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  • Goalie Indoor Travel Program (with Uniform)
    Fee: $365.00
  • 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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    RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

    THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS; PLEASE READ THE ENTIRE DOCUMENT BEFORE SIGNING

    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.

    I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT I HAVE GIVEN UP CERTAIN LEGAL RIGHT AND HAVE DONE SO FREELY WITHOUT COERCION AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT PERMITTED BY LAW. I AGREE THAT SHOULD ANY PART OF THIS AGREEMENT BE HELD TO BE INVALID, THE REMAINING PORTIONS SHALL REMAIN IN FULL EFFECT

    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.

    Weather
    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.

    Medical
    * 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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    cP3lbcease84 87e1dcl4fa99b8e3a00aa49fdrda9244e t5hi4s5 fcic605a3ae65455c7cf6l3d0ed3c1c 3-> * REQUIRED
    2Plbease1 cbl4d8e40ffa51184e0a53853f43r1 57a09733thf9ie1f80dse92 3a5df6d41fibeflda55 ->537 * REQUIRED
    98dP12da51c24fd8ledasee9 c09lee3ar7b66 6thb7fi25f37sc fbfb06209i3aac2e70ldb9ab d0389bcb->1 * REQUIRED
    776aPl4f92ae0e1ae69s6e9f 9c1cal2abea3r18 tchdcic5s9f aafffieba6e8ld 4c1109f7a-fc04b4a>3645 * REQUIRED
    6495cP1l7efcdae15a9saee7 b5clbfea82r945f f1fth289abi7s8 9ffeife22f7311alade -f4>be76f4ef2a * REQUIRED
    ab8Pela2634eae2s9ae84 cdl3b0e24bd717a9r37b 84t60ahi7bse5cc1210f497 edfield1a -8>0292bfb267 * REQUIRED
    8ePd711clc1ecda6f6186ads460e 2d5c0d1fl95e0ar5 eef8tchis2 f9ide03lcc1c8d a1-1b28f6>f4a3de92 * REQUIRED
    383Pl4be6227eac7se0c 47ca44leaa4440092rf9d48 3f6e38261db5ae1ct50h96di8s f53iebl2d5 8d->c29 * REQUIRED
    842f3Pl0723e588af4dse ccf8lc23e78af24da926r t0hi27s4a f8i6f0f9f4eld efbb37f->f675dd0f69eeb * REQUIRED
    7774Ple91dfas9d5e35 fcl7de4f3ee7a5r5a7 39tefb9hais 148f05dfi5fedeaal9cf8d84f3 ec78-9>0e7d4 * REQUIRED
    48982504ePbl7ee1a90ds5a09d3e eca249l7b9e2ar t3hide515s6 df9febi8c1e76c0b13eb7cl07d -c>1928 * REQUIRED
    24978P1019eel5e90f27ae507d8s1e ac408l7e2far8 679bt5h0is fielffdcf7d3 d83207-f8b92d9d>9fc2e * REQUIRED
    b3fd130P7lce3ca66bc21da5a7bsb00e cleear3fc7ae 7t0dhaddi5cs 80c1aaffice5a6c5ldd1 c6ed->0762 * REQUIRED
