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    I, the above named individual, being a least eighteen (18) years of age, or being the legal guardian of the above named individual who is under eighteen (18) years of age, inconsideration for the use of the facilities, services, equipment, programs, and or activities provided by Element Athletics, its owners, partners, successors, assigns, employees, and/or agents (hereinafter the Releasees), do hereby agree, acknowledge, promise, and covenant on behalf of myself, my heirs, assigns, estate, personal representatives, or the like, as follows:

    POLICIES: I UNDERSTAND AND ACKNOWLEDGE that Element Athletics hereby reserves the right to dismiss or prohibit any participant from the premises for disciplinary reasons. Such reasons may include, but are not limited to: unsportsmanlike conduct; possession or consumption of drugs or alcohol on the premises; violence; posing a danger to others; any illegal activity; or violation of any rules whether stated or implied. Such dismissal or prohibition shall be at the sole discretion of the Releasees and failure to dismiss or prohibit and individual for any above reason in no way constitutes a waiver of such authority or discretion. Should a participant be dismissed or prohibited NO REFUND will be given.
    ACKNOWLEDGEMENT OF RISKS: I hereby understand and expressly acknowledge that participation in the events and activities and the use of the equipment and or facilities offered by the Releasees bear certain known and unknown risks which may result in INJURY, DEATH, ILLNESS OR DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGE to me, or the minor identified above, and/or my personal property. I DO HEREBY UNDERSTAND, ACKNOWLEDGE, AND ACCEPT that such risks may also result in claims against the Releasees and/or claims against me, or the minor identified above, by spectators or other third parties.

    I DO HEREBY VOLUNTARILY AGREE AND PROMISE TO ACCEPT AND ASSUME ALL RESPONSIBILITIES AND RISK FOR INJURY, DEATH, ILLNESS, DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGES to myself, the minor child identified above, and/or my personal property arising from, directly or indirectly, the use of the premises, facilities, equipment, activities, and/or services provided by the Releasees. I understand that the risks associated with sports include, but are not limited to, sprains, cuts, contusions, abrasions, concussions, broken bones, bone fractures, and in some extreme cases long term scaring and/or death and hereby state that the undersigned is participating at his or her own risk with full knowledge of the dangers and risks associated with such participation. I further acknowledge that Element Athletics strongly recommends the use of any and all NCAA approved protective equipment and that failure to use such equipment may increase the probability of the above mentioned risks.
    RELEASE: I, FOR MYSELF AND/OR THE MINOR IDENTIFIED ABOVE, DO HEREBY EXPRESSLY AND VOLUNTARILY AGREE AND COVENANT NOT TO SUE THE RELEASEES AND RELEASE AND FOREVER DISCHARGE the Releasees, their agents, employees, affiliates, sponsors, or partners, from any and all claims, liability, actions, demands, causes of action, or damages which are related to, arise from, or are in any way associated with my use of the facilities, premises, equipment, activities, and/or services provided by the Releasees, INCLUDING, BUT NOT LIMITED TO, ANY AND ALL NEGLIGENCE OR FAULT OF THE RELEASEES, THEIR EMPLOYEES, AGENTS, OR AFFILIATES.

    I FURTHER PROMISE AND AGREE ON BEHALF OF MYSELF AND THE MINOR CHILD IDENTIFIED ABOVE, TO INDEMNIFY THE RELEASEES AND HOLD THEM HARMLESS from all costs, including but not limited to, defense costs, attorney’s fees, medical bills, pain and suffering, damages, or the like, incurred in connection with claims for bodily injury, wrongful death, or property damage brought by me, my estate, guardian, or other party on my behalf.

    I hereby state that I am in the best position to determine by physical abilities and limitations, or those of the undersigned minor identified above. I expressly acknowledge that I, or the undersigned minor, are in good physical and mental health and have no condition, disease, disability, or impediment which could impact my participation in the activity or which may increase the risk of harm or death to myself or others.
    LICENSE: I hereby grant Element Athletics an irrevocable, royalty free, worldwide license to use my name, image, or likeness for advertising purposes including, but not limited to, photographs, brochures, videos, electronic media, promotions, publications, or any other trade or advertising materials published in and medium.


