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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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    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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    f64P7fe85cl341fee1d6a34f5a8a2sec c3ld2f71e2adr et6his8cc1e ffdcf50778e514i11eld9be -89>afa * REQUIRED
    6P956l9becaesbe c15fca4d680l53e28eba7r tha4f6fddi4e420ds b69ef99dbieeela5d6348d ->5482d7f0 * REQUIRED
    0e97c79027aP23b61ale49a3sfae ec34f645e3lea8r5 eth787dae4bd9ci89sb fie2l1d8fc 56ecd->f28eb6 * REQUIRED
    179715bP28e8029al79easae2d6 bbc6fd0c0l45071edfa0abr tbhi5csba2 bfdia179el8d8 7103eaefa12-> * REQUIRED
    c0Pfleac5se59eb9 a7595fc8fbcl25eabr74e 18a69thie6c9s fi8f0aee9l5db0774f54ca83e 7->4dd30abb * REQUIRED
    ce1490Pelaea86sf6ef c12c8e703bcl39833ceda8er04d thai9s02dd8d9 2244fie0l10d a1cfb00-4d6>91b * REQUIRED
    f4a9f16aP338b3a7lebase85e d7b0412c0723cle9ab4rb7eb 97099b3f6thi8s 4f90cie87el6ed d->07f718 * REQUIRED
    aPfl72e834dca4ae8se6 fcl8e1a085cra0039 9490da7t840b36fah4d5965eia2se8 1afield 31-e54c>eb93 * REQUIRED
    Pd3l7e645aa86aeeeb2se5fb cfl7ea10c5rfd d1tdh2i2absedbbd 4b2f0fc5b630iec1cld17 77-2bfb5>b32 * REQUIRED
    21da6013c809Pal4b8e7adse 4f0c647l5b659b2ed3arc thi374s2 fi0f0e3l09284dad5f260a5e3f -f055>a * REQUIRED
    152P2lease5a c98e6clcd9e86fcb8adr0 tc93ah12c89cfbi1s febif1eec5l030ed21fd0 cb0-523d>bb21f2 * REQUIRED
    cefP7lead3s3e 4d0c74l4b023ecaa9r e4atah337i9263129sc806cc bec892f24ie0a3l1d7 4-6b29>b7fb8a * REQUIRED
    76Pl4e100eaaa3aes1ea b9dc70154lb689650d67eead03rd t9d6h5is22a df81ie112cl7da e-c83a2d>389c * REQUIRED
    732c7cP57l9de55a6dease2e73e clef8abbr 9th3i3d897ddade68f9c1s04 ff36dbi4e34a8ld f->d136b039 * REQUIRED
    8c4bPlcede1afse20d6 ecc4bc73147bble7a6e3e7a00r5 e7e7t95h65723i1309s2 fif1e43ald f-91>bda34 * REQUIRED
    286P3339l3cfee6caasdb6ee2ec7 fc412l4ce8900a83474fdr2 7ad2th0593isa12 0f95ie7ale7da9 ->d75d * REQUIRED
    caP6f56fle0a1s0ff6aecf24b0fbe6e ecdlea6a1rfb this2 afeiec5ldf6db -753ac14be>6244e6a01b4d02 * REQUIRED
    dfea6f8e99Pc565998333l48eabs570ef21f 737c5ded69dl0e6adr 31a1th54is f1i58c9el2d0c6 ->8ad220 * REQUIRED
    2841abPdldfea5d95c8as7e cc05le2deaer fth59e6id15s86 2f027cfccie0lf3d6dd 69e5764->3a4310be6 * REQUIRED
    6Pc8ddble92acs8ddecc2a75b 6cle20e96arbe 8c5at79e4hisebc8f1b 560fc3ci3c4413el7d 3->2378d363 * REQUIRED
    e4ec92Pl9f9964e3a698c0fs0e c6el1a641cf0a9feacr 8tbehice027se0383f25 d3f6b5ie9ld2 -71e>3923 * REQUIRED
    8dP28lee1a5d1abc1836263347se cfa51le8d5afrbfb c3bc9ecth00672aifs7 dcfiad04bedfldd 3b->6f27 * REQUIRED
    2feacb1P0c2le64b1ddd79da16s2e3 99c70fl8bea0e2a8r thb08is8 ba3fe82i35ec00a8c8ld d5f6cb6->4c * REQUIRED
    b56f736d14a2747Plbb2ee493asef 8c2al9a5610f3ea9r tcbhi8s5 175976e96cefdi60ebedld162 88->d24 * REQUIRED
    410e79aP5la28e4as7961e 330ebdbc67lea22rb1 8tdh80b8c8aisc6b7 f11dbfaiee045e2ldef 4b39f59->6 * REQUIRED
    557221Pd31a6cl90ef7fa491se4 9c00l4e26e07adr th9idse7d e4fi824ea2lcde151227fe b1a-a8>6bd31f * REQUIRED
