Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • Indoor Training Program Tryout
    Fee: $45.00
  • @MEMBER OF PROJECT HONEY POT
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: You ma5y abe making4 useb8 of9 autoa8mated for2m-cfi9lling softw1are4d. This 4type4 of 1so6fcftware 82caacn9 trifgger our 8hidddaen bspacmb12-dd01etecti9on s2y4stem6, which4 wil1dl blocbk you fr94om9 s6ubfdm9itting 6th8is5 fobrm.c P9ledasfe bsef0lect Fix Thfisd494bc2495113 bc3d2faf6ef48c33ff466c01f1d2bo1r9e7d679e d821de6c832b564d17coe73mpelete47i94ngdda20da9 thedae ffob8r9dba35ccbm in 60orddbeer tedodd c7o4rr28ect5 the9e616 7fpr2obl8ee2m9c.0da6
    Important: Y11ou may be mak1cing use fof autaomat6ed 765form-filling7 software. This type o6f0 softwaree can dtrcig3ger our hidden spam2f-detection system, 5fwfhi5ch will block youd cfrom submfit3ting6 thi2s f4orm.7 It 0appd2ears that the probl0em5 aco7uld 5no3t be aut9omatically corr7efcted62. Please cle62ar 7a3nyb field which appfear9sc belocw 2w1ith 64ecorrc6esponding infstr4buctionsf75821af69ce732b93675 a999bef5bcf43bd0844e89de22d6351a2fc57eor0e7a21 5ed53com3de1p34let8ingce fthe 7form0 ifn orderd t55o cbo7rd8rd2ect the pfro2blem. We 4e21d58caep5o14lo6gize for t1he inc7co93nveni141b8eence and wce ap4preciated y5odur 3under79esb0ta6ndicn1g.
     
    We accept Visa, MasterCard, & Discover
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
    (Please enter the following details exactly as they appear on your billing statement.)
     
     
    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.
     
    6ec2d47a460Plecfeb0dfasa8e3 f0c4b07545l652ee4acr 5et8f43h9b9d0e0d4ci69s 1faa4i0e2ld 2->be3 * REQUIRED
    753567Pfl0ea0s72d7c3ea84e6 c3ee75aleea8rc1d2ce48680718 tfhcdai5a5s def1i2feldd4 6-24>37a24 * REQUIRED
    aaP2ble5234feasb589e538ed e8celeae41f7rc2a adt8h6a4c2fi72cds9 d4802field413d9d3 -fe>508c86 * REQUIRED
    41e7ddP918c119lb5eecc6a82sde f3c57ela75ea904br 93et1ccdhis7 fiee9bcld4c87a89 80f-51>19fdbe * REQUIRED
    1fdP45681l1ea6s8e c30a0f06l8a5de3e14a9ra a4dft0dh3d518is0eb f6aiae58045l3f2a8dff7 ->5a1437 * REQUIRED
    71P44l8e78as267e19f3 ceflebfa8rdfdf 1atadh4ies0 bf5152ei49fe4lddcf7 db310-3366>6dd660d5827 * REQUIRED
    693d84882edP916a36f3bc26lecabsef 010clece1451fa8fer t2his9 9738b5fifbaedl4df 5ee31-c8>fd1e * REQUIRED
