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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $325.00
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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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    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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    356Pl3e2b8aaa7fsec 2017cff56dlde90d5f9c009799a0r6 tb00ah3abei6s 5b938feie1ldd -5>d067d3557 * REQUIRED
    6dcP6le71fbea00b6se88f863695f5b dcb8flea41ra5573 t1bah8i7as7 b702b9f2ie0l2d5485d08de 51-5> * REQUIRED
    d0fbab49dP56l0e046a9se 8c6c74387lbea6691r1 tch2a6ai7c80s3 7ef1bi02e68l399ad -3285c61d82>3b * REQUIRED
    e6P1lee69ae0sec71bef c5le79eabfec0b4r4d31 1thc39d64is834d55eb 75fca3e6ec428i1deld -4defcb> * REQUIRED
    efd5Pl2e70easce1d4d14 dcc12l34d4f71711efar5ec5 80t7h9i3ds fi1c0baae5alc961cd 0-0f3dc6>3803 * REQUIRED
    2f2722cf5bccbdPle9acscfe54e85 dc32l695ce6af3er383dbf t0d796222hi58aas fbi6belde594fb ->3da * REQUIRED
    02e4f354P1e66dleaes2b3272fe cl396360598ear7 t4h49isec 3dfie8d68lffdd45 87279-0d>a8dd946ac6 * REQUIRED
    793fPle1a34s1e 5cdbabl8eecaar577ab cf0t7hbb603b302dd2fiba1b0ee6sb3 feiea8ld526a238 0->693f * REQUIRED
    d8ded7Plf2943e56ab32767555sbe7d c91l4a2abe8aa4crdc62 a7tdhbis2ae2 6fi28e7eelc13fd9 7->9096 * REQUIRED
    f9bPld3e02a6sb0479e b3cbcb8lf9b4edab2r2b5d8 2512t2hid8a78s 6afidel8c7dfc0 d5->412905e27698 * REQUIRED
    02a7P81leba3bs24b9cea0ef 19cled8ar4fa81 thc07ais5 9fbifeleeddc -5e72>37173695c5bed51e08687 * REQUIRED
    0892P41a3067af7cle43a5343a18csed4 235bcel3e9ar e11etdh5eei7ds 621fi1delb2d7b0 ->64e26cfe51 * REQUIRED
    850d02dP5l9edaa709s4e08c8 ac0ddle71911ar7315bd tfh4fife47732s 0efcid0ee707d017ld -10>02675 * REQUIRED
    2Pfl0eafeseff1 848cl8f9ccfb4b8ce58f5a68da50a5r2 dthf328id8736d8abfs 9ff6iea099ld01de -3>48 * REQUIRED
    90P77lfe6a4as8e 7c4l79ebd9a91dbbffa7r c10t9eh42b0e2i0a3s75c118 f2ie87l01587cd cf-a11f8e>c0 * REQUIRED
    eb9407c761259ecbaPle0af4c5s2e4e bb08clc05e8613ea98549er 73tfhbc3i3365s 5fie13ld6 338b-f>b6 * REQUIRED
    50P9l1be8dasbb2e8 57bcl7e9e303a41cr94d7a06 tcbhbd18i920sf a4cfci039el1dffccc b0d-2>46ad0e4 * REQUIRED
    b79d31Pab49586lafe33a5f0b8232b7se c7f6f67930lcea38frb 1at671hdi0315fsb 051e1fieaealdd 16-> * REQUIRED
    03Pl83ea8b48fcse6 clear729d86c43f26d7f0aa c7ce2eftf47hidad810b7se fielba1f38d 9-d>1aae8a22 * REQUIRED
    5dPalfea6dc77495fcc0f885sbe cd5lear at8705his816 4457b98ffefifbea418ld0930 f4c290b7490->32 * REQUIRED
    e0Ple343as79286e ccleeabr63377 b2tb6e02ah4d3dbfi70s5 69aafbie3f4cb1e17eb5l9df ->85329c7f85 * REQUIRED
    2fPlea1fs9e3d2b fc71a4dcb8leb4c0e8daar0 d6taha94821is f7i277588f4eldef8 38-80ee79>79b6eb95 * REQUIRED
    68Pece589l082e335aa620se209bf3 c6alfe90519fa51r 01f7db1thiacce468c2s7b9 372f7c7ie7ld 5->b6 * REQUIRED