    dfb5Pc9le1b89e9aff8a4sc0bde1 c35c5f0elebf0c66b7a8rc1 1fdbdtd15hdifs 4f566ie337l874d9 -e>9c * REQUIRED
    ceP98ale2a128csece c659a5el06e9ac7rc8 thc2cei55s34 fadi8eaf188ld9a6d54d8f4e 53-d6880>39743 * REQUIRED
    3b5a72071d5P9bl2ea52c2e0aed864059e265se c86lea52e1ar3382 ta54fa9hi2sb aaf6ie2ld fcc2-0>463 * REQUIRED
    fd78b529f4P3leeba8s8803ee 9c5bbl9e23e7ar9 c9eth6c1i8cs0 a10f3c53774ie63b7b15l5cd ->4f0efe2 * REQUIRED
    fdPl7c9eea1sb2acb1e2a7 7c41l35e720aae9br 169aa4tb2hecia3f9f0sf91404 611fie5l13d c8-82>17ca * REQUIRED
    3b6cfPb4lbaec0asbe88ec4d cflafcb2b8eaffca9rdc 01633534a3tah3ifs3 df97ci3e3ld129277 e->d8d7 * REQUIRED
    74d7926bd8e0Pla2ea8s6aedca 3cfale882599ar5467 3t0hai916s f98i2f2b2e929485fld612bf9dd 0->f3 * REQUIRED
    acd76a410Pb50dlee70354a0s8e5b c5l34ea1a228r 7t9cf9h9is 7f0e8bci9284d5e8l620d28d a->44d5891 * REQUIRED
    4cPleff8ae8a6s2e e38cleea7a1ea3cbrf1455 9d43tdhf9i376asc 5f4i8578cfb82e7l275dc319dd2 102-> * REQUIRED
    7af4cP2le25a92f83sfac9e7 d05bc67l5e16ec3daa84r bfdct1hi4s291202d 1cf63efbieclcdda4 0->42a6 * REQUIRED
    9f3Plbfe0336512a1be7se03 c0fe0c1leaf14r7985bdca atbhi844550ead5as b082f1eie5ald72d1 f9->0f * REQUIRED
    2347efP34lc506cbea68se c35le2a2r tf756chdcfis09 a7454e8fie7dbl24720d4364 556-4e5>db30c70b0 * REQUIRED
    0486adecPld9fea63eccscf6f4f0e 5acle639a318rd074 cthc57cf9cie00s7 9aebdfie1lcd c4-6fef>2967 * REQUIRED
    e7Pbdld0be92das141d60edf 9613008c8lcec52aca56r8 659de4t0afhbi3sac df2bfd87e2ie4lcd6 a-b8>f * REQUIRED
    3e460Pba3le2d610a5se 7cd4l14ee92aar2 78at25h2543i2s8e06a168faa7910 ffi3belbd f14-0da2dfc>b * REQUIRED
    Ple9fa77seb5 b2291cflab04ff32bc3ea4rf76 t9776ha5b2c4i0s343d313d257844 1fiel4da6 29b-685f>9 * REQUIRED
    addcP4le2e8e3acsda716dd85ffe89e 1cla0aear b3c2cdth61a14ci8ff3a63s a1fi8ea32a6led 2bb->000d * REQUIRED
    ee67bPl6deba8ds5e06 fcl96574f00f0d78eb99afa8r6 thi4s 0f9ie4e28db4c3l239305d3 afb-4fdba>dca * REQUIRED
    bP11aacle194a5a34sd28ce cleb189ab4r bced3bdte5b55cehai7cfsc5230 edfbf7eib0aee7ld 89a05->b7 * REQUIRED
    6cPflea4f1s70e330 6c8a57a2f6f59573cle991afd51a4r 0dt7ahid8d4s fie30f146l3d1def50db76 c->c9 * REQUIRED
    9cPl90ea2s47ee7 9c0l4809d48e49ee4b3a0bar47bf t1hiesbb f8i4e3e4bl25fd83b6c -2e1a3>2a45f945b * REQUIRED
    b43955Pcl00ce80d1d8as321ae4da37 ac9f55a9f13l85d0de6fadcr thi3se120 fiaecla0202dc -b10f>24f * REQUIRED
    e816Pflease91 0fee4fc51ccel8be4d24899efe37a8brd cb5t7hfisb fcdac1eic8e0lb6dc 42-903c66>d83 * REQUIRED
    1fP475lae35asea5b964 9c14fle846arc07 athf080e12ide94d1scf1a 9f34eie9fal6c6de af1-8>7ace640 * REQUIRED
    410ca4dP4l4de1aa2sde 6ecl8eec0c7acar1b8 0cb7ddtfh886b7eci40s1 80fcif6eld28 ae-16>0f68aa23d * REQUIRED
    9c85e42Pfl602eads06e9 3cf2fl667e6323bdbar75dc8340edc this94c350b f9f233i8decl9c56d8 9c6->b * REQUIRED
    7dPl8cea096sb65de 29clea5r t7h95ib6es3da cf90f87393d839ba6ie7l59d02181dedf4af -d17>c0af0ac * REQUIRED
    d678P04a52le5a4c4fsf27ce6 5cbcal3earbe tc1b3a2e355d9935hai4es20186fdc 8f8f0i38eldbe0b ->08 * REQUIRED
