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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $250.00
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    Registration and Payment
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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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

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

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

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

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

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

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
     
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    39P0ba5f1fd75cb8420dl19c12fe9dase cdc590d3clebf0a8r 4ct6hib8e5s3 bed17fcfaf3f5i3aea6ld ->2 * REQUIRED
    50311fP1le5b4ac1s688eced6 371ce5bble3ar4f9be0b t771h6is fie908471010875e575bdld2 cc31->c7d * REQUIRED
    616aPc4bb0109b5l565e54eabse10f bccc5lc8eaf7c2rf0 this7529da 0f61ie3e4l510d 6-62064cfe>6d79 * REQUIRED
    aPeleafc93cb942s4bccf7ee99 cl5e1afer1e t44hi953690s8 3988f3721diebl56dec9d b70-cea764>29dc * REQUIRED
    46P49laeab6986se02b5ce59 c9e6b274ef48l19a08e152a0r at0dd6123dhis f89iel44da 14-a0470d>1864 * REQUIRED
    d0Pbcb0f25625lefaa87b3s190ee 12cl98e54bdear 7t1bbhis 5d2fie3c5l35de f769c67d-e>04a1e95eb77 * REQUIRED
    05d87Plce2a9251cse4b48d38 cle6ad06b9r fthi8a646c4s 2160fe2fi62e9c23l8143c6d828de978 8->a01 * REQUIRED
    fb9ca0ab6764eP9le93asd7d671efa4d22b1 cl4eafr 2tb0b4c67hf8is f41f9fb631i7e3l68d e37985a84-> * REQUIRED
    8d8bP1la8e84cdea1bs40e4bfb179305ee cb9bl7ea0efr38 faat6hi3s7b9 c9d8ff084i9eld02 2->3b29750 * REQUIRED
    6c9Peeca13leb1aebdbas1ae22 cbc9le8aa58425f072rebadc ath9isf ef231f3b6i90e68c0cel1d33 ->683 * REQUIRED
    f29245P8ldee0a0cs1973e1e1 cd1f3le5a0b63ered 0t4ah74isd3a78d085e0 f4i12eedld6cb -8ae582f>b6 * REQUIRED
    6ad713fP6l0e84as5e1e5 863cdl5521c383ae2ca6brda t8b8h6d6f2is e748af12i20e406l4b8a3d2 ->b15c * REQUIRED
    eb5dc79P3dae0l4e05a2se cacl2db7e6aa0der6d5b thdi4415s2d33d fbi0a06ace0ded3ld 7cad->f895d06 * REQUIRED
    5eaPd1e9f3le7a1seb5 c30l872e32a8f56rd tdc1hefi09s 9f90i4e6l1dc6b97cd45a62069ae ->ebc9cdd17 * REQUIRED
    a2P8036bble6base633 7e75c91b2l7e7b1d47aec0ar794fe960 tb92h54is 63fbi7e7l250da3 9->1913c19b * REQUIRED
    c5Pl2190be8a2e90s2e7ddb2d 388c93l6ea10ara9a1e t51h17d7a0a84aia39sd9 f28iel5e0d8eea2 9->40d * REQUIRED
