Notification For US Youth Soccer Events

Today, , 2 , at the ______________________ ___________________[insert name of event], _______________________ [insert player’s name] received a possible concussion during practice or competition. US Youth Soccer and Staff want to make you aware of this possibility and signs and symptoms that may arise which may require further evaluation and/or treatment. It is common for a concussed child or young adult to have one or many concussion symptoms. There are four types of symptoms: physical, cognitive, emotional, and sleep. If your daughter or son starts to show signs of these symptoms, or there any other symptoms you notice about the behavior or conduct of your son or daughter, you should consider seeking immediate medical attention:

- Memory difficulties - Neck pain - Delicate to light or noise - Headaches that worsen - Odd behavior - Slow reactions - Vomiting - Fatigued - Irritability - Focus issues - Irregular sleep - Seizures Patterns - Weakness/numbness in - Slurred speech - Less responsive than arms/legs usual

- Repeats the same answer or question Please take the necessary precautions and seek a professional medical opinion before allowing your daughter or son to participate further. Until a professional medical opinion is provided, please consider the following guidelines:

• refraining from participation in any activities the day of, and the day after, the occurrence.

• refraining from taking any medicine unless (1) current medicine, prescribed or authorized, is permitted to be continued to be taken, and (2) any other medicine is prescribed by a licensed health care professional.

• refraining from cognitive activities requiring concentration cognitive activities such as TV, video games, computer work, and text messaging if they are causing symptoms.

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If you are unclear and have questions about the above symptoms, please contact a medical doctor or doctor of osteopathy who specializes in concussion treatment and management. Please be advised that a player who suffers a concussion may not return to play until there is provided a signed clearance from a medical doctor or doctor of osteopathy who specializes in concussion treatment and management. Player’s Team: _____________________________________ Age Group: _____________________________________ Player Name: _____________________________________ Gender: _______ Player Signature: _____________________________________ Date: _________ Parent/Legal Guardian Signature: _________________________ Date: _________ Team Official Signature: _______________________________ Date: _________ By inserting my name and date and returning this Notification Form, I confirm that I have been provided with, and acknowledge that, I have read the information contained in the Form. If returning the signed Form by mail, send it to the following address: 9220 World Cup Way, Frisco, TX 75034. If returning this Form by email, send it to the following address: [email protected]. US Youth Soccer Notification: Yes No If yes, method and recipient: _______________________ References:

Kissick MD, James and Karen M. Johnston MD, PhD. “Return to Play After Concussion.” Collegiate Sports Medical Foundation. Volume 15, Number 6, November 2005. http://www.csmfoundation.org/Kissick_-_return_to_play_after_concussion_-_CJSM_2005.pdf. April 22, 2011. National Federation of State High School Associations. “Suggested Guidelines for Management of Concussion in Sports”. 2008 NFHS Sports Medicine Handbook (Third Edition). 2008 77-82. http://www.nfhs.org. April 21, 2011. Children's National Medical Center. “Safe Concussion Outcome, Recovery & Education (SCORE) Program.” Adapted by Gerard Gioia, PhD; Micky Collins, PhD; Shireen Atabaki, MD, MPH; Noel Zuckerbraun, MD, MPH.