Registration and Payment

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

  • Goalie Indoor Travel Program (with Uniform)
    Fee: $290.00
  • middleclass~spraymiddleclass~spray
    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: Y5ou meaey b3e8 making7 u2se of auetomatefd fof7rm-fillingf scof0tware. T9fh8is8d type of s32oftwa44re c65an triggefr our hidd4en9 1spam-c5d7e6tec9tiocn syabstem, whi1ch5 wiafcll1a db5lbaock6 6yo4u from subm6iftting2 this form. P2laease selebb4ct Fcix Thi589scd49cb8a740692ad 9bec19e038f1ofrebec7e134fc5f92d6 91030a2779ed1d5c404eb352b4comp7cl01e530443tin5ga 0the fff78o8ree9mfbfb 2inb7 ordedr0759 etoea 1c34d29or82r2ec5tf thedf3be prob6l4a1f7ccebm.
    Important: aYou m90ay be7 5amakinaga usec ofc ae74utomated form-filling softwarec. This type of 9asoftware8e can trigger 4o2ur95 hidden spa4m-08detection 2system,9 w3hich w8i7ll bloc6k you dfro3m submitting tbhis for7m. It appears th4a0t24 the p6rob6lem codu0ldc nofat be automatically correc6ted. P6lease cdleare a1ny field whic6h appears bel0ow w9ith cor1erespoendincg if9ncstruct5ions61f6ce91ce0512 b5a61befa80ceeodad904f429rcfe1e959b36aad7c039c8bca2e9a8 5642com3pletingd1 4t8fhe2 9foram i7n or7cfd6cfecr 5tbo corr3e5cdt b3the 4pr0co941blem. We ap05olo4gizee for18 6t5fh5e inc3ebon6venie5ncee and w43e aappf2rebc55eiatec 0your 3un6derbs3tandingb.5
    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. 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.
    f91e779e4f2220609Plea06sa8e3 59bcl40527eae6cr623 th6d38ffie6715s423f cfi2ae5l2d3 e->fc95c2 * REQUIRED
    963Pfl824f2abeas59d03ae c3d4dcle3a89a304cr 8a7t38hi19fs 8f9b0fi2cel7113cd4143700 8d-5e7>3b * REQUIRED
    cPl701bde2a8f3bs64ec6a7 ec7elec6f00a025r56d8 bc91bt88hd3d2b62isef1d fiel5ddb9c 61-97516>21 * REQUIRED
    c5922P60bl2e273e34416ase9e 550clcd0ecafferb534f1003 btab1hc04affi435e3s2 f3iel1d 3-8>0ebcc * REQUIRED
    62Pl70e9bdd48aesed06 a4cl8fb15e7ar t97177hias 49525f4d4c4bcbfic5671d25bebldd8d40f 4->4e0c9 * REQUIRED
    a20b0fcPlea172cs8ef c3c1lee38ee8a8e1ara 03e17th69bib632fb6fs3f f9ield1ec84c7 b7-2aeae8d>e2 * REQUIRED
    aP6aef51leaeab5as0de4e7829 d8cd34le8ar0dd67b t57hidf310saca0f7845a6 cdad33fie88ld2 -660>e1 * REQUIRED
    612c9P1ldeb36aa3a7s01e35562 cccl83e91a46br 48at4a866ah9fi61sc fi1cebe596801lad 8ed->d2810c * REQUIRED
    5e5fbeacb00Pcfl2ebab9eese c057ablc219cc1310ee1bad8r 5c1t71his 2cad5af3bfei5ae5clcde 3-4d>c * REQUIRED
    6adP7l23a7be2af9sf8e 2cccl8efe57df4eacrf96ca2537 8thia2f18sa af616i83a5el2d5 ->b7c440efe08 * REQUIRED