    ac20eP17le51asa1e027 7104bcl922ea5afr6 10f147at76cb2570c8h5bcidse fi8ee7282ldd1 bc-f>8c25a * REQUIRED
    1f5787P9leeasef9bf8c c5l4e7eba7acr thfi435ba8f3s5f37d184 dfb88eff0i4fcee7bl2d 7202-c32908> * REQUIRED
    5d9fdba8d4716P538le53bc9ase74 0c0c76l9ed1042e9a2r1e 0athi693844fs 28ffi9e80d9ldd -f>efaacf * REQUIRED
    221Pl5eeac783sa5ec0 cb4aale3a6efr83776 btfcha5cdis 1d6f98e7i25e98ldbdfa -b1a407>ee5f369a74 * REQUIRED
    515863e1Pf0la4ef4a1s13fee cd37l99c886eaafr3f 96e3a6tdh6iace4sff2627 85fa086d78fi3el99d -d> * REQUIRED
    e5Pl3b0eea34s1eb9 ccl7fbead7r tb32b9ehe44if7b00s24aeb4 c76cdf49i0eb6l4d 3-648e>85a6c381ec5 * REQUIRED
    e7P5081fl52ee33ba1s448d17c7ee 3f1cleara1c2 62thi1s2 358ced0ef8f2i7e273lde30fb7 5-6e>964f26 * REQUIRED
    01054Plb8ea4da5af56asfe df2c332l0ea01a9r t9dh4be4eaa3f7bbibsb f6i81ae7f1a3la560d86705 ->87 * REQUIRED
    a13f48713P28l7eabs0e 1clea2r tafhed7d12ib12c6324c2e3s 36fdf975acef4i0dd9el90d db258-4>ae0c * REQUIRED
    b4f834P7c82b6leda9dse 7c6l2711e3f48a3r204 59497506ft3h5i1s 5cfi3aeeba46eea3869ld111 ->87dd * REQUIRED
    7ccf640f5P5423c074leabse0955 cdle6aafc09ar aath0i4aabaccs42 e8fc6bi4594cfe92lbdfc -3ac0>d8 * REQUIRED
    cPd4f3lbeea3d0sdee 617bb1477c9le36a514dr 20c17c3da1th90isb f64ci60e7lbfa9f3db98 0a492c4->e * REQUIRED
    P1ad089ldf5ae2fdb6235a3cs6e814d 4c0606dlbea049rb5437 tfe8adhib26s41 f58i4e98l4630d290 c->4 * REQUIRED
    P032l4eas2bae b64dff7dc5lbear080 t4002218ehiaf0sfd cf5f4153id39eeldbd63a5c -c>83f96dd766aa * REQUIRED
    4dP42b9b6edlb50ea1dse 7032c435ld27eaf400r5549f tfb4aehdi9s f331i1e35el0dd0b31e2219 d4-50b> * REQUIRED
    328fPblf730b03e2eas429ad6eb c4d5f6eblaeara4 73th57188ibc0sa989f 522fd5f4i53eelcd 2ac3-2>75 * REQUIRED
    019de0146b44Pf2l4858ease ec2bled5e6dar thi104bas9cd4 bd3efdbfc1ecie2981ldd0825 09-4>a7e2c0 * REQUIRED
    02396dcad330Pfleasce cle4b5e8eaar4f181a 9th23dd5af719is 73f3ff7ie305l7d919 316-2f12e9>dbd7 * REQUIRED
    98aa2dPab5l728e39as0b8b8e 05cl94e071e540ee92ar6 6ctcah133ci06s8 fidel87f2d83d61 8c327-ac3> * REQUIRED
    ea673P13c3868dl96eacs9e5 8dclcearbb te60ae48hc2i1cs33 0f2dfi3deal6cc326890dae 2c->f5b71f01 * REQUIRED
    3908e3cfPleafse cela6e049edf04a79arf 8d1b51btdah91428i01ds5b 2bfbdiedl76cd 5-57>dcdd8b92f8 * REQUIRED
    78d1e0927dP3l57cease4 7a6dd58c508elefarf 8te30h7i6cbs47 85fc7ifdel3ef0d03d2adb0a6c 4-cc>4b * REQUIRED