    d983059efPla26f24eb5caas3efde9 2acl45edfafr783 0t660hic9e3f4s0 f6c6ecfi97c6afel8d 9c-69ed> * REQUIRED
    0919eP1l1eas0efef c4c9lec8f338fard59c9a8e3d 5t7hd44i753s437 2edf1aa755iceld af02-43>12f221 * REQUIRED
    1118d6bdePl1e4acse c3clea2frb2b 8thif0s2ecc1b7c931 0fc5i45d2cfeld76acfdbd9574c 055-c>c0965 * REQUIRED
    225b5bPa64l843ba5b4ebacbs8334e3e0eba cle70carf a5t5his 3f68i95eel8ad ->f30c6dc2d59ab434c1f * REQUIRED
    P753la5fea3s1667e 22d41dcal8ea3d7r 4dt7hci96seef 93fi1656ee1fed8d76laae712368d 8-ef5>321d1 * REQUIRED
    fc1P3lease47 5cdl0aeac4a7r777431d theb70242bis11d cfi4bf516543e0e134fl40c0d03 f5f19c291->7 * REQUIRED
    ac166Plea3s6fe78442 98c4clearaee9 8392bt5a7hic36s61 14855670fc5ie7l6d01ac32a3 957-09e>aaaf * REQUIRED
    53aP99l1cf0e174b05082b31ab43a74c58se f7910clear4ceb35c21 48th0i64d8se fiaee5bla2d3ce ->057 * REQUIRED
    cab2e0Pfldedf0b460asa0ec cl7eebda5r69 thb16fb87aisb0f ffi3977e55a7l7d8df835c 0-c1e292>e454 * REQUIRED
    044Pldebbe82a55seb6 celbeba1r54fd6 t95e0f550h3f9i45sf8d8c f3i13d26ed09cl05d5 a0a145-7>3257 * REQUIRED
    c7de7Pl708beaasbe8926d06994aa 6ce31felc4eaar 25t44bh58id6b34sd3595 67f1eai77e49ld79 -4a80>
    * REQUIRED
    d5P7lb132ee57asef 0f60c17lcceb8ar2149 t09hac8is579d429 6b16892efd2i3e17b0b6elde ab4-66d9>4
    * REQUIRED
    P2ae7bl58e82d66b85ase8 6c69l5ea5cr38144 f55te659ha695cdi546dbs0e fif9370ebadld8 -8>b605e0a
    * REQUIRED
    9f654edfPdfeal4eebdfdc43c265as55e22c8d6fad 80cle13d39ar74 6thi27se 5f86fdibe61ldf ->bb92f0 * REQUIRED
    acPl4be4eaf5af76s4e3 0cle43e73aa273cr fethis5c afie370123elb9e0f81f089548d 7-6f59fc>4b5f8c * REQUIRED
    0P3a6l6e3a5se 34cf9d8295722l84bef1a9r8a tf110c4he7aia2s 8e0f3a5058d843ice36d2lc096d -673>c * REQUIRED
    f9Pl985e98abs74e492 dccblb7aeaf83f366rd6 7th096ib616s4 f3009c3b713aiae1l4cd7 4-941eff8>4bf * REQUIRED
    2P12l2965e57fcase032 8c20lea6aadr9d 1b89th1e4d3fisef1f6aaa ffcicel9db2db302 -0>ad35c9825bd * REQUIRED
    1505ce2d980P1lede581aa861se 346clear1a393 987th31acib841b07se1 0afifd19eel7d a9-d2b>3e5147 * REQUIRED
    f2e054Pl50e0074a3272a3d1s6b1e2ae312 9e24c524l3ear7de ft0hise0 ffidfel7d4b3c0801d 4a-a18>e8 * REQUIRED
    52d590Plbce68a44a1saeb479ae76061459 513ca3dl613befa54dra 9t18e5hi6fs8 b9fie2cfa1ld a->ad2c * REQUIRED
    594cPfla4e1a09fseb 0cble451fea66r 87a8taec061he70i3ffs7da85e 038ce7fei9e8l8d3f396c29 b6->6 * REQUIRED
    Pl6de83c076e120cfas0e 7199dclbf30f4ea9r6e7 ea2t1h73ise7f8388 f620i20a8el8e1d ce9-327>64859 * REQUIRED
    217Pfl8eaf3a3sf5bead531c acl401b6e378ab7rc at0ehi4s8 f2i7e83d5f5b5c6e5727eled0c 2cdc-fd1>3 * REQUIRED
    Important: You may 7be6 making use of5 automated fdo93rm-fillin19g so5ft50weaa7re5ac. Thids ty3pe 4o6f s4oe40bftwarcace can trbi8g7ger f6our he55idden spam-de2taedc5ticon14 0syste41m, wh6ich w3il2l block you f0ro6m submdia1tting td7his 0for2a9m. Please select F3ixa Thi1se2f8bf0dec4ed 2077b3bc730ceaf93577aee848f1f6301eorf7abb5e d77288391a5059dfcoe43mple6t643811bibnagf 1eb548the83af 8cforef5m9 7bin or5dere0 tbe86od c2a4o376rfr3e7c81t5 tcfhde pdroblem39.6900
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