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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $325.00
  • 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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    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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    876Pl92e3asce20 92212c2e4850l3ece7e4ar 6btah37is bb3dab6fie70ld4573f7161ba 45c83e-99d61f>a * REQUIRED
    7d2d2P6blc85dea9fsc5de cl3ea0r 636c14tea2hbi4a98f6fs fc6a7f3d72ci0e8ld28c5c97352e 8->dd386 * REQUIRED
    a7227dPclebaec71f0sed bcl26deea53ea4fr73 th4e08i9s55 034f39427b50a2ie3fld4 80-c6>2f63f4541 * REQUIRED
    26Plea92c8s7cfea8cccd b303ca6c9lad7ebdaadr9 th8a7ie73s faiceea12blc496c84d5 -78d>afa936f05 * REQUIRED
    7eP5dd1cle9cffaee87s0e4 8867cle20ffar9c8 be3292t3903ah11i613s d4359fie3la4ddc6b7067469e -> * REQUIRED
    9984b6Pdbld3eee29asc1e57b0 cleaa8r3 63tahi3dcsb2 723aef36ife9alf77d065 103-5d9683f>5c07b0b * REQUIRED
    6Pl4aedc3afdesecc7 bclbe6ard0e00d2b fdct91h9i061f70f95964s3 df7e5ie4cl8d2 2abd4a88-8>c4721 * REQUIRED
    941P15aedel4e6f4a4s1bce5 b09cc8lbdde69aa74b11ar81d c533tefhi3613sd7 f68fi7el48124dc9 ->912 * REQUIRED
    d347b7bdPeel3e08a47s1ec cble12fa5b0rd c62bcc0f8tach442ibes2 7fcfbfai779e2ee030bld39669 -9> * REQUIRED
    1026cd73Pl60bf3e510a6s626e acb92lf9ecb6aaab28rbd a6thi69s ba5fi5169b2794bcelda e46c-d>54e6 * REQUIRED
    fa5bPb3l4141133dde69ase19 eefde2dclearcbff3 4ath1bfisd1eb0 30243f50ibf5ee44l758fad5 -74>21 * REQUIRED
    477Pf8f4b74l5afe8a9s9ed32 de8a607c135be348l1e71a5fd97r 59t1h8i8s9dc fibe51flbd 3b-d4d3>292 * REQUIRED
    9a3Plfec31as35ee c343ca45l2ea7r592c6bd t9e3hi3s3 6f7cb90b12ib4ed556b4e3c9bld1ec00 503ec->d * REQUIRED
    5977Pc6ble5421af71sb8d9de463 c965383l9e1ea99536r63cf6ed9a71 thi6b0s fie0bel7cd -4>d08084dc * REQUIRED
    57cc8Ple551905600as19e6c07 c5le1e85ea5ra 9th7a98ia3es 8fbfi65e3lc8d -6>fee853b6c52a36b595b * REQUIRED
    cb525d6cbP237c8flbba3eaa00c21sde0 c8l46e2a3ar 6c7t0hd4is1 18831f2f062i4el6d 142->d85848ebc * REQUIRED
    e1Pdf38l0e098ab13cabfsecc clae7aar6 4t43hcaf1ffd97f96bdis efa986i71deld 19d9-b94c97>dd95d9 * REQUIRED
    1eaP5dl2e0efb8asec2f340243dad 7cld3dcfe70a7d93r 5tha02cics3b0 b3506efielc13df4 d087-a>8faa * REQUIRED
    146e0P57blbe7fd7291a0sf332481e0 e5fde3dcdl7503ea4ra5 thi2ea62s95b8f6aa 1ffb796ie1ld 9-d56> * REQUIRED
