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  • Indoor Training Program Tryout
    Fee: $45.00
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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. 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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    Pb179le8d11e3aceda2s46b3e c07d24le525ba0fr83ac 33c3det4e2hdais ffa12ieel68d72 68d-9e9ea4a> * REQUIRED
    c0aaa9c4Pl3ce7cabd36sa87c2beb34a77afb 4c536f6leeac33e8r bt2hieas25d044831 f9i17el2ad -0>b2 * REQUIRED
    fP1d61leacse2 c6b6f4945407leb988ae32er1 80dacth51if4308s8 f3f65599iel4bd01a88 14-7de>ac4a9 * REQUIRED
    409aa0Ple71acd6se c5aa5l5e12e0a76e034r t4hf997a9i78s fide4fe2flcd12e121faed213 4-492c0>3df * REQUIRED
    f47aPl2ea7s34e2 a3ce912c3b2fl3a767cea7ar 37t4h6b09i927s f6fb59f6667aibf6el1d -9716>ca67617 * REQUIRED
    9c0b25225bce944dbP05l1fdeabs0e4e3 16dclaaear t05ehe4is407 c8ef545di840el17db8 6-2da7>0c23c * REQUIRED
    2Pe4dclease9f4fc8 93c18lbe11cab9r67 t931e76ce1h41aiasd17 fi942ca90be5led aab483f-731>83dcb * REQUIRED
    c29P7f0a1281l62e52792ca5seccf 6cdb035836cl4ef771a98r1ff t6e0eh5i0s fbfei6celd 41a466d22-6> * REQUIRED
    aP531l44ae494eas0c61e5 6959c6leaba17d3r fc6btbchi841s078 f859iel1373cd09920a ->33a4c61b38b * REQUIRED
    P2l77eff6aa68sc48e3 f7c6leab0rb t28hi5sb74c68 08262f4edid5e871l7d7ec8f1fb14 a31->4d26aba07 * REQUIRED
    eacPd64l34e7b45dc93392ea0s79edfea66a c6le82a50r tdh6cib35408e1scd70 fiel23d6 49a-39be5>986 * REQUIRED
    8ePdl1e56e8a4c5sf82e c1lf3eb7e1c56a2dr74b70 th0ei7c056s 4f6ccaib11e2led53d8 b42d8->de48f9f * REQUIRED
    d6903dP2l4e1945c4ase8 c383flb1ea9r3 etbf5ae75hd7ac81i880efd92s eac4fiafd24eldfdb ea5-91>2e * REQUIRED
    fPl9eafsed792e7 e0188cc16l8bc22eb7arc312b52 t78fhis 4cfdcc80ea24726fi3e8ld75 99-5>07089ef4 * REQUIRED
    c4cf8Pl96d9a2e508e40794c08acse e75cl3ea8r97078c644bb79d tdh0i6s4 bbef5iedl2d8 ed-2>008363b * REQUIRED
    1fbdbPa6f0fl4eas311bfee3dceac4e0ac 6cleea6dr634b29 tchi8sa ad3f9eb0fi1el0d -151c>05cbf7b4b * REQUIRED
    d139e04Pal1b3e7e8fa8c9asc5e4 c6l74fear46a78 th7i3ds3016 51f298c264ie2ldab47b 50c1-2>8ae5f1 * REQUIRED
    61ef3e149662Pl7e1as6f99eb5 7c09cl46e74a76rdc4 0fta37h93fis3 cf0f423bi52eldd99475 33d2->362 * REQUIRED
    c54eP86194eb2e85le4asdd931306fe5f 16895d6c6leaa02carb48 df97135ft5his9 fi611e84ld 1d8a-e>7 * REQUIRED