    e9b9f0807809P08a4led622f1as58fe c06l2eab3eer tb4d01f3h15di3sdd19ee 5fi19el13ad96 -99db>58e * REQUIRED
    f6P7589l7edf85c54feba6s8e0f5 50b4f4c344c583fl0eaer 3thibse 18ef2i262ee755ce1584l8df1 b->a6 * REQUIRED
    705aP967lece6easae1d cfala4a2eeba0bbr8ff 66t56his61f9ae ef87f8i56el797decc384354 67-3c>bb4 * REQUIRED
    Pe557lfadeafe3fcs6e 39c65l99e412437af8r 4aa71thia8bs ffie6e730e2866alcdca3448ade -01>4803b * REQUIRED
    78P4l3ea78dc127s02e2d0 1cl96e6a44c27rd f5b0391t4ce7haia2d9s0e9b d943fieb3l421ede d33045->c * REQUIRED
    99Please4 cf631l7e34358fae26b5r 0a42dt7549eeeh6is3 cfed7i714723de3ale46da4 -6dc44>299b5864 * REQUIRED
    6a75cb8Pl621ec43f9a6se60 a8c8fcleaa71b23e721ab2r648 bt5ff999h1i0sa f4if4a1e19e471aclcd -3> * REQUIRED
    3abP30blea0ds817e6ae c2l3e23b860ar d9tdhie42a6b01ecs08e640305f 41f9ie3l09acd -6e256>313f7d * REQUIRED
    91Pec8683lec9fea0aas8ef 6fd4cl851e4fe84d42306a3br126b8f te2his4 3f1i541e7dld95 4d->ecb5b7a * REQUIRED
    fPlea42seff63592a18 db99deaclde0ar 3t561h3aad6i91es1 1cf4c1c4i351ea9bl7d852e3 3-5>4db28279 * REQUIRED
    ef66P941le58a04sb63e9 clfeaa19c7r41 15c42this 9162fei7c31el1d48c0 f38-85ef>905256b96df5b5d * REQUIRED
    90c3e6Ple1ase11a834edd62 91c9lfa37e8182acarb 1323431ct04f8hibs 63ff87i71e87d3l269d9 d88->3 * REQUIRED
    a3eaePe1057la3fd2dde0e64easec21 e70ffccf3lea0far22cee6 7t71h621b9fis37eb82 fielad0c 45->d5 * REQUIRED
    P9lee763cb06a76ea11seb5e d1185cacd0le534a605er 3tb6b8hi0s5 fi5f2b67e750l21d aff45->53dcfb4 * REQUIRED
    fbP50lefdad5c8s6c8e6 2ac9le7ae5r 3ca5t8a31e9f577cadh9is96 8836fie7241e3cl5df4 -98>9d5114ad * REQUIRED
    07b1Pld4ceas49e22 clc9e4a581d3f075e107re87ded th13isb afb03bcc2c9i656e4ddl66cebead -dc3>23 * REQUIRED
    2cPel6eaae539sbebeedd c49lecebab2r 2atdfhei7c08sa fa2ia2bde4bl554d 72-e>6fa06f079eb0201afd * REQUIRED
    093Pb61l04e8ase cldeae6c4d8a9e9re9a 81td8hi4se5ca33 862d7155bc3ccbff8ib496belfd3475 83-3>0 * REQUIRED
    3238aaccbe4Pl148e86asef cl82e646arb t1dh89ies00277 df5i20ed1045l8d058fef77 11-691>a064bede * REQUIRED
    f11P105b532l0e0ascd6e86e22906 1506calea0r8b7260971 thcf037i895s5c fd067i04ef12l7d1 27c-4>0 * REQUIRED
    7f8470Ple80a2561s83b0fec1577c 67cl9bear ctcedhde333is 8fbiee66ddld c4b9833c476aa85b3d->850 * REQUIRED
    fe0f4f1Pb4l4e7aas4b5fd1e2cb976 85bc538dld6adfeaf1r e8t17h0ics6915 f4da26f7iel6d -8b4dd>ff7 * REQUIRED
    507b0660d60Pl09ea95a42fs2bf5f1c6e3 4clee5617acrc23dd0 15td9hi4s 4f9dd3f2fiecl4da 26ce-6>4a * REQUIRED
