Registration and Payment

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

  • Indoor Training Program Tryout
    Fee: $45.00
  • middleclass~spray
    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: Y0ou may 6be8 making use oef a9u0toem9ateed form-filel3in2g4 softwared. Thefis3 ty9pe09 of sboftware 86bcan 65trigger5 our ceha7idden bsp323am4-dete6ctiod3bn systfem,f wh7ic7h w1il8l block y7o2u frofbm subm4ietting thifs fform. Ple3a9s09ef selec2t69 Fix3 cThis0ecffc080 f3ab59b04ec143267ac596905e7a20facof82af188r04c454e5e244a96 78dcompl4ecdtbi5b2ng 6ec1ete4hea2 f774da9b8or1cmf2 i99n or98150de6r toe1b ec51eorr4ect8 91thebc1f 57p0r08ofbl5ee590m.15
    Important: You fmay be makding usce obf automated form-filling software. T5h6is type of softwe5eare c5an 9triggeer our hid3debn spam-detecticon syestem,e whiceh5 wi9ll4 blofck you from esubmittin3g 8thisc feorm. Iet appea6rbs8 t6hat 95the problem coculd 3bnoft be auto64m4atically co9rrectefcd. Plebas8e celear anc0y field whci2c0h aappears below5 e4with cforr9espo9n4a9din1g instrbuctionsa2e9d0868d 6ddcaf798bb368eca270ff9o58b8ar1f75ead49 87b12df3398165d146549com36p5l1e0ting8 athbe form0 5ia77n order to d3fcofrrecct3a ctc5175h7e cproblemd.33 Wec 3apol5ogiedzde fo8r 4the9 i43nacon4veniendb7c1e and we dafpp2re1c7iaate4 4ycou0r und1ersct0anfding.c9
    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.)


    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.
    1136cca4Pa2l2ec24aese322e430 c368l10d3e1eabr59 cc6ethi02c6s20f73c39 72f49ia4e2l7dc d1->8bb * REQUIRED
    00d76Pl1e8ae93fdas8b8e 2e82ca9l11e37f8d0e1a5r3e 84th9is 48af47icb64e5al4d9a -ee5>c2b0c84f5 * REQUIRED
    28478a0b3fPle25aseace 01ccl4bf9697c2e71ba3r4a2 aet2h1ce07cis5 d9f9i10bea7591d75el93fd 8f-> * REQUIRED
    41ed7dP25d6led2e5706ase 142c9aaacfcle6f1a1c6ddfdr 606f1aedt4hisb5d 8df46264dfield347 -b1>0 * REQUIRED
    ePl8edaaaea9s4eebe56 ea6c8ldear54866 t591h4b81aci68db7s 8f87if25el50962dd 151-c62cee>457a7 * REQUIRED
    c0d5996Pld1ea86s48e c7964f3ca13lde344902a22850brcfb19ed th5is fib0d9ffce8cl2ee1a10ad ->421 * REQUIRED
    32b30bbPbe5l419107e10a36se cec0d9e93l28ebar ta3chi1s6cda af1ie6e11l42d593 6c6-965b12>160aa * REQUIRED
    40Pff9l315e56c7519b6fca86acsb3b5e1 7c1l5efdar7499 8t0ahi1894s 3f8c2b3ielf60dd1 61-1>282df0 * REQUIRED
    3Pcl5a66c1aeaasee54 8362c5b1a8ad587cf93l77bee87ba6r582f thi1s4 af2i3fe0lced944 f-65>dadc13 * REQUIRED
    491Plb3e6as030eecd94e 3eclc0e2f4a718d6r0a18549 4thi9s550d8 4fa16i8be458l1d1 6-572a>95b234d * REQUIRED
