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  • Indoor Goalie Training Program
    Fee: $100.00
  • 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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    c31acPle9a4bs2ff26e 2ecle388c0a1dr84 et4bhdi8sbe3a902d f450ae67i0el6a7b92de8ba5c363 -9cb>2 * REQUIRED
    06d7Pa86f73adl56a43e3a054s4e bfcdl684eefa7a195a2r tc0hei464fs5e 0fif5ca0b4802e4lccd cb-6>8 * REQUIRED
    78796P3leacbfsca93beaeedb7e22730 2c8beaflfa76ear9 5t3hb419fiesb6e dcfa49ae1aield 2-39>03e4 * REQUIRED
    f030P5lea077sbef72 dcl528a1beefarb8e1d26 98t4f78de4eh6f99dadd4is83 6fielda13c6e ->ed755d07 * REQUIRED
    ccaPel2e50a1se08 74cc5al103ddcea02c5r 1ftha587bi2ds063b ddf84iel415d070aa4 1-e>2a03354aaf4 * REQUIRED
    P5leb1ase00fad3 c1ef59fba7e4l2ed6e9c90a2eb72r70 0tc0h17idse fdeiae392el6daa9c85bf57 -1b9b> * REQUIRED
    d5800P468l17aae71af269276cs0e0df 39clec09af9368r 9d9bbtch7i7265fs3c c73f4cei5beld ->a31e78 * REQUIRED
    P9le2ec322c1a4f14see3 fcldb80de9ar31 51f8c8tfh497ca15d5f8is 8fi1f7felbd860b05ce 3bf-546e>3 * REQUIRED
    5bP96979ff5lfe3easb4ee01d bc0b076l46ea7ear ethbcf2935is3 25b73b343ef1i84edld506 d-0>93a281 * REQUIRED
    d5b338e411P11lece9caf8602ffse07d08 c0leeae224f8r t5hiebs373 feie94cld9f008 7f31-e>030e7a24 * REQUIRED
    d7P175a7307lea8bdsd2e4e9b29 c4le6a69d5r6 2t9f6822hac6i45b61620311s6f fiel0cdd45b6 -dec36>1 * REQUIRED
    62b3bfe29fb9bdPbl6ae1aasee cdb36l04e392ar 7tah546if4as0 61536f5ic3eebdb4fblefd a9ee16->746 * REQUIRED
    4b8f8Pd66286l8dffeb768ba987fs3b1e d3cl0cea6r 3606t9h4idbs7fce9 fi1e424fld94c98bf5 8-35e>2e * REQUIRED
    2P17fb2lae20as0e815 ecl7e4a0r 70t6b025cee93ea722hids2dae 40f6eaad04ci5e3a2984la92bd -117>b * REQUIRED
    118fP481d54666l7aeas5f46edeb 3aea2c4l1d02ceb6aaar t4hc5a678ifd777c1s 95fi6eld 3083->47a7eb * REQUIRED
    53b58fPla76eaa8sc9513e 50c3c262dleeab8754dr d69ddte28hies 5a940f0c8d0b2b2i3bel1d ->ff663c4 * REQUIRED
    422e98aPl0e2d51edda36ese1b48c 8cl9ea881r966e a3t004786h4107i9s3 1729001field1b 6-83c>544fd * REQUIRED
    9201P5elc917198a2e3d2769cabb39s5ff895b1ec235 clfaea5brc this42 a6fi4e9d4lfdf 339->82325be1 * REQUIRED
    02P09l9d0ea87090b3f0s2be6e 568cblee9aa4re 109e0ted1heif1fb9fd01cs666d fi6ef751ld -1>b9956d * REQUIRED
    16f8bc6P3a8d70ld06e4d4a57se dcfb94f7bleeccaf55ra5e7a th3ei0c6s3ac cef7i19e236l1d b5b->f97a * REQUIRED
    d7ad6P1la58159ea3bccsbeb 304dc7a5c7le2af0f8r4 th2236icc2acs aa5f291id2elded 05e0c-b5>74670 * REQUIRED
    Pa66cl39ed6d7230276e8ase cb5dfce70943l09eea42re t4his 8a84f0fiel413f7d4d6 046a-daf>e7295cf * REQUIRED
    5Pb1d1el2151eaae4d59es14fe42fe5 c9edf7l7ee180a512r630 6f0dbt24fbh9is649131c 7fie5fdld b->2 * REQUIRED
    d2Pbf4l512e4ae004ase5 728ca6la0c04ec6e9a6r 7bf4b6tdhi2277sf9d f1f7d32i7ebld95a -82ab8cf9>6 * REQUIRED
    Pleff43eefaa0sa9bc2de cl3e52a21r4345 545athd1d73is7983f15a cf94d249db2caield2d 92-203>cd4c * REQUIRED
