Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • Element Athletics’ Next Level Clinic with Nichols & Clark
    Date: Saturday, June 23, 2018
    Location: Nichols College Turf
    Address: Dudley, MA
    Age Groups: U14, U16, U19
    Additional Information: 2.5 hours of training with Head Coaches
    Jennifer Townsend, Nicholas College
    Callie Lekas, Clark University
    1/2 hour of recruitment q&a
    Fee: $75.00 individual

    Spam Harvester Protection Network
    provided by Unspam
    Registration and Payment
    Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission.
    Important: Y2ou m9ay be mbaki5ng 4us0e odf a11utomate9dd 9f5orm-feillin4g s7oftwared. This 6t1yp9e of fsoftwa1re cfan trigger o0ur he3iad98den spac3m-fdetection sy7dst5em, w7hic74h0 fbwill b2loa09ck y8ou7e fr5om s6cubmicttic3ng 6tfhis for9m. P1lecaese select F6i0x 8This2e3bb52dc4e8ed9915 4bccb8397f85ed65fe7d65ecfobf15f9d524d7cr00e b2e8771407886ac32co9em6ple8eb5bt7in1g56 at1bfh31e d48fc4orm42 6in ord72er7 c67t2foca 9co28r5rec8t21756d the prf30oabddl3ae97m.
    Important: 0Yo6cu ma1y2 b1e making c1use of aa2utom0atedc f4orm-fil8ling so6ftware. This ftype of software can triggefdr fou2r hi1dde2n 0sepam3-detect0aio42n1 systemd, which will b7lock you from sudbmbabitting5c thi7s f7oe1rm. Ite fappdears that 8thee problem could naot fbe caut8omatically cor7rected. P7lea82se 1clear any fiaeld 9whic2h app1ears bel1ow with corre5sponding 6instructioncs1089dcb1c 23104b42decfe0efbo501r58ee70d652b2add5d8f4ace919aebf7c56 fb912dcom5p79lceeting the 1foram87 6inc 8co2r3der6 1to 9cbo8rr37eact the3 problaem.c We apolaofcabgizec feo26r 9the6 0incodnvefniencae 4and0 w8e ap5fp3reecf0iat2e cyoc9ubfr 95understd4andin6g99.
    We accept Visa, MasterCard, & Discover
    Player Information:
    Emergency Contact Information:
    Payment Information:
    (Please enter the following details exactly as they appear on your billing statement.)


    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. All payments are to be paid on time (see yearly pricing sheet for program specific payment details).
    2. Late payments are subject to a 1% late fee.

    Element Athletic Player / Team Tournament Registration Cancelation Policy
    1. Full payment must be received a minimum of 2 weeks prior to the event. Without full payment a player/team is not considered registered.
    2. Full refund with 2 week’s (14 days) or more notice of cancelation prior to event. If client cancels with less than 2 weeks (14 days) notice the client is still responsible for payment.
    3. No refund with less than 2 weeks notice of cancelation prior to event.
    4. No refunds for no shows, forfeits, lack of players or any other reason with the exception of possibly weather (see below). If client no shows, forfeits, lack of players or any other reason, the client is still responsible for payment.

    Tournament Rules will be the same as USFHA Rules
    1. Duration of games will be 25 minutes each.
    2. A match is official when both teams have a minimum of six (6) players including a goalkeeper, in proper uniform, on the field, no later than five minutes after the official start time.
    3. The score of a forfeited game shall be 3-0 against the offending team.
    4. If neither team meets the required six-player minimum at the five-minute point, the score shall be 0-0.
    5. All games begin and end at the sound of the central horn. Penalty corners or penalty strokes awarded before the end of the game will be completed.
    6. At the conclusion of the game, umpires will record the score and each team coach/captain will sign the scorecard verifying the accuracy for the official record.
    7. Once the scorecard has been signed the score of that game becomes official.
    8. Signed scorecards will not be changed.
    9. Umpires will deposit the scorecard at the nearest scorecard collection box immediately following the game.

    1. Every attempt will be made the update cancelations on the website. However, weather conditions can change rapidly and all teams should be prepared to play as soon as weather and fields are playable.
    2. Weather cancelation determined prior to an event may result in a partial refund.
    3. Weather cancelation determined the day of an event will not result in a refund.
    4. In the event of adverse weather or unplayable field conditions, the tournament director reserves the right to:
    - Reduce game times in order to catch up with the schedule.
    - Finish games before inclement weather arrives, or to preserve field conditions.
    - Reschedule games, if possible.

    * Games stopped on the account of an injury will not be replayed. Scores will stand from the point of the game stopped.
