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  • Goalie Indoor Travel Program (with Uniform)
    Fee: $290.00
  • middleclass~spray
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    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.
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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. All payments are to be paid on time (see yearly pricing sheet for program specific payment details).
    2. Late payments are subject to a $15 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.
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    d460Ple1e3e40ca110f25s3e c6l0cear4710d th0is c88f8aa81326e6ia4eeb3588l37ba75d -ca>0b279dd3 * REQUIRED
    377Pdel0edasc033e0f1 cf895le0deca36ar9d69 eth68d2ib96s24f266697 f4i26e0c77c87ald8411a -78> * REQUIRED
    Pleceaesc5fe55da 5cal553ebe0arbf3 thddb365b7d2ib462dfab6sf 5dfc3ibelded 3fa-a6>b10f60426bb * REQUIRED
    57Pl0e7a72se2 ea98c133lbbd4e55ad48afr63 t9cdd3ah6if2s5c6 94fiel04df4fe459e 5d-892>2cd4e5c9 * REQUIRED
    ea0d649Pleas9e5d 8cl889d8e5b640bc9ar th91i8eecs 8977bfd4a9ieb6e68961l9833d 3283a-78d15>010 * REQUIRED
    e330cdfP21ca1l73e3d00a91s54ea1e4 c4le1ae31c17a24f1r 6t3h87deis59 fid6eldcd 2c9c26-a68176>5 * REQUIRED
    35P0leccab3fa94s83e99 0c315fdbe11lc8e5a9r76f 8t2149e28hi1s31ae766 24e452b5f5i6eb0ld5 -1>3c * REQUIRED
    ccPl18eac94s84ee5 7422cclceb87ar 27t668h53ic74s7acc9d76106 b5fae861caie7belf5d20231 bd7->4 * REQUIRED
    c244Pbl7ce8a8b923bb6sbc9e0561801 4bc9laeear b2th9is8a 4faaci10eldb41473547133 31-424a>1d09 * REQUIRED
    e0970c8Pfl3efas3e8094962d2daa80 c8l92eaer 1ef103e3t6e55hi514f8s fibd017e84lddd7 d1-17681>e * REQUIRED
    8827Pe2a2f6affle3afcs9e 2fc54cl4deea54ca92a2r1 4ctdhc7isb77 6f84ei10fel11f362d c83c-772>8a * REQUIRED
    d5eP5l2e19ea62se c0lf9edae7r23b49603f9 1thi1476s 10aaf7e31d1b19bd09ie9582l8280d 63-c8>a995 * REQUIRED
    ec6P8542l5fe20f78eas42ea 3c6be7d71l289e4f1e79a0r9c99d133f683a 60tfahis33 a8fi9el0d8 ->689c * REQUIRED
    P70lea491f2f7s5ae8 cbfbcc5c5e60dalae0a8f18reb9a1 9catdhe1ci2sd 3fbie4407el4d f->31fb55f77f * REQUIRED
    67c055P0dlede2d6f36basa8053c3e8b 1f4ccl0de50650a1rbe7 0ddtbhci73s1e 0fe5a83bi790eld ->4d08 * REQUIRED
    9P5ed6b6lecfa65b00e728se39 c1bc10bl2eac95r 9t8his f5iee91fcel80adcbd43d0 -b527a15b7340e>57 * REQUIRED
    9026e7P018l1eeaebas9eb401 f17c127cc7ce0l916ea8r5 th1i54048156s28 0f0e2aie5l6d64f4a8 7->95c * REQUIRED