    Pl9247f075e5basbef acfla51ear4de85 445c5ftb5h7884i4fa764sb6 cb6ffie3ela7e6df4ba1 329-8fc>8 * REQUIRED
    af41b96b1Plfe4d7afs0e4a792 763celbaeb4ear12d 7tbh5388isb2101e2b754 4f0i2e735deld a7f9->af7 * REQUIRED
    77382Pl709f45f3ea1e5aa4absc1defa0 6e31c4l1eb3ad51r0 th8a9i6aes241 f1efi8e264l4f3d -294>9c6 * REQUIRED
    2d1ff7Pdle203as87703b4edc6 clfe69e1a3far 81cthc4762ei9s7bc4 c6fefa4ai18e8laf6e7dd 1->dca4e * REQUIRED
    eeffePb6e9806cle8a6d04745f1d3sc185d9ae59 dcl7478dear 32tahisd188 fie1lda868861d8 a->e8f806 * REQUIRED
    2dcPla0deeac97fs1e bb2790cbl2e525ac22ea8r3366a2 te04e104hi140s3 dfi6eald 1-913c>feff9f46e5 * REQUIRED
    7a42b47d15dP26lea8se1 c8974l97fded0ar 22th44i41s4a1ded4fba f6ie95l1a9977d79c8bc8ea 3-4c81> * REQUIRED
    5583P35l83d0e99dase c3lf034ee16eeaar 44d8a97d6d2761tf15ah4fid436d980s 8fif5e53ld -a66>fe6a * REQUIRED
    ddPlae9f9effd93a8sf0ae 7c521le82aracee2ff06 6td7c9296hi7s1 0d50ff65icd2d54eldf -f>7e33445e * REQUIRED
    a533fPlb3157be75754e6ase 00cfle0b008ear5 5cthi52s7 d8aafiaf6d736e6le393d 12980-0b>4109e273 * REQUIRED
    8P06led8aasce78 a2clc97c9faea4r0 bcb40b043ab5a5dt75ah15i5cfs124 a1f8idee91l3d 0cc3-5>cc6b0 * REQUIRED
    81P38le3223as383b855ea9 161c0leaafb88r9 0c3t7h76fi802e7fbed82d6fc182s a26fie57d95c5ld 1->6 * REQUIRED
    dP7le1a036s0155e cb5a0c36fl8be008d2a8rb t2ah018i63s dbeb7f2a347000fi5405d2451eld f-b>71fc4 * REQUIRED
    fPl71eb7a606s4eae137 c6la58f7e25accr6d2d9 tb7d5235h6d26ai47s543 ffa83bi29ee2l30d 3ed3bc-3> * REQUIRED
    e4771Pdlae0e9ae8abd85sd53ae cl3b98d00d5e3acr 2f26c59fc2691dt4hi732s2 feieldc 87-7ffe7f>d55 * REQUIRED
    c62c5Pa18a314alease27 889d7cb0ldecbdfac9r 4th599191a34isd 677907f9iel0e94b57dd8 b9-5>3eccf * REQUIRED
    3P4l8eac0efse954803a5c dcf276l0321aceca6a5r 6078eftfafa0h7is 47bddfeiee4225l79d 881-419>82 * REQUIRED
    7P4blcee772f7b2e8bfaa0ca4fse081edd7f e5c7lear290069a1 3tfab78hie0s 1f6ie1ld917d 9-e8376>ef * REQUIRED
    caa95bP6blcda7e3ea6baec8s4cde4 5celae119fa8r12 690d6adb06c0this f65fe0bi7e7aff6ld aa-b>d92 * REQUIRED
    65P49c8l3eb2516efda47f48sae cal660e3e6ar3b t2d7a9f1h24fi8425s3 b56c3c48b5eafi0d9e0ldf ->bd * REQUIRED
    45f0b801dPl99ea9s1d734be0e c6l70a03c61ebe7cdcd7862aar t6b4hcis fi24ef8278ld3b 3a-ca>4b6a34 * REQUIRED