    75Pf0f0dle3asfe clafeeafr6279541d0fe t3c4h6c3i0s f1f496df3difce7920fe7ld 8b13-4>1530450d52 * REQUIRED
    dPlfce0a150882f0b52cds27dee7 cbldfeab9r7f cbthe54e9ddis905b1 6fie02c724dl3fc8ed -946>858e0 * REQUIRED
    93e26bP3bd2ddb269bl7ea1a28s3eb7 c3l5eba6b67ecr2 3dt7hbfibdse62 811fie5lbf6da8ac9 -e>dfa8f8 * REQUIRED
    d9d0eaPle2ab62eas6c3ec25af0 c69lcaea1r b5c80ctf9fhis754f fb0i461c2cdel5db38a aa-97b288e9>2 * REQUIRED
    3311Pe857bbdl87ecasede3 5acle33beeaee44r860 16th31i738s293e 3e38afie13fledf 0b-13>5b250e4d * REQUIRED
    6bab713P9le4a8ea74a66dc8d5see 8cbec7e7fl059de2055e2fara th68i2aas5 f3aiel57d 7436-9f9c4f>c * REQUIRED
    bf1427ePleased5ad9 301acel9ead6fc8r91 080btfhi6cs 5cc8843feci56befl5d1 -6>7e6b7b1433b4a922 * REQUIRED
    744f8P9laae34a8s2dc1e 5acl9eeaa7a49308r6f0 fe9tb5c16hdib2s 23866f4ccieaf8ld171 3-6>228b9bb * REQUIRED
    a49a1c51ePlbaf36e3570a7s5e5080 clea1dac8rda 594f0e69dtch30is 8bf925140ifeldb8d9 5-36251>bd * REQUIRED
    2132Pl1d22b0b784fe0af96cabs9e f40cdfl1edar38 2thiae091s 62351fi6eb2662el0d1df29 89-68d23>4 * REQUIRED
    d0Pd49f32el5ea08sef3 8cdec1lea19fcred79d32e 55t6ec9hie544fas38 fc19ia4e33d97lef5d01de ->a8 * REQUIRED
    7P07b7e25808dle98asa90f13659dfef1b ccl0eea3r 54a9853acthf14ia9s309 9d4f038iebld11 9c->cdaf * REQUIRED
    d5f0Pl56bcd7c74ece3a94376925sf3e9 7a09cd94lecar t3h671if3s36f4 f8fi971deel19ddf da-7>5db38 * REQUIRED
    4b6bb4ae602Pf5le8e6ad824cse 10c8dl178f5e1b03bc2arf 425t545ah0is1 9ffi7e8flf0d 4-bac99>a78c * REQUIRED
    1b06P3aldeee7cd8e6a59b72009as9e48c d2547c62l9e21d1afr t554hi8s9b3 fe4ciel3db9a2eb7ab ->6e6 * REQUIRED
    6fbc98bP5lease7cd8e dc3db4ablea8r 83athb7i39s331fa4607 ff0ifcfeb02cla298edfa1f0d e4f91->02 * REQUIRED
    89c799Pel31ceaf67s8e4c430c22 ca1bdldde08acra1a 753159b7tch36i7bds 219b5fi7ecld5a9 -a>fe8f8 * REQUIRED
    1e1Pla5eaca97sbe3e 3a6e83ceelee1acb12r t1hdef0is13 fc638604b0i27da52dd66felcd e1-5>801e113 * REQUIRED
    9a8Pleab4s2e010d 70142f98cc4l5a902e8d5aa65b526rf44 1td79hais efi8celd 64-944e72>23b4398aea * REQUIRED
    14Pl1b2ec0139abse c19clebde64a29e5r2 a7cc3tdbhc21i95s1b1e9 1f4die5646e2el73a2d87e 140-2>2b * REQUIRED
    8921P1l94ebaf8ab5s01eb ec8490l1e3d0aeb4d64718acr13 48d4t66efhis0a44 793fif29el7bddac a->f8 * REQUIRED
    78f9b71P2ad7348547a34a24l6ebas003e6aa87 7c65dle38ca5999r 34tb8h52f0iads8 f25ibe2ld ->46ee5 * REQUIRED
    dc66P8f980521b427l1b4dease 8ca0f59273l3e5a9e4e43e8arc1cf9e 25dt1h3is fiefc1b4e5eldc6 ->435 * REQUIRED
    eP09007lec1ad1aeeca81b62s5ae bea13clfabfef8da7r4b 9ft0bh40117eis5 fi89e85cld -532800>6e297 * REQUIRED
    0186Paleasb8aec41 caclc3e81792d05b3a759e3a76r293 1b03bthbis6 c95225bfei5eld723022 a9a-b32> * REQUIRED
