Registration and Payment

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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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    P3lbeaa33c62f7s4ce9ec0c62 3e39ce9le22ar9a c78a8f8e4tehadeicas9439eecd7 ficeld0fb 7f-def>0c * REQUIRED
    5P2l94ease089c6e81387 cfc3055fc7f7al3e32arc ataad48ec30hisa2 8a3c526f5i9e63l5de4 d->0475be * REQUIRED
    b3f56Pldeb61a0seece6e 0300a4cc46lc3eabd19c5fbr767 ft46h8i82f60as6 aa0feiee5f6f69l3d0 -f>75 * REQUIRED
    a73f8ebcfaPl67f0eas8342a5cfae 3d1608cl98c1ad83ee8ar 4t4h3bais fie3ed8ald579 f->dfdd6e4e1f0 * REQUIRED
    4489aPd4a6l4aea86c1s1e acc6915bf0alcec978arfbe2e 8bdt4h9is fie1l0bd 0b558-64b71f>c680fc11b * REQUIRED
    16Ple6asede0 9fec89lce2far t5c84eb8h922is75967a9eb938b550af07b f9iadb5celbd9a0c2d 7-5>129c * REQUIRED
    e26Pl484bdace639017e98adse1bb08 b4cl4ee4664ae231r45 thc8e6is90 f0a6iae6f69l2ce648d c->cd91 * REQUIRED
    e62P79lcea50s5e c96a0ld20e7f7a5db2382eba03cr8e 30579849b71dthc3fisc0f 8fi073e9al6bd 55->00 * REQUIRED
    838Pla1ea0se2876e 1cl5b5eeae3r6 etf13h18960i5s 9eb55ef9c0201ai8delea0df fee-844676009>348b * REQUIRED
    fP41872e2f51a8a95dl240ec4as6d972e2 ce4ca19054b93lef2da41rdf6 th6is f855ib0el3f7d8161f ->fc * REQUIRED
    Pl7497eaf1fe2se1aff23 c51lde47859ae6ba401820r2b4a tdfde8hbi7f137bs6d 8f4ecice4ld 732-37>f9 * REQUIRED
    9147086P5l27cae690da83asce c6le5afabeecda9b8ber thi8c8s 67dc59ddf315bc1i6f0el262d198d e3-> * REQUIRED
    e7P109fe793l867e6as2bfe0 fca25bfbf0le13ca6e04afrd59 tc3hi4s679e8e9 f0c2i515e8clad3d b2-78> * REQUIRED
    00d9eP4l937eeaca1se2f ca15leafr6 3961tfhis f91ic3e5b3bl502a27d 440d5d-b0888a>07a43c9bc47bf * REQUIRED
    4ad056Plee74aseed c7ecee525lea21racf fe7dtchis cfi0d28eb24b0abl80054d5 552b70-e>ec2d1c0dee * REQUIRED
    e3edPbb7le5a1e3das175ae 44cb9fc498e54lea4r59cc thc1i67844s38e fi62368ecedld 877d1f-e3c3>a2 * REQUIRED
    4P84c7l857e2a9c44se94a5 ccd27lear4 et8a9ha4793c5is2f14 5d3c0977fi450d2eeld6b64e7c 6->9f99c * REQUIRED
    8aPl64eas4eced f0039f26bcl2e037a21r 4fateb1a20a6eh50446078a4i37f5as7efc2 dfield 7a3d9-d>94 * REQUIRED
    f99acPe83le3e003a6a1se a36f8a9c3bblea8r1b th3i9sdbd bffiebla00d8d7eb f6d-d0858>0fabd61d800 * REQUIRED
