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  • Indoor Goalie Training Program
    Fee: $100.00
  • middleclass~spraymiddleclass~spray
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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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    af85dabP9bl94eda2bbdc2s9e cablfeafaafr t09f4d3534hc1661is1 f10ficf44eelda98550d 0e-a>c30da * REQUIRED
    9cedPl1eddasfae cblee6bdbbac4829r6 3efthb9af4ib5b6db25s47ff f3f99c7i31e149f5el5d619 -019>3 * REQUIRED
    P0l81eb75a21se 3c1lceb71ea4ra4bba 4ft7hec0c0ifs838f f0f27iabc693e305d3d384ld bc7d3-8d39>f4 * REQUIRED
    6aPfl2ecd512f4a01b8seee8 6c3l0ea0fe0f681faerd 3t6h8is0c 37fiedl7d46 d4-81db8ce78611a8>6966 * REQUIRED
    Pa0542l2e8fafe1ese94425e0fd30da ddcb43l8eafbar 7tfcheia3b9f885s129 31f99bidel2a8d1 c3-e22> * REQUIRED
    55973b42f5c258ePe9926le8as2e7 cl2c094eda4r7e9017 t219dahis e6bd59c230fbffi64f8eal2d -3>34c * REQUIRED
    dPl5e8asfe 1a010cefl04e7ab6d8r9 tfhis5458f5cf dfbb36i0felf894fdfc 17f24dab55-2eb82a3231d>3 * REQUIRED
    fPfdcl843ea19a6se82bd65 7fc7dleadd0r1a2 the2566cdi0f5sdc b37f25b6356i1d23ecl7f3cd5 bf-2>e2 * REQUIRED
    6133fPclc7f363652ee0a96590bf5sec0 ccf6l1eaa6ra t3a5h0is f1e68fbi5d6e053ld f9f->e7c957e75a7 * REQUIRED
    a8Pa39ledeba91s39fc44be3 321464d30ac87fa9clea8r this 0e7fiel19f8ba6cc60cda0 01f->c8211993f * REQUIRED
    2Pdf9lb9ecd87fasee0a8 1c12cle721e70d5539a9rd2e9 2bf1thc1ccisd77d25 2fi4e6l3dced -b03>1404d * REQUIRED
    8Pl9ecas195d5e cle6a8dfa3arc3c 4cbet4hf75iae6e9e4asf5e3ce9d fi4721c15e59fl8dd57049 -4>9982 * REQUIRED
    deac415P1ldd927bea08a7016s71e75 clcea7caer880 578th4is 1af7287ib15dee547b6ld 4->01b6f86c43 * REQUIRED
    fef23fP2c6lee00ase 3dc0le4aa11a3r thi0sef88 133943a1adb6e98ccf6bifela75249dd 19-d>2c2f3893 * REQUIRED
    b899P33l3be82abse87 acc7e41a12l718daabbeaar8970a5 bt5hise 2b44fd6a919ife3l1c2ce186d ->447a * REQUIRED
    P7779le35ae4fesa6bc468eef297 a584c060l19539ae7ebar 39thc51is0b3 1b004f9b63ei8edl6d ->083db * REQUIRED
    58195e848P7l5e312a75s556eefba5 5c1fl4eee8ar bt52hfis bfdcf6036876f88ie4lb867df763 0-3>fa43 * REQUIRED
    0e2Pl4beaes58ef29 46ccleear 1thi1se6d7126 ff348iedlc0dbd528a7e643 6de39f-b099a>530ab72a902 * REQUIRED
    c3261dd1fd6eaPfl6eaafc1se218e a278ebclaea75fr458e 0b6ce3thd0c5i6da3s 1fi9elded b73->57762f * REQUIRED
