PG 1 of 9
Mason Varsity Wrestling Team
Participation in the
2014–Al Dvorak Wrestling Invitational (12/22/14 – 12/23/14)
Depart on December 21, 2014
DATES:
Depart December 21st, 2014
December 22st, 2014 - Wrestling begins at 9:30 am
December 23rd, 2014 - Wrestling begins at 9:00 am
TOURNAMENT:
The Al Dvorak Wrestling Invitational
LOCATION / SITE:
Harlem High School
9229 N. Alpine Road
Machesney Park, IL 61115
FORMAT:
Individual Advancement Tournament
MATCHES
All matches will follow the NFHS guidelines
DEPART
The Team will depart at12:00pm on Sunday December 21stfrom Mason High School located behind the athletic office. The team will be departing immediately after practice. All team members will need to bring all travel gear / overnight gear for the tournament.
TRANSPORTATION
Mason City School District will not be providing transportation to or from this activity. Thus, if i choose to allow my child to participate in this activity, I acknowledge that it is my responsibility to ensure that my child is provided safe transportation to and from this activity.
All team members and coaches will be responsible for providing their own travel arrangements.
Student athletes and parents will be required to fill out the Mason City School District – No transportation provided form. Document MCS-705
THOSE ATTENDING
A final copy of those attending will be emailed to Scott Stemple prior to departure. This will include a complete list of all athletes attending the event and any updates as a result of injury, wrestle-offs, family matters, or adjusted weight classes.
This event is a varsity event that will feature 14 Mason High School wrestlers in the appropriate weight classes. Two additional wrestlers will make the trip in supporting roles (video and stats). A total of 16 wrestlers will make the trip.
No student will be charged money to participate. The cost of the trip will be covered by the booster fundraisers as outlined in the 2014-15 Mason Wrestling Budget.
Student athletes and parents will be required to fill out the Mason City School District – Permission Slip Form. Document MCS-702
FOOD FOR THE ROAD
All Breakfast and Lunches will be provided at the tournament site by the wrestling boosters. Wrestlers should plan on brining small snacks such as protein bars and Gatorades over and above the normal booster meals provided.
Dinner will occur after wrestling at a local restaurant or back at the hotel site.
Wrestlers are encouraged to bring a small amount of Cash for incidental food cost throughout the trip. $25.00 will be plenty.
HEALTH CARE
In addition to area hospitals, nearby healthcare facilities offer outpatient Services and other non-emergency services. First aid and other appropriate services will be available at the tournament site. All coaches traveling with the team will maintain a copy of Emergency Medical Forms.
ACCOMODATIONS
Hampton Inn
615 Clark Drive, Rockford, IL 61107
815-229-0404
Check in: SundayDecember 21st, 2014
Check out: Tuesday December 23rd, 2014
8Rooms Reserved.
All Mason athletes will be required to sleep in the hotel rooms secured by the team under the supervision of the Mason coaching staff.
SCHOOL RULES APPLY
All wrestlers must adhere to rules and regulations outlined in Mason’s drug and alcohol policy and associated school rules. Additional behavior standards (rules, curfews, ect.) will ensure that Mason is represented in a professional manner,
DIRECTIONS
Please use the addresses provided in this document for specific directions. Yahoo – maps will work for specific directions depending upon where you are departing from.
CONTACT INFORMATION
Coaches:
Craig Murnan(513) 304-2500
Ryan Root(513) 604-7433
Thik Phou(513) 225-8948
Josh Sasfy(614) 565-1186
Brennan Ryan(513) 378-2099
Tournament Directors:
Kurt Weight(815) 654-4578
Hotel:
Hampton Inn(815) 229-0404
ITINERARY (All Times are based on local time)
SundayDecember 21, 2014
10:00 amTeam Workout at Mason High School
11:30 amLunch at Mason High School (Packed Lunch)
12:00 pm Meet in the Mason High School athletic parking lot.