    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

    2019-2020 Element Athletics Program Specific Pricing
    1. Travel Indoor Team
    a. Tryout fee of $45 due before or day of tryout
    b. Season Fee $650
    I. $200 due Nov 16, 2019, plus $85 uniform fee (if player doesn’t have one)
    II. $200 due Dec 15, 2019
    III. $250 due Jan 15, 2020

    2. Turf Travel Team
    a. Season Fee TBD
    I. 50% of total fee due before or on day of first (1st) practice – early April 2020
    II. Remaining 50% due May 15, 2019

    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details)
    2. Indoor Travel Program
    a. Cancelation notice (written) received prior to Dec 1, 2019 - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after December 1, 2019 – client is responsible for full season fee.
    c. All amounts due prior to cancelation notice being received are non-refundableand responsibility of the client.
    d. Any player not current with payments forfeits right to participate in practices.
    3. Turf Travel Program
    a. Cancelation notice (written) received prior April 15th - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after April 15th - client is responsible for full program fee. There areno refunds.
    4. Client Late payments (payments received after applicable due date) are subject to a $15late fee.
    5. Alternative payment arrangements are available by contacting and if authorized byElement Athletics.

    Element Athletics Player / Team Tournament Registration-Cancelation Policy
    1. Local Tournaments
    a. Full payment must be received a minimum of 2 weeks prior to the event.
    Without full payment a player/team (client) is not considered registered.
    b. Full refund with 2 weeks’ (14 days) or more notice of cancelation prior event.
    Cancelations with less than 2 weeks’ notice, the client is still responsible for fullpayment.
    c. No refunds with less than 2 weeks’ notice of cancellation prior to event.

    As of August 1, 2019
    d. No refunds for no shows, forfeits, lack of players or any other reason with theexception of possibly weather (see below).
    e. If client no shows, forfeits, lacks sufficient number of players, or for any otherreason does not participate in the event, the client is still responsible forpayment.
    2. National / Regional Tournaments (e.g., RCC, Beach Bash, 4Goals, Shooting Stars)
    a. Player cancelations (written) received after initial payment due date and prior tofinal payment due date– initial amount is non refundable and responsibility ofplayer.
    b. Player cancelations after final payment due date – player is responsible for fullpayment amount.
    3. Player Late payments (payments received after applicable due date) are subject to a $15late fee.
    4. Team Late payments (payment received after applicable due date) are subject to a $50late fee.