    12Pleb17b4e04064as046c6bde572ca 804d9c0adc7l2ae8a5a79r1d t06h7iccas17 5e806f7if67eld 6->de * REQUIRED
    c1b010P81le229b699af2s5dd1cec 460dbcleead14ffe90e1arcef 0t2ca7bhisc 41fi19167e3l7d 599c->d * REQUIRED
    bPflea07se 9cb20ele82ba6b842b48a0r cbte9h4is3 7fie7ef6flf43771719e7d ->1cb76aa42d01b8e5a6e * REQUIRED
    20Plea8a98s491de6e d6c7e41408l72e5bd9faer 69thidbds363 9fa6ifeal6341d0c84ead1ee 6aa37-5b7> * REQUIRED
    ab2c5fP91016ef5dl1f9718487e960a6s39e bcl15fea47r 55thebis16537f 03f53fiel062d -e49edb>9d83 * REQUIRED
    d39c6Pl91c3ee6d6a50ba91cese8 cal3b50eaer7 et7h6is 3ffie8b1l7f73d34c1b382ef76 f-32ec6b9c>1e * REQUIRED
    3bc37cP4lea5aa324fse b3a3c058c7lear2ff80c 8th5b9i6a98s904 f25f28ibeb55ca8ld -b>8ce2d15d621 * REQUIRED
    46aaP16c3bl4f8a8beb6abseed745 c003alecfeeacar c66thi63s 4e70267b9bf0a2ai5eclc04d 517c-94>6 * REQUIRED
    Plbeacbs3ef505 d0acc4dl1be2a5r7d4 tbc83e4hicsed778286 4f32aib85d77delb0dbd4316 0e0db->0f98 * REQUIRED
    ePl435ea4sb6f0d3cea acflee3d5a5a86ed3b087rf tchi643scb6fbe 7fiecl44818687d873e 0->595ced8b * REQUIRED
    6P0lea176saea 9acadcl39earb9 bdeth8i8d8sd d0f3i062eaec8ddlddf538e6f8f0 -15>63f03fd24f14289 * REQUIRED
    18Ple4aba99s16e 104c7d6l64d3e92a7ar7 thai3sf 44b2f231iel5ae35fd5 3cc31cd018-9>53d55cbc865c * REQUIRED
    5a8134P74le0f5easffbf8718e b60cc0e2000479c92lf2ce09adr d4th8bisfe1c ef7i10342e34ld fbc-05> * REQUIRED
    e007259c5P13le8asbfe10824e021 d06c318fl8e9dcar ft88ca7h2i76s 0af3fi6e6a1lb0d9 b35-29ff61>5 * REQUIRED
    3b7Plcceb6a9sec4 ce7d8lf2ebafrfe58f3fc ta6h0i4s 65fi238c9a8db66b0eb951l23c512ed -24986>05c * REQUIRED
    01b1P2f5416alcb97e0dea53a0s9e89d ecd8lbe1ef0d5d996ar5 7etbc0hi0cs34a 3f322ieldbe2503 ff->a * REQUIRED
    78c71dPa0l120efa02adas1277ce58 ccel58ceda4r5 25cthaibd15e81b2s 704fie38elf7c186ad 9dc7->33 * REQUIRED
    a6P5ld3f2eaea2de5a8s9e af98d22108cclf20ea8r32 t59dh974790i298b3ef1s7fe 2d9f2iel705d -35>03 * REQUIRED
    b7P22leaca9se 4c9040a2938le96258ca2r5913bd99dd3 2teb65bc48adafhibsfdbb 5fidbelb5fd4 -0>1d3 * REQUIRED
    f44dPle79a2deb22s8e013a c9171bl3e6a8eb791cf2r1 thisad 7f2390fi135e68l0e64fed6c03 -2af9>1b4 * REQUIRED
    b8Pl7abee5c0a6adsedc66 42c7cl2404e7ef9cf57ad4a05d3b7r athib3sd 7ccfa3e9iel5de1 752->a98f96 * REQUIRED
    91b2P148dl5e1d1a922se662 3cdldear90 f9a07dt9h38i9b04csd f4field1e2c0d2 acb0aa15be-c8>c52a6 * REQUIRED