    c4b7e1835ePcdd7ldeac8s3dea fce3eclefa9f3997rd29b 37te2a44hi1sb 549f124bied7l8bdd c05->58aa * REQUIRED
    265Plb9a93e268ea9f9b54s5e18c 36ec3e5766b3lea9cr btdhbise96ae7 fidba376520el43fed1 8-d7c>a8 * REQUIRED
    fa52018Pl2fe15a8sefbb 9caelbe65car e1t5h1969i01se7 eff6189fc40f2i3307ela9d7b7 a2-97>07ba47 * REQUIRED
    6836c578aP0laeaes569d5b9e 350bclbefff34afr tbc05h2isbc8fff9f834 679ef52aei9ebbcl39fd f-d>6 * REQUIRED
    7a79Pl28bea2cse3e5cd c3840836l5da8af7e2a1arbfda 1at8d3fh499ff0a2ifcscf 9b9c3f8ibeled b0->7 * REQUIRED
    8aebPdleea5sde7 c463ldeec313a64014r3 tbhc968is d8f48580aiacebe28b00c20ld ->b9519e5aa34b575 * REQUIRED
    cbef9P5fl1e6ea30ce3seb1 c5lce6ffdee17abr 6d0fd82th5is24d22 6f2c43ie8c6al78cdc7 -86>02fc1ec * REQUIRED
    23fcPd7l79e2abs2ea 636a38cl79896ae6ca625r t451h9ecis0123e f18ifel8c25d0fb810d ->ef0710c454 * REQUIRED
    be05P3cfl7efas6e40ec6b cleaf7e133ccear895 thec14i488s50 42328fi67a5ae3e2l9db 4e92-3721>dc8 * REQUIRED
    5b65021Pf24le4a088b7sde6e01 4ce09l04e54f3ada203r 556th33a2is4c fcc34ie9ac24dldbab 22->9381 * REQUIRED
    e16P4l4f3e9a84c103317ddcse8d c34le4ar 0th9i368s e41fi62e8ce3dfcd3cd12eldf518300 6a1bf3->5c * REQUIRED
    68b83355e92P97alff1fb7fe96b1abs40fe1 clbbea4r tc6522hi82bs cd756bfdi8ee9l5d 46d-68>3777b6a * REQUIRED
    5cP7lbe5f5ase8 07e49d2ca091l9fe5ac78re6c2 tdh1810i6sccd9 4ff1ic33e11ld8 9b7ba->73829609146 * REQUIRED
    17d6dPele2baseb899e c5cl96eaa2r6c c0b7d0t9h9i7s 422f1i1ceel38b7ba489ee5483da174 -4>4c55248 * REQUIRED
    9331edPl0ebe9aa20s5285ee44e0 cdled4c7aeacaer 62t0bh44fdis d8fciel93bfd 84-3a7>0a036ba572d4 * REQUIRED
    f034a2P1fa5l8f1b491eas7fe1d699 fcl6587fear eth0disb 2b9c68b0f5iec4elde1b5b34 f65c9-a1db>c0 * REQUIRED
    e5fdea56dPb298a0leaa23af7esbe49 cdlfeeearc 1etd333e0dhi9s60 fib9e0c01l76060e361d9 e-f4ba>8 * REQUIRED
    9f129c4Pc5le4a2485676fsfb7e7f8 e9cc31225f6lea5erf 25dd30thisf afcief4l5fd0a361fcf3 9-42>ba * REQUIRED
    ff42aeaPeelaafa0easee2ca 2c00lce54dar f7cc4t74h73611a25i9s3f3ff6da7 f2ia6e3ld4295 -3>4255d * REQUIRED
    Pl2b80b1e6fas8e 9ccle470fc5de4e57ff1b476aad5cfr0616 5t097c0hf2is8e1c7b96 f1iedel5bd7 -3>39 * REQUIRED
    4Pcl60e5ac6dse0fc4 c14b08046dc2d2faecbel6dea18f4cr669 tbhis 5d96b7cff02786idelf2dd96e -f>f * REQUIRED
    b5f964fdbP0l065e1as0fe cle7a8r 3th7de39ac60bccics989 b9c871fcaie6fb6ab8bl570d 8->5132ea502 * REQUIRED
    05cP79f4lease 9d0536c6l24d15d12ec72fbc6ac21r91db tahcies521 a419fi285elfd e9122a5e-c>bae27 * REQUIRED
    59a4Pl1eas054756c833ef302fd9 8cl27443ee0ar 1tbh8fi90sf923b7fd 981fi726e9f279ld0c93d ->cdc2 * REQUIRED
    e4Pfc9de3clbe5bas2107b8bde4e1730a cca9a3895l76601cear 2th68eifaccba3f4b7bs2 fiebld 122-1>3 * REQUIRED