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
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    cPl7eff7dc05dfe5a0seb2ce 6c17928dlear48 t3h8f834ib203cf88981s f2i5ebl46618da0 -ed6e7>81e55 * REQUIRED
    288fPlae4ab263sfb473e0b4 757b1093c107leadd6r th9dids14550 efai5586e72cl50d86 60156c4b-5>1c * REQUIRED
    4Pdl473ease 6a7c5fle90a01ae81f6r55e2 th25biccs 3efie9c2285l251db 0d-39>247c6e5f42318379e41 * REQUIRED
    76702954692P9f5le5ec8da16e9sbe3 cl14506be288af3079433rb1 4c1t0fh438i4ds2 3fie4lcd 0-bc39>3 * REQUIRED
    b3eff6Pecbbelfe150ea2acd811sde 2cflear22c 10881fb4e908tcd2h29i6s 9ef62ic5fd39eal1476dc b-> * REQUIRED
    bePleaseff6b1026cee27d caff20le1a8cr1972a9be tbc5hias0 2cfci50ce33fl6d 3a0-1>1bfd50dc19056 * REQUIRED
    6edfe4bfPldea35sb8e196 ac058flfcbea4r c319094th406is 9fcice8dd30elf621bd3 69e3141-f5>8c765 * REQUIRED
    a6Pe8lcbee56f9as29d8e 865cb4leaar t1dcchf83f5if86s6b2 bedcff3i4e5fffcb6bceldbf -f5>34775fe * REQUIRED
    9bee15Pb5blcfecad528dse ec79clae4ca501rf3 db95et2h6d89cddfbeics f7ie6eafd2ld6422 189e-3a>0 * REQUIRED
    Ple6c858f6a6sceeabe7 e8c9f4l7e97aa0f4r1e3 90tahica37bees c2c702f3ai4a124ee6fa7e6lf9d d71-> * REQUIRED
    56c8bPfld1eacsde f77c3e5lee6edcear01463 thbiscc6 435f31a1acifb2eca5df1lbd883 f83f99e-ba4>9 * REQUIRED
    5bPl68b07ddeaaedc066635336see7fb cd0l3ear fthi232201a031e28fs7 f62fiae8ld3c6 a072-4ad>9180 * REQUIRED
    20adPc4813lcd6021fcf78c02e5dc409f4abdsc3aea8b0e416 4cle2ecadr 0thci2e45s 1fi08el116d 6d->0 * REQUIRED
    f76Pldd5ea3sae6c 0bcle3edbdea1dr62a 1tfh92b9eiscb 9bfa28iea183ded276712l6d1a c-89>6c26ca1a * REQUIRED
    4cbd7Pb3le7as3a5e0e9 96c835fc38l19fe2aaar6 8tf8bdahi682s7 2108fff2i2e80el71d f5->9b656ec25 * REQUIRED
    5b1Pfd5b0le3aaf3s0c4ef7062e749 c4leacr bt1546002hic425b23s0e 9f6i38e1ldb89 -2>0222fb392774 * REQUIRED
    3a5da25e1Pd1749l4e0ads1e1aaf21 517d864833ca7leffar2a227 e3teech5i2s58647 8ea8fiel0d6 -25>7 * REQUIRED
    3c4bead98efPl97c3eaeb32e89d81sc49ea clbceear52a 9t7bhai76s7 0afcc2ib9elfd 9-ad1>e7629121b5 * REQUIRED
    bP8df02le4acbcs2e4466 e60c6lc0be9a16rfbc dth7bia55f7aa1s1 f9deie2ld 9c1f-3>81a4095418f7255 * REQUIRED
    65bPal6a6ea4a7bse c7c09l39e7af89aare5afd07b3 t6e8b6his bf6c9iea89f3e0ec8l3fd 90d->bee35f53 * REQUIRED
    P8le7a8as1eee62 celdfe1e42are2f5 tchisd9 56f19821825f97ieal7d87 57->557635595092bc66b28809 * REQUIRED
    ac03c0217fdP44b407le893df1a3db33faba49sf5c9be cflbearb th2fisc1 aebdfifae6dld 8-75a>586be2 * REQUIRED
    00cPlebc150afs97e bclead7rf30d3a 6ecd9t6f813hb47is3939ac 56fbcie4l9d64 cbe1-f9>5455db66f82 * REQUIRED
    3fab1e73Pl18fe8c8afs5deb3a 40bc39l351eaca5r 35a0t2a542h49fdi969s 2f6bdie77c0ld2d5b 59de0-> * REQUIRED
    675P2500le2a5e2f08asd12e2b4cfe fc1624l33fe5ar7 teh7is25957b fic90el94d9ad43fb 2-3062e753>0 * REQUIRED
    18ed0Pel7d6e9aea53ee04s413de54d1a 14bclee1afbfbae369rfadd ft9hi0sf82 06e9fcield0b5f ->233a * REQUIRED