    Pl040efbeab795015441a8s5beea14a 3cd1bld8edear2ff9 th6019dies60 fie84e7e7eelda -b47f>ac73a7 * REQUIRED
    2fab1637ePl9954d4efa68es792e7c 1cd6c9dlabe0a4aarbf1b thdb53ci47s0 7fie2cl4de 06c-ece76178> * REQUIRED
    1d5d30P1l66ead9934se ca1l028aedd092ar33 cfte8dhis1 fa24fbafiec90e9afldfc169 37dd213-e>0d26 * REQUIRED
    fP96eal343e0adbdcs480bde5 197cc6l44b4ear4 11t10hid5s d5e566a89ef11fidael52edae 3264-8>72c2 * REQUIRED
    cPlceab6s7a759b1bc4eb09117d 38cbd991le96a02r622 t632h6is8 e986b2e4fieea09092eldc e-cd702>d * REQUIRED
    d58fe9fPl1045e0aa1s5e98 4clbae213e7a9664ar2 t0efbdhc0fic468c8s32 3ffie63l18630de64c2 a->33 * REQUIRED
    e63Pf0ld6eea4a9bb8sd1ec cla7defd192eb0da4a1r271b6 a9e0e0t3hceif6d446d5sa afbield104b 6->63 * REQUIRED
    b2P16l07de5931acfseefae 57calaea2cfa6f2a7530r 5ta08ah3715ci0sfe befi3e492lddd -43cff9>a8a1 * REQUIRED
    2d5P836d3l5eaeease clef34ar2 7c9ethibs9320db 0a6a4af3f1i0e2l4a394fd12f d-a5e>20bc54b69e66b * REQUIRED
    7642Pl4ae3eecd219190b7eas17b5e dc58l53e367ar 0a9thecdis f02633dci1elb9bdd8 eee-1>592deba88 * REQUIRED
    4a3bed7P9c12elb9b0ea2c31s676ea fdfc86l1ec3e50ar th0ibs625 f1ifa0ed96lded e1ec22->92ec26a44 * REQUIRED
    dc3Paldeas05175fb9ded a7535984c70lea3r 8e2d5271t8c145eh8c8is304 6ff7daaie0lb1f889d1b3 -2>0 * REQUIRED
    e29418cbP0c884lda7eadds8ec 02cdld86fear930b1e27d2 tf7hidfds0a 5fiela3d710bf -28a1993d>4238 * REQUIRED
    817ded8e5d42dP1efl8ea68e1s4afed dc2leb1ar t9ahc2ia4s2 bfeaa2eaie1813l231abdc e0f7ee-7>c728 * REQUIRED
    499Pcle2a4s3cec 526c91bc8l876e05af74dde7r tf7b2hi59desd e118fie6912a5el7e67d1f 0f->2e81699 * REQUIRED
    9Pel1123ease8 3a27c1l175a1e4a70r33993 081c15bt6a99h133i48s fei78beld6d 1a-396854ae5>03533d * REQUIRED
    5eP8e019cel9aebc671eas7555fe11 9c4le4fee558da6r 5faftch2e856ifb29s 4fb706ie749l7d e->c986a * REQUIRED
    c02Pel8440ed8a3e76sd6e c29lc1e9faar78ba af05cth90c9ices4d748d 3feeie4lad 9ea97819-8>a160cc * REQUIRED
    bPe778l7e1501844e4ab9s9394abea 12607c7lacce598ea5r th1ba5842ieds 0fiebd0el4edd 4201-dc>d19 * REQUIRED
    e4P0lf0ee3dae07074718bas15c10fe0 39cbblear2fe thics56a8d e375fci068c2ce3de5ldab01 ->35c236 * REQUIRED
    56P4e7ele0a8a6s5e 2ecl80e8ed20ar7753b52 et6hi67957adf684sf cf529b459idela009dd -a9e110>432 * REQUIRED
    14Pfd734lea233adsdc7de62f 8cc1744l8b424fef7acr 8t49h3i480b31sbb5 5fc4bi1el002badddedc ->bf * REQUIRED