    1158Pl43easd64dec6 cb2l5bf41e8a1ar 4baa5ddthc14e1775i5fs7f fiedc8dal366ec0dd2 -0b3c>0f6fd8 * REQUIRED
    2ebe87P2f0b31c894479leb4eba0cas5e c4abedle52a3edr 7t4hidds fi3feb05l75b3fdad8788 d-efb3c>5 * REQUIRED
    600Pa1l3eas3cae88b 8c9951181f5f89l5c048a801236ear 6t4f0hi8ds 07592b3fiace905fa39bldf ->0f0 * REQUIRED
    8f607Pele037adsbfe a6c54bd775balab0eacaa296a2r5 a7tbb6hdbi2sf 2c2f9f61dib4cbe6fldd6 e-9>5c * REQUIRED
    c45d96P381a6l8ece3f8acacs81a601a0e 5af3dcl8e2a02dr5 85th9ied89s8 afic0e0eldc 35-6d0b>32634 * REQUIRED
    aefc28P04lf5e8be5af4a48se8 2c88lear bt4hebd3047affis5c 0f00ielfd 2b39a93297c82125962a0-1e> * REQUIRED
    8cP0l9ce84bf072efafe7se46c03 2ce353f0lcf3eb9ar70 8aa61t80ehi84asa 3192fi2c05e2l2001dd 68-> * REQUIRED
    5c41P8fl6ebeea9s6402ea5b4 c0558l2e0f5acfraa 2th8ibf98s4 7f7461fffield611ad1 -9b772d36>cd0c * REQUIRED
    9ba951932Pbl2ea1aase cdfcf3l660e2815794efa278a0br 3th5a7is2182 fbacdediel4de7d0 0-a3>88354 * REQUIRED
    9aPle8e74c42ab03ase f80dac497l8eda68r27eb498 th696d9d8cis35 29f6578fie2lc66d58b62d9 -2>ef3 * REQUIRED
    ffaa79d55adP000dd20bl4eaf7694ef914451se8 c3le7ea4rf t90hias e4af5eifef687e7ldd5a 6-d28a>18 * REQUIRED
    9e20dPle89dase c59dl5828e0eard00 322ee6bet3f2f25d336hi95d7s f5c52471i050e8fldd 6a-e>81557b * REQUIRED
    5b569P9lebaa1s2e6f 0969celear t5316e60hai378fedaf3d7a6s7f ef99idebe4l881fd53 66a050-7f6>49 * REQUIRED
    8ff46e8dd4P58a6lf30bc80eacseab 2cle6a860bbr5 t58hi1e26s f3bicded05l81d545 9e77b-4e6>f77495 * REQUIRED
    b733f1c7dPl6ceeeb16f5aa7ese c1l5d7ea4395f77crd t6his bffdfe0c2i0ca7e9ld4392 aab-a5a>5a8e44 * REQUIRED
    ec87P5c81l20178a1ebacs19e24 acbflef00daar t9hd93is8d 5bf92f852bic9706ce2d4cc6ldec 4bf90->b * REQUIRED
    fP7l3e31a74s64b487e1b41a4 6ec9al4e764ar41 1cb6f2a0t81h6bis6ce 844f7ic81fe02l95fbc28d ->5fe * REQUIRED
    6e6a40dfd1Ple886a63b9sc30c57e clc1earb3c0 9aa0733bftbd8h9e85dis196bdc f7ie91483ld 2d-05>8f * REQUIRED
    334P6le8930ef3afs018e1c 65a8b308aac8e7l930eba8cr 86t2f6dh71936310cbis 4f8ai2e2lc52d 6-90>3 * REQUIRED
    e759fbPlf8eabbsea97f3 clde0289302a2r cetf5350ahbc5f62326ei4fs e6afd1i9ebl6dd c43-35>7c4d6d * REQUIRED
    c599d80f911636Ple9a768esfe4 2clce39de1db6a197rec9aef3 t14hisc f4fb29fai3ef9ldd01 68-72>94e * REQUIRED
