Co-Ed teams of 6 fifth graders
 $30 per team
 Snacks provided / concessions available
 Limited to the first 16 teams
 Double elimination tournament

Get your team together and register today!
Use this form or visit
www.rockfordlutheran.org
5th Grade Dodgeball
Tournament
Registration Form
Registration Forms are due by March 3.
Mail to Rockford Lutheran School
c/o Mary Cannon,
3411 N. Alpine Rd
Rockford, IL 61114
Name of Team ____________________________________
Players
1. _____________________________ M / F
2. _____________________________ M / F
3. _____________________________ M / F
4. _____________________________ M / F
5. _____________________________ M / F
6. _____________________________ M / F
7. optional _______________________ M / F
Team Captain / Contact ______________________________
Phone # __________________________________________
Address __________________________________________
Email ____________________________________________
Matches will start at 6:30 pm. Doors open at 6:00 pm.
Four matches will be happening at a time—two matches in each gym.
Matches are the won by the team that wins 2 out of 3 games.
Or drop off at the
same address between
8 am and 4 pm
You pick a name for your team. We will use this
name to call for your team at the tournament.
Six players start each game, so teams must have six
members. Teams may have a seventh player that
serves as a substitute. Teams are co-ed and must
include at least two boys and two girls. At least two
boys and two girls must start each game. Please
circle M for male and F for female for each player.
You can use a team member or a parent as the
contact person.
Please include cash or check (to Rockford Lutheran
School) for $30.
ALL PROCEEDS GO TO SUPPORT THE BOYS AND GIRLS
CLUB OF ROCKFORD!
The Boys and Girls Club of Rockford, Rockford Lutheran
School, The Rockford Lutheran High School Association of
the Greater Rockford Area, their member churches, any of
their directors, employees, officers or board members,
volunteers, coaches and agents are exempt from any
liability associated with these players during the Delirious
for Dodgeball tournament. Players assume all risks
associated while participating in dodgeball and waives any
claims against the owner or the property on which the
activity is held. The terms hereof shall serve as a release
and assumption of risk for my heirs, executor,
administrator, assignees and all members of my family.
Games are won when all of the players of a team are eliminated. Each
game has a five minute time limit. If no team has been fully eliminated,
the team with the most people remaining at the end of five minutes
wins. If the teams have the same number of people remaining, it
becomes sudden death and the team with the next player eliminated
loses.
Each game begins with 6 balls in the middle of the court.
Two referees will monitor each match and will make all decisions
regarding players that are out.
Full rules and the tentative tournament bracket are available at
www.rockfordlutheran.org.
Parents and friends are invited to attend
and cheer on their favorite team!
Boys & Girls Club
of ROCKFORD
5th Grade Dodgeball
Tournament
Rules
Rule 1—Eligibility
A. Must be in grade 5.
B. Participants can only play on one team for the duration
of the tournament.
Rule 2—Equipment
A. All players must wear clean athletic shoes.
B. All jewelry must be removed before play.
C. Dodgeballs will be provided by the tournament host.
D. Teams must use provided equipment.
E. Teams are encouraged to wear matching or same color
shirts.
F. Hats and bandanas cannot be worn.
Rule 3—Court
A. The court will be a rectangle—volleyball court.
B. The court shall be marked with sidelines, end lines,
attack lines, and a center line.
C. Boundary infractions:
1. During play, a player exits the courts, except to
retrieve a ball. The player is out of bounds if any part
of their body touches the ground outside of the
boundaries.
2. During play, any part of a player’s body contacts the
ground over the center line.
Penalty—The player is declared out.
D. Players who are out will have a designated area to
remain.
E. No fans may be on either end of the court. Fans are to
only sit on the sides of the court. Fans may roll balls
back onto the court, but cannot toss the ball to any
player.
Rule 4—Players
A. A team will consist of 6 or 7 players.
B. Each team must start each game with 6 players with the
only exception being that the team can start with 5 if an
injury or other situation has caused a 6th player to not
be available.
C. Teams are co-ed and must include at least two boys and
two girls. At least two boys and two girls must start
each game.
D. Substitutions cannot be made during a game.
Rule 5—Play
A. Matches are won by the team that wins 2 out of 3
games.