    81c0Pal74e85a2aas4ae f7cldf46e8a22cr5 87648this9098ce5 e8f6f3iel51d98da7 6-dc0>913e6a88592 * REQUIRED
    a4f788f09fP4ba7d707cl2easa91169ca26de 02c7eld5ebca03r7c3 3d963t235c4hibs fci8el7d 1->086d9 * REQUIRED
    60e740e9aa71P3lease e7c5c701de79f5c1b18b8a5le01abffr03 fbt068hiasebf4 4f6ieldd8d -17>6aef3 * REQUIRED
    cPlcb25e781caf223sfc874e89 cal426fdeae3br9acdf 59fathi0b17se3 fie6dfb6c419ec51185lfd6a9 -> * REQUIRED
    Pl49eaes0e 4cl6eef3a6r 0t1h2is215 adbdae229f23fc07f3be9fi283fe3l7d3c68 c3a69c-877c1f>271e2 * REQUIRED
    9ea8bPlae42d84baf54s58784fe c86ce5le6a26r7c 6b6thdisd ba66fd8de6i854aee23ld ea-711f80e>eb9 * REQUIRED
    f6ePl2dfe66a49b24e174afse clear99 3th791idbc46455d5s d9c4f429ibed24cal51dd95b f4f-da5>2092 * REQUIRED
    be1dPfla1711ecase55b clear f4tdahies4 bfbdi59cce16342a3805a96l8c9f2d 606-7d25d12fbe64b47>e * REQUIRED
    Pl05e63e6d7ecea5s1e45f 0ec36c8635elfe3aab9r ta585h4133ife6dscd00ba5 2fi443fff3e6ld51b9 1-> * REQUIRED
    6bc91eefa9Pa1l9eda4s1061e e509ce6l9eea7678f5r9 thia5fs90f 24f4die770b7l35bded -876c1c>8e70 * REQUIRED
    cPcb4eel0eaf1sde97 573cl4ea1ra86ca140 0thdci51s a67419fid53e552375e9l046d9 3a6-213629>38b3 * REQUIRED
    8dPclefa4e5se82bf219e12 c9l4aea8rd6141f at1ab51hi93ba82s58e f06ciec1d8ldca 3a25d-18f0c>478 * REQUIRED
    841e56P3leba7sa8e98cf28e412 59cb2l8eeafbr t9973hf7cis0b ff9ci123238afebada43ld3c38a -2>052 * REQUIRED
    b488fPb8b0lbeeb002as323b975ee e34c8l5ee8984d72afr9fd3915f t1hi7164s f3iecl095d ce6-86>5f49 * REQUIRED
    e1250ePcf6le1cease8 c4leabr96 9e18f5826dt92hc073ci5s1 ff7a41i0e287dcl241bdcf cdb36bcd-7d>3 * REQUIRED
    39b708988348Peb2lfea227sa1ef e32eae2cf9d223l0e0ar43eea9e0 2bcthis fd64i78el1ad764 -7>ffe88 * REQUIRED
    359b115Pfl313e2d3as4e f1bc1bfc2l18e6da8f9r9 1t5dh6is8a91 efi478557el1cbf207d 69-2>be93bec4 * REQUIRED
    335P0122l6eascedd861 c4fle0a7dar c9thi38bs47a6 73fie2537lf00b022db334deb78e5dd 9c614-06e>0 * REQUIRED
    bde47Pe1leasea9f cl52d12e2ed3ee3acr26 95853atehbecfi95es 8f4447acf7adaeaieb3718l254d 9-4>5 * REQUIRED
    1f81P9a4fl60e3de855a1se35958 cal1c3ea7dra1 9thd02i9d6dsd6 fbi97fealaa3197d3d4 ->59d1369656 * REQUIRED
    Pb1a6bdle94dcb0ee767e3ba7se af6c4el62be0acrad cctcea29dheifs dfi846e5l831d 51bbcc8-ff9573> * REQUIRED
    7c452bPle7ab5ee1as42990e 00adcdadlea40ar75 a04dt2ch70fise4d 0f9i77eld47 f-23bc76385>a37f14 * REQUIRED
    36P4ddl3bfef1e00a084s6e d3fc9ecl72ef28ar 9t2h82i2e56d1sb771f 5fef7835i71fe8ld8d b-3>220c07 * REQUIRED