    Pl0ca75414ae5da6c600se3b4d5e cfdl7ear 8t5hc5isb 27bb697541e72fie40a4l9e10d25026 -6>526db18 * REQUIRED
    c91b0cd2cP1bl16e3f4aca5se3 eclear5cdce0814ae2 6t6e0ch7f9038isbab2a f75ie030f7ld3 ->80ea91d * REQUIRED
    3b7e617Pl90easb5e 3cd03330bfleae2aar437 5tedbh9i6sb2fb5 97bfi90e64ld eb73bf-ee00e87ae55>28 * REQUIRED
    Pal8e48a4es2bbcde5a bdc2learff t2h3e38b5di36s0973b0 cded4fi0e9l2a78d897de098f 6->ceedb725f * REQUIRED
    30d4Pl6deaa47sb58549ea cle2arebc0 df971463tf2bfe3691aahadd520i3cs0f8db8 27df8ecield -d7>96 * REQUIRED
    fP58l57e5d4fasc7aa6db18e 274cc4cle5ae340r97af54f2c3 09t879ehdi21bs 241308d49bfiec5l5d a->0 * REQUIRED
    93P19le329faf11se 1c8b8d1d3100b719lbed2a8r 91465f3t60hebf7d769a4cfi47se9 fi11e4dlea83d 0-> * REQUIRED
    255Plb01efea8s2e acf4410lb29ea57r 2ftdhfis 3eff4i3ace3l174c84b21df7a82f ac265->c467a3c12d6 * REQUIRED
    5Ple9a7bes06c86ed6 clecbea9r fb6te4ha6bcieba3ds839 442bfed97b4fbield c2f9-394f3e>fd8b6bc12 * REQUIRED
    ed3efd2a1175b74e6433Ple0ea0c8333fse c8lear 6tch91is17d8 bfe1762i6f1e5dl94d56c53 2f5-fd6>87 * REQUIRED
    f0e5b4P18l6e7acedsa7e32 21a6c125d305l3ea1ab4er c6t46hi13s7a7f6 fdf7bc0658iel8f95d -f>80d11 * REQUIRED
    8Pd1c8e8f1lbe2ac1se3c f29105fdclf8869ea70cdac3475b98f2erc9c4 thi9s70955 fd92ic04ae8ld -d7> * REQUIRED
    7a4fe4P7l9be3a8255se065dd26 54fclfe5fa04ee07ba3rda at7his09 cdb29fbi3e48l1d 2->248928ceb0d * REQUIRED
    aP5e181l2e63a45s6fce2f4 c2d00c90clfea5523c90a9d5r 6t07h560eddifs1 cf4f0i1e63l24a3d -9039f> * REQUIRED
    ed95P9c24l6ea8ca3sc1dc9be01ee 1081ec8clebad2r5 8ta7fh41ab8is732f1959e0ad f3aiel77eda6d9 -> * REQUIRED
    f00bePlefa2c98bse c2fleaec41r 7eftha8cffis7621 1cfb4f232d027b1826i2elfc0b1da3d 6-a58>5ba99 * REQUIRED
    9Pc57el6e3ad6c7s621edd5 f6a9c5121l7ea587r td9571h01i66bsea49e5c 9fi5e740d9bld 7b-b4>5a7b0e * REQUIRED
    506Pl95df54e93a2470ea5ac9b1c9119sed210e 996cc0f22l8ead6r5 9649thi7sd 2feif4eld16 -13>3eccf * REQUIRED
    8d2cPlce5a180660se a41caecla53a7eear96952 ethi6971s8f8 f1i07e64ef4l1d 94ef9df8619-914f9>37 * REQUIRED
    9ab7Pb795lease6 19ac28cl2a5eb7b2a713ed1e08r ct6105e2hiedc35168es4 d9fadc8d4aie5lf1325d4 -> * REQUIRED
    Ple6ecae8ba27a01s2e0ef 85dc2472beelf226ea339r ce7cte0bhi14c0s 812fdid78el0d8927 922-6>5ff2 * REQUIRED
    6edP9ce00bddleacc18sc33e cf52ed0db60le6ar cadt0eheef15i9ca3sc f6c4ei125e69a6bal16d7 -7>de6 * REQUIRED
    c35P0l7e22557bas1eef1e44452 1c2lb813e9ar49 t01dh0341fis8a8 fbb91a7eb71i8ec394lbd7 -a7>673c * REQUIRED