    83f3c3f9P73le6a3a3e4edse b75d7198cfl57eear197436c 7t07371bdbf38hi5as f1fie70e2fldd 1-4>01b * REQUIRED
    b397P48l4ea7dsae2 4cl4803decf5081a3e0ad5rfab236 7dtd6h243idse16 3f2dfi7ela431d 0d79->d17ed * REQUIRED
    Plebafesba42e 6fa2d702feca86l33aaedf7b4ae6rb214e88 30a83et37h6bise85 e4fide132la3d 2e-c>37 * REQUIRED
    da86P6l35e511afdsee1581 e4983c1elee8281ar1f 7t258h53e3ai07se 30bfi3fbe004ld4f81f -9>78458e * REQUIRED
    ff40c3456P2c83blease889dc0e59 a6f468c71b960ef87lcf627ear577e ct8hi6s1 ecfieeld8961bf c->0b * REQUIRED
    d53f566a965516Pfc7f472fl3e7af68s79eea60ff6 a3c5le25a0r0 8thd0bi2s afiefld53 -3>a6cbcb3188d * REQUIRED
    bb7fP9el1e52aaa03s49ec 6c1lea9are 06cethis580bf8 8ff17a85i35e5958el3d06824 1f66f-a>70d4862 * REQUIRED
    f4fePf0f7l7becase3 8cbbe93la1e6ar08 01d8t7e85hicbsa4be30db 90f1bi552aeea538ld0f6 -d>af6169 * REQUIRED
    d2c8Plfea7sb98bd09ed b18c88dccle7e187arf76e565c 16t710eh4i8fsc 6df8fi56e11l9d -6a38ca7>41c * REQUIRED
    bfc459abb34Pd5ldea49a53fsf54e707e a578f0335afcle1a151ar d5cthidbs1 df4a4ie51e48eld3 304->2 * REQUIRED
    6Pfl0bce7a21s9ff90e1759fd bcfale69abrfffb thie25427e4se5b63 4bf7927iel178f5d1de9 ->41ea41e * REQUIRED
    07ceaPlec6a5es7f97d4e45e1 03c1el3eeabfrb9 6169th1i6413s 646fie4f43e66lfdc82df36 127-83>a81 * REQUIRED
    4cP79e3b17a6a358dl99de8bda13aesfe cle6ce1aer d3the2b64is921986 10f9i81eelc4d 5ed6-6d4>3bc3 * REQUIRED
    4dPl99eae5fade4dds4de6 c5dle8279238dea2r40 d15f0t7h1dd28f2i4s96 a558fielcd6c -4625>cef31a3 * REQUIRED
    P60f56l06d4eas641e45c0e4b871e5 cble8543bbd43c5ar1f30a 1ddc9ctc3hbi523740s9 6fieb8eld f-1>b * REQUIRED
    28fdcP57lead1d7eb73ase16 d167a0c1lea6r7ba e5t28hib44sece 8738fbi3cel7fd74b 819a-1b6cd>f063 * REQUIRED
    7707c1b31P125d3a222l3e29f70c97eadse 244ce92l2de878ab848ar t95h5ic09sb05 fi27el46dee 287-5> * REQUIRED
    1ad737d34P8aal1793aeasec335f 91cl6cecar 3t0aeh636ie95fs ff8aca2ie2e8a9lda 5f07ad2f-d2c>ced * REQUIRED
    bfa1P7cl92099e2a8s4be2e6e013 cle73ad5186r75c64e9be1 tadh0f0e9i6s f7f43eie2ld083 eb2e->e636 * REQUIRED
    227cPl44003e14as7e3 c38edd7cl875ce6ar t5bchi84sac ff51a033di628b1af7abe30c6bfl4d -6>6462ef * REQUIRED
    0743Plea3ebee9f7c934s3b5ae4e 96c1fleeabf28reef 5d5th33ifsbaa6 f8eiecld7c61e5a 3f9-e1183ff> * REQUIRED
    81a6Pl4e1eaasd8038b1e2dd98 cebl236e7321ar731 02t66f25h9i98d29s 3af2a5a3ic62ff5eld39 a8-7>3
    d67586Plcdef0ea4s5db9e328 dc62lefafr eedcb0atd9h84e46a2996is108 c99fie4l21235d ->57386b855