B. Each game will have a five minute time limit.
C. Games are over when all of the players of a team are
eliminated or the five minutes has expired.
D. After five minutes, if no team has been fully eliminated,
the team with the most people remaining wins. If the
teams have the same number of people remaining, it
becomes sudden death and the team with the next
player eliminated loses.
E. Referees will declare which team starts on which side of
the court. The teams will alternate sides after each
game.
F. Each game begins with 6 balls along the centerline.
Players line up behind their end line and may run to
retrieve the balls when the referee blows a whistle to
start play.
G. Each ball retrieved from the center line at the beginning
of the game must be taken back behind the attack line
before it can be thrown at an opponent.
H. A leading team cannot possess / control all balls for
more than 6 seconds. If the leading team has all of the
balls, they must make every effort to get a ball over the
center line. If this is not done, a violation is called and
the leading team must surrender all but one ball.
I. A person is eliminated if he/she …
 is hit below the shoulders by a live ball thrown by
the other team before the ball hits the ground. If
the player ducks and this is clearly the cause for the
player being hit above the shoulders, they are out.
 throws a live ball and it is caught by the other team
before it hits the ground.
 deflects a ball thrown by the other team with a ball
that the player is holding and that held ball drops
to the ground.
 steps out of bounds during play, except to retrieve
a ball.
J. As soon as a ball is deflected by a held ball, it is no
longer a live ball and cannot get anyone out.
Rule 6—Team Names
A. All teams must be appropriate. The tournament
organizer decide the appropriateness of team names.
Rule 7—Awards
A. Awards will be given to the first, second and third place
teams.
Team 1
Team 2
Team 3
Team 4
Team 5
Team 6
Team 7
Team 8
Team 9
Team 10
Team 11
Team 12
Team 13
Team 14
Team 15
Team 16
Loser to S
Tentative 16 team Bracket
Loser to Q
Loser to R
Loser to T
Q
R
(32
S
(33
T
(34
3rd Place
See back for game times and courts!
Tentative Schedule for
16 team Bracket
Game
Teams
Court
Time
(1
1&2
1
6:30 pm
(2
3&4
2
6:30 pm
(3
5&6
3
6:30 pm
(4
7&8
4
6:30 pm
(5
9 & 10
1
6:45 pm
(6
11 & 12
2
6:45 pm
(7
13 & 14
3
6:45 pm
(8
15 & 16
4
6:45 pm
(9
L of 1 & L of 2
4
7:00 pm
(10
L of 3 & L of 4
3
7:00 pm
(11
L of 5 & L of 6
2
7:00 pm
(12
L of 7 & L of 8
1
7:00 pm
(13
W of 1 & W of 2
4
7:15 pm
(14
W of 3 & W of 4
3
7:15 pm
(15
W of 5 & W of 6
2
7:15 pm
(16
W of 7 & W of 8
1
7:15 pm
(17
L of 13 & W of 12
1
7:30 pm
(18
L of 14 & W of 11
2
7:30 pm
(19
L of 15 & W of 10
3
7:30 pm
(20
L of 16 & W of 9
4
7:30 pm
(21
W of 13 & W of 14
1
7:45 pm
(22
W of 15 & W of 16
2
7:45 pm
(23
W of 20 & W of 19
3
7:45 pm
(24
W of 18 & W of 17
4
7:45 pm
(25
L of 21 & W of 23
1
8:00 pm
(26
L of 22 & W of 24
2
8:00 pm
(27
W of 21 & W of 22
3
8:00 pm
(28
W of 25 & W of 26
1
8:15 pm
(32
L of 25 & L of 26
3
8:15 pm
(29
W of 28 & L of 27
1
8:30 pm
(33
W of 32 & L of 28
3
8:30 pm
(30
W of 29 & W of 27
1
8:45 pm Championship Match * Unless it is the losing team’s 1st loss
(34
W of 33 & L of 29
3
8:45 pm 3rd place Match
(31
If needed—Both from 30 1
Courts 1 & 2 are in the high school gym
Courts 3 & 4 are in the junior high gym.
9:00 pm Championship Match
All matches are at
Rockford Lutheran School
3411 N. Alpine Rd.
Rockford IL