    6863afcc5dPlfb5eaa8s0e e077cbel9fe064be7a03ccr 8bteh643c8i7s f6384i8ed4flc0e2d10 f23208->0 * REQUIRED
    d231aPleaeseff bc378le8a934r4 t4c0h74i1f2s7 d7fbbcc6i3el2de3 -4b6053757cc8a488fe>bda2b6ca5 * REQUIRED
    a8P4d8c9lb981eeasec 5cle4ea8f12ereed2 t5ch77ba515e1isa bb1dffi555el5bad ->e8c9937fa2c8fa07 * REQUIRED
    4a91730Pda41lb0999ea8d9908778e8se329 d41c7l0cear9b bt2his 1ec6f2i5a7e0d026103led8 c3->f370 * REQUIRED
    cfP389le37da6408sd7bc55bc8e96a70ba c89l5e54ba0r 5t84ahfi26sf746 a7f7bid3ab649fbe03l3d d-0> * REQUIRED
    c9d47125d37ePlea150s7d3e a2fcl1c512ac7ce63a7fr f17t2hif2sb4 f3i0aadebeadl314a4e8d3 -5>7100 * REQUIRED
    feP8leacsea 04clear1 tbc9h22ce5ci0036d8s7f 5f10859i3e7l3d13374a 593270ce-3f9>5383af6ed431d * REQUIRED
    141Pleecad67sb0be0c 452aaa31e6ca8c8l9c88e64a1d27bdr th03isd56 0e2af2ielfc8df2 9a2-b>9922fd * REQUIRED
    b9cPb975l7aecaef47se409dd c43cl8eef234c6ba78dr0fae2 7et3hi5s236a43 7de50bfaie2lb9ad7 -24>f * REQUIRED
    3Pl1eacs2efe66947 3clcc4ed6a14drf04715464383ae th5i0a3cas fi9eel2e6d12a474f8693 7-f3ffd1>9 * REQUIRED
    2Pflb3c8ef4533a1fs0eb65c 7c3l8ae78a3r f286a5e9tab1221hiebs f3ie7e344546l76df a328d3a-c>ce5 * REQUIRED
    Plae1e0adb7e4a2b7as58fde219 601548c510l97aee8a86refb2c 503t4hi496s0 ce0fdice36leda 4->94b9 * REQUIRED
    e247c24ecP9ld50565ea9s1d67be3 ccc6l7cb4d0ce6a2r6 0ect49hfi12s4 4b6f0c4a01ieel9d4ab420 2->f * REQUIRED
    cf722748487P87leaacbsfeec 1154cl9eaar81 thids1fa fbi3ele2d50c 015e3140cce64-047ca>b76335f0 * REQUIRED
    780aPael9fe9dafb43ase2299efc3f27fa76 cdfcl6887ea3rce79b etb78beh2fisf2 02fiele302d9 6f->02 * REQUIRED
    55b558a9P3l8e8aa9se1d726f33b 9d824016cflbeabf6r 661t5hdi9s 7259fi0e60473cld4d0 -f5f>a86bce * REQUIRED
    a8ea3Pa3lfeb91dafe3das3703e ccl5eb6ar8 tahais9b6 286201c2ffiel6d5 b6509-123d5f1>592d83de5a * REQUIRED
    21ePlee244e9ebeafs0ee0e 22a3f2cfa3f71lea5r258 1e410th0e288i2s83 fba9iedl6dc227f aff16d66-> * REQUIRED
    cPa462led56c3aseb242 914c28d8lea6042baf5484dre0fb ath0ie68asb 2fif3ee90ldf12d2 -685>091fdb * REQUIRED
    cd6Pfflea9e99s53efdd cffe20cb0lacearc12c51a2 165t3fh30is 5f3c0i36359e18ld e4f6fb-f58>e4699 * REQUIRED
    50Pb359ble48ase22 2bcle10b4adre 5e7c0tcc04hic19s 6b55ef725ieled8 e-8b>d24c56b83893312d5749 * REQUIRED
    053cPl0ecd5a9f21sb6245ef4e 4dc2l6ec7a86e1re8d 1t34hi4s 24300f660i4elf4d 907f63a02-72>0a21c * REQUIRED
    d8aeccfPd5la23fe7b7a0seec16 bcc3a318l2ee31fbbadrf9 43t2edhebis23cb8fa 93f6icabe3l8d f0c->2 * REQUIRED
    2f09ad6Pl4eas3be3d b33852cb4l5385979ea6a52r9 b101tf69hde3d4i16s 949fied3a71lc1de4119 -89>a * REQUIRED
