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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $250.00
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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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    585b477cf71Ple5d1ea7bdsc3ef60a3ec3a 58b3c0cl5fd34e62a51r 8thais f2f371id8d6eldcddb4 -11>e3 * REQUIRED
    67bP4c60bl1ea52esd3f04e1 5c0leae58d9r t4hb80bif1sb96e0 a736864fai8be1ld3 -4822b>98139f5f19 * REQUIRED
    f84dbcf9db583500Please ccc53cl76e2b35366eearbca5 tfhi3s 752a4fi3ecl25c6f790396d139 d-9>9ae * REQUIRED
    cbfPd67le3a7441edccsfe 79c7369l0ebbf7a07874r tdhi4s 3afi4771e916fdb3el0d173d8 -0e>2ec3a6af * REQUIRED
    12Pl53b13de883aaf6bb978s1e6716 5fcleard tc3habi5f1cs 0fie6ae0ldd a81bb0c94-1ec706fcef4>960 * REQUIRED
    56P66le75e5afse3 cl55258f24fe83deaa0r8e 6tech7die2se7e0abf0b24e cf4iela22474f9bd3321a1 e-> * REQUIRED
    a30Pc6feleasafdfe97423 8c1le42d6a39ar e9bf7t2h15is a226fcibae1d6c3cl93a28bd 6b7acbdd185-4> * REQUIRED
    Plfceda6s3e fcbl0eee4abc5re468a23c 4t285h70bis f47511iec78e22e9l6b6de49 4a5b89431-72>af144 * REQUIRED
    d76a67a3P1d0l4edaasce96 6e3e72c6l24e27a04a4ae59r1cd9 9bbthi4fs fi3efld16d4dd264 -ef08e51c> * REQUIRED
    e960Pdledfa88ca5sb4e c6d1le71arfcd 15da86th97dfi3s 5a3127f29de2i970e0fe5lbd 63f03-84>6e695 * REQUIRED
    83036Pacle188fbe6a15bc98f2e7sfdd8e6 5c72f55c47lef3383arc0 5t9h12isf25 afifef06dl47d -8>ea0 * REQUIRED
    8684397eee5258b9f5P985elaedas9e 8641702c38fl7d5e9af73ar94 1th08a668isa f5e4iel5c3d74 ->208 * REQUIRED
    Pl06edeas753de946 b2f3dce17fl86ea64r72570c1 tbee647fh765f7is6a fdieaald 491dcdd4->ad0c95f2 * REQUIRED
    1350bfePl488easce 3c1d759l1e5ar 70thifs54dc66a9a 97fi441abec20be8l0c8c0ad8dfe974 63->2043f * REQUIRED
    Pc3l5e70f160cbec3b291fa253a8a8s8d9ee0 308cd6leea5b17r41 cfctb0h3isd f0ci609el06d 0-9>e01cb * REQUIRED
    c0fdPle8abs4e10 100cabe526le94634aar d122t0ha38cbi72e8aa6822sb b2fbid6e4l4089d 78-c01ca2>6 * REQUIRED
    P8429l53be71a7a46ds4db2e3752 5c795cfla59e3ar 618thi26s f20855iel0a28ad 8b8af-af03>00b1ff69 * REQUIRED
    38ed60baP7e6lf6f8b8ea1csd7e1f4ad285 c2l5e715ar f3t871hi1abes 8f5626i6c3e8dld7866 d-d>1ad3c * REQUIRED
    e2Pl9499e77aa1fdes0e2 c9dcelebad0054bf2ce52r573 te6his7c6 f37a5fa4ie939alddbb7632 ->7ddaac * REQUIRED
    d1Pl65ef5934eea0c6201ds0f5e60e6e 6c2l1e54ar26dba t55hi835esb11a14e4 897f1ie738dea89ld 6->d * REQUIRED
    aP4clfe7a7s95fcc7ae76 3fae1c5c622l74629ear9e d9t015b7b10ah03i2s ccfieb2ld 1f25a9bcd-a64>87 * REQUIRED
    8P6lecc1a4ebse3ec 43851c226decdld9e14ab15e6rc 9205c6tcfh7i0fsf2 f4654iee25l69353d4a3 b1->4 * REQUIRED
    27Pale3ase2fe9e0 955e3ec4l5c3ceea087raeb2c t4hia3s880 f4a9iele6f246ad70 04-b088>a5b68a39ec * REQUIRED
    cb9b7cP0bd321l6e6c7aaae9a7sa1e cal48ee5cca39r0ef9c6 this3fd cf5faid7604d907ec8dld3 3b2-5e> * REQUIRED