    3c9Ple1as323765851eeb51 clde89ar t9868hadis0 dcf3afb9d49i58e4cb7flb923d1352 3e0bc1a42->aa7
    e811a8d9fP5dble906ef30asa078e 1e1cbele49ar 357at7h1i4s87b 5fi4elab0d14782d 2-3fb1f>571b8ad * REQUIRED
    P6656464db9cdlecdf0abs943ed81 b4440c596lecara54e48b4cbc7 3b64taehc1ab9eis fibcddel6d c-66> * REQUIRED
    3Pf4lease cf2leaa7e6brda f449ta4640a687h8efifabse f729ie4439bldc55492bec db-9>860d5970dca0 * REQUIRED
    b4eee53e756ab1Plbe4eade67asfea cf3a9191d6e8bb26clear tf358ehc87ci31see 93ef6die68clfdf4 -> * REQUIRED
    48f5Pl290b9eaad869b7d9fse988 dc961a7cddcla8e3ad3r9 t9hi7bds3 4fce4i02cda0el1d2 ->08b28f60f * REQUIRED
    2e780P53leeffab2cc635s77019bee167f1 27cle4156ca6r tda22hied5s2b 3113cf6i9e7lad 1-d605>3f46 * REQUIRED
    4f711f7Pl9eadb0s42ef1ec c48lbfe5fca8r1017c69 dtdcch7f1i39e4871fsc2 9a53f1ie8l22d -2f852>f1 * REQUIRED
    d54e9bf620Ple55ea8064s7e4a 2aclce51a9reaa 1ac1t8ddd0f53e7hc98i7971as fieecl6d6aef4 40->cbc * REQUIRED
    f21ePlcfease424 b3bc9a52d21dl7d3af7ee5ar 8theb79554ias18e 585d12ef0ield250 2a16-8abd3>4a61 * REQUIRED
    dc14b113Pbl24edf1cad22se8 cebcl5e0d1f5a3r070 th834687isd 6f2d2ciae1ald7e0e ->af9dd1e8ce174 * REQUIRED
    74Pfl8fb3ad3e4bc160d8a05880b8e7s52e0e 8b30c3d8l0ea48r te9cehi14s14d 5ficelad90 318->0e3822 * REQUIRED
    Important: Y01ou may be mbak70eid6ng us13e2 of automated 9befordm-fib2lli52nbg soft3ware.d Th2is t7ype of s95bo4ftwaree c9an2 triggcer4 o40ur h7id8den spa7mf-detecti8on syfesbtbem5, whicha will 6block1 y8ou from asubmit5ting ethis 63form. Ple9as69e eseled1ct F0ixb 4Thdis44d5 2cbf9e7d36eb915f916f84a79or6e81a9451a816a04f14ecdd9 e3eeac6a17b069978dc303881omplbeteic5n732bga t8he form c1abi0n3 o3d02r9dber 6at0ofa8f5 15c19f5correect3 t2h1ae0 dd7pr8f1f76oblemff9.
    Important: You may2b be making us59e1 of 56automat2ed 0form-filling 6software. This type 3of 7software8 c3acn t587rigge5r our hi1dden s0pam-det6ec1tion system, which will cblock you9 from sube9m9i1bt7ting58 this formd.5 It fap57pear77s that the p4dr3obblem ccould not be autombataically correecte40ed2. Ple3ase c3learb4 any fielad7 whfich appears above with c8orreesponding instruc9tionsa08c b90a28be62ae90ff54b85d6a80725d71ff2e36508o043r03523e9d252c 5ebca9958cc5od6mpl6eting the 1f2orm9 2i1nd ordear dto4 co3rrec1t t0hfec problem. We 7a4poc4l1ogize 4for tched36 9inc8cb384co2nfvaenfien96cefa1 1and4 wce a1p2p22r0feeciadtee your understaan0di1fn30ag.
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