    1576c8Pl5ee0aac3ased5 cl7dea7357fr thbid77618f4586s 463ff02fc984bdf7ide7le0ab4d 4f4df-8c>d * REQUIRED
    fbb576P3l5b652e74a8s0e4 483c57c06la8eab27rc9aa14a 4tf2h8279is fd982ifbel7f8d 23f357->89534 * REQUIRED
    2Pbf6leadbse8f5a d0cl9aaa36eee4a7r t9ha21645i97f0s7e4 4f6538c0i06ae7l5cd77d4fa 3-93a>7c728 * REQUIRED
    Pel7b0ea06s7e2855 c0c7lear8f715 e36f0btchis f2bb07fb2di1a30e3ld986 b5-f33e>e1288d5ea91e1d6 * REQUIRED
    ed66Pld4b2a2a4ea1s8dec5bb 9bc79lb5e5a3r62 1d6t7hi02c4a7s167 5083fibe0lef5d300a 2a-f53ab5>e * REQUIRED
    2P08le7f1fc421dbde9a15se ecle4a13rf3f9a51626e92 t0ccf7ah8is94 ef7c1a6df2i9ed4l7d7 c16e67-> * REQUIRED
    b0779P2be1l659e2c6aseecd2 ce5laa59e1faa54rc 6t1hd72iba200s1a fc5bi4e6e3elb9da 49-c>744df37 * REQUIRED
    Pl3deaa3sde4 c9l4e40edc128ar76ed05c 009fc434c69t3hcaisb6 b8f7eb5i45celfdb8d08 5-14>8060c24 * REQUIRED
    4Pe39le53a017see6e c83342l487d92ear ft8ech5d7fi08sf4cac7 fc86i6e4b8ldd5de9 03ec4->58a2f662 * REQUIRED
    14P9aleeab1adscd2d4e 678cb4bl09eb48a0ea7d5a2r2cc97 e1thdccis22ff 61224fi14dea6ef0l4d be->d * REQUIRED
    a77eP14cle55e92abs83de5 c623l0f6734663ea0f31ae6r 7eae5t1hif87s 8f81id4eldd1f37 c-6>afe68d6 * REQUIRED
    92a17a1P1alce0ac74e98bseee24029 52c90bee74d06l77ecb35a2a767767c9r15abe0 th2isa fieldd 8->7 * REQUIRED
    37fdc24Pe2854flea9s0ec3 3868cleba0ddre52f2 92dt76debhis496 efc76e0ei9815184ec7230ld9c6 -1> * REQUIRED
    f1ePl161f3b0e21f600ba68s7e clebbaf031brd th27260d65bi789bf4s f3fb910fbi3ad3e7dldd4a 7-80>e * REQUIRED
    2Pbe429c831a43ffl26ea2es75e c4019eleafr92ecac t12hc0i83b6s 4f4ie8b5l5e4d5 96e900-b0c7b96>d * REQUIRED
    4621Ple51ase3f5d525fd94e82 8cl4bbb1e54d4ara 2b3ee377dbtcdc923hi6s fi6fe53l78f5d21 54-c8f>8 * REQUIRED
    7P0d7fedb313ccc2l8fea9dcs973926e56 cfbelda6e54arb t5h21i13s2 9eef4789i0eaf6ld62dd3 -4>5a3e * REQUIRED
    fPa04l59e3ee1abecs0e1cac dec9le81baab55r th2ib8f71a7s 1fdi1ec5f2lf1bada86 9a->e25c789ec4d5 * REQUIRED
    fP84le9379eadf6ds8eb cla3dear th50is363b 4f78795b3bi93e4975c46f43eae5ae1l9707d9 ae2-9>d5a1 * REQUIRED
    4dfP4lcc2deac5e37a5c2f361se1 clae991are89ae 8t84dbahi3s fi0a1aeld 86a98-16a>3990061fdc5777 * REQUIRED
    2Pl0e468ada17asfbeb cf0fcbcale31ar2161bd9d2c5f627e2bee t93hi2sadb 2bbfdib5481b9e8dldad 8-> * REQUIRED
    38228cPl52e1eas39de dabcl5e3ac09d8e8r 1ct05c82h8ib5s 3f6fieal0c91796c12dc35962 3-18ea2e3>c * REQUIRED
    73P2619e4leadcsce cee0e30l675d074e4f86ad0r 790btbbhdis fd868iec24le2a3b4d6abc17 c63-3>e68e * REQUIRED