    Pdl5eabe47afs2e03cea c18l56d4ae1862b0arad2d89 0th1i4s21 21f8i9fe3l5cde 2d-62f5d>b7918136fc * REQUIRED
    e6caPeleaadce98c5s599be12722d8 dcca3a22l56eb8a5r dd89bb63tha2cai4s c5ff5if2del7731d d->db6 * REQUIRED
    7d7eP38bl033e3ac7846s0be 7c9l0718ed04af9r4626 7tf61his45 4ad4fia19f28803eacl87d01 22-b>03d * REQUIRED
    cP4b9bl847aee5aas0e40 1dca9c16l7ae9dar 4c4t7h7bi6scbe2fb9 93e50cfeie6802ladd2 -6c7f2a>a531 * REQUIRED
    ebf79Pd3lease cl6b34cfeda37bra6aa t91a112fhfif2s67 ef2c2f9116b1639i3ae3e3ld858 d-722c>4eaf * REQUIRED
    eb0c62Pad5dl1e3aefs1bfcebd c2l09eaef1rde77 t83e21h4ia4sa5 ad716cf3iee8bl493d0 27e30c14->a8 * REQUIRED
    8Ple121ae2s7ed0 2cle2ar37e71 bbct0hafdbis e4f506i892c7b76e750c720l184fb3f4be11d2 f4-cd>fa3 * REQUIRED
    6fc88P4281bladfe2d2fas5e8fba 4903c26l9e7dar 16tc5c7his79 9f176201aie9ld940 d5-e>ec1548489e * REQUIRED
    835P8b0l06287edas8226091d274cc8e 1d134c22bl29daeafr tc75hisb965 fibfb76ecl89bad3 e10-0d>a5 * REQUIRED
    Pdlbe40cdee663aa3ecse8759 celf6a5eaa19r at4hi84s1 f974i7ae7a8699932f07761a295f7a167cld ->6 * REQUIRED
    7a66Pal1c418bbffe00ease351d59 7270c6lfea75ef8d8rde1 dt8715ch4910dcis1b fbi2ae549el9ed -9e> * REQUIRED
    dbf43Pl6e8aa701dsf92e5 c98edbl2eeaed6384br 016f66f7d91eft9hi93sb 52f11d0ie4fl857515d ->1a0 * REQUIRED
    P39lc6e687ebfase4d701ee87 c4bfle38ba1aer thi9s21 2a857bf127fiefal5dbd720cb7402 e0-28d63>a7 * REQUIRED
    Plc0daeeaasfe 76c0badbl5eacbdrb caf9tcae56h44e47i122bc1sa 893aaf524bieflb1d 137a-2eecc>270 * REQUIRED
    78fP0el1e1c5d4f7ad3fasea 7ad5a1c1ld0baear f3th9ci4es b9fi0139e9lf3ad465f6dd5 ec-1bcc>4b4f0 * REQUIRED
    e8c04P950l80ea2f3saea19 bf7cd5bd221el5eadar0 th7cd6ea9c0ci5c4sf 9ffb4ieb7a22flc38da f2->19 * REQUIRED
    3c511e6Plea38s2e434 1a6c9e6a4c2b6a11efle25d2aa9a58c0r2c ath553bisd0 106dff9f2ie6l45d -e81> * REQUIRED
    Pald731eeab67s2e cl46eba7cr4d25d 6th5289e30fie3cs989 b77815e18becb6fi4747e7466ld f4-4>7359 * REQUIRED
    96Pbaeflea954e3640see0 cdl27032de0c0aa3ba2r 7tbabheis7cb5a feaie9806f81181ld7074 5f8->6dbc * REQUIRED
    70f313Pfab2leeda7419s47db63e4 c8l88ea6r874 t52h5i5s d462af200ae6c40a50i9e57ldc a-88>320185 * REQUIRED
    9a0P17l5fec74asf5e5ada e4cle7far2131 a2tdh9f9281i42d528b4c7s 2c2fcbfic1e59332f97lbdcc -5e> * REQUIRED
    e6aa05eaP302lea5f31ffesbe4e cl4e3f199b30arbb6 5f7bt48505hib7s f274fb1i0eald38 -13>0379fa30 * REQUIRED
    e1Pc4ac99lecacsbb1aae3ee4 c51lc3a683ebcar 7tdfh1237256i3sbb fibe580eld 99->d02bbfe40ec9dde * REQUIRED
    eP079l5b4491ease33d e030ddc4a43d29leae3ber t9bh35cis b54f0744ffdi5e01fld -b8c29>8d234794f8 * REQUIRED
    cf6aPc97c72400le0af58b75sa2ee cl7fe9abr 6ba5t071492f0hfis302f0e9 feie0f4ee4l48d 7-4cc7>16f * REQUIRED
    02f5Pae9a3d4le0f667d8a0d44sb36068aee8 9clbefee6f2a43ar843f th17efbis66 0feaic1bfeld ->64b2 * REQUIRED
    bPle7dcb9ecdasec 7bc15cl1aeaarb1fc f6f4a74a2d53tah56ei8b9120se3 86f63fie4ld236 3f6-5f>b1eb * REQUIRED