    c35P3l0eea6sde080f8 ef8c2le3ca2r tbch4f7eb97771e109d6fi1128aa9sd de21fbfiefdl7d33 914-94>2 * REQUIRED
    c96baP0le95a536sefd8350 cdfl0db7c6aed6afr 17et3a3e5h31i97s8863a fieb2l6bbafdc290 b-8c48ed> * REQUIRED
    b0P6354c0flb53fe4cb255easabe54e c4l13781e0ea7ad9c02cre thi6458s9 4f79iecd07daal51db 87-9>c * REQUIRED
    f7P38cl72ef32e60ase9 fed1d84c3ee965lefear10d3e71 at9hd48is 6f6iaa00ee1f6a602ldeaf64e 9-3>f * REQUIRED
    d5f47Pl19ede47aaas0ee8eb6 de6ea978dcl9ee2bacr ft3his087 73dfeied2l4ebd -9f1ab527e>8af09dc5 * REQUIRED
    3a6aee5P443l75fe1asb6e 8dcle99aa2b8r19 2thbc23bis3 8fif5a43edc9fld9bd 5933951cfc2-5>2ebd41 * REQUIRED
    6476bPl55985eafs9bea 3dc854c8el1ef1a18r45c4c712 etfh89fd991is a170fif540elb250d -e4e001>37 * REQUIRED
    cc35e3Pfl41e634ced66cf8932f3a9se 9dc7cla4b6effar7c 15bfth2cbd1e2isefe cfief33e3ld -36ae75> * REQUIRED
    ca90Plea70a4s75be28ee4c ccl1b3e4a34d136rb334d t2d76ch6da5ics5 6baf6f09dbic9el4d -8027>4b74 * REQUIRED
    a50723a9a2Pled0a3ac01fdse0c 3cl03700ea0f57fe1r tfhf8is6 2fb98ie9dl2db66185c ac88a98->52c79 * REQUIRED
    28f7fa3P98lf3975d5cbea7csae7 clea3b76r 5ct104fahei0sa 398fdf8cf9i7fe01ec363l585d5 e-43df>9 * REQUIRED
    b24P65b9le2a34se96 d01c8874653lf35de54a9a6re t3hci56fs f8e2i08fe03l75e0da808ce9c1 891f3->7 * REQUIRED
    8P68l1eaa3cc6s8e3 57cbl2ffcde8306359e1042ar721 13t47h9is fid5elfdf2c ae3890->6e003dac339f5 * REQUIRED
    P1lf9e7e83faa080869d8sa6fa1efa4d clcf2e28a5r84a d373t92213hi3s2b 1ff25ieebld8f2 c7e056->8d * REQUIRED
    e3910126Plebaas65e699 8ccld1ceadb6rc73 ftaa1f75d31ebhis 2efd1e83657ad7e46iel4da7 61533e->4 * REQUIRED
    81fbcdPdle6as4aeef c170e5653lfe51ac41e7r6 fthi9cs4 ed03a359fie6e4lec7d0b -730c9ed>c986e63c * REQUIRED
    65f1dPdl0eea2se c960ac75lcb9bear89c5dee7 bcfcftfeh7i0sbab d097fie8db8a5015781l874d fb9-52> * REQUIRED
    3c4P7400330lda3ebaf0cff2a4523sfe7b 920f4c58l5ce4e9a3r 9t40hi25ea982s 5fie710lad8 4eb->1ad8 * REQUIRED
    Pl4beabdaeaddse 6fec118a0ccl8e279afce0r6686 th4eais f00ia04edl463daa 176c5e5212a36-75c>cc5 * REQUIRED
    8ffc3785Pe0leascee5 clda9edard95e1ce92ff9dba 603t1c11hfi9590s 1f5406c0ie4b0401lad 9-3c>107 * REQUIRED
    65bPa3d5l97eeas32d638e015f02e4 8cb1lea6a72dr c34fthi98s6 a987981fea527a669iel8b2dccb 9d4-> * REQUIRED
    8afd4bd8ecPc0le3af38715ea805s3e82f 8c9ldea1r c7t90ec12hcis f23ieel6e02d40 075-5>95d8f68c05 * REQUIRED
    739b6P0e3l23cefba8see262d e8e0clear78f thi596f1ac871s 098fi13el411120e76d -0>7e037e656ab08 * REQUIRED
    84cP0ble2asfef3b2 0acl92ec6e00f2arbb38 th5i5940637fcas6069 4877fid32el640f729aceabde 33-e> * REQUIRED
    f4995fP13l45a1cea9es6eacb c51dleedb1ae8aa3r940 9t9ch3eiebsa fc8a1ie01edldf b3324-50c>32886 * REQUIRED
    a0fa943P4lebb3a8a08cs7ed6 cle1b5e30b2a60r8 86ebe9t573hi0s7ac f5473f08iedl48d4 5-3b00a>169c * REQUIRED
    fPl0ea6es7e 33fdecl6be98afr4ec4a3f5bf61 447b143dcctce397hi7ase def7bidef95l14dc9ad ->9d058 * REQUIRED