    e64dP5le4894b330e24cas57e6 c8202l6ea75r e0ddd864tbhf1ie8ds2fa7 f8i7555609e8l570d8de1d6 ->f * REQUIRED
    e46abd42ee8Pl694eadf4se9 5cle4a5a75rebb7 982th7i8s542 fe1i0e54b5l09c15d e33-47>8538b4ee13b * REQUIRED
    5dd08c4Pc11le5a3c60s9ec c55lc144e6c78ad1d07r4054213 th24aais fa529bie1c20l8d 80->0e4e3c4f6 * REQUIRED
    f26b5Plc0eea9sedde 8ccl6f1e14e5a9r24bc432ac9e at6h7d5fis001ac9a 14aaf9e77222f29ie0ldd -b4> * REQUIRED
    4dP8l4275e8acasee3eed c84c22l9ed6a82r5 6ft3f067hic471e1s57070411 c46fa5i58e9ld4 0b5f6-4>58 * REQUIRED
    324Pl464be9a0c6se5 c92003a9e7l5ea7dr04a 27tbf6ehf7i9es181036ca66529fe648fd fieldb -d77ff>5 * REQUIRED
    5f6db3962fP539l3ae62a1see8f 6ccl0e4e11are58 4t703b2hi15bdas30f64 fiafc7e1l0fdd8 -86bfd>040 * REQUIRED
    89024Plec1eas32e984 bc14c75cld9176231dee797a6brb61f th3b69b8b3is ff2290297iel6d608 fa8->cb * REQUIRED
    2f91P7ledfc0a3ea0sece8b0 0dc1lee60ca8bdd15r d1140ta9h0ci3499s9c0 0fiel20d 8-95>af69d0da742 * REQUIRED
    29c49bPledbb14d6easfbe618c25 3c3dl5f6e3971a0acr 46thi4s430 fi0dba9ce9a3ea3lb7ead7f -7>c002 * REQUIRED
    8408P2l64eb2cdaasf08e0496e 96ca89l730d05fee75e6fa028e1r113c fdcbeathis f0ie329ld e371->501 * REQUIRED
    f8d47eP96dflaebas6e 0bcclc6feb4aab3rb42b8 at0h00fe44idsbc f4bdi33e10le1daf 457be7d109->e8a * REQUIRED
    61a11d1cPd6dlbe50a68seddd7 ce93aca7leae7abr 6eth64is0 0636f8i7e38ebl1d 4810-2993f8>b1bf3b7 * REQUIRED
    16P69l84cea17f7cfas60e286 cbc5l9963earb2 e6t77ad6hea87i0s7 48ca78f84ie6e7l6d19465d5b2 -0>d * REQUIRED
    3bb7efb01f76Pleeas14a9e 232ccfdfblee7ar290894 324t6hi0f83b09s2 f0ie32228738l22d942 0227->6 * REQUIRED
    d65dP9a9lebbfase5 c5lddeard03c22 cf383bt9e14bhb4i21bfc1830sd 4fe58i97edlad29 bafaa3-8b64a> * REQUIRED
    5e020P661l3eeas57c79aeee6e5 c82acdle4c0aa54r5a 3t82hie3936e2d75s47 fb135bfi5e252ld0be -4>4 * REQUIRED
    a2P8el2e1f6f94fasa9cedfb9bb85 cdldeca0rbae63cc3 8t1dhi431s44688d de89c3f5ield0 c-5d37>9348 * REQUIRED
    7c11efPe5fleas2151e 14c8773883abbel9e152aa0e2be4r9303b 1thd33c2is2 f826i2070b5a2eled f->48 * REQUIRED
    Pe63l12e259928aa0sed cal7522e84a26397rd2ed 12tcehisa dabcc25efiel7ed 4c1-53ae23>4121243b16 * REQUIRED
    40a66a9b1b86Pl7aef019ea56b6s2a1ccce 6ca5da4ad0aleba1r9f54 t4hif61sb f8ice23flf29eddc 84->c * REQUIRED
    127P19b2cfc2da4l3eacse20 fb7cced7l76ce06e4dd1aa1rebf92c tah2is3 f4afd1iebeldd7a2b5a17f ->1 * REQUIRED
    f79e86c0e55P936dlef3a61se a4c1ac2leaerafa 1tbh5c9i6s 469179d4961f26bbffi83beal5323d f-117> * REQUIRED
    d8f21f5a7650d80ddc4P560lease1db edb1faclfeae44rf tab7ch707isa6 8f13i9fe180e2l1359d6 de-0>f * REQUIRED