    010d8900P7221l6e4ase16a91 c0fc6l9f58d8e0a9r a6t89h21d0c9ei10s62 b08a9fie23lcd8d 68f23->6da * REQUIRED
    92Pbl047eaa732s9453e 43f10cled1a4brb7 6t163a92h0d9d4069isafe6fc8 ff3a7241c95i6deld 1->a9c5 * REQUIRED
    6303f9bPecf3l9e2acsbe3cfd99ae6 86fdcc7l4c2abefda75rea149 tc5hi8s5 5fbibccd0e69l586bd4 ->f0 * REQUIRED
    0c7Pl9554e641811f3aed70se834d 1eclab3e1cc3a51raabc0 ft2d4h4ifbes d4bfai0eld1 08e7e9791->a4 * REQUIRED
    4aPb2lec8a2se c29al3e584d2ar ea2thb96isa 41f75i56ce687a4l5ac020e2c622e6cbd8ebd d60fad0-1>e * REQUIRED
    8a64cd198faPl3ea3se e9cl3274fea8033br03 t1b46ah0dbcb9isc63b51e87 ecffie85l43cb292d -9>6957 * REQUIRED
    3c5P9ffl1f857eaca3ase 9cf099c95737lef1b6afc1f9dr51e 8c5t5h359is fde9idel6060d328940ae 2->f * REQUIRED
    e0d1P20l5ed66asce4 bce1d174835alfb61887d9eac36r5 t0h08ies4f3 fi0ceblbfd6eea7a843f0 -b7a>c6 * REQUIRED
    3P14ld9fea45ce6s622e739fb3 3dcc4l38c38f96aea2ca54a9bar4c 2the7is8 9fia783elfad37 9-2b>aed1 * REQUIRED
    dda5447Pl070edaese4 5clea6f023e6f6badr93a3ee0 219tebd3f81h375a4d2i34sa fiel10d 189b-ba9>ee * REQUIRED
    57bPlfedc76aa0se07be6 c98le1ara8be1d106 f1t031h03cdi93bs8a 49d6df9i857e32e4eled1f7 -1>5872 * REQUIRED
    ad57dP80d2el4ecf6acs5e 6dcl029820e1ar0 125cc5tffh9dai58406fb16s 7c8107f58bi84ed8el7d 4-1a> * REQUIRED
    P9lea9s6ecf0cfcd1b28 c0fc854bl68ear1e4ba6 9tef6b76hcca2i79180fsf 67cfiee17l0be8d 253->68c4 * REQUIRED
    f894f579Plbease cb961ed246elf6eeaddbaref 953a598t7h99is09 1bf27ieeelde6ba e8-b7>5f840a7f1e * REQUIRED
    25P5lffd65a2ease87a3 0e75480a4cl1e84092aacre 1085dtddhi0e08se fab98ieldd -d>613c0e25c49f6a * REQUIRED
    a04P7dle6as38fc5e28 83da378f7clbde371b0a8adrf6760 6c305613t98d4eh0i79a3b8s5 fi5e582ld -fe> * REQUIRED
    7e7P6a46l3e1as1e4ca fcdlf4ea06r8e414 at66bhi2dsc933b f2eibcbdae840729799b2ld05 3f03c-eb>0d * REQUIRED
    d9e3aPf7c7aleaes74219bece5871 6c6l4earbc67 tahis7 4f2i8el01fd18855c -232e007ab4fc>ea62f7a5 * REQUIRED
    ccb764P5938l2ea7bs4e7946 8c81d8c0d9le7c8c33e7ar791 56c053t041h7i7s efdfia41eld -727>37f1f7 * REQUIRED
    Pleafcse7c63 c103dl5ea7rda65f atd2hi30s38b74a1a2 f0819i34071fe1el3fe31dad76 65f-e7731>8372 * REQUIRED
    c3Ple1a69s2fe ab7d5c9elea0df208r12 12171thi33scba 83f11632di28ead831ldf -b4>c90039d5477cf5 * REQUIRED
    f0ecbc3P77197dl4fea9a78se12ef cl9edacrbb t002h7isa0b cef992b7716ieel420d2125d3a00 -c0a0>64 * REQUIRED
    5d431Pe61l7e9540e5d7as6ced 672cld7242e5a6r0e3 th4i4s f4903i4ee8422fda1ad8070ld2af3847 -1e> * REQUIRED