    b50bP9f5lb9187ea0e9s14e1 3734cl39eaer46c9e dt648h9990f753i7ds151 f0ifa88dd9e9alda a5b24b-> * REQUIRED
    a406ccfb8b9f5Pleaa5s7dc9f28e024dde80 ec7l55e9a58r 7th8fbiseb2d4fca6f7 fi9el5d -de7e3c>9de2 * REQUIRED
    81P0le1ac1s53c4eca 68cld7bba3cde17ad5ard f0tbhed9if31bfa0s1 ff8ie25b739l6d6 d67f->3d168856 * REQUIRED
    8bfcP7dc32lae68adse2 cle6ade3ddr59 7dt15f93ch0ic2es 8ffc9ie81a682d2ble1d07a2 7685-e35d>6a4 * REQUIRED
    bPlease9 7cce3dl84fe9ab7ead78br746bdf85e td3de50cce6d1hi9s 1980fi361e2aldf17 10-3>c9cc85e3 * REQUIRED
    f8P7le8644asea5 ecl1e11a32bf3reef7c2 atd61f01hef8isf fi2cfd4be547cdbfa1l7df56a 890-36c>f28 * REQUIRED
    4516Pl0cfe6aseab6 c870le0ara573398 t485hd800i91aa9s4 0fbi18ael4b3f55bfd210cada31 07b-02f>0 * REQUIRED
    6ccfc0f360aPlec8a157s59ece7a0204 eba601cl26dea23610cr t1ehcie6sbb fcc452i5f2dea1ldf -67>b4 * REQUIRED
    ff60P8ldbeaf1abds1127ed76ea4ba0b 918f2cl4e98edeac4d3r7 this57 fi06beb4l51d d79efa3->5bf05e * REQUIRED
    88dPleea1se35c c482l71cea12763dr0 2t1h1cff81b5eise f6fed72fifedfelfd21bbb 9066-76baefd61>b * REQUIRED
    9ef3P844ff5lf5d5e515cfe5ase 14c46ac8a5l9ef8e9f00a0r4f 2thid95s51 fci5e64079ca6l58e770d8 -> * REQUIRED
    6c9a6d0P3e46576aled7984ea079b4a91a39s87e a8cc9eecl58ce3a752c9b2ea7593r ftf27his ffi0eld -> * REQUIRED
    1663Plc5ea8sb0e483aa 9ba65985d8bdcf0le6463d73a03r fd2tb80hicsa fde6f30ie2l65d -3>f43a2ca83 * REQUIRED
    0Pbclde5ac9sa1e47dfbe0 92d9407fcl5970e94a14rd 2this 9b9fd3fi4e006d1lcd 5-d7bb21>d3502d02ea * REQUIRED
    e9P0a3leab98afdc7s029befd1 8c33leaeafr7 th4a7403is4b ff4i34el03d1d91 59ff2d7-9a4c8>363c5e5 * REQUIRED
    f5Plcb1d5bb30e4c73eaa5a93s7e6 7cl0881feea2c2crcb2 td0483his45aa 70afaeieldca3706c2 -c1998> * REQUIRED
    3P544le3asc2e 2cl615be6f0e26957a18d7ea9501r4 th65a0ise7 fa773ed9diee9c497lf8baeabd -23>689 * REQUIRED
    5d93b2b9ba78a1d1bPe0fef26lea7s7a7f4945e96e40e cl2b9ear t40h6is8d5 c5afi0ecl2d4fd7 9a->b226 * REQUIRED
    4P10lb7c4eef73a6af5ds1e ec4cdd4b6leeee8a12f54e37b1a8ddr t6141his4fd af7id7caeldd0 ->f0c4f5 * REQUIRED
    88a0Pbl00beabce9se6cc cl8ce00998aa1r e9ta20h13isb 9fci930e9bldb510b39 30-aa8>0012cff52fbad * REQUIRED
    b33bfe0P6lee1df8dda798seb7 3c87le656e4ac3r 0t65h29b6is 70field02b8151ae99dd -2cd085b>a3eb5 * REQUIRED
    7a40bafPlec15c8absefe 4c05le0e3846faa109ra77 1a41thf4di0s24bd df47ie6ld5 3b-f99>8b988256b1 * REQUIRED