    c244c88P6169749l8207e59f2ase45e46e1 2e360379edcd3l9eaf8ra tha88d4ias 8f4iefld0 e2-0f>8a161 * REQUIRED
    1e5P3l0e7baebbsa2ce2454e c485l7c5ebb6e4b6ar12 7f6th855is87 f2e6ideelcdfc 31-30d62>5c2b07f2 * REQUIRED
    a11ed96Pleasb6b874ae ea1c9l02eb6ce633dacc6fr27e00a e0d43tehi9796s5380da f5dceield 6-3>7cde * REQUIRED
    aPle8as5e3 948cela0e4e03a8a9980re77 0t4he4i3537sd f7e25ffbfie492383ld07c8 7-9eab00de30>db9 * REQUIRED
    dbP8b569l5e0ea4secd9 cledbca99r69ef 21f8bb5c92tc8b6hd607i5ae1e1dsa 9fi0644be2ld 9-b25>58c0 * REQUIRED
    e64b07fP3a9d2lebc82as45ee0d bcdcd7lcdee9dee4f8adr t99932h8069d6fieb6sd 6efi38de8b34ld ->a3 * REQUIRED
    aP515fe10l9eabas6ee c5a0f68c8lae5f794a911r47b2 ct0hi6sc23ca0 123d85f25i2eld9b 39-1>3d11a87 * REQUIRED
    a72aaaP266l16ef4be3dceas654e94a6ee c0f5l7e88ara668 t68h2isd491c7 2ef35i07eefld a7d4394->31 * REQUIRED
    49P5elbd3eac4sf5c8877d4a5fe cl61e66e3a86rabe th9f2i6fs37e7 ffdi574e74lee2d5 ac26e-e3b>e169 * REQUIRED
    4Pelae5aseef1 acab4595ale0ab7r1035303406 59acft43h31ia62455472d4s 3fi6d5d8995edld2c1a -c>e
    b316Pa3lada1c86f99f0e37ba7sfef7 cc7lcee570bc2ar52 b39t23h4i292e31dsb1 f2i5el4db974d -a1c8>
    5c266P6lf6efea0ba319651s8ce cb9l769dcee4dar e2th14is6b fi1d0edd5b5065l69ed b-58c8>fc077420
    5584399P9d0l793e5be12d39637a4ase7 cfe0cleca4r t8he194ci1fs9 d1fee77i13eeal9d71c2 1b-19>3bc * REQUIRED
    53P7leasc2de ff4cl6e1ar57 62tef6d30c8f09336h69idcs76423b af925d7i7ela4d4 61->995a954d88a6d * REQUIRED
    P9b90al2fea1e24sf7e abc2cclc52d11093ea1709r2904e26dda0 547t2808h0i1s bf31d32ie09l90d ->fbc * REQUIRED
    ePleabs29bde369 ecle1a88ac067a580cr84b b2t121fh45662f0is3 fiae58f67b96ld2 a57-2626>2d45d23 * REQUIRED
    f4b6c4Pccbd4l8f0fea702sab91e5e2 c240c0flcea28ard ta983h43d547i5s7e6 fie785l5d5db b->6de743 * REQUIRED
    800P821l9ed8adse5 cle9aac1838aa191767a19rd6a 40d6et54f9hisfef5e 8fi7edfl7dd -85d>e57a4a011 * REQUIRED
    540c6Ple40ac25easbe 4c12bl8aee0b4ar 7c6thfc806isb87bccc28 ff8775f2ieb35fl18882d51 ->2fc877 * REQUIRED
    bcbPl4153c1f342efea85a8a70cs90eb 4b2cl5ear96 t46hf5ib2b7s5 e964f9fie1el1d 014d-7c5d>78e520 * REQUIRED
    4f35ePa8f2628e28l22c6fease3 clb651151b8e879a2erae4740 thi65cfa6sa ff7i15eblfd7 431d->35c49 * REQUIRED
    3ec43P134lc507e763afdscbec218 cleaaa9689d2r 7th7a49id97532ds e1fbield444b97b0 bb-bc2e86>a8 * REQUIRED
    62Pleaa792as873ee3 2ccalefeaf48f7c1d4ae2855rff tch8078ic81s5fffedea7c 0fcf8i81e84ld 8->0bf * REQUIRED
    Important: You may be mak7in7g use o7ef744 automatedf form-f2il6l93ingd 56sof7tware. Tchis8 typbe 3off softwa4re cdan7 trifefg1ag6e68r o68dur 42ehidden1 6spam-cdetection 23fsystem, wh6ichb1 wic6ll 0b27lock you6 from submfittin89cg this form. 1Please asd2elect 28Fix aThis727d fb52e9ef649f21o28021r7f17112fa92aeafa073e26a5f375906 a617d1c5b5d536786b34coe2mpfl1e2ti318n9a8g th6e for20cm i2n7 orbdfebec76r79a2 to9 9corr273ecdt 62bt9acd42he47 pr58o0e3b1lc9ef23m7.1
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