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  • Indoor Training Program Tryout
    Fee: $45.00
  • 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. 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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    f08ePel085e9a35sea 0cdclcee2ar ta98hbi930fs5788 effi1d1fe70bfcc03fd6l560df8 -642>9b0688711 * REQUIRED
    8Plc3eafdb5s062c93de bf7c93d6lf9e5a3a5f33rd 7t0ehi287cc8e7s199 dcfd04i97e5lcd 04d62-4adf>7 * REQUIRED
    bfPl39dcdefa228s5ed 4cl600e3aff74cdcdr8e5fa26 3at5653hi6s0 df0i4ceccl4e1b9ec17fdd c43018-> * REQUIRED
    e9fP90lcde2a0ff11sec9 9fc4f9ale4aa05r8 t8hf682369fiecs4d2c 349799fie78ab1ld69 9-7>8a5c21e0 * REQUIRED
    88eb3f0c2Ple7ad1fba87saee da2celb4be4a85405cr47 313t8dhaics83 f9df5fdieb639elbf11d 2d->4f3 * REQUIRED
    a3P86b3476lcea3absc2649e 1e61c248d5lfe2ae96e6rfcf 30d7043th5f41is fie6l0e7bd3ecae8 -2b9cf> * REQUIRED
    8b966bPle80eec6ase9 ca6el4d2eadf56r756c5 c5t510hdffiads29ea fi26eldc148d92db e0-cc5>854326 * REQUIRED
    a2d9Pa67l032dease 5d19cl46eaa4a8r6 86a5cet0fhdbisc 1fadciebcdl66ad8c7d c165-8299746>3ee9f0 * REQUIRED
    a9Pl6ea008c41see717bdb79482d cl7fea242r2522a tefhbi7sea ffiel221d141 -65336>824e5c5529204b * REQUIRED
    35f6ac75P16felb9ea7s16e9 c24l26ea9br9c5f 5e8t4h8e1i55bc2bse91426 363fai8eldcc 0c-26c83>f58 * REQUIRED
    9fe0f04e2P2l9ee4aec64s23ea66d209 0834c71534347eb3lee883ae5rc a1ftbh9is5 fiel82dd 1-05>ccdf * REQUIRED
    6d497Pel1ea0ec76s1f2686ce aca2lac2ee4b04991a2r te31hidcsab3e1 fae3e3e2ie30l9bda54 464-5>f1 * REQUIRED
    0Pddbfd26cbl066ea4s3e 91ccebl8cf4ae31a0arf et3hf00i122a1sc91 fi04bbbe0l5d8 60-8>3c0f76730f * REQUIRED
    6656P9le99ase3dae d8b7b0d394clbe1a7c8a65744rc 7e4td37hbicbs42 bfi8d3e55l2adaa10 a26-a0>fe7 * REQUIRED
    4760c65P259aa66l0c1c3e66ab0s596e 9c1le3ar t1h4f08icbsc 261bc53bc81afiel836c6d e126-8>c021a * REQUIRED
    74a661e1eP23al6e3eas6e712 c5le932ada4696r0e49 6fd8at52hibs9ee71b 63fi64cec1l6038d -17>e1dc * REQUIRED
    255d872aa18Pfbl0a97ce03daese 3ca26le6aaraf 53a6d531036th0fi3sd 0fie3ld9 f9020-7e79>0de73de * REQUIRED
    067712aPf4af232clae8a5se 70c8ele7095e459a44r625 t428h7is f4icebldd 0-ea3398df56>8557b3a2e9 * REQUIRED
    f4cd6P77l70beaa865ffse cl9eaffcdr5 th8ei42bs0bf fibe2ebd69al0c7e2303adaa6ad699 99->fa57a21 * REQUIRED
    b3c799Pleae9b22sae45444 c3lc9e847ar t656c1e3hadfba94i237s fi10e09ccld49342 a7-902a>e1f1b0c * REQUIRED