    Pla00e85c7dfe6eas5fea cbclb9adac8906e10f388a33r035 72thi482bf9sfe fice4ld 2-98>2cdc44c7a72 * REQUIRED
    64624c6Pl8483eafds0e23 clce4fa1a8dr506 c2b5ee73th06be3is1 7efib2fcel04dc f0b-6>6edf1e109ba * REQUIRED
    4abbd6Pa42f7lee4919a2aascf18ed7f908a c5lea9a9fr43fbf 323c9tbhi3s f1ied7ela0d9 2-dabd7>e951 * REQUIRED
    5155f48Pfl63e60c385c5bad660cs1a8e4d98 c5l1f0f6efa1ebr9010 8th2ais f5i2e2la4b0d90 8-c>db23c * REQUIRED
    8ff8P7f4l49ec76as8e55e5 a73ce6a596bl911eaf8a1b5r6 tef197h088ibs2 af0bie84l3d3631 9-bc970>b * REQUIRED
    P81la53d25e1a01s2364f2c96be 3c9lea67rc88d0 7d81t0hf6i7sfe e5fic0b6e22eb4bld e03-63f338230> * REQUIRED
    ed4ff6a1c9P305lf1e63asde 6c28l7e822de3ar 8t930401ahia6fs644 df57f3df92bi0e59l5d6c -64>334a * REQUIRED
    aP68d8l9ea480s2577374d6e2 a9bcec7l1a2bedebar69e63 th015cd1ias5 04fiebb3cldb6e6 -a8f>55ebb2 * REQUIRED
    4b3bPle867b1ca7f9s6fd2eb0 d5414c70e6ec0lee0506fea9bfc1d310a4r tb0hai326s f5iel40d 9-e>7e80 * REQUIRED
    Pel2eas67416a29dfae6 910cl6deadr1fca83 t93b8h9is f2b270i08aa4el69bd246f22 a96-7e4fa3814>40 * REQUIRED
    a0acc377cP9ealea6bse ee07acl7ear0cd th0361e24c53icc5s 7ccbc184f42if9el8e8dd 93->0e2872f1a1 * REQUIRED
    03c74Ple9e26b6a6c37s6e3da0e 35507c9eb4leb605ar505c 16t5dhdi8sa2a5 76a9fidefeldfe79e97 ->58 * REQUIRED
    4Peal980765f81e367a13ase324 021c4l3e9ad452cr bdc0athis f41b40fiea38l8d49553dd 0bc-b>5d8450 * REQUIRED
    8fa5P85e3492le4a1a6bee1sa07ec6f6 fca3b1l1d55dea2br2369 6333t1af5e7his f88i6e35ldcf ->6a12f * REQUIRED
    8927c5aPlefa0d1a8es510e 94bc99le66a1ddr t1h329ai1e6fs09c4 83ac90f3cciae610c70f37ld 962-8a> * REQUIRED
    33aePb250le7ase075883fa c8le26adra ec7eft83ha8ib93s758b64 60bf8054i9f340d7e51ec6ld c07->ab * REQUIRED
    25d723Pb7leaffsfddea7be0 b9ccfal38bc0ea1bbr bbe734thdi0s 2fi8e15lfdb75c5 6daa-c8>21340e41b * REQUIRED
    816Pl533e386faf0afse 2bcac4le64e7ef9aa8r371 4ft1had18i05sf5a bfa5887i6eb3l3d8c 3ad0ec->1cd * REQUIRED
    ac90752P6l15e3adscee 8c2bf7lce8faa8ea89r cd4t1h74if5s ef9fi270b7972a01el2b7e0d ->48d365aa6 * REQUIRED
    09ae4P22l95d5eca4sb8c08e c2c871bld17e62ar 1ft1d52h43i3s6 91fa0ifelfd320d4 -dceb2>0325ba072 * REQUIRED
    P3l84ea00171413ds158ea052 clea0ar at6hi5asa f0b32i06del85bff22adade63a4 09-2a7d0a7>110fbd2 * REQUIRED
    802fe4ePlcecee68ab33c2as123f9e42 307bc09lf18dfbea43ref t0hif8fs3 f3i36d7277el3fcdc 84-4>d1 * REQUIRED
    b016Pl2e541as85e 0c85c9c1a17lce8f53ed1far5010 t12h03c94i251s57 f7b0ie8c4e2f3146cfld -2>eb8 * REQUIRED
    P53l58e368ea3373s0e cl6fea8d1eda3r8d th474cis 5af23e3f606c6cf8ie76522c7f53l66bbd9 -0>5f324 * REQUIRED