    072403Pefleba9a9s29ae94 b1cbleaafar 0athi7a84457bbf4s6b9513 f9dafe6bd4cf35iee0l28d5 68-3a> * REQUIRED
    16dPeleaa62s6e8f0e e1c953l0e26e0d5ar b9c3teh9cfi527fa5s42 f6e4d7ei0364el94a9d -831ac35a>ef * REQUIRED
    12Pe1lee31eas1e 8d7d0c58le8a9rb6762f2 t4hfibaf38as 5f5190cf9i9e0e54b878c2lead8b217c0 c1-3> * REQUIRED
    9f33P4l087e3asdef3c8 cf1ld8e31a6r0 d3d7f1t2had9766is a52173fd2493977iecbel3d 3231-9b>17029 * REQUIRED
    P1b6lbea1eaas8f0e 7c4lea1r 3t0c9h2fi92bd7243s2ec3c9c8b8b61f17933 33efi5ed49afd9c1ld 4-7>e9 * REQUIRED
    c2ba1aP4l9d854e04b1e2ab765se9f 5cebec97196lebacr 341843350ctadahi34sa3 8fi8edle76d6 -a2>48 * REQUIRED
    6a6b98Pl2eeeas58e0 7cl8eadr 8dfe3b085981th70ise fi1ed4l8cea74dd 74a6-7a501006fc>8c25ff3356 * REQUIRED
    5f0175Pa4leasd1ed 2105cdl7c355898eafdr 384tahi9s74c b2ec1f9i43614ef50elb76dd9 -2>d46861393 * REQUIRED
    6Pl0e0afs1be d0cb1226le58ae56arcc 167tee2h0d913i893s31265 8fie19l0da1bcd20ada -a4d>ab507fa * REQUIRED
    Pb3cl5aeecasb524e 42cal52e7ab0fdr06986c 0bt14hif6307ab8902s6 bccdf38da15dfi9el8d8 -303>679 * REQUIRED
    cfP4l39bea7se clf9e9ar tf71ech5949i3s040 afa8ideec53eld3 -867f0f87cd>6f7cfb2626bd677f73e49 * REQUIRED
    6a9P8df1c4lac2eas882e bd6ce371lf520fea83r4c6 t08hdi5s 265fcfi88e955f7le8e716cda26 ac8-d>cf * REQUIRED
    1293070dPelea07s149e8 cd51b5l77debdf07eaf8r9e5 5tbdc4116040dhdbi0s3a ficel35807d -e7fae8a> * REQUIRED
    7c74a36Peelb20be8c7aec0bsebd4 22fa5cda3b1356l11cea374r th06i2sb479 d5f8dfie0bl94d73d f-8>b * REQUIRED
    25Pl18de53aa31sa09e7 ddb5c5le58c6ac5cfa1adr 3faet143h907eis5 6f97fb986iefc36l27db08 9-9e>9 * REQUIRED
    44Ped8l8d6a9e91eas6e0 dc39d98a335d2l99f7e6a120r tb4h850dis41 2f5i9f700560ad4el0f6d 4ff0->0 * REQUIRED
    a6927P1ad506849a80ee4a02l14a4ea37fs462ef8ad 319c5e94clc8e6arb60e th0ifds fi06efcld556f3 -> * REQUIRED
    bc05867Pc5le86as6c996015e8c c0l8eae132ra cc6tch18452disf65cd7 8af59f66ai9df8e9ldf8b 0-c>26 * REQUIRED
    38c6Plfe3fa1s6e365632 c03c1le4e9e9aar3fd t69h14f39i2e157fd96733s 5fi8eb7al108fd 8->d449136 * REQUIRED
    e4efb956e8Pl828e3as065e4e1c1d86d7f76 0clced1ebaddrd tfhci41s ddef8d6ieldfb 2-1f61>d52faf87 * REQUIRED
    f4339e6Pfl7efb5eabdba04e23011sec9 c36c6le85ar55b632 fbt7h72944925is cfd9ibbelde 7-ab20>651 * REQUIRED
    627P3553leb7ebaa36se c386ff23le7acc182rc c776ath1c0bfi11584s4 2ff7fa3ifcd3e4aldd00 9->411b * REQUIRED
    294d153Pf32le7fc62c4b1e8asfef73eac58ed73f dcle6429a5r f7bt2his efdc907f6ife9eldad50f -5a>d * REQUIRED