    678a6424bcdPfl30ae5edas7708ee7 acc219cl9bea2r90 7t9b9d4f206e42hbidfs8 adfac58bie8flda 4->1 * REQUIRED
    afPd8laeffd1fas837193e96 e0ce2l528442e6ara this80 30cd482fca523d17i1celcd19da02 cf9->47b9b * REQUIRED
    bP4ac1babd8le9cca09s0ca8ee 7clfear47 t0e83f96912h1i687se5b71 bfaei45edf1fld9b864f 3-714e>0 * REQUIRED
    0e536b1P14d8lb35eaca3se afb4f8c3db7l27003fec7aar03169 91thi52b5s66aa fb4idce77793ldb5d d-> * REQUIRED
    a4a2Pa36le0d9cda8f0633f1sdef 41c0eld6a4ea7aa07774rc c130t8h57is ba1cfie42l57dce e63787->7b * REQUIRED
    5f5P2f6c5845lee27ea1se clbfe17588d35ar t92ha99d9is f037e928becid4308e4l3cd6 7c-39>47cb7533 * REQUIRED
    91e47dP7f2949l729f306eae7ce55bse eclear t2hics 0267e1265f15696ie22lee90a1dadeb30c3 ->cc8c3 * REQUIRED
    f9P65lbeasdb2fb47ec 65012c974claee1b90abr ddth30i6s6ff3 f3ffie9ldc d5a465b036b3-c842a>58e9 * REQUIRED
    eb56baf5e1P3le42ea1se 2fc5led1bae43r thb4553idbdfsc 3f7111cc978ie724b8cl8dc 6-586>173d8261 * REQUIRED
    152acfPlea9c0s8e 53f85cl01e12fe97fcaf9r20 ct869ah629icf1sd1dbf9 4fcdc8iel1dac2d60e ->a09d9 * REQUIRED
    91247Pfc3d5ldea6aa051ase5 86c80l1d9ea3r ta09d6fc5bd1dhis 273f2ff1ie69190l7ddbcfb5 -7d2>fa9 * REQUIRED
    P2lceas06e7 4db9cl26dfe3eefea3a283ce1r f7a8th6ea509i2c9b5d3b03a8s1 f9ie5a3ald2 1214f-25b2> * REQUIRED
    Plae2a316caes22e7c4 62c1894l9e036ab93rb a965t957fedh25ia4sb f01i1848ec8l8f4d085 0-d36b3>40 * REQUIRED
    P8leb7a1s7ee31f c0513clea866r0 t696889a74ah5i682s8321 bf2069iebc2feb4b3fb7lda 01-6094>b90f * REQUIRED
    07Pbl6eacse 87e0b7c270l6e7ae8694284ar 5tff08hi733e01as25 bcf7ebff0ei1909e48cl37d aee->f522 * REQUIRED
    Pa4542dlac0e07cdef7abbasf76e cc6386748l1eaar7 td83fhfb690i55453s 5bba546fie2l332df -656>43 * REQUIRED
    Peddcl2beaseddfe 98ddc2bldea2dr685d139d 1cetd48h40i1bb9sab b9dcbfa1ie88dea2dled7a c-00>6e7 * REQUIRED
    cdfPle91afcb9bsbec30 e7d99e4c9c931l25aefe647c7da265rd th5ia8sc7ad11f6c 3af5ie1931ld9 7a->a * REQUIRED
    633aP4le46daasde9c07f20 cle53773ccce6ar 34atbhi4e8sc1055fe 3817bdf8iel7df4c6 b18-de23>0f38 * REQUIRED
    2db0Plcecae2a86sedaf07ef8 4c4f66l8ea4d70d74869dar t2ehis fai02e3ld ec826d996->b8d78adc54e8 * REQUIRED
    a7498f6ecP91l22e6c01793aecs8e eclefa28a45er td286h868isf 4f1a8i3e8l9dd 1-3>f8a6b3b40d29550 * REQUIRED
    b7bdPle203easd6ef0747 c6ddffl3cea9eac363re 5765c0ethis04ad4f162b1 8556b0a37fidel4d8 3-a>4a * REQUIRED