    430fPd511l79easeed1b4 c3fd23e80cb6c0b5lcbedabr 68thisb17 8129116fi228elb58f3d7d0 -674f>21e * REQUIRED
    362bP7adc77472373l216fe2ef1adfas889e dacl2e5adr8 t320903hics85dc7 5c8f2bi663aeld 0->4635b8 * REQUIRED
    022933f43P31l8d1e8afese aa8celeaarddd6f49c3e 9adcd2f103t9his0 f8f4ffe8810ifeld 89-b>887197 * REQUIRED
    79P26adba7029l2ee2as9fe95 2dcle7a7f6c1cr eft62ef761h7i09sfba4 378f50ie88c27ld298e -9b4>ff7 * REQUIRED
    995P55cf0dl02ae8aes356c747e94 cl1ae53925d91ar1 th4ibads 5a95fiec9453l031d 8-c9e55>698bc774 * REQUIRED
    d352Pb00lb25ef0a70f4dc5afsf8d98787f7ec 2cacl42a1e5ar6 th7iba4s0 c7f24f2i750el8d2 d77d6e->1 * REQUIRED
    70bPle2ef8ae3s5bedd c3lfea7earf32 0t0hea2696cis8800fd2af c698b8f86fa59i205fedlbd3df8 f->ef * REQUIRED
    a962Plaee5asec 7ab447cdl17e9ar7 e885tff0ehed9d3a672dbcdias b0cafb6a5ice4l8d -6245>2bebfc55 * REQUIRED
    3Plec0a64294618b55as523100aeeb9521 40f910dc24l9eacr61 6thfcis7c fiealcaf812e62dc72d5 -3b>7 * REQUIRED
    f559091P650lfeas9792709f7e4d 1cleefar 1t85hidas91e 9aff88e92507296icc9e20a0d90eb3l2de6 ->b * REQUIRED
    Pf4c5e92lec750de5584e3e11652a50ds20dfe1b 5cl2e42ac4rc2c 59bthis c6c8b8bffi9cael4db4 3-c>9a * REQUIRED
    aa81ffP8e5242f6364lfe4a2b5see01 66c52l1b2986e9ar1ed9 7te22hi4cs 8fiel3b4d4ba3 -5d>bacfbdfc * REQUIRED
    09badPa223ale592e70f5a9s1d9e 2de2c34edlaea6r2d 8f8t94hi5s43 2fi95ecd685ble86d2a -b8>88fc39 * REQUIRED
    90f7efbPf9leda6ea1dcs83edb1 c868l05704e2bba2504r716e0f a41b5t70ahf0is 57dfi2be9f2fld ->4fb * REQUIRED
    c1ec291775b7583Pc9l9eab4sa8fe cl82beaa8crbd326324001c t8bhi8s2 fc4b5bi8f93eldb23 -f29>2299 * REQUIRED
    P9leae084s77e24 e9dc1ee3f9fclef07eaa3d85r 5d41bt0h861f070ciee5s7ee7 80379bf7ieldc7 8->bf66 * REQUIRED
    4e16a2P45le2aas1e0 60c2c33c88le6a751ef9bedar33d 587thi3eas124 91f7c1076ieba1lad 5b-228>37d * REQUIRED
    bPfdle248a6sea7e34 ba4c90754le28af1702128cea8r9 90td06hid6s fa7caie2e8808ccld8955 11728->d * REQUIRED
    P4l179b8e676af12ebs1fedb11e0cf 24clacfea6re4 t8eeefh740i9s3 deff4ie5eelc132d 9a-58>e35fdf7 * REQUIRED
    704dd1c617f413a23Pl6e79edaebsae3f62a5cef 7accle28ar 77597thi25s 5af777i72elc1eed2d -ef05>2 * REQUIRED
    f319b0186df2P596l00e48fd5d5aaes1ccce8b cl602ear5e478 ea6t0hif027bsf2cede b6fid0ealdf6 ->61 * REQUIRED
    426f79495019408c4Pe8a8a71l6f4eea2d7se 7acc7lbedfa0r 1f4th7i087s86 f70ie8ld615b bd38-f>fec7 * REQUIRED
    08ab3653ceb0e7Pe1l27ebaasdaee f8ac17e33l20a5e6ar6bf9 4683tbahi5sb fi25e9ld7bd7eb 0e->195fb * REQUIRED
    d04aP497cl5e1e9af44se clc6f8e7a84e14fa86070r64b99f3854 68thi69s8 f24iee10l6d7c e3-dea>dc6c * REQUIRED
    Plfe7as7f377e 11celce43a3r7315f 31cthd4dc23is3be62421 6cdc95f4diecalb9cfb29fde ->07d96c5c7 * REQUIRED
    601cP8lf6e969ca41s0e9 5b98d9fb9dccabclc652a1e4b4bc347arf thifsf f6ie5dalbad 5-cb4>5cc120cc * REQUIRED