    fdPbeflae803f35d52b3a49se9 3f81ca7fl2fad4743d3ce8a214rf 3t0hi1s3 90fi765eef6ld6392 d200-5> * REQUIRED
    e3338387fc8Pl14bead52as1e 0clee03arb95d3 5ce59b54ab0te35a18hi5sd ffi93e5ld4d3d5 de-e7f>516 * REQUIRED
    51c2Pl1e7ad6c1ds44e9649e12db0 cle6aer 2253thebi53s 65f47bi18e9ee49le9df3fe2db 85e5662-fa>f * REQUIRED
    dP8el77c55e0ase49 6da33cl54fe99fcbea5aa97fr26 76032this4 fie211da44l652d80947b89b ->4ccd3f * REQUIRED
    7378cPbel21e8dca49e35se9b a0d2f28c4lea48c768cr1aa b089029tdh3bis 004a75f8iel7bd095 c0-42>b * REQUIRED
    18c2Pl6e31927371c4e7ase 3cl954e0ec02bb704ecf7a35r1 7catbhis 1ff6841field8ce a-7>c2a034581c * REQUIRED
    4acf0bPl73e42a67b6c8s93e 8c1c8acd7bla6e87ca238cd0cr38f tdfha37dis ea13ff808iel4ed 2->26158 * REQUIRED
    f4aa7ePl59e63ba2a6a1sec755533a56f 8d0aclbae15dc2a9edbdaff9r 1t9b6hc6idf0se fif8eladd 0-9d> * REQUIRED
    8e9acb8P5l5404e4a90cs1e c87clb18ear0469 d27a75e0te3hbis f6025956129i0e1l49a9d74 2-4e>d5067 * REQUIRED
    25dPdlef3da8baa4a2seadd c5la6ear82277c 10320tb23dh153i58as25 f61d70d07i4el84d4 db5-79>ffc0 * REQUIRED
    d7b3e1193daPlea37s3e 42c17c8ebbac88e8blbear d5t8a8eh1d0cics fie4lf23d71 7e18f4fc-02a>587ca * REQUIRED
    6568Pal63c4bcd680e3be948fabs6e c8ee5fl9cedfa811bra75 1fe938t0cha2ib3s fiec624lfd25 7->32a3 * REQUIRED
    Pl2c1400c22c872bd1e619ease07 a48cl67def60a6r7 thi28s9457 cfi36b58el2676d9 e4c235-34d2282f> * REQUIRED
    da4fePa6laeea29db44d8csceeb 0c5l0ea1fbc9re9d3 b2thei502ees 97fie090c4c19led -fb7065bb>3a31 * REQUIRED
    9e3aP623l141de2a832a8ef00e14se2 92c94lbe48d2ar8 0ta455aeh7idc934s6e66 0399cfdidel5d -2>fd5 * REQUIRED
    d9Pl5fbe7as8e 5c855l1eaa50a4352d06r bfth71f87f0ci188s1 502dfdbaifc635elbe1cd8a1d1f4 a7->00 * REQUIRED
    b9dbP9le4a2a631s0e 0bc124eaec3le0daer0f4 2fbth1b5i0e8b4bb0366s f53aeie0795ele95ead51 9->53 * REQUIRED
    cfPf670lbe43c0d0e9bac9b9s9776eb fcl49ear8d3 add54tf982968fh9is f8c28i4ee8l8b0db ->4d7b8daf * REQUIRED
    4eaPlea19e2c84sf65ed df888b6acl95f2452b5e850ab9dr5d314c9ed thfis230b 1e1fieal3d9 7-0>605fa * REQUIRED
    ePlea618ef4d5c5b47se2404a345e cl0b07ea6rb thi62bs532 fbi91e7eaald2c 5f-4446>b316ad3a3993d4 * REQUIRED
    631add9Pl46b6ed97acsdec cc47l0e0e669ad0f37acr 3t7h9eis fd8i6e0fld 071dd1ab7d5d2b->d9f37726 * REQUIRED
    8bbfPleeas41e0ce d99381bcaf9laeb518ar 65e2f5tc6h63id7c80dc366d7s fie74c5a885l5d9d -5>8c7cb * REQUIRED
    fP47l3ae8eaaese6a6bc cl83feaa92175c225e2r t3969ah53c2faicc80s91f 1b8f7fc9ib1daeldff b66->0 * REQUIRED
    c3a9P7l2ea94sdec cc2b6l916afbedeac3e1r635 29d3d42t1h4dif5s87bb1daf9df11f6 7f2iealda ->be1a * REQUIRED