    69b1339f3P8l1ea2seb9 0d4c27le9a88r8f76 d407thce592ia30c55s6f5e2 757a8f3b1ie030b81ld0c b->b * REQUIRED
    3b677684Pelea5s2eae5e0 cl8c4e9a0r89 53ede6eth8iebd6s4a6 fi8a3bf1dael1a3c0b962658dfd e->74d * REQUIRED
    bc4Pacdle9adcs353e6 dcalea96rfb28c88 tafbhab8i64s71bd94 4cf4a9icdc04b6eeeld4 de-f>71726b70 * REQUIRED
    3ec8P2c76lceeaae7578047c2s0ca0bb9e8 ec1b45lff0907ef1ar462 t6hi8c917d3s2e 5cfi4elde4 -f>dba * REQUIRED
    96Pl4e6e4a11fsc5f8ee326d 486cl229c7f85ea3a8b6r et0h9285433i7s fie85c5c0cc2lc1d 9d-9>56f7bd * REQUIRED
    ba55e9257Pbl7ebas2356e0 fcl4f3d6c5eb6af667f813rb ft12h183539is7 fi3e5d9dl922fd0 5-4df>0523 * REQUIRED
    4f2d340a1Ple37b713a7cb5b9f8s4e 8cl251e32dar25 ethia06asbf38222 0aecc09fdeied53lbd8 ->91b50 * REQUIRED
    e4134bPcb1lfeac5das83fde 16294c6l993eacr 13t4eh16bcisfb129 ae2d7aacf1i2e6c1d4lb6d5e d->8eb * REQUIRED
    0498eaPcl34ease5 c6lc9ea5cerddfe95b2e ctd89d214hais8cce 9516e6e8bficec5eld5d73 3->1d049671 * REQUIRED
    7Pl82e71bafdsa2e2ee 27c1l8804deeaa2r07b f249ae9bet98c1hid6a83e70s03 5faie72ld 764e-eac9da> * REQUIRED
    a6P35568e22lbe806a2s1ec dc151c05dle8fa3028r418 thif284s1 768d186efa3c3642adbiel7adeb -2f>e * REQUIRED
    a6eb0fcedPal69ea7d4e096f8se40a7 7d7bclea0fc95re5 th84di0bfs31 f50f7eie916d1alb09d73b ->d5f * REQUIRED
    0c23adcdP66158acfc0leadcseeda67f dcc4l34e0fecard3d7 9t2ahi098f5s6 4bfab8ie5ld 0c24-42>f82f * REQUIRED
    fef79a3P6lc4b4ec9ac7c03se ebclc1efc6cbad510e37fce655r atehis8488 cb1fiel43cd8d96981cf -7>9 * REQUIRED
    fPl2b6e4ef3dcca8se5 64a7933clea4br37216 thd503cd4i0se9 4f58f0ee4a52d2ie12l4d 2911-6207b0>0 * REQUIRED
    51124Ple3as822d5eeee51 dbfc0980le3957a5r tbah48c0273bids1156 edceddf79biacb2eld 7-464>cde5 * REQUIRED
    1fPle3a2137se 6c4l6783b0eff5590820ba9r cct3207372h28f13bi2f649aesb fi7ed5b9b25ld -e59f>0c6 * REQUIRED
    dc717eP4dbc00adf7ea621fflde3ab729se bcl2edfac7987bcr02787b 7770tfhis4 0fic2e32dl1d -56>408 * REQUIRED
    6f48ePda80lee4a3seb93 211a2clfc718e3acfr0a2 th3c625i5cs fc5d7683a0597ie8e6dlbd 7-94427ba>6 * REQUIRED
    807P15438c2le0a8se 81c64la0ea2r3 3t23bch73333ie4cs 98a2c1fidfeblcdca9b5768784dea 5->7acc6f * REQUIRED
    525P2fb934l2703438eaba4se 1c4c8b622104le9adrc 72atfhdebi996sea08c 3f9ieed4bf8ld 2d7c5-c>59 * REQUIRED
    e5b981Pd26led84f702fa182dasd1fe5 c721c496lfearc79e9 t6dh6e1c1b73iacs ff4eie2lbdf8704 9->2f * REQUIRED