    f292be2b23cPldcead6fasee6 be3c58facbl75d0278e9fa9br58 t43his5ceb365 fi71e43l6df 30978->190 * REQUIRED
    2fcPel716dea5s6ea8d7868f9dac 83cl2c3ea0af911b973r5d 2t5hf33ic226sbd1 field eb-69d>23eaf214 * REQUIRED
    Pled8aas36e35c2d cdbl3d5dea8r e8aa66bc81t9h40i6s fef60i3a44e9295l0dedbf6d2 76f2c18c2ccfc-> * REQUIRED
    079ePlaab2bea1245a3b8s62ee 974c5le139a6rc92 d3e563th237cisad ffiel900213ad 4-a2d698642>0cd * REQUIRED
    76f0P88ldeaf3cs77830ed8baf1cd7 44cac8d403eleccfa29r8 1et8h7icc6s5 fc4i7de4l73db -36>24335f * REQUIRED
    6Ple71afs2e0 cle7dear3d8 802083t83eb417dh0id355s9af 4915cfi6ed767cld3f5 66d2c-2e>4d5cab40a * REQUIRED
    0eaPf5blcf28a00ea7299sc4e32be 3c5lb2e490763a5fr88 6tahib379es 6be1f04b2i3be5d90l01bd f-2>b * REQUIRED
    1ee35af3dPl18edee755a2930bs84e3f315 6a6cla4e5af3r21457 t0h929ics11 ab7ff1i1ecl9d 07-de2a>d * REQUIRED
    48adP7lcbe6ded276b47f784a3sce cc05l5e16dab7ec43b3r 083ta3h649is683b1b8 3f0ieedld5360 -402> * REQUIRED
    2e2a2ea94308038P3dlcaea66s7e ccl4ear646 21b01th6ias6065715 fi6e8b4d780885ld -4f59d552>7f27 * REQUIRED
    8P368leasefe9b d98dcla58ea10256ea4rff3 4t4cehi4e09s7 5cfi0dafeb80bc57c7l6d 81b->2ca7cad0e4 * REQUIRED
    8a72P0lb756b4dabeea75ase576b c5397ce21ld30e4aa8r7 1tha4i36b7s 3af04adi63eeb5lbd -47614>985 * REQUIRED
    906268P9l7e0as5ee9e c8a8b59cae513ef67e043785397lfeec38a4r th8i908s0c ddfi8c83ebeld8 ->ba4c * REQUIRED
    2P90lec3a334es3e c6cclee7ard t53h3d7i96s7c5b49ec18 d8ff691a572694i0516ecfld33de5c -7ce>d5e * REQUIRED
    afPl413210aee7aas59e5fa4e c597c73le9aa6rab 18d5e121tdh6224fc8is8 560f2i1e56l2663b9d e4fc-> * REQUIRED
    15P893leaf82sfe 73c7e3a0f48l21ea3f27dree3 5dt09726bhe0isb 7f50ie6dl76d4d9 -0fd>f17b2373785 * REQUIRED
    bPl57fde5asfe2d 9c94c5l052decb1aard64de7 5631dte7e5hf66dadd2ci96sa bfi0e4l5cfd8 3f6e-c8>4c * REQUIRED
    6300P8ea8leaccc001e3a99see27f2 5cl4f39ear 5t8haf20i8fs8 671231534f7id8e3flc31dc0 ->242bfcc * REQUIRED
    7e88424P2alea6s1ef c02l51cdb96aeda2r17f0d14 0763cthi7323f6s f79bfc8ci581deld -a>4894aa80b5 * REQUIRED
    b368c0f3Plbe23afaf14a70a41se3 c158f8lde6a1rd44 3ath26e1bfis8 13fieeelcdda0 -eece6ec570>99a * REQUIRED
    2546Pleade1917a9esae578 c03lea04rc48f7e 19tcc19h76ibs df5c699b7i157d0e8l2cdeacbab1d ->71d2 * REQUIRED
    Pl1ead4seed4 85e243cl0ee3far e8tah28if6f324578b5s a61dc71bd8b0065f9c6868eie852el17d1 6-c>e * REQUIRED
    412b7fe7fP19le1a5eaese 976abcl6e70cfea0br0 1t84h470i53s6824d 604ca7fi6856eld73d2 caa-94>ac * REQUIRED