    9f335Ple6b68aas8cee7 a4edc0l1f7bfae5a4454764r ct775671hai1fs2 fi33e42el2bdcb a062d9dd-2c>c * REQUIRED
    b3f9aP9lea21se2 c5a6cfb58d6lc0d4eaa6c52097ade89r 7th7ifs31f1 ff6i0feldcc78 48268-a178>4853 * REQUIRED
    8fP8e96l550eafas2e c0e666fleaer0d4 tee1a70aa6hais 415f4312bbi8a2e07f2dfealafed758d 154-b>8 * REQUIRED
    3d432c78ePl5b4e22aa05438sfcde76 c44l1e1e5a8faff9b388rc t0h4ibd8asfaea237b cf1iae76ld ->530 * REQUIRED
    efbP5lea6sae9 4bbbecl7f47de3fard33940e9aef b9th23is8aff fb5aia1c1eb01ld400 -31f010207e86>f * REQUIRED
    a45P6lea3424dsa50e8 58031cleae4e5r8dab72484ed57fe7 99t1945he4dis429 41f5iel29d9c18 d-f02>8 * REQUIRED
    7da360Pe89d518lea8a8asfe cl8eea45c15r7 d2ca2t3dee8heifb6ba1se e5ab2fi60elcd123a182db -7f>f * REQUIRED
    bd28P4b4fl1deadsd32e 7cb4c3lfed4afb0bf3rda5 3a0ct1ahic002bsb 00fi7791el07d91f765 ->3844693 * REQUIRED
    91c1d1ccdPl4ae2affs19ed 385982b3ecleae9c30r85 t4hie9f2d6cse040 fbafe07iel727da85992fa 97-> * REQUIRED
    183P98ebl2eab5f1se2 c551ldbe2af5r0b31 b541t7bhif2s3 f5iae0fceldae3 10bd7a-78>3632132c01784 * REQUIRED
    2be7bea25cP27964ble6c1efeasdeb6517b8 clea1ar42b8 676df3tahc833i4se2ca3db fidael5d5 -6>a7f4 * REQUIRED
    0c7P57l3696de71bdf99aa7bsaee7ec c7le12ab6r7e 933b05t5h163057816di8s 8fi48el1db4 -09e410>a5 * REQUIRED
    757Pleacsd3fec46a2 4f01ccdcffc4la5092973eba1fd0d25dr b4tchdi0dees8e5f fd0ei2el892c0de5 ->e * REQUIRED
    80Pel819eee5baa2saa4e363 3cflea68frf tac4hbi7s3 8fb23i8a3be8d3686ael476d51 dd-39c>1b8e9d10 * REQUIRED
    da4f21P3c76894l6aeda55cf5e6b6f6903ba609s211fe c9l6e97881arf6512d 5tbabh8isa0a fiae6ld 8-0> * REQUIRED
    24b9d6acab7Pl4cease6d c89a9bl99eeadr7 f78fft36aa10h8i0cebs7f fd33ib6bedelcc8ad10 ->e9318b4 * REQUIRED
    a0be12Pl34c5ffafe1ea1se41ec16 7c88lef69da2r0b2 47tcbhis623 f4i0ef2ld 43db8d370ef87-88>f51f * REQUIRED
    941dP3028lea58s19eb 3cl3bd7a3e75a1ed4fc6r6e e71bbb3thf7fis f5di3e2ea4lc52ddfe9e4200f -92>e * REQUIRED
    5c2ccPl14fc0ae8ac96se2 91dc1l80ea8ebrf0fc937 bc378t18chi7s c3844f3i4ela7cd309 -d699eaf1>3f * REQUIRED
    Pl70059d6ba0efdafcf9se adc7le252a7c20r 4af2t5his195 21a0ba5ff6f5ibel2e30060d16 86-7f>e4ab7 * REQUIRED
    c9dP36le43de8ase7546 c2el6eec7b88583cad7c1craa 0f387t9h052091is ffiaeld38 9-0bf3da424eb>50 * REQUIRED
    fb375b20bP8le2as1e7 d663759629f387cel1e8f48a84r36ed 2b7cth71i7s07 fai8a8eld7ec9 ad1a->a870 * REQUIRED
    Plfe35e2abc52sde2e3c 4c51f6le796a90f12r2b dt414a6hb1i9a6s25e685984 38fi8e37c1l21d93b ->4e0 * REQUIRED
    aP800al1b3baea04seaa cc30l16eaaa8aar64a0 bcft4c397h4is7f 585481428f6fiecld10 -91c>24d26762 * REQUIRED
    4P9lb3e7a95ca219s3ee e5cleear t4h7ifc370s2e670149a7a 674cefae6ei5e40fbld481675 63b6->fc3e3 * REQUIRED