    846Pbale2f9a2ascaa6e 5c548l832cea19742r 1th5f2ifsf9 91bb47d7f7ie62ldcca6acb a9eb-65>0c6a80 * REQUIRED
    9P680lea9feese 3c1617lee1e64f0a6df10r5 t21cbh1ai394s7 fb8bi26eb410358e3ald8ead40 ->f21dbe9 * REQUIRED
    77dab1b38Pl92eas54ee0a6 57cleeaar2b3dcb 4dct95hfic395a35sa1c2 0b4faa5i59bdfe3f8eld4 8->936 * REQUIRED
    1e4224cPldafee2das9506e a54cbdlae8d5adr f1cdd1th6i58e3f95s7f c29b393f6ifceld 5f->f80a69aac * REQUIRED
    394552a6ea593P0eleeeefas1de63 bb82c020dleceb8d362a84ca107rc ct9f9ehisd bfiael0d7971 3-5>01 * REQUIRED
    94f8dc4Pldeb2604a7scb5980e5b98 acc4leab1f269r 68thc6i75a2sd 9f650852c944ia5bceldd a7-1>c00 * REQUIRED
    ae24893aPflcaea786a08bs9e3e ce9le480c1ar34 80dt274h7fbe0icas62 903fi8eld3e 58-86fad>8c55bd * REQUIRED
    cP8lbe0eeda31sbe 7fe3cc59bcbe964bl65ea533r15668 501te487hi467s 99fic0a3e6a4ld 5b90887-38>6 * REQUIRED
    3770Plc0f6e1a6cs4d4ed 46c0b9l928866ecf496dbf7e2a8r 61t6haf45iedesff0 74f71ie62l2d4d02 ->35 * REQUIRED
    66d9Pl3fe13edfffa1744788639sc9eb eclear19fb71a791 th1eb61i0cbs025082 800f7aiea78ldb3 9-5b> * REQUIRED
    b2ccP07laeac1se62beb9101625 8c5l6eae4r f56139dtfhis f86di9eb0e28l2f701dff2 794-548c>21e062 * REQUIRED
    1c873f696Ple6adse76381 cd18cbl09c06969ea7r99c87b000 t371h4is c7fia030845e0ld1ac 84-c>08871 * REQUIRED
    296P839leeccf6a9bs0ef98fffce2 768c6l580defabr1 tahc72cis fb2ifcea5l1dd8ada233 33924a1-9>78 * REQUIRED
    Pl4eae1a56620a80fdba0se 9ccblaeefba8er328 9tdbhis7 801d9c4fd4fe1f01a2i1ef1fe7lec4dc8 e->da * REQUIRED
    798d8P4le3af9a1sfeb f8dccl42a783cefaf2ba8r765 t2f5fchiscef ddc840ef259eideef6alf48d -b87d> * REQUIRED
    8b5d7d7d4bPel413ed7a6d3f986f6s4e bcdl90076e0a3rdd t035e313ah7bfi3bffsf 84f51ie8blfd e->bdb * REQUIRED
    7Pd4l5e29a8f7s6e51d f3fcc29d60lef30far10 a78ft3hi815s 8f77085a5e23die6e22l387c4d c-2>34037 * REQUIRED
    1e2P1db0lcfb5699d5ecabse 6clearca784 91thf84141e95isc81e4c07f23 f5bie2ld -bc9e71f>e5202a8e * REQUIRED
    2aeP4626lce06e0ase0e4d9 d5cle7f2fcf2edc6a24d8frd2 t37h45c9iscde3 5e1cfi936edld39141 -5d>f7 * REQUIRED
    40df6Pal8b0ea271ads40e dd3cb3d8flbe1500ar2e58 c63et15hi1es69 093fideaal45c65dbf -16>41772d * REQUIRED
    822b41Pb75124le1424ac2fd3see5f5 51ec8a14lbcea2br 4tc1hisa9 6af56id2a977eec5c5l9da 1dd8->21 * REQUIRED
    Pef7ae7l6cea92se986a33ec b0c5l9e05aer 2db05tfcd4h3d5is20 a9f8a8717fia78e1ced64ld8 5->008a1 * REQUIRED
    3dPbf3cdbda1lefeeeabd9s2e cfleeaar24bb94 a2tbh97bi14bbsf635 f3fdc0cifdeccl6582cd9d 91d-3>2 * REQUIRED