    37a9Plee7cb9c9b3a33420seee2 3d9c4ddl947ea3e2ar t0hifs28 fbb46dfiele36d35068e9 889-51>99082 * REQUIRED
    918606777P88lc2eas8a450e 8c603l3eaa06re 4thisa523b f5i0624e43l1de6 36-b>2a10347f89027dcf2c * REQUIRED
    8a1P6lcd8ea1280acbese70ca60 9dcc6fb0l6fe8d2adr3 33th2c44864cis fbdf91f3ie7ld -a509ee487>1a * REQUIRED
    edfb7Ple7as5e 20c6ca0l3988feea0a3rcfc t4cd43ehb7ia27s2de 8430932f1i15fel012d4d ->50cecc915 * REQUIRED
    a77Pl4e0aa71sbed23e bclearf 1a5726b49t426h3ib04s f61a548089bdid9aebfel6dd21 c990985ce->43c * REQUIRED
    b72eaPba1alf8ea32sfbfae2c dde8c93l849eacc3r0e679 7thfiasf a9f6aeieffdfl433d1a 2-bd35>92a9c * REQUIRED
    Pdebe02elea32e0dfs6be9a032fe decl7daear b115teh8ifbas5c60 2ff4602i6ec1l7d8261 -f99>6df60a5 * REQUIRED
    f185Pb134le7asebf9f1f7 40b0clcearbe713b 4bfth4i8s6 fc28fc2i8c98eb0l0b6d54ca5 8b->682c7ac88 * REQUIRED
    fPcl15e23421a526bfd4se1cea6 6c06l6053efaarc1a13 b6eethies0 508f5ic7edclfa1d4 -1>93bcd9efc2 * REQUIRED
    1715dc94f6Pead29ledas62ae45debf13 1c4al74eaead4ar t06f1cfbhedai4a73s88 dfi30ee7e8ld -d5>f2 * REQUIRED
    2865fPcl534ceb8abse8d4 1c9le01ce2ae4a79frc8dbe2c 3fdf3atc8h3i7s 4f7ffid198801e4lddd e->229 * REQUIRED
    cb61f75a27bPeeleas7e03 2af1ac2el1cea2d45r 90a72thifs925b f07780faa0f2ie4dld636d0 3-f>de188 * REQUIRED
    092Pleeased 3740cfalc73ea5r4734 bft2hi6s ef7e1cb5id089a15a8ae99celed8c bc-ad86f>8baac22992 * REQUIRED
    Pl4185ease38 5clf4eaadrfa d68d09fdbfethid6b39s35622330b77da7a2b fbie96ebbc96ld385 6d5-c8>9 * REQUIRED
    e836Pl8e3adscfe 1cceelb69ceb2aare 147eathfiasf 9f20d8aa853i317deffc93laed75b4ccd a->7e86d0 * REQUIRED
    2P2610ledfed0b0c733add3sfd3c08e c2lb0c695eeaa4dara8 thai4229sc 5127bfiebe3dl3df66 b->28ab0 * REQUIRED
    dPc9l6eca8dfdeesa4ae c0lbe1ea3961a8a40r 571t79fe0c1dh2if7cs 5544af3i39e7l5c8d4f82 3d1f-a>7 * REQUIRED
    36d868Plea6s4e c6a0l9d0dccea868rb 009th064fee960babi0s4f8a 9f1a8f6i8edcl5eddf9 6f-a0ddcf2> * REQUIRED
    3b2bPla070ce348a5811ds21baa4e1f782a 1cl9a1ead1r63e4 b4tfha3ib8s32ed fi7d1eal5d f9533-05>6d * REQUIRED
    aPl3e4fa80se cd2dl6637e7a284e2r0b5 422e4t4h4e4956ec4cibsd6 fb224fa06fiefl51cdeae14d1 -3>ed * REQUIRED
    0P57a9lbbea040942sece c6dfld11de1b7a6761r 863bted2078a4fh28fibs1f202f fec864ie0ld0f be->2c * REQUIRED
    Pb299c4lccd2e9a69sae26 c64d1al709eabr 4349b32t75f39b132hie5bs9c7 ee0a47fid720e0lda -8>e610 * REQUIRED