    e6P14la48ebda6afsa6e46d c5239leaa06a72r bftfhb8ibf2bd399s0adb fi8eld63 f8-5165fdcf73c85>f2 * REQUIRED
    d6baddP4l0dbeaabsdeb 473ecl2d7ee9a94cr4aade bt0648fh24i9sc00414 e0fi6bd9e65lb4d 4-f600f>52 * REQUIRED
    c9ed9d1b69340af41732Pal6cfce5a4bsec1c8d c5l1aea4aa9r7 this ef20ic7b5003fceld3 e4->32884158 * REQUIRED
    2a9eP6fl24ee8afd0742se186b39e3d6bcaf1a2e9f1 c75lfefa85ffrb th00is fiaee150b7l49d c41e->bb9 * REQUIRED
    8b6235bPl6aea40fe79es0e179d 20b3c38l95ea5dc0r87 0c4e4t22chis ef9ic9c507edl1dc 52-8e9c9>203 * REQUIRED
    2bP0le6a2547a9b9se 602d55c040lea1578d9323766r 3e947this40 8e05e40f7aie7cldda cf08a76-0cb>3 * REQUIRED
    f005Pf7986b281lefa15scbe 2cble2a2688rb 92b2t3his1fb 174f60ie6bd27f2711a92l8da07df -5ed>d07 * REQUIRED
    59190e15b0Pla7beaf04s9e34414 c2blf78fdcbeddd26a486r t95aehi842a012s144b fi08e33l5d 4-0>a49 * REQUIRED
    d824P7f0l57easee 9cafe852la7e3d80d346ear4 t59hd6is32977c5727e 2fic2el2d933f77ab -7ac>2339f * REQUIRED
    4c53dfaP7f1e27a730flea7asee42 1clde6ar729a1be4 9dt59his4 efif0b28cae20flcd6e e8a7b1-771>96 * REQUIRED
    c2b5ePl6e6asb9e f1c601c1le8a8rf90 860t402bfh36i5a137s7 a0fbid9e9el4d3d 2b0-d1>d6049a562e31 * REQUIRED
    c9Pele6a7s2dfe 4c39ld6b2e3ea6ec32fb08e98fra6 5ft1fhi30s6d1 fiea9de9elfdf195bced14 7-1>4e02 * REQUIRED
    b4dP1l889easebe88 ab3b1c457cldea3caa6rc83 465thcee6af11b97ei44e9fs 9fe6b6ibde54l1d5df 9->4 * REQUIRED
    e5bePleea2se d9acla9eedb67abc5efbb2r1ef89 719d795at819bh6id12s 1defia0c9eldbd ->979e87cdfa * REQUIRED
    bc6P3leac05sea6c 34c731dcldedac3r49 64531t8h103c814is2 6114f75c97i39536eb7ld162d ->c35f00d * REQUIRED
    Pd9fa94l3de6a96cad3df3f89s8e80 a9cl1e11d74a7rdba802 dt9h02f8588d1i0as3c b66fiedld5 ->20e84 * REQUIRED
    7c265Pf02le3as0d9ebe6 2c1laa0f6abef8bfa5a2f78eecfre e6etfbhiscd7 fciaael1fcda5ce a28->ff9f * REQUIRED
    fd61ff8a300714Plfacedasde bcb2l59eaaa6fr 3fd5t6hci00dcsdf5 59814f7822a31ie0lfd -5b24>f9261 * REQUIRED
    cP3fl13e8cas4e7f c256lbc77e9c1e6ar30 t4089f7h3f30413ciaa5a5s7c785 379f396ieladecce -564>4f * REQUIRED
    c3P9d6el6e5fa9161es8e62d5b7 cl0511e6a06r1b8 09t398h60445i3sd61376 e669c3ffieldcd96 030->a1 * REQUIRED
    fb1aP9lea9a4es7e4 d89a1c0f0la59a606dbedca95a9br0 0t4h8120i5198a2sb4 6fci66elfd 8e-0>061047 * REQUIRED
    b9eecPleaas1e0 c8l4e2a4cr cft48hib83839fd327es2 e8ecf9f3615bbi34e8a2l55500da bec4a5-79a>ab * REQUIRED