    563d1Pl2e378277ac8743d3se f6cfdl201eaerad6a46 ate8fe0f7hbbi1c885efs b3ffie5bd1ld1 ->510a73 * REQUIRED
    caPleaes1bfe4dc9 540fc2lcea5rb8f d6dt1bb843ec10h5e74767f717isfb84a2 fef3ieael8d2 -cbd>f9d7 * REQUIRED
    P02c537edlea6s4880e0c890 cc14l552adeea6aeraffa 92bthf12ai4s1fe fb4i5e91ld1cd0974 1-9620ea> * REQUIRED
    b66eb85acPeleeec603ae0ac2aseb 2cale57a7r24af6395 7tbh385085244ifs5 e0aacfadield17e ->c04df * REQUIRED
    8Pc4df9ealb1b71e7eaa05seeee0 7acl52b54feaf49046fr ftefbh85is46 7ef4idde9e9954el4cd d->bb82 * REQUIRED
    2683c97cPl5e655ba5s792e50c300a 4fc87b1a4lee02arc1 t2dhi58s9b95ba55 adffiel3dcc -b>a990e62d * REQUIRED
    c114544b4Plb61ee8adsef7b c20l55c5cefb75cb1aa3r etcd35h5dis 1bf6ie8e3a2l352abdc6f -c14d>e48 * REQUIRED
    1ff2Pelecdabfe19609se6 ccb5177lde28ar68 d12eathi3be8s 3fi552el1835da cec0f743e2e9-639>9385 * REQUIRED
    ePbb0a0c18ef171d6809bl788589e3cafse 837clfeaafrc 8tf9hi8cs ff35e7eief6ld0 7-4b8>e82ad4fae0 * REQUIRED
    27Pleas37ed74660fb59e4b 6e9f9c9l67c5eea7drd8 47th96ise e2fidd83ec1l1f8501eded4da85f6d 0->2 * REQUIRED
    5P799131402leea5fs30eb77 fc06le9ar50cbe0f19 4th0dff6c2071373ise1 3f5fdif3dd1eldd 91-91a>97 * REQUIRED
    ddP1le93as060d42d65aee32 7dcc0l1d1e806aarb65a6b 893696003th0id62s26 b0c05dfd46f4ieelddf -> * REQUIRED
    553b109Peb5fdb91lf890febaabsaa52e 7fc8fl6ee0ae0550c0r th20b3fis700 0fib0e5l8d39e03 37fb-1> * REQUIRED
    d90e521P29lceaab81754c1ase dc2cclearb c8th346i14b66s4a80f6e690af 07efiel7db4 -4bc>6e493619 * REQUIRED
    93aPe6dl962deae3sc55cc40b1e631 500027e1cl5e9aea47r3d5 fdt5hisbd745 dfield f-628>f54c14dc7e * REQUIRED
    P37leaead98c90as1dee4 9fd45c014clear 7a4t6chiddeb5s3 d6f73a13i7b20fd988e1dblad5a -85>e8cb5 * REQUIRED
    Pd667leedase 300cc0fl4e904bar46276 6taf93fch01ci1sa 8fi1aad466elff78c1e9d04b9049 8b6b-0>82 * REQUIRED
    4affPcl643f96ea8a8c5fseb53c6b6 4c0ffc7clear0f1d0 8thdis6ee2 f5i525e268lab9d4141e 0d->eae7d * REQUIRED
    3505Pele18eab52sebb3 5c1501l2ceardd1 999e43thi23fs f5e4adi78e58lb4de78fda529 db->0f1374d8a * REQUIRED
    537Pl5266bef33a8seb decl9bd4c5f2cb92ea39br5 0th4bc36d2i8e9f829b652abse3c f8d4cie0l6d -e36> * REQUIRED
    748Pfl909ea5sef dc2l32eaa9r1767 b95td5h622bdaci1e8e6807s1 5af9cdebi75elffd18e1 fb->83f705e * REQUIRED
    1Pal78c4ace1dfc4a2cse1 c1abfele02a7b55r e5t8f2h4dc1icd2b6s f483i75e51cc7f64l8d8ea 2-8>eacc * REQUIRED
    a2d6e9Plea9a4e3s44e1c337e378 20c2dl5e0c499a0rb6 ae07338t56hi7bsd05e afibc5ed88ld -8>48ebd8 * REQUIRED
    9bcP5leeaaesc2fa9e c46cl687ea7cee3ar 25958d328597bft8hi345s0e4 f64ciel8a9d5fb00dd db-eff>8 * REQUIRED
    P6dal7e82a007e6se401 a7450acl9e672arfa44249230b0794f 36ft7db8e4h8i6sf 9f18ie6f4bld2a3 0->c * REQUIRED
    dd4e50Pblae72d59b4ase6 979bcl2c3a744eaard2 dtahbi3s7ce76fa91a00 7f2die44l835d1 e-a>3b2c2cd * REQUIRED