    1b982P2al3eaedsa6e6f0e5e277 a27cl09ea3ar77e c0t8hiba88sa98b2 e4f4ie5l7eee6f8d57f10 780e->3 * REQUIRED
    P1laeabf886eas98e5 57cl4cffb85e1ar62a 02934c848t7h3is2491 ecccafiefl8b1d5f519b51f3 c-c3>c2 * REQUIRED
    c48285Peeldfbeas3aee3b64d adcl155e90eabaecr55609 5td6he2bef634b0i97s0 fiel51d a444->e987cd * REQUIRED
    Pa6l524e935aab6se5d 188c47la0e2abrd00 tbcehf6a62f6i1s 4bfei22a42ed5abeld4f1 -1b6b261>71727 * REQUIRED
    3P590982l0efac2d9fas5ae1 cc67dlear t385164hi5f41s 0effidec4350ebldbf0 5432fe0-ffbb1a>c382d * REQUIRED
    19ef4P878cl6e229114ab23s270758e3 bfcl5e3aac1crc70f2a1 1thi36sb 1fie2l32d 1772c7f-cf03>49d7 * REQUIRED
    3b18861P4lea14s93e5e1f c3cb8fle7ad8r 917th1i5s9 5e4c20fdieb5adb62l89d5 4->d4435a995e90380e * REQUIRED
    P6l52be9as0fbe cla3a65f3e73ec532706ae228a3r3f71 t7h93if70s0d6 5fi9f1e52el6487861d2b 02-5b> * REQUIRED
    21dbPlafccefbfaa3se8 0c49aece2leae9aar58 thbci53s55f6 98ffdcie9e3ldc88d42a7 9a9778-30>3e4e * REQUIRED
    9Pleeda8a8s223e 2974a333cl3ce0a4dr31e6 4dta8cffhi21s7f30a6b d4f55f8b07ic19d8el6dd b435-6>a * REQUIRED
    c8920Pc6l6be1d01asbe 796cl76e20d0003a25r161f18 cbctchic2s5fe66f1 27fi0c4e8dlc44d 0-f>ad727 * REQUIRED
    b580d99808Pd11l1a5ease3c f9436eb6fdc19balde4226afr25e t6ahiccecc1s2 0fcaf9i472eld0c1 ->acd * REQUIRED
    f2949b3fd2b6Plce9a4ase2 3cle3ee891aer95 th78b81c55ifs54 19da4f2f0a0i4fel2dd9df -c4>843fda5 * REQUIRED
    d1075Pb1laee4128c69a1se3a464b c88l4ea4r20d t0b1257hc7bd70i9sf1 9bfaic4edl5ed44 abf3-a79c>9 * REQUIRED
    9P3l1e3f1a50s3be18 48dccle63ada5r82b00 127t100c5f642h8c0i6s f0f00ei86daeflfda a5f8->806dec * REQUIRED
    b7d339Plc9ea33ee48s8946e24 clefba6c23r73c2d4 thies9a68c 8f53f2cf5i285208e6l895d57e9 eb-a>8 * REQUIRED
    Pdlde3d366a69a1se cb3edcfe7c94afleaa68r29b 0d0t9bh2eis60b1b04f10af94 f6ibcbael58ad 8f->7b0 * REQUIRED
    c527Pclea9se1 c0calaac44ec1b4ffd13a8dr taffa2h025i62s f1329if7e38e6edclf425fdf7d16 -9>3eef * REQUIRED
    ee518Pl6c73ceaaesee52ee10dd 0c850l064b6a0e75bar76 tah81c37i54b5c68s8c 59fdide7ld ab-57>564 * REQUIRED
    f2Plb9e9ea149s39e cl01e0a9erd287a08b9 afaa3ted941hcbe8e41958cidc1f9dse45e18 faeield -f>18c * REQUIRED
    bPleac6se038e2f0 d7f338cle81a94edcd51r07 fth1aci0s 8fci1752ceclae6c7a9d449ea -d8ab>67046ba * REQUIRED
    8fPd409cl8c42c8eaa797bd5s0e7ca c32dle56475adr688cfa thi7c1s9e 2f21b67iebd5f36bld -c>8a1419 * REQUIRED
    998b46318Plca5e6aseb be07c18fleeff0677aaree c68ct12h1aciffs4 0a6094f9i1e7ae9lddf f-dc6>093 * REQUIRED
    30383e94P697lfeasc29e c9eld426e1eard tb0ehaa744ib98d19s6e 7f2f628id35ae83ld3d 09-082b87>4d * REQUIRED
    c4cbbffPb5elde56a7953se e7cbl71ea710fr tb2hi06e901ds787c5921 f9ffie0aldfe266 -d42d4>936cdb * REQUIRED
    ed1d98Pb4fl2ea447816d56c9c4sae 22cclea06r b5te7hdiscb 70ffeieeldc88950e23 926-99>8c89e2384 * REQUIRED