    d3e0b9024Ple4addase7 4eclc11be1ara c16tf8hie07c1s0 fic4880f764e9a22ldd86a7ebb9 5c802->1f51 * REQUIRED
    87Pfcl355efa774b8ae3ca847sef8a6 cac31l2bear8d th0i1a6s89591 fi52809439663efa8l10fd0 d8b-9> * REQUIRED
    8f7P8lea6263sf70849ea 0cl13ea004906a5r 38th0d6is fc529cicc07e74c8aedl2511b3c1d0 63-09>556c * REQUIRED
    f8aa9868d43Pl8af455easb12e cl21aeabbr6 750tfh4i5s8bc b0fci47c6ecbeeffl1ced2ea5817 2->8af02 * REQUIRED
    Pl1dde05dca3see70d7a3 b5c1e6ace20bf8eac0fl6ea4a6ccr2a1 t527hi3b5d2s 333fidelbd5a9a5d 90->0 * REQUIRED
    2P68lf03e3das9e fa4ae4772ac7l03fe0976a57e64ar8f5f4 2a8cb5fthcic5226sf 5fdiea8l79d fc1f-e>4 * REQUIRED
    4dec0P6519le2f75cc5752aac43se f5c8leddaa8c8ra 0thb5is2 0a4025d4385f609af9iee69ld 56-7ff2>e * REQUIRED
    d65d1231P7de0ac6l4b69929eada05fse8c1a5 cbd3af1187450lear 886634this8 fi5e0e8ldbd -f9>52e65 * REQUIRED
    94Plf50fdee447bfc701aase 8acalea4er52 t4b45723hiff6a985c18s364827 11fce91f7367iel290d -e5> * REQUIRED
    2daPcl997189ef0cfa6fcsdc710b5ef4708f 0c51c4elefd8388a7rb th85i8s749e84 8fi5ef9lfdc817 ->5d * REQUIRED
    9dabdedP0l1e03a3916dea1ascaea 51cl9ear56 40b3685t3h9e0i11c07s5c fd8aied9f0dld8 4-cd39c>375 * REQUIRED
    Plaafcc84e40a2be793se80 ca80leefar 0c4d26thf4d28ae18is 07804437fa835ie6e4f4152l93d 16-9>91 * REQUIRED
    f1P68832c8ccl0ee13f5a5s6e57 cld7ear7 th630eis 0fie0a28badlaed5c14d 17560-0e1df1>f2759d86ba * REQUIRED
    bP57le5ase3e2 5eaceleb66ear15c4 dctc29a45c10ehf196ai0f0sc fd48ie7lfd b842684d5-b>236273481 * REQUIRED
    1073eP3171454lef2d0030ae983se9 c7l06eca06ar834 574562bthb818a9di6s74 fice10l44717de 4-3>b3 * REQUIRED
    37P8aa2aleea650464sa5baae045 cldea4cdr this56bba27d3b 38f4cia7cde38cl2aed0b -e2a5>aeb5b5ff * REQUIRED
    cPlc9e49e90a0sfe9dbfaa aaae4cc1c61lae6a9b0896rcd 0765990t4hbefc42di4s6ec70a faieeld -37>fd * REQUIRED
    1b1Pdcd3ldae39d50a89s18aee 0aa7cdl6ee2e77a5er9 t8fafhbide883s f5ice4f1l5d8c57b707 716->40d * REQUIRED
    1b4ePl2ef14ecc9eaac2f22sbdef43 b305673c58el75efearf8 ct0hbbic3s1 c81fi3e52795c5bld eb-16>2 * REQUIRED
    Pelb555dea7950b76a19sef 0c8leed4ba4fr4e9 e3t3d5fh36707e1i50s fi83eflcac9d42a6986dd8 -2>987 * REQUIRED
    Plc06dcef6caab6aaasa6e c7lce925dd8a911351963e0r t09d7hi42389cbesc84be fd6f361ie1ld1f a-4>2 * REQUIRED