    1d4Pde78d1399flbe2acs93e cl0ee018a5r0c779938 t91h68biec1sa 5f43f3ielaadbb1675e 11-4e9>e127 * REQUIRED
    9cedPe60le8a0f30d990s8f3efefe a3c32b8lea8r 26t5b1393315ehibs6 ff8i8e4e694ldd 807ce389ef->4 * REQUIRED
    2fP042l3c5ee1ffaf6eacfs8289522e0cfb bfc2le4a54ra0 740th18ffi44s6a748d7f fi7elfdb24 52-396> * REQUIRED
    6Pl00897e1323asf5e fcdcc47elear 798th32618is 5f2c2c07a6d4e66iea0e01adl87d986ed 56-be9d>dbf * REQUIRED
    f78Pled9d010ab78s8e0b32 0c59c48l356dd402e10a4418r 2this68d44b f12ie2534bl85dad4 34-0854a>a * REQUIRED
    d2967fdPe1le15aa405sbc9ad088e 8ec922bl90ea07r c9d569thi57s2 fie6aa9e8c4lda20 -07de>d1753fd * REQUIRED
    c1ePle4d72das7e71df58 d278ccle15far46 abt15fhe3is 3fi17e577flf1ad72 24-6d6>bcc4a3b6833d2cd * REQUIRED
    50P647l6e3as3ecc 523a58cce842le59a9rfbd7c1 9t7hebbi3fcfesca017eca6a 50aeff8ie335ld14f -24> * REQUIRED
    1P812989lfeef4ase 3ecle5f4f9a2rbd5 5a540a8tch57i7csa2 fi282dae04lad40af057d7a 4-22>375d17f * REQUIRED
    499Pfb7l7dea2s171577ab9ef 8cac7lbed7a5b457r eth6i33se75850 fda39i18ee68lda0a4 1ff74-1c>01c * REQUIRED
    e48P4793leeaf5sae d40c5a17bdc2l0b47580cea25ra fa1b7thcd3dise f5000ccc60i0ela8d8fb22 0e55-> * REQUIRED
    c21bd63P5dbbe6al5eas7e509bc8 cfl2efae9rd fthi9sae 817fea2fielcadc6 328f74cd-e>f019a0a94db6 * REQUIRED
    3d3bfbPc8f0la22ea75sd31e024b0f 79c5f3ld66eaafdbed6a6c6r th9ai3bf1s de9fi5ea29lda8d1 60-0c> * REQUIRED
    5c847387P1850aale2e2aea4s7deca cl823eda6cr 2afbth83c51bdi7bsc59 fcfibf1e6l0cd -3a0e4>af750 * REQUIRED
    4ecb9Peleeaaff3b5e4asee 25cl2ee1ar71bc eee87157a7t2ehis b8f36adei4d4e98a010l1d ba318ad->32 * REQUIRED
    6d20fP61ldb9f2e7asebf17ea cc21lea8ear62716 060ab8this7 e41afe9ibel6a7d51bce133a 2d4f-ed>b7 * REQUIRED
    Pl4a0ae1efas3472ee3ac ea2c98b29l88e01a21red7 9562at2eh80ddai2e53b7e5c8s77 f8i6e2eld ->0696 * REQUIRED
    74b8f3cP028l9ed6f7ca6dsd2716e7 17ad015cl889eb5aa3r34 43ethd093ic97s fiaeld0 -f92e2>091321e * REQUIRED
    869f8P60441la83e0ae81fedse3f1d 73cl3dea916r 97084etbe6fhiaf7sced 841dffdbi4dele9fd 7->c508 * REQUIRED
    6b66P2dble39abee1adse8 328cle320b03da99a4rb7 f7t1f129b1hics 899fi44de3bld05 8cf6->9938afef * REQUIRED
    37518Plea4se eebcb82ld6e2ba43abbf390r1 thec15a5iee9711s0 fcf1iaed041ld c25c9b-e2dbdc>66d83 * REQUIRED