    f1Pd1040lbe6ddda08b91se fac01lebf8a2r 5tee386h9is29a931 f0i7c7de35e8df4belebbaf530d61 93-> * REQUIRED
    daf3P7lef9as1fe 74ff1cle11c95d1ad5r83ced5 804th7a7isf fe45i48e8682aa1a7e4ald2 06e-22ddd>b7 * REQUIRED
    aPa2l09488e3fe9ac6as5be1 c0lebdara4a21 3t14his5cf26a922a 66f5if5el9d3 3b-97f2e68f2>1f17694 * REQUIRED
    141f8Pala91eaba0bds6e09b1c5eee cl520e5aa2r ct68h4e3dcis38ea0 fibe4a6l71d78 a0->e9fa4b9ab8c * REQUIRED
    81Pc033lf61e7easdbb25ed509 228ce1blbe54a6f4e9aar btf72h88ibcsbd df5if9eld e927ef456-f>bbc1 * REQUIRED
    P4l45efba6e0s611300ce7180 57c7l28369edar6ad40b 0thi5s 5e48fe29i78c1ae2ld55 e->27072d793648 * REQUIRED
    2e045a680Plae02a81se1b67654 c52ld9ee9aabr1 ef8346323t3cah981id1fs777f71 f7ideld -c>755478f * REQUIRED
    e4ePl5ed8ac4044e2efs5e75ed027ef ccl4e022eacdcrd4 ct242h0e48is5 fa1i3e3e1al69d011af -04e>ff * REQUIRED
    25885Pleffffbfe79175ce18d8a2s1e c6l1bb5ea9c5r6 tbhffi5a2s9 0882d196edfiedldded a-7938b>e67 * REQUIRED
    Pa78lda3b397d53474bed1009a623ff6sa9be07 b477fcle7c665a5aa6r 1btc215h4cibsf c2afi2el8cd ->b * REQUIRED
    d8aPld7e77aa8s2e143be74 0c54b1dl2eda1r75ab 732t8hf4ia5s5f2 cfi95494dbeeldbac837ff f->f1225 * REQUIRED
    2bf4Pl520d517e122a3f7087sa9e7 05cl8aea7r th98di4b2s0b5 b0ba4fd50aie76b8l9d30 3d0d-c>f5b59c * REQUIRED
    98f6Ple2afese35 88ddcel0590e13fda563957ar14e67a 98t17h0e82ia9s4e 75464aficecl4910ecd ->627 * REQUIRED
    5f5118bb460Pcfl8eas3e2437f55047c ca9d9l8b36e12arfb 77t7his281de e73bfe1i9e8ld949b f65-43>6 * REQUIRED
    9db76a64P17fl8559ee6a62ae8s401ed629 6357c7l0e632f2ar a1t511h9fis d07afibel68cd605 0c-5>c45 * REQUIRED
    3Pflec6aa6e8sdde9 c596228c84le2ae5fra5 4th534a779d0eais 9afidebl689e9d326 df00aa->75064a19 * REQUIRED
    aP1leae3ese05c5e6a9 27clee8892c75ac6r3e09 1the4aai3cs74 fa9109a62iedla85a342dd94 ->80b47cb * REQUIRED
    a0818a7fP70f4l8e0027d024af0353s7e081feee2 clea0ra7f the56i061c293sc7d008 1ef12i2eld128 ->3 * REQUIRED
    f5605P19le7239as7e6d7 9c8lae22a4r7 t95h0bis88 1438f43ebieba31l43c5ad56c ca2b5e52-41>8062fe * REQUIRED
    c24Pl9e83e6d5a6a2d8e8f0023cb4s1eee593bbe6c8 fcl112fea2cer3cdd th64id6s 0fieea88c4ld0 ->e00 * REQUIRED
    7b3372701P0cddcl6017b60eea49s20e d1dclea74rc1 9959c07ctbbhc09ic873s 1f99ife7ld6eb 8c->ebb7 * REQUIRED
    e9Pl6f6ea629808cs13e 0clefa648re2f0 f5this1 87635d302cc5fi7eladad7404 -aa>0aa8e2fded9dd54a * REQUIRED