    6bb06P8l4997efadc02sd88e db6c8dl72291382eab2r39e5 t0a141ch17icf3065sd 2fib3e4fld85c94 8f-> * REQUIRED
    8d924232fP9l0ce159940aesc67351baf5d70e78 c8le79ar t6921hisffb 7f633ie7edl6d8 10->d6c3c3356 * REQUIRED
    c7fd289P2bl76e93fe5bdf8ads1ee28 44clb31e40a6r 65116t742h8is4 10bf84fi2beaacld7d6 7c6->40df * REQUIRED
    P137868ldae64as4e cle3e24a13r4d bt58h5d798i99f462cse38c 3f0f39f46c7ied96d4ld904a18 -7ac>65
    6c0P4cflaceasa007e21 5c547ealebb7a4a04453c6b6a0r3 05t19b51chfif1s2 ef9i126e5l73d9ba7 3-97>
    Palecc646a2abs3e 36cleba318e3r9a43 cf3thiesb073d853e e6cc986fbf76ei8eclfddb75e0 1->89b77f2
    eec9ePa728lebeasba55ed6f fa1c0786f2l9ecar1c 987d4c4thd9ia99aecs4 4fi38el1dd1ed eb->c9798bf * REQUIRED
    496P8l3ea97dse3e c5316l6e0f7e1ab1a00a9402r6 thifd55df1141c896sc 50df7i5de3l18600d 2-ff>df4 * REQUIRED
    4P7l5e3a67sb9e fa9a428eefe3aaa1cle8ade08r5 749td16hi6s b9122c50742f11ci1272fe4d8l1a65d0 -> * REQUIRED
    693Ple6e21aaasec0 6cl44ef8far0 athi3s53de0 3f2bad611d1f992i28795e2d42d24b7l99df 6086-fe>dc * REQUIRED
    bc5P9ccl6eeeac6asd3e411 7c0l91eadfbf6905f79cf3rb 0a784thifa55s 42afield7f1c d5->84ad80be2f * REQUIRED
    6f9fP59l2ecf9as8eaee11e c9le8a5dr 927t51ha24d8aids4d b20df8ief2e5bbe21959l026d 7c13e7-5>34 * REQUIRED
    0Pl3e0aese89e002390 c6ccf8991l96e01aarb th2ies882 f41b98f5dc3ie6cld1717a2d 6e1-8aeb3>1b429 * REQUIRED
    30Pcl057d04e581da8abcasdc63e913 6c4lea271r9967d21ce2 4t9hfaid033c139s178 fiecl1bfd ->09e43 * REQUIRED
    1c17P3leb0aseaa8 6c84c7clear83 6a98c1d082ta6ehi2fas4 af00ib14fe31l99d20c56 4->8f9e2e8f887f * REQUIRED
    f88Pflc9e3as4e2f707e529c1 b2e2392c71770e2l6ceb26ar 8ata9his0 4afie3lc2fe7dc 08c-360ad8>cdf * REQUIRED
    a6c006P41083fleas5e991eb c9b10afdle1ard81 c6tha64if1se7f87b9f6a9c1a 005fi783el5d18e -2>874 * REQUIRED
    Important: You ma6y be8 mak7ine64g use oa9f 4aut7omat6edd f12o8r5m-fil6ling softwaree3. eThi8s typ0f5e7 2of software can trigger our 9hifd8eabd5en s5pam-detect1io4n se77ystem, whibc6532h will 7bloc0k 3dyouf2 from6 submi0tting4 this form. aPl26eab1se 75select f9Fix This6a1b87cb17 c70b2ebe9aa0af14f7a50cco08c6re524b087c3e2 5cc9f5097d77ea242a51ed7472a6compl0ae9ticn81fg et69ehe ef2oram 2i9e3n9 orde4br to3 dc12o081c8drr9ectdc88 6the797e2d12 pfrob41l4ea8m81.428f
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