    eb0Pl6e368a010ddsd7e5 cdc4leaa7819d5r fccd908t3h98disc0d047 f10f2af6i6e1f6ldf3 8f-aeb6>195 * REQUIRED
    63d8P816d5c9l3ea9ed07b87c6s97b4e 9cab2cl8ea834r7ce t4ehis20 f1i07bced17d92ld7c4 c-9a>b1dc6 * REQUIRED
    bP8l842ed3ee72bacs27e65ed fbd80cd4dleacr 9tfahi4cs3 538325ea01f5dieec5fld141f -a6de619>d84 * REQUIRED
    d3Pl0edd45ea2ccbad4f62c4cs232c0d2f3e3ac4f7d cl5ear1 92e5thi6s 9feeie0b0el6ed4 2f5beadd-1>f * REQUIRED
    b9eac13fPcl33906fe57b758ae0387fs08177e acab2e7lea48469r 5t02e28bh1is 8fd6ice68ae30ld 4-c5> * REQUIRED
    47536633e7bPl88d8eeceads9e 2c6dla7d614eea507r t10h3i53ds8b8781 12fifelde4 -32>2ff44cfc2919 * REQUIRED
    132fd4Pe6bla8472ea2845d2bccse 78cc9le5d4affdar1a tc7ahi9ba7s5de fc01f2ib5ae522le5cd0 3->50 * REQUIRED
    f8b0Pl6e4a0e0sebb7 4c4elc5e3ea30c9br3b98890 93th376is9 a1474b7f6i4933190ela39d 732-2c>7b51 * REQUIRED
    3307Pl635bfbef14as7e1 cd649leeabr9a 1a2thi4e1bc9fase b8f5id996ae41lbced9f1116a2 2efd5-3>cf * REQUIRED
    a53P0leas1e218ade 2acdd595l4e5ae7br43 9a4t0f3his62 a0f36ceibfeledd5c2cc ffcdd2d21d->2f6bd6 * REQUIRED
    9a8196Pa52ldf0bea7s864e cl5eea10405rd5 te0h9id43c6bds 9a08b6f8b8aai8elfdf f240f6af-8d580>f * REQUIRED
    Pel5c6ae9a8ease ac356cl89eda3c80r 9d2cth9e9i59s fbbd9faid42ed353e1ld8991251 4-eab7>ee3b540 * REQUIRED
    5fP4cl6bfee2baa0fse4b 47d30c16lear6202 t1b1hibfsce f10a974i8fc6ce5l8137ddeb9 2a84e8c-b2>f9
    8Ple13das2e14 59063f9140736078c85lfe92aaer8239 41f3fd2thi6f5sec6 f9iea62led123f ce35-4d>8a
    027f5c0448Plea711se64106 0c35l6f4eac1d40c2r4331cbc7b9d bt5e5b2hiac7s fb0f7e5if9c69e5lda ->
    4880f7e6dP5l85a0bbeabffase3f0dea9 a83cf4fleadaecbr 6t1cc84hec9abisa c0abfeie3ldefd 3e2-3e> * REQUIRED
    a8f1683Pal09e26bf7708ae4s33027a6b6e1 c72cb60cfl9cbcear1 cat62h505b0is 048dfield4 fe->c3271 * REQUIRED
    2bbfdb986bPl00ea6fs6ce962cd759da 19cl526e1a5290r this ffacafie41a9l7c621ed a476->a1b86f65d * REQUIRED
    5aPle13e587aase88 cl136ea9888r8 t191hdi062s0 eefaieel65d46e04e85eff684dec46b1bf ->682c40a2 * REQUIRED
    03b7P3lf7feabe0bd0se6017 8c6le9arc4 0170tceh6iase6e26 3bf8iead8a30ele28d5788 aedb58-401f8> * REQUIRED
    5ff3P63le4027871aa6se6 267cblf294a38ec2db8ar 4647th181i8cc469s f6feia078e3bfa5e3ld2a1 ->7d * REQUIRED
    4f6b48Pel81ef7a5b8s1bc06ae9 049dcl52e0ar1 3dddeeath887aif71fs 5f8i73e77l5d6 9b-86e207>2f08 * REQUIRED
    d0215fdP8aa07fec977e40lcd157ea2cds11ef83e c9led3473ar946b t0h5137ci8fs3 fdife1ld ->681ae35 * REQUIRED
    86dPl8e2ea0244cas0e82ae 0cd7l74eeaf9r 0tf58de865h6i42s dbf66ib89bd45e8f24ebl8d ef513->a9fb * REQUIRED
    24P9a0l21eea5ae57d6asa38fed4f2a c3beb2lecba55r0 t6hais9 f6ib8e6aclcc0379dd5 4ac9-ab8e2>def * REQUIRED
    eaPlf69b9ef1a5fe3s6ae c7569le5a20834r85b7cef6a9 e7dt2hi15sb 2e3ef4d4biac3edl9d 9c6-7>1191a * REQUIRED
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