    f5ad9P81cdc6l82d4eed699adb1se claeda83d576ard 4679thb95i801f25744s 89fie8l0ddaa28bb ->614a * REQUIRED
    179P1al439ea72s3e 5clf85e04ae48a215r ctd4af7hi0627eacds0cff97 eb36fi4c1efl07d7e 58a-b>20c9 * REQUIRED
    P8ld95ea8se9f1117d59 clee0ar7894f d3a04tcheid8cs8b9cb524b7e22d cccfiaelf8de faab8e7900-7>8 * REQUIRED
    6e5f35aPl45e612ee3d2baf7se8d 161c27f84l3e8a2r85 3baa81td6b31his d080d002ffi6e87lccd ->d1ac * REQUIRED
    P1ec58592le9a54c9dff28se db3f8ec62l2eaa26r6c8c6c4 tcfe4a3hais7c c42fb54difeld4 a6dd-cd17>7
    * REQUIRED
    ce911a1Plea8ds5e897a658 clfe94a3ea4r119 fb70fthc3is2cdf decbfe4ab8fei5ddee2l8d5554 a8ca->8
    * REQUIRED
    4d22d8100Please05 9cle0ar1ba 68ft3h2ais47f19a95af8 cc60b4f2df9e189ie9ebl60ad f1a-e2f29>e90
    * REQUIRED
    0ea6c00c9cb7ec2P9leaes6e9 ccl66f489e1079910afcb3ar 6thb21i64fasec 7f8iefl5dfb 09-5>a088865 * REQUIRED
    5Pl3bceff8075e7fd3as5e9afa ecl9d027efcc7006d216ar6ae b3213th64aciasb4d 6bb6fie0ld415d9 -f> * REQUIRED
    a0498Pfled8e94as72ee8c clfe2485e58a02rfd8a 3tchai1s8bc f6e7i278445e5c725c6e6ld3cc ec->e011 * REQUIRED
    P0cl1e583ee2634bac5dse 41c03ecc09le1f040e1aa6da56bcr64cf16af 32t323hisb 2fi2e0ald -ed1573> * REQUIRED
    3151Ple9e221ase5b 8926cl2013ear tch091d045e6iefs5 fae197iefl6d8f2 -2783e56>496a88f209d1989 * REQUIRED
    6P4717le397ba524a3baes8e4 4cl051ea27b8c19r 5t69h25i2ba5s6f fi6f5ee4l1d 9f6-b9b>6ea10a1d443 * REQUIRED
    bf7dePb9l1e1592a81e17as186f2e8 c1978ecleaar7 c4thie9s 7f98e8i8e3al1a8d01 48d748a9c-c8437>8 * REQUIRED
    0dd1Plea03e0se 3ca5096fle4caar725c3839 26f8378c8f7a5thidc358csa afb572ied1l6d188dd47 b->7a * REQUIRED
    Pe8lde07as8a7e42 c7lc9aca2fecbd3a5398433r8 92ctb8b6306bh3eeis 1f538cice7becea9l2e4d -e2>e7 * REQUIRED
    eac9Pl9eff92aseaf0 e838cb2c2clbd04eadcr72 87d21t72hc9a03fi21es 1feai8efl4c66bb49d02 a82->7 * REQUIRED
    59968ePlc1e5asad4be b001c2alea632rcff1e1 d53bb2t191c1h409i4e27s9185 9f9iecl1d72 287a3f->69 * REQUIRED
    Important: dYou may 8be ma4k3ing 31use of aau9toma8ted fdormd7-filbldidnge 9softcwar8e. T6his3 2type o0f3 as2oftaw5ar49e ca7n trigger o2ur0 hidde9n spam-det1eccct8ion system,a7 w1hifceh wbill block y4ou3 fr2om6 su6bfmit6tiang this form. 0Pleease8 21s15elec2t 62F8ix This39b6d6291 b3a77e974ffo8e11c6ec6749b1abd1ff7630654f2ee8rde45b208 2274aa7bf7c2cofmp30l5efaa8tien2eg8 209dbb770t7ahdea2 3fdo9134rma i332fn4849 or3de2r 8tdfoa 48co7err226ffec0t 3t2fhe8 problem.
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