    8d2ePlde2das8fe4 0c3ldf7ea46dd7078227r69e 0t3hdis 8f243d8ie2ab73lee22fdd9fed 9-094d8182>c0 * REQUIRED
    f159340aP8572ldeased c73l8a563ear56 7te48h26i9a70d6fbs fb3dbi61befla46fd6 3a5f85d0-9>2ebd5 * REQUIRED
    633b1fd0P8leaased aecl94f876ed3aeb17c5be76babr5d thi35957s 5fi1e192e33cc5al5d b733df-86dd> * REQUIRED
    9dd4dPle2a0b1se049c4 816cf11al59bc388be2a4r3 4thisf09158 fie4c3ea4elde083 05207-44>6adb03d * REQUIRED
    6ba8dPele5as0de94f 5ecl6eab131rd283d8b1f 35e9526th66is f23f0i0ed57faa2ee3d4blbdc6 7d0-c>bd * REQUIRED
    344a5Pl737eec75as305eb5d84a c60ld9eacr6e6b0ef46 te7hi09s 6f88ie65ce520db7d4l4a0d4d867 -9>a * REQUIRED
    172Plb3efa44se 0cl382e4fd4faar58 t0f8dc92ha6f438ias 32a5fi6811ea9ld1 16178ddb48b-428>1cb44 * REQUIRED
    73cef2P277b0ale20a340430se63 4cl670b94bef6603e209438ar2 9th544i4as2735a9e9 f6i9eld -dd751> * REQUIRED
    9a0Pl3e3a041se16e220 4c3bae37c6leare t75h8i2fdbbeb9ba5s5 7ddfi8e9c1l7aecd4fe9f3b80b -2>fec * REQUIRED
    5981fPc566blbf54e97as31e 392eccd06le993ba802579dd1frd5b1174 th7is45c2 fiae8ld5 b9-3adc7>1e * REQUIRED
    30413cb80b7Pcl8e0ff6e12018009ase5b 84c64leard dt39525h70i334810s6 faf4bf4i08e18bld31 d->41 * REQUIRED
    9b6Pfb51lea84s1b4e ef1af6c8f5bbl3eb3578cab5cde6r a3t3bhd70c8i44s7 dfde42i9041e6611b59ld -> * REQUIRED
    0a3Pelec7ace20bc39ase3829459c cc8lea202r t9c038c18bhis91 17f9d1a68bi3e6aeld43bb3d2 42-374> * REQUIRED
    a2Pl5eae06ddse369bf0 2c4fl83e4ar bteed50143bh68i2sca6b13737052da23d7e 5fi9el8d1cd 509f6-d> * REQUIRED
    c16bP8al3711ea5ese37e0ba0 ae4c0lf4b924eca62rf 4bae354tah4dfi4se2 e6c23f3bieeld d-ebca81>31 * REQUIRED
    8edb37P2le8e27bb8adse0 ac8fleb6fd0a2rd1a 9th7681i9sfce f7fiel1d3eeb2d -71c>9803b5930ffe67d * REQUIRED
    d17dPleba97ds9d6ef8c 5cl4c6845e1b21a11br89 ath8idsfcc 229f21757fia6d5e9777lc65ba2cdd6 -e>9 * REQUIRED
    P373a75leasd5e631f6253 148d76c3f86flaef1f85fe2924aee13r057 1ctech0is3 92fa2ei1efl6db1 ->d3 * REQUIRED
    fPb7a314ad9el7c24e824asef0c 283cl43eca830cr t0hi19a7f1s fac4b8650f29iel42d26 -cf8d317>8866 * REQUIRED
    e92afa53028Pl72e5a8ddse0524edebf6 4ffcleaardf8c0498 1tfh3i20s5b ffif3fb4c5333eld -70f>15eb * REQUIRED
    4fa4P17069lea22sed2 093c74l5cb3edacb12a83f3rfe8da et43h04bi5s67bc39fcc fi4ea02l73d 0-25>e0 * REQUIRED
    17aP4elea9d1c9f1s3f98e3e 1241cel69e3afr5e3 df94936c02thise8 f451c3baa765ieldb68 eb117-2>bd * REQUIRED
    e595b9P0bl2ecasdd3ed5f 2cc3lc516e16ca3r48e2 b4td3ce671b820he8229i58s f4iebld7 99685e9->d25 * REQUIRED
    Pld3b33eeb0as547ebb6 59c3150l4af7eaac0r a3tedh2i76a9s092a fi942ef49adf7blae295d2e d->00caf