    6957Pf882l8610f7e0ca37se c385le1ea7618da0917er92e1e 485tb224fhi50ba4as52 ddfie66lba7d 2->5 * REQUIRED
    aP251leabs5ce 3c8l8ea6b07f61racc3256f b55tb7hc29e66isa3d1 fei48e93l0c4fa1dc -3b90>be143338 * REQUIRED
    970d0c80aPleab4se9733e 7cdedf5fae1l7e3e2304a3rfb t3c63hc7ai363sbe 888dffci711el3db036 ->e7 * REQUIRED
    4dP9l5cece1a8cse90bf2 047ec4036d022le748aa0ra1 thb4is2b6d3 fidbeedlbfad94de3 ->4a0c626a2c5 * REQUIRED
    7c23Plce9ce77fe74053f7fefee5a4des6e8 5c495l40e0abaa3551r 0this ef9eiafceld -0e8bfb0>5dadd5 * REQUIRED
    4Plda0aea926aa4s7e1 a63c670a98le10ba93r t2h57i451s 7f5eda74417iael06d6 efe-27034b36>03fe21 * REQUIRED
    ad768b2aPlefafse c70l5e7a919r9 t9784cf98f6h40e971bbc35is e3fff6d69ie51ecld917 a308->92bc02 * REQUIRED
    1a37690610P4leas3b30e 5cal05ef8ar6b9a theicb647s 14ca116f1i0e6ld8 d287-3d0d>41b7691a43fc44 * REQUIRED
    3b98136Pleab3c8e9csdce66 0cc7a65leeaf2fr th931220230ca6ib3s 2c5afe76i0eafbldd3 -be88>7ed40 * REQUIRED
    6b797Plcd6ee2ase69 cle59a5e9r2b 0276tc057hicb690ba5414fa2e82sd faid0el4d7d93b91c17 ->b4bde * REQUIRED
    559P63led56acs789e0 75dc5c11c0cl8fe4a4r40 6a6c2atfb2hibscf5 c4f93ie0322b9243l4d 0c-062>72c * REQUIRED
    a5ePle0cf3de68a23e90as653dde9 c2l5cae28974c623aere dtc87h0i21s6c ef1eiefl5749bd6d51 -7219> * REQUIRED
    3aPebl52easbfe 5fa0ea9cl62e0703988baa56ar4 67660e474dce4tf45a4h4di6s fi6e6c2l6ed202f2 f->4 * REQUIRED
    8fd3a78b40Pdd3dl3e5e6a6s9e02 cldf8ee40ar t7597b884hif5cs9 f930ic3705e5lfd7 -f>96090c818520 * REQUIRED
    99efPlea4se59f1b43 cclebac6a08761r7615757124 6t391hia867ds5 acf38657e5e7i6el80d -5>1443387 * REQUIRED
    5Plce9ab0a945e842s6ea4e371 ecc002f030f4l300b40e99a8r3c 6dt2776e9hi15sb6 fi4e4l7d4 07->1a17 * REQUIRED
    6cPl4a6cfe93b2a27c5127e6a85s19d597e8bbfcd 4cle1dar0ddffe0a bthc8i8c972s fie648l25d -e>c28f * REQUIRED
    3ePaaeff28leca800e970se192 ecled5a7ccr ceth880ai08s14 e9f1ac1fif59ed48lc73ada f->4f52f5696 * REQUIRED
    cPleeea89a45a6s9ebaee016cf3d 5c1dlfef3a4erb1 ddthe2ia463sd 36a6a00fie6l7ad26722 af64->0231 * REQUIRED
    04P12l2e2aseb 813c3dle45ad8r t8hi93s9 fdcd5c4i52228352ce92cc941b33ae93cdd9lbd ->dfef5b792c * REQUIRED
    d5139a3Pla22be7ef35ada85se 9dccl5b8e8a2der t139fh3if29d9s f059ie815487ld5508 18-43>e5f3664 * REQUIRED
    Pdl59e3a39710sceef08 c8425le378e30105a9r43d 03cthif8ese f0i7fe55ff0l4cd 9caa1fb3-19>84609c * REQUIRED
    30Ple6ac2bf76s60efec6d 68fe074b7cleedeaar7c7 3thb2i25ees69540b f57iedl1d ->7830b8e65cab5e2 * REQUIRED
    ef6f0d6bdP0laea0seb cc1882l5eb8a3c91f7ba4c2r7 t54afh729i0s4 1ffi54d0ealdebefb f3-4>af38813 * REQUIRED