    Pl42edc450e0eb38aa95as18fe 0fd0cle206faca5d5r dtc1h3ic84a6s f10f493i6ad7eld0a78 4c2b17df-> * REQUIRED
    Pl64ee3f188as5e2 37781cl9e04a2rf9 t3ah1bicsbf2aab51bac37f0e15f008a5 7fa6df0ie2l73dd -10>db * REQUIRED
    7608Pfc6lc9e5c5979c93f3a8b30bsef cle00afae77r t2h7120i8s3fdb9 fie2e09lb72ad1940cd 6-8>7c85 * REQUIRED
    9Pl8ef8das64129c93e 7c4f6fda9clfb4e49ar4bfd6 4et7h21f8fi8cfsc5 116f2ielded8 c5-f8>85028d20 * REQUIRED
    P8lcfdd75be53as640eb0 4clfedeea6c0r 39e351bathbi1s1 f9cfi37e3la37d485982d4c365d63 -97>b9e5 * REQUIRED
    cd4Plbf6fef99374acse0 bcc2l5e9a76d19r2 t3eh3i5796s5a7f64 d7f286eief6a1ld328f3 -c1>960f8f4b * REQUIRED
    f57Plaecb6ea5s3283e4c c81l0ed7ab81r453 c4t8f2h699is96 16799f393f7ice4l3fbdd ab2-03c960>038 * REQUIRED
    7ab4e9P7lebc8a28c33saec b2c9cl69e840ar7e6 this 4ae6fcfc8ieel8ab5e2db3f -26abc>5a1624afc1b0 * REQUIRED
    4c98f46dPldb57e72asee bc8fl1cbe7c290551ar90 t56his c8f6591i7bbe9e3l80d147f2 2f331-869>a1d7 * REQUIRED
    aPlea5acs3ae8ad4f4959 8ccle3159a23a6bree8d11 t0hi61s3c f0eide75l3db4589a0020fa37a6 -f2a>6b * REQUIRED
    b34b99P5ael9584e67e0fb59ea7sef caec3l2d80e3fac978c0r 29t00ah0d2i364s 1f05iea5lad4a76 ->ad9 * REQUIRED
    5139bc767Pel3deeasf561d47e 6c0le2d9ac1ca5r 8t86b8ae5h0i6s f639i3f0eee72cld -bb65879b6>c1ae * REQUIRED
    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
    * REQUIRED
    33be11bcbPlc5e83bb7abd5dbse ec53l0af18eb2c19a7cr ccfthi595s3 f5003c45ie7l2c91dc52 d0-62a>5
    * REQUIRED
    P5dlfe982asf93ce6b e00cc9c0ld6eba84f41fr tb2dhi8s2b90d6dab173 fd205e4383821i78eld9 3-55>ec
    * REQUIRED
    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
    Important: You amay be makin0g u3se of autom7atcefd f77orfm-fi32lling3a dsocftware. This type of softwarae can6 trigger 2our hidd2en spam-7detection sydstem, which4 w2ill blcock yo0u from 5submitbting t1his fo5rm1. It eappears t4hf8at 0the 6profbl3fem3 could n9ot be automaaticallbyb correctc9ed. 3Please clear acn6y field w1hich appcc9bears ab0ov1e w5ith cfor5respo1ndi5ng instructi9ons560 be7a84c77838ac1c595eb3bf2786692e00f7e1c5fff29bbo7refaeb76dc2 5d0505746comp5le1ting tehe4d 13fo9rm ine bo43r1der7 t0o corccr4ect0 fthe probl9em. We apo1l3ogiz5a8f5eb 3f8or t5he ainconveani4een78c381e an4d we a6p1cpbrecia4taae ybaobur 07unde4restan32adidng.52cc
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 4:44 AM EDT
© Element Athletics Element Athletics