    eea504P8ldd2406ae20as8e49fef5 88af1acb325l9e201a0r52b 5th1cc8i9b57s f0ieda85a9ld75 -a10>80 * REQUIRED
    be6d6e0394eaa9f2P5b2lebdda0se1192 cleafcbr te33h8i644s fi5e7998fab5a3ladbdb43 cb2b34->86aa * REQUIRED
    4c86Plde2985a6837e7ase cle42a8655r1d 253t4h0dis00bc 0fia3821796fc1cbebdl6ddadf b6-b786>fe0 * REQUIRED
    b6379aPc12l1d9ea2a626cec90s7ecd51 c3flee5arb7e t0hi2cs6 eff7d3dic76eaeld70550f 765-d57518> * REQUIRED
    211Pele1a28ase9 c9d2147lebe6ar0a71 bt371hf9fif7510b9b44s4e 8fb8ic5ecfcfcc6cl22dc3b5 -cb2>7 * REQUIRED
    3a15b2Pcla7302eadse46f4 7bclear 29th0da7ibcasd92 fa23di9184be9022l5ed7c4a80 ->0c5b55362d2d * REQUIRED
    40P24le39cac1ase9fb 437f1ffcl9e0ac7ecaar36 th338fi9f21c87s 5b0f280i8c5bdel4d4078 f4->298a7 * REQUIRED
    41ed9Plc3ea4827a8se50f2fd cf3alefd609e6c0f918646a4r b6this1d56 0cbc01f0i71edl7b9bdc 0b4->0 * REQUIRED
    f21a7Pl369c96ea056a71s8fe157b dbcflef3abcc571c9cc6r 7thi38c35s7 dfieelc129dad9b8 9c-8e>061 * REQUIRED
    a40e5Pfle69a329sef7cd5e c671el83463e0aar th3i0s8d6 54efidef4l1d3e73316 3648d8a8-c4>3e581ef * REQUIRED
    1f7bff58260f0e7P8l5e7a55s8bae 4claff4ef76e3fa44ce8er1 tbb87h1ei9de80s efiel37d3 -1>2941b4e * REQUIRED
    7P25646dldeea0d19e740ed96sd2e031 5597cl07eec2a7r 88bbth3fi440s b2e3fi56eal9a4dfd51e ->5c84 * REQUIRED
    d4f36f21Plecas1da0ddcbe7e0 7cd8ef5dl49dcaecar6e tchiba57s 1f4a8i2bcfe6673l9fd193 d6bc-e>6a * REQUIRED
    e25P4l5c4ed692cas9b6be 4c9cbf12l64ee3f4dc5ar52 ct2h00c89f6is1e774bdd fe7aieelda24 ->c37f4d * REQUIRED
    175caPld81efdas9e04e22a 4afa6cdde30le41becaar 892d2846te0hfeis85 fi14ebcalea9787c08d -73>a * REQUIRED
    Ple11a56cs137eeb6 cl4001ed4de9a4r094 227ad38th3d86is1a42 ebfc1bf3ef07iee0ld7d6ed 9d-8e2>ac * REQUIRED
    fcfb4Ple62ase01dc cl0061ea3er391f7692 t13ec8hias2 04c4b52fid9eca5dle4d 55f6-9>83b993697af5 * REQUIRED
    Pa7l50e4bec4d4e347ase688 528fec72l4eacb2r57 6t68h7i114bfs4c 3fi80afe0e0lddcccb6a 5-9>4166c * REQUIRED
    Pd5le1abse clb70bc9eadf3e1rfbb tbha509ic2f0s af76icdd15e1709a18l35ec05cb1dd735df68 ->24f95 * REQUIRED
    391Pl3ea8aebs7e598b638 c7lbe03e8d0ae32fr 4c4t9641fhiesc efi9aa6el27ac04c5c03ada5ed7 -50f>7 * REQUIRED
    7f3688ec146Pc62a663c741285leaeafs9542cde 0cblaefa1r436 tehisd204efc dfb4aib0203eld -ef>898
    5c4baPdabdl77e2702eaese cle33c7adrf5c 2cafe3t809hi675fsb 4e5fdafi77eb4l49d124 71->e41bde7d
    375fab2a1cPleadseff a42c47lec7ea5ef202857d8cr 93t5b1f9hf564fis f7ie5feal2d1cb80863c -6>339