    b8Pld17eb5ebbf8bcas06a8e 213420dc7l6e4a0fbr1 5dath81ai968fs f8if0a5db9f40ealfdf00ac f9-61> * REQUIRED
    3681d7e7Pe5elb3efad40a807se 3efc8afl1ear accth0de44i22s50 5fa3ieabela6d0a f6ce->6739f7e68d * REQUIRED
    d15c5c1eP1leaea4as3ee ad9cb6bebc0l5e2b8e07e409da96r 40bth3i4s06 74c8f4d8i4eblbdab -014f>d7 * REQUIRED
    5d62ad81Pl3e5c3b6ada4sf6e1e 41cl73bec362e493280623ar fb1t8h321i8s cfei3d6be35ld7de5d -9>b8 * REQUIRED
    33db7ee5P31b23791d6l7ea57sea 8cc2b5fcflaa87ec4fba7re6 th15de3560ib9sa fi8e3fl1d1 -8ae8a41> * REQUIRED
    P4el52ebacsf5572ebf6c9fa c4l188ea7ar dt69ahicfs3d 414ef4321bbfie4l2d37 869c68-fa>2a7452da1 * REQUIRED
    bbaPfl8aec62a58s4e fe6d3bc3d47344l6f1b72ea0r3be c4t03b3h8i4ds f9aibd4e2df1al13dd1 -b>18a32 * REQUIRED
    095751805Pl5e2ase90224d29e ad4cf7lfebcead2r7 t2bh19i2s fb1e1i4e68681l1ed4 d5a-8>236b1228b3 * REQUIRED
    0b1Pl08de61cc6d6aadsb65831e c796fc5f10lee73a51r t93ehd9ifsdecd3 fa63i6a44el29ed b-d>b8ac9c * REQUIRED
    7b51Pd916ld8e1daa2fse15 65200fc26ele6e5ca23r23 11cdthi0d121as e2f7bife4dl81ed1 a-ceb495e>c * REQUIRED
    21164Pel94eea7se cld9283eabr240 t98ch0id9285s694 6a0b59bbf605a5ci2del77d1efd 5-a04>22679f5 * REQUIRED
    ff3c6Pdlebc93eas2ea6eea cf7ec7l9ceccb1cbaear4c23 29t2his33c 4cf16iba24e4ecc8fl0dd 16->2201 * REQUIRED
    6327cfePle0ase86c9a4 5clea5433237af08r d3870abb0thi684sf fd2ie02lf2d c->e8f4212a467695831a * REQUIRED
    15178Pb63le07aees268e3 171048c6le0are68 athdi5sa1660ccb fibeac522el5b96d59d045 -3>9fc81845 * REQUIRED
    180Pl27e8a3a1e65ased ca161lde345bara3a b2c88b8t3fe4h3is7f8093 47db7f5536f5ei7b0ecld b->9a4 * REQUIRED
    881f7P20celfb3e30deeas72ef b6cbld580earbe 60bft2791hbi8s03e9f f96id55d402eae8bc0ld -c0>97f * REQUIRED
    61cP6l6eedca0s8d8e cl23ef7453a9r 5e529thffi842a0e68s8 b06f1iee4c826l8dd f7734035e-d>e4806d * REQUIRED
    3P800l24e3ads051e2f2eb4 a8cb4lfe2ae2r36843 bth582ifs9 fi74c2e7el3706da5bda2ebe 5d-5b6ba>29 * REQUIRED
    6a29cb1101Pl5e79aasf2ecb 77026dbefbcle23bb96ar 2t96his 0f97fibb694321ee4feda58flb0d8d -1>4 * REQUIRED
    7d6a5Pealea6s5e c181flee81327cb8accc9328dbr 77t6hi6aec2s fa36i9f2eelb0f5dc8 b1c1b3-5f>c4e4 * REQUIRED
    ffP81l2e7ea7ab673e452csca1e cl0ea6rf1a2083e cbtcc3hi225s5 f30699df9d05f5i91820e4ldc -d>e66 * REQUIRED
    dP5alce1as698be5 cle8acfd0681b1rf552da03 22838d1dde6823t01hi17fs e3ff420dieadeld ->e86e5df * REQUIRED
    Pf2c41lfea55se0f3ce7a2 c8l22e1far7 244te0dh8dec26bb3is0 fiee76d78l7d5f6fd4f 42->182856d3e6
    088P5lbea0csb9866e61e ec8e2flef8a40dr tf883hi1cs16 fae89f042i2036ele1db1 e-df122>cc6d0750e