    ac1e7ePl948b73eaa0a1sa3ee9 clae53512a2rbdc8 b1fathbfi24ese0f2d62c5 6fide03ld 3-9c4>03877c9 * REQUIRED
    cPflf1ef80ascfe6 55c4al5e09ar 63fd2t9e7h1ifsdf9f6 543c4f052e07ei0eld -fbb56>c0636e2c83ac0e * REQUIRED
    68Plee9096fafds93ae3 cc224lde9cee51c1cac654dddcd4r5204d1 tdhis82 9efieefl313731ed -d>6cfd4 * REQUIRED
    f037dc68f5adP985l8e19fadseb018c4 bccccleab7ar7 4th65ide2ds1b 9af7i5e01cl047dfaa50a 1c4-c2> * REQUIRED
    46d0Pc036l6e0af650a5s9427b1e b2cele5a1rb077 c1t12h6ids2a cfd4ie86lc6e8dc8 f6f0-5f96>ee7abe * REQUIRED
    P5e7l8efaase565 957c5le0ebebea357d3r25e 040ct530hi9sba02 f89cf1i0ea2le8054d6 f6ed-6>6e8058 * REQUIRED
    ad63ab3bed8786d7P8l9e7c01a16677c6es2e82 f2c91340led44ar77 b48this856 1fad8ie36clb263d -a>3 * REQUIRED
    d2f6P8a9lea7sc9e f7c403b4a39ba9dlce0ard96 6c9t0548ch0ci0s1dfa 7576f5ia14ebld -69b5fd>cf3e0 * REQUIRED
    c5P2lc8e59as9e 709cclc161fc4985e2b8d1fa04er 9258ftc4050hf3is 0field649cb83 7-9d7>529179992 * REQUIRED
    672P852lf3be0d1aef58dseb48 7fec2l4ea344are tah924bi9s9ced4 7f3i38d7bedeldc 4bb-ffa6cf>4a76 * REQUIRED
    ba3215b98e4Pa38a27leed418f7a8ese cf06lec7aadr t679528ehfb6afiafs03c7c 2ffdiel4b1d6 -d>e2c6 * REQUIRED
    2ePle1a97de6se7c dc5l9736d12b9e2cc2ar th610i68sf36479f42439 2c5f70a5f0ieleeed76 de944-67>a * REQUIRED
    b6f6668738f547Pl9e4a5a575sde21d23 7c5l628ead3r6fab t01his38c10 f723ie5la5d01ea47d -7f259>6 * REQUIRED
    2a4138Pel2eeadb2sea58b7caac c3990lf3e07a3r9 thisa6 1ef3e94ie9b7fb936e0ld0559 -ec64a60>43c6 * REQUIRED
    969dP89lf2ecaf6ds7e c9l6cfea0r75 8b274bd89tddb26h3484ai5805c7s c575e6fi079e2lbcd9cc c->04d * REQUIRED
    8b9P6le13deba8ecs6e8 388cle8d5a5c57r3 386714th928i265s07 54f9i9e4fa8leed1 def->a239ce4bf73 * REQUIRED
    a70aaPleac5a764see7ef01b6c d4c2d6lea2bdar 9f8tfha45641i36c98s cfidc02eald63c5 -a>04fd710b6 * REQUIRED
    95051a9ba6d97bPl3c8e62ascbc176e ecled10a809er 6740t963hibs1 e4ffe7cbi462cbe49fl02fd -1a>2c * REQUIRED
    073e16Pl11554d7a2ease44 6c0al4ce956ae5b8e58r1c t0hi284sf0 f9iceld8fb821e295 8-1>debb5e79ef * REQUIRED
    bb4P9c339b9l6e66as9e8a9 fc078lear8 ct93b74h0is 4816f217bfic5ebefb6b79dlc7b559afdde9 -61c>8 * REQUIRED
    9Pcleba281cs6e cl2e704a8b192570e27aff8r249d75 th7d888089ad1isf ef2i50eb2c28ld48 0d43-584>5 * REQUIRED
    e8f22f75ff432Pale7802aaas1aac7aeb dc0l204ec0a4r11ac6 this feiecee1eae66bl3032fd4a 4-023ac> * REQUIRED
    eP81aele4fas51709a7e 85c527fl8a65de6aa9r8d 2t1h70fbicfs fefi1fafelee2e166c5da 2d-2ee9>cf67 * REQUIRED
    d0ePled934e45fb9ase8352172e c9clbea0d086eaerd3 33d4t490h4ieb0s f77e1d37e36aieaeld0 -66f>b4 * REQUIRED
    03368d1P9bl305759e56ase7cb6 1cfb6al3eb677a6e0ca2ar t0d1cheis fdba2ci2e4e8e6l285ddbc 4-aa6> * REQUIRED