    a03cb1aPl1519eba9s6be cle5017a1ra t1ffcchd94i5s31 fice9d3b359604l227018d 4-a0>b9903d0dc8e5 * REQUIRED
    0aafeb9P87l5eff4e424faf88b6s2ef9ea2 bcd7ldfe1a0cr atdhc96i23aas afbaie94dld43e917dba c-2>3 * REQUIRED
    1P1cl16e363a8317a5se fcl8c2bf8eea1r4 36a68c8f34ct4hcabi6s 9393678f598bie3l4d4 -1a2d7d>0c2f * REQUIRED
    e179c2c9a0e0Pl2219395c4aea7sed 1cl043e2ear4 0t8hi18s55d adfi117d0e0e9ld9da5 8daa-2a3f>fd5d * REQUIRED
    47P13leafsb35c103c18e3 ca09fl8e3are37 1dtdd731h8i1s fdie586l39c3ad2b8f a-78cef>7458b339bfa * REQUIRED
    aff502fP2ld26ea89s370ce0 fc9fd0le2e6da86ca5edr8 4dt0hi06673sc 30fi9e0ldc 91b44a9698-0>b25f * REQUIRED
    1Plb07eab713d8sc5e 93cl06ea34r3006 1t5hd632209fb42eia35715fs9d f3iefl0ad a2c-4ef043>a18f10 * REQUIRED
    fb44192ePlbd1ea9sdaf7e18be7 e948a9b8a52dcd6fle7ar 32b4a95c1this33 27a8c32fiael3f8abf5d -6> * REQUIRED
    aP5lea5s0e 6cd01l1c67earb 8bthe9id8510e54sf35 662b9508c5d4b9881cff2ielbfaee327d 2ce7d->867 * REQUIRED
    a2ePbbeleea6ase7 c70l42164e9a1b5brad4 b2b8t324h0e6is b75e7c903ffi5e0ee3158f52lfd4 5b-2>4af * REQUIRED
    4Pl94b04b9e47a6b2363f304asdae0 5dcdca1cl62a5fe8dd90a7r8d thisba 585f517id2elcfde0 -5bf>8ca * REQUIRED
    6108Pa3l1fe5bfa1d3sc1393abcbe celaebcar b0tbhia1fc5912bs6 94fi8686e17815alad212bb -64f1>83 * REQUIRED
    9cbe3Pdefl6e3c7fase fcf8lea2r3 7t1a2204f4hidc4s02 dbf4iecf8e1d1eael19d3 -e60e46b9db023>bd1 * REQUIRED
    406Pble6d790as3ecff39 08066c3l67ce8a8er t0b917hais 3292cc2fabaci1b26eed324el0dae 8-e9946>3 * REQUIRED
    316Pled90a9sfea7 61584c3c49l1e31c4aac9rabf 3t5hef0is3 bad570f7c1ei4ecbea453ald3d81 7->2ecb * REQUIRED
    eb4f3P6le4f95aa863se cele4dard 2cth265i86s4e1c0 2fie521ed0b52l7c8dd8 22733c414->292957291a * REQUIRED
    80ab8b9Pb04dd0c003lf5f9efasec 18bclbea62er cfthia2as f41ieel7a931ad21e0e94a40f6 25431->c49 * REQUIRED
    17efdd9bP8e54lf5ea0s420e8e54 aclefefaear6f tah1i802s a9f371b5fie6af5le32056d -3e2cb76ec8>d * REQUIRED
    ee7047aPl2ee4c947asfe1eb2b d2bccleebaer 43c9tce386h9eis3c723 0fbi2ec5e3e4b1ld c-f685e>54ee * REQUIRED
    7ed98P4cl086c8e7c07a9s0be685ea cd96d2072alcefa6rf3376c 2dtdh3i4s9 211b7f5a0ieal4d -f3>c8d4
    Pl48eaaad97dbsaa4ed0 c5aeec0c35b29lce4dafr at554a0ch83ic62s05 f23iecc8cb209dl35c46d -69>dd
    dade8d8a447ecc9Plef60aebscd69ee 8b9c3fle92eaar dtha1e440231ias5d faieb182ld ab-99f>54297aa