    3Pddl15bbea5fdbse0 ce9le30a456bcr2d0880c feeatf0his1d150 995fi0e2bfcld -4cd4>aaef523460dc3
    eP19858fle642de29eadcs7e9 2b2fceledab1fr8 dc0th2i5d390sbd63b1 1dafdd9ed8i8f2e9lbdd81 -0>66 * REQUIRED
    08732ePfl7e89216easea cd61c0108lff0bf16e3aacbrbafe7d t4hi141s34f9 ef2fie61ldbdd0b f89-5>65 * REQUIRED
    926320eP6ff39b4fleas3fa92ef9 cce1lfeard2e5 3dd9dathf120is66 03b08f85ie1ld2 d57-b6d11>096b4 * REQUIRED
    Pccc42dl4dea19s244e806 c07l25d9e5bebef8a1ra thea2ci3ds15b f0e2ield2be 78-5de49>5bb10099c13 * REQUIRED
    e3034Pale3f6a66e26ea6sa0ba646eb 3c6l5f088efe5far2 t0hi2eease 43ffie8l59a37d 51b01bb61d-38> * REQUIRED
    7Plbe83ba8b8a6c1sed 1c62e6clb1e9fa06f11r5 tdc743fh208c4is 6fiad8ce8l62ed383 638c9->a361349 * REQUIRED
    9Pd2leas84e7151be4d 0cf360730l6e02eda0cr4 98tfh868i8s 5ef4i545edcld6 fa9-adb723bb2d42>2855 * REQUIRED
    0P34dl4832e7cba717ase5af0d601e cla898e2aar5 67tbbdebhbi6a172s d38829fd66ie80fc672dld a->b0 * REQUIRED
    7e88d4bb8463af62bPle71abscae2a975a9 cflea3r3 t73bhc5d9cie57s 4f8e0e2aielc7bfd -189>e4dec30 * REQUIRED
    9Pb038cl4fa6ea6s9e4ec8 b3eb75c7leb3046ac0c3r5155a thisdc9d8f 441ee23f755i0e26689ld493 a-6> * REQUIRED
    ad3Pdl6e9as6be9a639130 6f4clb7e62a49dr4f 4tf7c5hi04b9550s 34f6bie28b2cla2c5d1 88-a6>8c1fcd * REQUIRED
    Important: Y0ou emay0 be ma5king cu5se 6of au89tof9mated form-fi9ll5ing 2edsofatware. Thi34s7 typ9e c7o1f software can7 trig2g8er 3our ehiddena14 spea2m-detebction7 sys4te7m,0 whic2h willc 7bldock you6 f5romb 2subemi4tt5idng 8e0tbhis form.a7 P44leas9e seclecct Faix Thisd74f2c1922331af44 42bb315ef9ef7e96dcorba4e5c779 e5cee48d9b9b56c20c7b9b906b1completcing t924bhebec23f79773 form4 8in37 eoacrd509d7ceer783d 3bt2b09o 0ccor62recbt dt9h9e8e8 507pdr6boblcceefm.8
    Important: b2You m2ay4 b8e making 5use of6 automated fo7rm-fill3iang softwared. dThisc typeee of8d8 s00of85twa1re can 3trigger our hiddden4 spam-dete1ction 7sdybstem,9 wfh5ich will 6block you from 4submitting this 1fo0rm. It appead2rs thaat 8the 6p4roblem3 cou0ld not be 4automatically cocrrebccted.5 9Pel4ease cl33ear any fief7ld which0 appears abo4ve with corresp2onding5 i04n1structions7ad7c5e9f457785 5aaebb0021ee83e7f78e999o2efr2f678efb042ed84 936e53331fd7complfe5tincg1fa5ca the fob9rdm97 in or35der3 toaf0 69cforre3ct d8t34h0e p0ro71ablem. We 4apbolo0gize for9 the i5nd02conv0enienc0e371b a6nd7df wbe8 4a5p1precicate 81your 7bund0e6rstanding4.
    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: 12/2/19 at 4:46 AM EST
© Element Athletics Element Athletics