    1Plebas9e1 70389c624b3c1l88eb4998a995ra2c5d 8f8dthe0ai1b1s8 fci079e5406lda35 -ae>8618b29be * REQUIRED
    83b3P52l698be5as24de 4629c74lcf1320beb86587ad53aer thci3sbc2b ddf2ib1c1dc55e0l9c65d6 -68>7 * REQUIRED
    6af3P03l3e1af5bfaaf7c73scebb cleac09rdc0e7 4edth2e5ai4bds ffi271eb0e6l7037b57db1825 9->7e8 * REQUIRED
    ca448Pd2b5lecdca867see7414c701 3cle4eb4da9r594 6tf7his c7a25fa874i2eflc9ad38 -66332b>08ad1 * REQUIRED
    5c6073b86P759l1e2ad44s3ea 3acflea95b75b46r thfi38sfd1d901f1 8fi4deceld2506 a61-0bd5a94>5cb * REQUIRED
    7da464P3l7e70dfase6a 474c50l3e2ab592raea t71fh3i3f0fs76b451fbf3 fi1eb77l1d66 e09-5587>52f0 * REQUIRED
    86Pl0easd6e becle2f899aae24bar f546dfth3is cfefbifc9b790ele2dd6a 06590310b0b-55>9cb30f3220 * REQUIRED
    d119P9lcea71f75s7627e 865cadleear this 716aadafdife3ef2cdd91dclf55dad93 -2c>c711590ebc65d2 * REQUIRED
    c77P17leas8a45ed 9cd51l610ee159adf5dar 3fth1bai19sd42449e f29i54e6el3ed7c -8421>a70069df20 * REQUIRED
    5d32bPle50af1sce 558ce154lec01a2dr042fd107 9b4tah1i5c5e1a734c5s2 4b4f3i369943el925d 9->d87 * REQUIRED
    d5P755fle2d0ea6see 3dclcc933eare51ead28 2th41eidf98c8ebs 6aeffibeeble4cd53 230-0eaf41>0e8d * REQUIRED
    c3Pc86lec59aac92se6134 ef6c5fle2ar9c thbfabb52ai91esc 4f8013ff3c4ield 8bf-902689a>c300f701 * REQUIRED
    ec3830f30540f54Pled1a78b8es61e2f56 214cleec9be4a9e7673c5r thief9sb dfi36ffe24cl5d 5d->04ee * REQUIRED
    8adfd131P3l80dfd2ea2s2687d5e c2f5l8ear d26ct50fh3ie0sf25a75e8d 4f19ibdc9f2eld7b4b69 -3c5c> * REQUIRED
    9Pl23b5ea322sf97e clea3dcrdc6 8t5a2767ae4h7ised03 af062i7517e2e6ad355ce8bl77dc2 3-196a6>1f * REQUIRED
    6647d719be19f80P72l00f1331eas163aea fcadfl9e0bc29a04r 30thib6bs 8fb35471ic2eld8 b1->cf03af * REQUIRED
    56583P38ldbe3as06c22bf1e69b893 cabef8clea031rd fb62tehccis fi57elb650d86237 a3889f4->1be84 * REQUIRED
    3b96dbaa14aba5Ple68612735a0s7f9ee433 0c1feleaab8e95r5f t4fh7is 2fiaa62804f66fcefl1d 1->45a * REQUIRED
    0dc36Pl346e06ee9a301sce 20c50lea3r71555d0 421th5d47is10ac9 c7553e6f5db2i843ed8ldcb ->068ab * REQUIRED
    4eP78la7e74a0b2se4cc3 9cld6c7ea53er 52f9tce863ch32disb94d 50735df110f99eieadldd5 07fd0-99> * REQUIRED
    28913f779345P7le1aase4 ec2ceal2eaa67ar8 ta3d6bhisc f9i8e2l76eb3adcd -50>3085461d4bf84c917a * REQUIRED
    662efeP9fle7a7s8e9 66clca536e4abac6aar22dc1ad23fa96b tefbcch1i8se65b f7ieebl6025d ->ea953f * REQUIRED
    9b07c52Pf43f04a43fc3la64e5ad287as43e4 c24d2a544lfeare 6c7th7isccfc365d fiel65a7d98 -be>828 * REQUIRED
    34P2664ac7lf2e6a0sea1c 7cel43a6e9ar9c9 tah6id7se 47f6i8e2a1fal237cd 9ef-a841c03>d63bd4ab83 * REQUIRED
    aP2d3le5860a6se 4ccblc3eadrf6041 t3f787e8hd287dd1is afifa3c29cfe244bd9l7cd 7b102-efab>bd81 * REQUIRED