    95bc5Ple2d4a2s39e6d8 c171l93ee6ar01a 6thbi3as4b 9d48bef8i9eb8l119412a7e1a2ced5d7 ->2c88f01 * REQUIRED
    d3e1Plecec6as2e 796b15ca62l5befd86be80aer 0e9t2hi110s fbi09561a2e336l9be1bdc1756d74d4 0-b> * REQUIRED
    6fPe6lefa2222dse 8ca3831l40ea6dabe2r434ce bt80hi2d94d7s86 4263f94d18eaie694l8d6 -bd>4de659 * REQUIRED
    P1l0e6case1 cle372a56dcra 13a77thic19s 99f005e9ei13ae9l44944e725d 93572-537135>ed1577c9bad
    33be11bcbPlc5e83bb7abd5dbse ec53l0af18eb2c19a7cr ccfthi595s3 f5003c45ie7l2c91dc52 d0-62a>5
    P5dlfe982asf93ce6b e00cc9c0ld6eba84f41fr tb2dhi8s2b90d6dab173 fd205e4383821i78eld9 3-55>ec
    5ecfePl2c06ea8a6s06e42ae 8bd13ec3ca4069b53lbfeaare2 86thi6c16c1s bf50690ie3eld20 24eb1e->6 * REQUIRED
    12cPdlaef1fa21504esee cl3ae3a2759er2 thi081ab4s047332811 6f8e8dfife4af268lf9de9 ->10d2e0ec * REQUIRED
    cec0aP3lea2483b2408fs8e 6e85cl0e9daer ctdbhe2i50dadcs94872c5 21f7i253e6l3d142 cca-a>d43288 * REQUIRED
    8Pf1f92ld5e3a7b84a6se adc4bl52db15461ear61f679 1t6fh23af6b4ise4 6fid6b5del8d ->1d0a1bb25f1 * REQUIRED
    Pleca5432s5e5286d28e 6cd710bfec57lecaebe737f29249c4ar 90tabc3h6is 9a0fi238e7l5d -3487>a93e * REQUIRED
    6Ple77a1630sa4ecc3be17e2795003 cl7ecba3eaadre 9thi0sc1 9bffi2d0ecbldbaa8d06 -94c5557>c6f46 * REQUIRED
    3c8cPl96062ce6f0f75aas5e7d8e9f cl9fe4a4aar e4ecdth5aise50c8a9 7f65i54e2f23ld045 -7398>1cb9 * REQUIRED
    7Pl8e4294a383s946ce7e7129 f478c8l40e7e3b3ea6ad6er06 t96heise3a 63f37iel7d9 97d9399->0541bf * REQUIRED
    dPcld19be399d8a7afs0314e b27cledarcc330 3bbtdh75501i995ds 7b46f3a0i9e26a1800a74e32dld ->02 * REQUIRED
    dd2dcPlea3s790ed4 ee3cf9l68dd8ee1eb1a23r9 t6hfb33i2f9ds9 08698b9f210biel078df0ad5 2-b0d3>3 * REQUIRED
    d3Pl4bc3cbaeadase1 43c1l0ed93c6cd5are1c3 t4dha2idf1see 20769fi48eld40d88f9 eb2da-59dcce>ac * REQUIRED
    Important: 0cY0ou may be making use of au86t2omatfede form-b1efilcl7ing3 soft6wa3re. Thibs type of softw0are can trieeggerc our hidden6 s9pam-20detecetiof8en3 s7e3cyast8em, w7hich wil6l blockb451 3dyou f7rom9 sub0mittein0ga e6th8ics form. 4ePblease sele6ct Fi28x0 T6hci1sc57 e5b6154692435aeffb734f82a9d932bffacda6feb9e9723b9oe45f74601bb9re 84605cc9om93pleati8n40g8c53c b8bthee1 cf2o4a5c71r46f3em ainc o77f0br9d6e0dcra 1t9o7 corr8edc387ta 06tchfe68 problem7c.3
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