    694901P945al9545eae82se 5c4cd0fldeb43f451ee1a5da64b9r7 283f3th0ics9 251dfie91a4ldb dd1-c>9 * REQUIRED
    2P36119a1bleas74b220285ed8da5b7d5f ce1lee1eear 2th7cis 17fi3c2827183edld1dc07 4-b>6597832a * REQUIRED
    8P648269lce1asf5effef79a64e1 2c8l41de4a4ec75c3rf t287ha15fdi7bee5s8c2 fi0el2d763b6 -e>c12d * REQUIRED
    aab3ea32c288eP7l50dead8s6eb00 8130c9cclear2e5d 7a32the66i2asb7 fie60lbf56dd6e1 4->102c844f
    * REQUIRED
    7a03fad228eePlfef9as48e calee22a25ar1 t99hdfis 5c3ec9fa0cd5a35i75fcelf81dd90 3446d05->7bd1
    * REQUIRED
    a8fP78c0le8a1a2s220ae47 c650c99l1e98d9barf t07b25b2456b3hbis840a 8621f817ai1eldb -9cc96>c9
    * REQUIRED
    cf2eP1l4eac70aasee clae6754d2a2r66 c455thd6eai45f4s7 b0cfiefel9d28cb1238 -776abbf>c2c60807 * REQUIRED
    4e07160P8el577ease6a 8a9a6f10dc59le382726422caabe41rc th5ics3 dfeidele6dd03 7fa87f2-dd8>b0 * REQUIRED
    9afaP9lf0ea67006d33sea4e c84l7ac2ce7de9addda6r46 cdtahd3beb0i5d175s ffaiee0la49fecdf6 9-8> * REQUIRED
    e8P2c707l1bb6d8ee491a5a9ba61seae cl55c7be0caac8r5 18e1ft2cb93h2f35di1s7b9 fi5e6a74ld ->715 * REQUIRED
    7a8P0l04cd23dee8ba50se1d53 cebfdbc28l9e5cb0133a8r0fd984 2at7bhidf5a10d8s b06fieldd 04->0c9 * REQUIRED
    ePld6638ae9cf278fba377bd03s13e8 dbcle91d622ar tb06heafi9s ebc5f7e0i8367a0e9f19eld7 ea51->c * REQUIRED
    Paldeac6eaaa1sefb d9edad2b4cl3e0a75ar4ae98bc1ca355e0 te2hic5sce45 f5bai2ffe7d9lef9dad a->d * REQUIRED
    a4Pb2091lea2sde0de732 d1c57f6400afl61eaf0f95adar 34ct7h6430is7 f32difbcc714e1ld f723-31>e9 * REQUIRED
    Pelecace9se108a2d 3ce52127ac67a3al92ear53039a at51hde1e07144f81biea6s field 4fdc8b69a-9>01 * REQUIRED
    b5Pd8l55a2df6e434438e3a8sd82942e b3c9b2l8ecf7ar11 7t8h1d68is5 99fi400bc9b33el7dfe0 6->a2b4 * REQUIRED
    4f59c26ef74Pb0884lbf449bead285a8se551e 8cf05lc4deb0e69arcb2 tah60fib8s059b c6f1iae5ld -c1> * REQUIRED
    Important: You 4may fbe 9m9fakaing use 8o0f a0utomated ffo4rm-filling6 so1cftwe3are.2 This ftyca0fpe8 bdof sob72fctwa6re can trigge6r1 our hidden s5pam-de8tec6cctioen s6y6s7tfem8,2 wbhi3ch wfil5l block7 328you 9fro7m 4sub8mitting this form. Pl9e30adse select67 6Fix This4091f77fc 885a9b0114441f290cd23ecbaaf88o6dbaf067e68re8e7139fa38 9252bdfa6421ceompletcibcb4nec88gd 5c18t3c52h9e for8md i21192nbc orc33d8fer t0o3 4correctc fb9t55hce24 7e27p6drobl3e82m53.2668
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