12:15 pm Gas up at Speedway Gas Stationat the corner of Tylersville and Route 42
12:30 pmLeave for Chicago, Illinois
-Approximately 390 miles
5:00 pmArrive in Rockford, IL (1 hour time change)
5:00 pmParents and Assistant Coach will check into Hampton Inn
- 615 Clark Drive
Rockford, IL 61107
(815) 229-0404
6:45 pmDinner ( Order Pasta / Pizza to Hotel )
8:00 pmWeight Check
10:30 pm Lights out
ITINERARY (All Times are based on local time)
Monday December 22, 2014
5:30 amEarly weight check for those in need
6:15 am Wake up call
6:30 am Meet in the Lobby of Hampton Inn
6:30 am Leave for Harlem High School
-Approximately 15 miles
9229 N. Alpine Road
Machesney Park, IL 61115
7:00 amArrive at Harlem High School
-Head Coach will check in with tournament director
-Assistant Coach will take team for weight check
-Parents will setup post weigh-in meal in cafeteria section
7:30 am Weigh-in as a team
7:45 amBreakfast
8:30 amTeam warm up
9:10 amCoaches Meeting
9:30 am Wrestling Begins (Session 1)
-Two rounds of championship bracket
-One round of wrestle back bracket
12:00 pmParents will setup meal in cafeteria section
3:00 pmWrestling continues (Session 2)
-Two rounds of wrestle back bracket
-One round of championship bracket (quarter finals)
8:30 pmShower & Check Weight with Coach Root
9:00 pmDinner (Subway Restaurant)
10:00 pmLights out
ITINERARY (All Times are based on local time)
TuesdayDecember 23, 2014
5:30 amEarly weight check for those in need
6:15 am Wake up call
6:30 am Meet in the Lobby of Hampton Inn
6:30 am Leave for Harlem High School
-Approximately 15 miles
9229 N. Alpine Road
Machesney Park, IL 61115
7:00 amArrive at Harlem High School
-Head Coach will check in with tournament director
-Assistant Coach will take team for weight check
-Parents will setup post weigh-in meal in cafeteria section
7:30 am Weigh-in as a team
7:45 amBreakfast
8:15 amTeam warm up
9:00 am Wrestling Begins (Session 3)
-Semi-Finals
-Three rounds of wrestle back bracket
12:00 pmParents will setup meal in cafeteria section
2:00 pmWrestling continues (Session 4)
-Placement Matches
-Championship Matches
5:30 pmShower
6:00 pmHead Home
6:30 pmStop for dinner (fast food)
Gas up at available Gas Station
7:00 pm Depart for Mason, Ohio
MCS-702 Rev. 02/05
211 N. East Street
Mason, OH45040
PARENT/STUDENT PERMISSION SLIP FOR
EXTRA-CURRICULAR AND SCHOOL CLUB ACTIVITIES
Activity: Mason Wrestling @ Al Dvorak Invitational - Machesney Park,Illinois
(12/22/14 & 12/23/14 - Depart 12/21/14)
Student Name: ______
Date: ______Location: Machesney Park,Illinois (Chicago Area)
This permission slip is for participation in the above referenced activity. This activity will be supervised by the Mason City Schools staff.
We, the undersigned do hereby give permission for our child to participate in the above stated activity. We do hereby assume full responsibility for any risk of bodily injury, personal injury or mental injury or death due to our child’s participation in these activities and the necessary travel to and from any activity site. We also further hereby assume full responsibility for all lost, stolen, or damaged personal property and will not hold the school or its employees responsible for said loss or damage to personal property.
The undersigned further release, waive, discharge and covenant not to sue the Mason City School District Board of Education, its individual members, its superintendent, principals, administrators, employees, agents or anyone acting on its behalf, from all liability, arising from or by reason of any bodily injury, personal injury or mental injury, known or unknown, including death, resulting from, or to result from our child’s participation in field trips and co-curricular activities with Mason City School District.
We expressly agree that this release is intended to be as broad and inclusive as permitted by the laws of the State of Ohio or any other state in which said student may be injured and that if any portion of this release is held invalid, it is agreed that the balance shall, nevertheless, continue in full force and effect.
We further state that we have fully and carefully read the above release and know the contents of the same and sign this release as our own free act.
We further consent to emergency treatment by a physician in the event of injury to or illness of our child during his/her participation in such activities.
DateSignature of Parent/Guardian
DateSignature of Student
MCS-705 Rev.11/06
ACKNOWLEDGEMENT, RELEASEANDCONSENTFORM
Group:Mason High School – Wrestling TeamActivity:Dvorak Wrestling Invitational
LocationMachesney Park,Illinois (Chicago Area)Date:12/21/14-12/23/14Time:All Day
IacknowledgethatIhavereceivedwrittennoticefromtheMasonCitySchoolDistrictregardingtheabovereferencedactivity.IunderstandthattheMasonCitySchoolDistrictwill notbeprovidingtransportationtoorfromthisactivity.Thus,ifIchoosetoallowmychildtoparticipateinthisactivity,Iacknowledgethatitismyresponsibilitytoensurethatmychildisprovided safe transportationto and from this activity.
Iunderstandthattheoperatorofthemotorvehiclewhotransportsmychildtothisactivity, whetheritismeorsomeoneelse, willbeactingpurely in his or herprivatecapacity andnotunderthesupervisionorcontroloftheMasonCitySchoolDistrict.Furthermore, IunderstandthattheMasonCitySchoolDistrict’sinsurancepolicywillnotcoveranyaccidentsorinjuriessufferedduringthe transportation of my child toor from this activity.
Iunderstandthat,pursuanttotheMasonCitySchoolDistrict’sTransportationPolicy,mychildwillnotbeallowedtoparticipateintheactivitydescribedaboveunlessIsignthisAcknowledgement,ReleaseandConsentForm,anditisreceivedbytheMasonCitySchoolDistrict nolater thanone school daybeforethedateoftheactivity(listed above).
IacknowledgethatIhavereadandfullyunderstandthisAcknowledgement,ReleaseandConsentForm,andonbehalfofme,myspouse(ifapplicable),myheirs,legalrepresentativesandassigns,IherebyreleasetheMasonCitySchoolDistrictBoardofEducation,itsindividualmembers,agents,employees,representatives,andassignsfromanyandallpotentialliability,claims,demands,controversies,damages,actionsandcausesofactionrelatedtomychild’stransportationto or from the activity described above.
Parent / GuardianSignature Date
Student’ s Name – Please Print
PLEASESIGNANDRETURNTHISFORMTO Craig Murnan
(Teacher/Coach’sName)
THISFORMMUSTBERECEIVEDBYNO LATERTHAN 12/20/14
(daybeforeactivity)
TOBECOMPLETEDBYTHEMASONCITYSCHOOLDISTRICT
Receivedbyon
(initials)(date)