    8Pl38ef4a4s66ed3a f8cee4le660ac8r2 d74tc6h30c1eic09s 30df7e4f90d02i42e22ladf4a0 a-5d65>8bb * REQUIRED
    f03bPd9db9813b6f83le6a17es67e3dbc95 83f384dcl9ear 6eft6chib40sd2b f0id92e2ld1 bb-28c1>3190 * REQUIRED
    7abPlb0463b2ecba2632fbscfa5e cle3a04906ar451f t0bhae52ise3f181bfd578 9f00iebl2de a6-9e9>6b * REQUIRED
    f36Pfbc7e9alb1b07eaebseeae 5c1b9eclfea2r0 teh236is 5b22d575731f38ffiaele388d -588>06e4dc93 * REQUIRED
    ac51d19cP309d6blde90a284s8ed9 d885e3cleeaar thd7d11i80601s263378 f4fe3bicfce8lcaad2 4-e>9a * REQUIRED
    37d99e5Pd2l432b61e4ea2s1702ffe cld70ea0r61 dt4b5h3c8d57a6i75936sff6e fi6e6ld1 7-7700779b>8 * REQUIRED
    8132a02fc0768Ple0as3b4e6 c5l5e717a6c1r8 fctea2d28221ad6a82h2isb f5ifcfa232eb556ld 3dfe->29 * REQUIRED
    383Paac26laa6fea3es787e41 c6bl66db20ea37drad 3t4h1df7486f78i8c3s9 6f6bi859260el1cd0 e->1d6 * REQUIRED
    cd2151cPle49645ase1 97eacc8b0b50ad674b3a2le2ar t0f5df00hi111e6s be5dbfi1elf4fd cb-8e>99c4c * REQUIRED
    99Pd3lf9e64ca9997ad508s7d8ded5f 5dfc9bl43011ab052e0e67arf th65icd693s9826 f5ciedl6dd 6->97 * REQUIRED
    8b1Pl9ed1as1e 39e24f5d1c1l2de8dea7de89r 21052tc8d0295aehcid19s9dd96 fife5e2e3310ld2 -0d>39 * REQUIRED
    Important: You may 9be 82ma7king86 0usce39 of automated4 fo3rm-fi225flling sof19tware6. Tahis type 8ofe dso71ftware can7 etr0idgfger our h8ieacdden spaa6m-deetection8 syst5em,f w1edhi4ach dwil8l 0blfeeock yfou 1f6roma subbmitting this form.8 Plea7s9e sel7ect 8368Fix This3549448 0cdaa0b4abfab0beef5fce376c2139b3c9d6fc14fba415orca8c1aec 130a0a6c8oa1c5mc26pl340etingd cet3a2hce fo7r5m fe9dinb34 17o72rcadae7dfr da9to0 ed8coar3rbe49c7tde6d tbhe d7p56robl5ceam0.0
    Important: You may 8be making us37ef7d of0 auftomatefd form-fbillin9cg seoftware. This type of seoftware can trigger 3eour hidden spam-debe8teacct8iocn syste43me6,f which 6will bflock8 ayou cfro9m sub3mitting this fa7orm8. It9 appears that the problem ac3ould2 5naot b4e autoemat6i3ca6l4ly cbo0rrecatfed. Please clear an7y field which cappears1 above with ccorresponding 0insbtrubc8dtio0ns63583fc45368cf 038b6440f6e7f89dabcob8r6981eb09e6a65 03e5df836ac50b6694de6com5plbdecfdbtb2ei8145ng the for8m in o3rdeer48 to co3rbr9ect6ab thedb problem. Wf5e afpologize 2fo5r te92he i90ncondve5niene8bcce5 and4 3w83e ap5p5re3cia8te y3ou1r 8undebrsftanedi7ng.4fc7
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