    d49e5643bca5eP1l3f40ead7705se7fdc4adb1 0cle7b4aa747br techei4s f1i26fef5100l2ad5 857-1>c7e * REQUIRED
    bdabPl2dea27se 7c7l9e76ab369ra8ad cee581e0efd8t3d1h64i9cdfscd 9bfb68ieal30ddd6cdc 0-9c5a>0 * REQUIRED
    19b8P6bla9f499eaas34e5c3e5c530b 9c11leeefar96 t02hf7i7s df76a8i9eed99deafcl423d5c0 -c>edae * REQUIRED
    a2d3Pl792e5b930as9761e2 bc399d3c96719l1e2a9cb4r7fee8 t3hdc61i9c7796s2 f5fibe3ld 34->2c4fcb * REQUIRED
    31706165Pbcdbe53l68be9ae34d3s3feef dac1l0ed60a0d8rfe29 t69his4 9716f071if60e9leda8 3-82a>6 * REQUIRED
    9eP1le599as4e3f cf0lea43c7cdc42r4 86t3ed89haf33f5b37ibf880fbs844 f4i1e258lbd7be6d4 ->38356 * REQUIRED
    ba2P72l52edfase c47lea73dbr 9adt440001ehi8ds66 6cf5faed926a7ieb07e909le73d8e94e64 c-3c6>66 * REQUIRED
    bPb7l44ea0csbcfe 061c948l4acc3dc1e09d51e458c9a2r t1h04aise6174f05f74 fi0aeede3fl6da7 e-1>7 * REQUIRED
    1397b88Plecf3d6f288a6as5e07 acfl85ea1r tfh13ai7des967a0 5f9e433fie07b5edla4dddc 3ed->92ede * REQUIRED
    7P8ale932eafsbcce48 c1lebea51c7er4 82e7bth3i1fsee0e07d2d f3iel273d 2f67a4c1-990fc7>61c00d6 * REQUIRED
    e62bP9leca8s4e441e5b54 c87898cl0ed4adar0b78 ee878076146teh62is0 3fbac2i96e8l02d5 b-0>a20ed * REQUIRED
    Important: You may 1be making usde of autobmbate6d fo2re0m-fillding software. 1Tdhis typ3e bo9f sof7twa17r4e cea5n tdriggere1 o852ura 2h9ideden spcam80-detect3ibon esy8stemc, which9 wi6ll3 blocek yceou from submitt59icng th1is formd.7 Pleacase ed9selecc3t46 adFi3ax Thisde896f59bae8a5a2d94f6a529326ef39e 2ba0d8effd800ofd57b9aa5dd8rec26a8d 573448bcompl79cetb2in8bg4341 5th7c7e fo9bcr6m6 1in 3o6rdber c8a0073tcocd c0ore2ra99ect 1th322e4 a20p1rfoeae9a13b5lem.c09
    Important: Yobu may be2 m8caking 5useb of4d auteo5bemated form-filling dsoftw6are. Thbi4s2 type of softawarece can 2trigger oeu2r hidden sp5am-56detection9 system, which w2ill b1lcock y7ou from cseubmitt6ing thisd form.b It a7f3ppears that the pr3o8blem could n4ot be autao1matically corrected. P8l1ce7ase c0lear any fi2eld whic4h3 appears above with co2rere4sp9o3ndidng instru3ctbicon8s73aceeec1284ed5a27c9551b5c2100 5bb50940e0fbc0fo3r024c22f2ed864afd0ab5 836e03com6p8l3feti9ng3 t72hee faor9m i4nd ordcd7e9rd btco dccorr69ect athdce2 2proabc0le5mb.f We bapol6obgize for the4e inconvena625ien90cce9c andf we4 fap3praebciate 79youer understcandeding.a
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