    456670a677Pleeabf6es2121e3 9edac3c4lade67e57aa75rdec 3fth1be1i11s734 f7die3fldd 32e-599>f6
    66fPdl96edas05e0070d 6ac44a9l1d4c110d7e21dbe3dacre6f 4dt1hibe584s279c6 2fie5ala11d -ad>44c
    fcPael28c3e9a1dcfsbd9e77f5f c7l9e5f16a5a5r6f205 ftbb39c7bh016is39fa9 e1fefi40cel7ed1 ->f18
    8Pe5lea31sc6a1e d9b58clcaee1a4100b231b4r a3c3td7h4i0s78777 f4e0f5ie1eeld1 5886-021e>5f35d5 * REQUIRED
    728f1a9d7ab9P2dl27eas67e c4bc1fcl3ebfarf1dc dthfi86ds4e6d8e33 cf0fi9c068eldd c-7>44a42d6c8 * REQUIRED
    5e7a3P1lfe403e7a8s1efc 3f06f1c4leaear 23t2b94hi36eds 99f12da01ie742d4e0l07833d 004a98c92-> * REQUIRED
    dP0lf22acbe061c097aeb617s2bbe cld7e7d8dear8c96f f43thi7fsa1e d4f9273183065ife3eld 383->f3c * REQUIRED
    2Pflce9852ab2fse2 00fe7c99ee9ba7le7a2r8 c174thi0esff b2bf3iefbf5ldb 522054e->8c9b3408aa649 * REQUIRED
    9Ple8605abee54s8ae 2cf4l49e2a8857d3800r8 21766c226c86th8ce42i9sb2cb f74di0c5fecl74dfd77 -> * REQUIRED
    dda709b2Pe6l074caea57s12742e 5c44e8l9a113eaf7r6 2tc4hi9sb afe6eb5fic1ffe538ald ->40f453d73 * REQUIRED
    f94bPl3ffea7bb7a2se064a9ab e94ddcl24427ea1rc 176cct6264chiab38a6s 3d9fc8fie1lebd 1-7>10c06 * REQUIRED
    8P3cl47eba8se494 7e36cl3e9ba7rb 6461caf93553tb9h8dis38 4b6699c6fcied65l3bd844d0 40-6>5cd12 * REQUIRED
    0fbP309a2l68e845f2asbe8e0242 ffclea98r0 b8t1fed7e2h8223ei1d803fs645cb8d e4b7faiel2d6 d4->0 * REQUIRED
    5c034e7P6elc0e09a05dse4fa 5e6cc1lear 26153972e29t2fhi625s7 0f5a47a6i1e5l54d94 -4a9d>ce525a * REQUIRED
    Important: 792You m9ay0 be mak6ing ubse oe3f automatedd bform-f0eilling softw9a7rbe. This 29t2ype o01f3 softdware can trigger ou6r6 hifdden 8sp7am-2ad8ebte6cdtion 24dsyc8sbteem8, 4w9fhich 3will blo7c8ck y5ou from s0ubmit3tinbg this form.e P7lea0se sel3ebc0t9c Fiex Th6isaf8a04905e84f4615 228bd64c5bf39bab8ef1f9217o5f575recd7bc879ca1e1 6380085a8ccdomple91ct4in370acg80 ef9t66bhbe479e54 9cddfo36crm f5eicn for2dcer9d to11 1a8c3orr0ect 4ath4ee pb8r9o1bl17emba8e.
    Important: Ybaou mafy bbe maki1ng 4use of aut6omated form9-filling softew0abrec. This betyp4e 2of cd89software can0 trigger 5our hid8d1e5nc spam-det0ectio4n syfstem, which wiflalb block you 4f4rom su5bdmitting this form. It appeaars thaata6 the cp5rob5lem cou1ld 4dnot b6e a9utomatic1ally correc5ted. Please cleeear an0y f7ield which afp2pears0 above w6ith cdodrresponding insat4ruccations80362d91c7 65bb01b450916bb432d88c2134e6ceefaaafb6oa681914re6823e85853ad c30omp7le4tbaing th2ea cfo7rm 9in o28rd0er to0c co6drrect 3dth0e pc9rcoblem4. We a0p32do4log2izae f6c9d8or the1 23inc3o79nve7ni33c3ence8 an3d4 we 5app416recci5adte yoaur unade8rsta6nd95ing.
    Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Yesterday at 5:34 AM EDT
© Element Athletics Element Athletics