    5Pcl70ed4015322a1s82cdaa31a3e2 ccc5199678leaa3rafd daathaic687e6s9 8fielf3dfb4f24590 ->6aa * REQUIRED
    b46191fPl92e8cca7asde cf2lda576e6a3123r5c4 0te48c7eh0i7s26b 6a70f3ie25elcde -db873e>fa9d21 * REQUIRED
    34P4l5abee3da4se 1cdlde67a170703r4 439934b49705ad1t7e9h08d56isb fcci28e7755ld 1b1d19-09>f1 * REQUIRED
    P0le53as50baaee dcflcfear44 at6e92ddh6c31ie367se569 dfi05e2l213bdaff 0d2-353>de315b7d16910 * REQUIRED
    0Pl4ea864038e5se cle9a77d5cr 5b076thdc43e9fae2bi74es15553ea91 0fd9ibe0ld309f3895a899 -e>15
    * REQUIRED
    cd0Plefasb9e95 fcb2cl1efdar2977aa 05ecf8be1f445tc9c1bhifabd2s670f a7a4f6i4elb46ad be0->5ad
    * REQUIRED
    05P73alf0ceefase54e45bcd 2cc02l8eda4fcra4 at8fe6bah4is9a5 fieeal13d b7972a83b854-6>89818c8
    * REQUIRED
    12e4cP6la2336eaas3eaaeb 93e2c5lb7e5aa93ra8 62f4t095h98isa 49fie0l01d65bb 64fd-b>0f86dc5dff * REQUIRED
    P7l182ee1cf1a70seef7d6a2f6 0b72a45cl455e18ar 8t4fh4is2 25faie88292c8l216d 0-f9c>bdd47ff5f0 * REQUIRED
    d97dff350f3bPcd642l2ee9a721509s88aeb 1086clea0r86f t70hf847i880es8 25f5i8ael77ddeed 5538-> * REQUIRED
    0ed41bd945Pe8dlec4e57ab9se6 cclb4eec5ar24f0 thi04e73sef64 63e073ec7aa6acfffbieeldd 0-94>48 * REQUIRED
    3ff8d69f41fPlde4das731e 661e00c4ef27af2f19flearc dt21h3iaaas fdi1e83blb6ddd253a -0d1e>74ac * REQUIRED
    9eP1db5l1e73abs5eca 5c4l5eca7c0eacbfd24rc458f898 9a2t05hf55i40b9fb6s eaf8ie882elcd 9-03>21 * REQUIRED
    0f85Plb1ce109a74s7efbfd acl3e9b2a05rd thf43ca3f3fafi9f9s 75bc8fdi3ce94b5c35clda 1e4-9>7b0f * REQUIRED
    d9Pf7cle280e05aa66dbasecae6 e1cc6f43le3bader7c7 5t2h50is58 51af26e2a17d0bfief1lc2a0db40 -> * REQUIRED
    fec0d7P9b4l1e24a29342se c1le99f701960fa2r5 a5t8h37i9s 24bfc6f4b5bdbieb2ld78 3-17>f863e8559 * REQUIRED
    66d5P37cle75ase25ddfc484356c 2clb282f122e8a866b2aar1b thisa8bc0 59fca9i2e57ld 15cac5-be>05 * REQUIRED
    Pd4l47e8a3fcs80e a1ecl408e012fa1drb182b3 0a6t85dh94ic755s7a cfi2fb7ee5e6d0bdlde8ce c->4981 * REQUIRED
    Important: 63You maye be ma5king fcu2se 8of a0dubtoma8ted 3fo6rm-f9illin0gdc so9fataw47are. Th9is ty7cpe of2 5soft6ware can8 trigger eour h0idd41en sp6am-detecti4od9n system87, w48hich 2will b9lock yfodu 0from sedubm07ittf8f5indg this 5form.f Pleas6e s6elect Fix 8Thi7s8b2fcc0a3e54dbbfc bf4f81084a0e40dc87989fod95c23322db819rc3dfee6b2e904 7f0bcco54mp7le21eatincc0a8g tdhe fo303e3rm383 i86e955en21 o04r4debarb fto9d103 c35co7rreactcdf t63he867 26prboble06dem9.
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