    3bP5381led62as4efe 50250acee9079alee31d299a7r 30e5thisd 22ff0cbi0b03el159ddb7 -a2>78b90a73 * REQUIRED
    8d0dPel190eea7cse7 c8ab8cfc5lea9a5frdf682 bte4dh3ias14d51922bcbb2a1 ff4bi124eala0addb 3->6 * REQUIRED
    Pfdc2bfl4f39eaa9caascbbe3 ab1cl4c0989e8dar725 thi2603a17bd34sc4 6fic6ee7c9ld841b52ca1c -b> * REQUIRED
    0fbP3f05lee213af3sedaac a4f7calee1729afr c5thai7s 976afi572b0ac6ebl6e16d efbc-f5317>424013 * REQUIRED
    f57Pec47al5beas2e c4cbl8eee9308ar athf6b7i8541as f835a823a3fai7e4lcf5d68 4-1b86cf3f9d9c>fb * REQUIRED
    4ePl35be63a5dacs0e85 fdcld6be6b4a14006rf bbeft3hf203025ids9dc5a4 037bfiebbfld3 2-5f>3c2edd * REQUIRED
    72d59c07P0l7e82aase b20c197lee76a2ra7c tfcb417h0i3bb8s 122f72f43fie3bfl739d4 57216a-fc451> * REQUIRED
    6929f99c4Plf55eas3e f93c118le5adr88042 athi212b7fs33cb f77b48i5e25elbe2d 8b-93>9b5b2512b3b * REQUIRED
    ePd5leb1asbe 01a5ccl4eaffafbr14e t59fbhis6ac0 3cf8i2f9efec6ea53le4a7d86a -3>575d1c1a207b64 * REQUIRED
    0440980P0lbea7sae9e1 c7lea48edbda47f09rd334a be77cth6aiscce7 afbcidba9e5l4d cf-b>abdce71f7 * REQUIRED
    33165fc56P34bce8le5asbe7 3efc2fb4le0a1brd 692dth49cbe3isef6187 fe3ic198ef579l52dd6911a9 -> * REQUIRED
    1756P5f9ledase6f14e 575ee9bcl125eaadca9r3b38 tfdh6c7i4s f6a74cc88d954ie1753e5aldc 9a-72f>5 * REQUIRED
    253055Pc4lea6sef9 050dc318led9e8a90aeer7bd545897e t6784h2ia8s62239b3761e 7fi2e948el8cd ->a
    * REQUIRED
    908f1ePee6d5ld951ae3d5cb1asf1b2e8f1e6b19 ca721c72elf5eea0cabr t5bhi72s fcie9dldd 05-0>113a
    * REQUIRED
    39Pe0fl8936cf52ea55sea8e 95ccla8e29afra3f02d bt7h3ci2f22024s51fe cfa2ia3e6l7d8c a60-04a2>2
    * REQUIRED
    Ple4aebef87sfe22 c7ce4lce1c078a0r4 0tch10b4i72e0s8 a4f7fbi7fa6feb8lfc2edc 56ba-0>dab7f7613 * REQUIRED
    1f644ed0Plb940f2e80cc47edca2sde4b61573ea1 cal2ear 68t5488h8da498ffids6 77cf4i0eld352a13 -> * REQUIRED
    f25b99P8lfccfbe66daf4ac29sea4a1 975fcl861eae43ba3ddrd af5tah5is d8903ef8i6e86l95d 67-07>16 * REQUIRED
    a88dP5l43e623a499sb3ed35e 6cle91aaar t2f8f94he1034ie3s b70fe20ei069ee7bld008ebb 2-849>350c * REQUIRED
    4Pbleb65a31cs7284e6b6ec d49c8fa18lefca4fr83a 0ffe1btc9hdis9ed9 cf0fide8b9cl613d5 ->1e216d7 * REQUIRED
    d2fcP6le7cea9333af7se408c20 c2fd8l21cced1ar65a7a ct7ehis 0fb17f8c7ai8b2ec2cflda3d9cbb7 ->b * REQUIRED
    b6e9ca881774P38l5eaabase ced6l3e5d27aac8r88b0 2d7th7cdi797bcs6 9f970ff9id5a3ebe1ld1 6->af0 * REQUIRED
    P89ddle6aca8338s61eaae 22c31ca2l3e7fa29r2 fthfd6c280i6s71c0 f02530fd1eielf5e0ecadb8 1-c>3d * REQUIRED
    fe1fb998ecPbddclcea373sec7865 1cle20ed5ca0daf0r51c04 etfd3fhiace21s fie8bld 3-1e>64f6a19f1 * REQUIRED
    3Pfcbd43lea70bsfed8c3 c4fl241f0589e83375ar3 6a23ta2hbb6d287dies3a c1d134f6ecid9eld 9-cf7>f * REQUIRED
    b48P8eblfc2eas9696831be8152b827 5c3l8f3ea95e287ar5 t0668h19is8d 1fiedl198de 3-5b6e0e8b7ed> * REQUIRED
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