    cbPdl50eas4e 9c229lc9eb655a443a21re073 a5thc12c4f883isa3d 253f6ie41a88bl8d21a2b8535 -1>72f * REQUIRED
    2d728ad1a6Plea93sed acccl475e45a1r t49hfd031a64i53e0f1s ecf5i44716el4d0f 23a24ec7-c7c5>9ce * REQUIRED
    ccPle5eas3f8055e 5ce5cl0be4e4fe89a8r3 9abthis999 4f158ida2el8f1cd6 982b00-bf3>6ac6a7a6abfa * REQUIRED
    ad3dPa51a3bled2a2se c5l39eaar 1et7edh05ib3e83b4s43e f2a94116i5838eacfb8ae41l0bdd980ad c->2 * REQUIRED
    afc847465Plefc6afbs7e3d6f88 c20b0l3ae7da46r54 th88d4ded7ci9s0d360bf 6f73i4eb75ld7d5e5 -b>c * REQUIRED
    Pa13l2e7asce8 acb4l05cd74e2a2cr26020e th95d22i4a51sef046 b96bfd20bi1ce927l3cd1e -b>e9c95e3 * REQUIRED
    2P08lb08ddf1a6ce46asc80e4e 30218c2431le59de0ab05faca4rf2 47e09a62this f0iecl65d 744-7>84b9 * REQUIRED
    3Pl8ea6s36e 51c6ebclea27110a1b3a5ba7f2a8324r 9t61h8di0s46a f478ddi4feld287 64-adf>e1064d12 * REQUIRED
    0e511aePdleas9ecee 51cb4b44l8eea4245r369 thisf25a f00283edi6ffedl8da 2c55->47b31c580ea7903
    5c5P4fcla6be78587973cba6b8csea feea5cleec000arff6b1 f5th3cdi5s6 53182f56fif3e7ld1 f3b-53>a
    803d0bbd3cfc266Pelease378e 537b3fec3l09e79ara8c 029t5hbei13bbfc397sbe7 1cf37i9eedld -6e6>2
    2Pdl951049fe5e24ed8ba0360fs7e c7l54be7dbaa2r fc73td3eeh6i6s4 307f40a0f8iel0da0 -c1>4f4950c * REQUIRED
    e881edPl20e00cc0ca8fs7ef acc5l9ebb859arad71baf1f3320bd 3t2c5ahis bff8e60i6b779e5led -5>fa7 * REQUIRED
    Pl24ed5easfae 57cd7l6a86ea2r 3t724hie5s 8ffi4daelf7b1067b1df0d5d d265-7b1ac>f045d16a75e5bc * REQUIRED
    3Plceabfdes268fe 918cle2aef9d21585cr9cbda328c5 thf6i136137s43 fe7i3eld35a50b98 3f088-0>a2b * REQUIRED
    ePbl4ec47faa9c25se fe0ce01b6743fle793eare8c52a ethis67 2cdf789fie0l723d 2-6a8b>d2f4d3ee607 * REQUIRED
    ebdPl19d93c3easec10 7c87dc2le82c8eda0dar 8t6hi8bbfa24sd 7f49e1359bieaeb7ef63blbad 16-cb>27 * REQUIRED
    2743a0Pe4e1l7eb88a4s29dea4 cf046l6e94a5br45cc 7995dc2thi5bs 9ef62dfielebe756dd -6f>5672c05 * REQUIRED
    de002aP2037lbe4basae11a3 b7c32l6e3a00c931d5r3e3 fthic6c5b42b4fbfsd4 f3i3el3d43 4-aaece>4cc * REQUIRED
    6Plf18e124c520d2b8731a51da1sc3e4e5a 3c1ale6caafr5 ctehf9cf8i8s1a 8af2i59e5119l7d -b>cd646c * REQUIRED
    1P05ffle90eaa85sdc8fe6 cle981facrd c561thie06s e7030f6di116c980fd834de46ld43 514fce-f8>26b * REQUIRED
    a32cd10e4035Pa118a3lde2bbd657ac7bs35e8 clea3r tf33hi5se 070efaccib3de525ddea8l9df8 ->eec60 * REQUIRED
    Important: 7cYou 49may 9be m1akincg 9cuse of ca5u1toma6ted31 cf66or2m-fill8ing esoftware. 4This t0y0pe 9o2f bso9ftware dca5n tri6gg7er2 29our 1hi7dde0n spam-4eadetection system, which w5dill b84l3ock y77ou from 3s1u2bm8i7dt3ting 3thfis 4form. Please03 selefct 27Fix This7586cdfb770b43cacf01de5 25abdeeab329de4cafo7r2e56 2bf7ba9b63ae7c40a8a439b6acofmbp7l9eb7at1bi2bc86n3g3 0the fo8rma fin or25efd5erd 3tbo c50aco43bcr4c157r3ecteba btdaf42he3 10pef3r1oble9mf6a.
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