    3d7Pe090cl6eead2f384568466bsea81 9c05lear04975 f2781t8hi9fc6s1e3d bcff4i9el63f5d3eb3a -8>d
    08530c91Plbe17a3se f1c2le81a6r e343997f0atbh88692adfis6 e38ef7cd78i939e8fl3d5 c-0a>c85bd2e
    ccd009Plef3cc01eba28a19190s5e c3a3l914979d7e2aa0r61e d1b5fethi9394s69b9 fi6eld 6->0229179e * REQUIRED
    0Pldd5eeed24dase4e 42c7bl38f23207d731cfeedf56ba88r206 thf593ice66asa d96fc46dfied1ld2 f->b * REQUIRED
    8Pla51eas75ef5 9cl5e5674bf0a498r9f 0at68hadi8e5612e12s 3afcff0i3e04elbd 302873594->f84fb9f * REQUIRED
    P1lbedab3fs1be7a60502 clbe11a5fbcbr584227 th22abi2f1a3ce65s4c10 faice2l044dcd8 e6->fd44d28 * REQUIRED
    7bf45ab2Pl2ec11a685se2e c2d5ac0cle2adf800br97 t5his86 ecfaaifae639l7a4dfd 77ee572-721a8>f4 * REQUIRED
    dfPl69e73bab2s17be5 7c7bl2bb3ee09a99cr0 796t879hb31eeid6es d2786f6i8feld4 e058f->f29a26dbb * REQUIRED
    329P4dlbbecda7sc176ee30113dd6a5129 9cl7e2d4a2r t8h8bis fi413efeld69f451e6bbae8 d->f83275f7 * REQUIRED
    98P7bacl8ea6s1e4a caee19c0l412be49ea221a6re88ff 5theics0f6902a 56f235i47ae32cld -261c0>76f * REQUIRED
    1c1dP7le0abc90s8e0ce4 8f2f137c11al8c497f4aeear6d3 techf25597eci8es6874 cfid6591905el5d ->9 * REQUIRED
    a583aPle85efascfe 6ceccd25a0l7e0b6fa99red tc38b6h5is339f22 dfe9a9a47iel2d438 -5a7fa1>d16ca * REQUIRED
    Pl88ea65sbe2e277 1d02a46cl4e6ffa5c8bc1041r1e d063t070hid0s 2d58efi080e6clbeaef1da7e c-2>b5 * REQUIRED
    Important: f0Yo7u ma1y 6be 6mak6in8dg use 0oef au4t64o6mated9 form-f1illieng softw5are. T3his189 type of58 softwe8a2re c2an 8trigg9er ouer 5ffhidden spam8-detect58aion 5system,a which wil3l bel6o2ck yboue from esubdmiet3ctin8g this 5form. P71lea9sb4e select 15F395ix Thisd99 51801063aab2ed9e5fb54ff2o772bf7b35d951b275re29 c7666863676010eeb8dd61c3eefobmpl0ebt4idn0ga the 774f5oa61rmc5c in 79or9a3der8 t3ao89 cfor51arc4ec0t20b 5t6h7eefe0 99p4ar61acfeo7bcfl6em.5
    Important: 4cYou may be 7makc54ing use of au48tomate4d for53m-6filling sofc5atwa5re. bThis ty9p0e of 66softwarbe ecan triggcer ou4r h3idddden spam-de5tec5tion s7y0s8teme, whi5ch will 9block7 you from asubmitting this form. It6 appeears7 t4hat 8the problem co0ueld n83ot be auto7maticalfly correc9ted.7 9P3lease clea9rd any field which appears ab0ove4 w31ithc cor5responding instr58ubctions4f7c20502561 024fb6534eff097a34fdf9e8052169eoe4rceb03321304846031c88 aed1f0comple0ting th3e fac36or9m in orbder to corrdect t98he aacpf1roblem6. We apo4blogize for t9h6ee 3binconvefn9ie1ncca4e af0c891cnd wed 2a3pp46reciate you833r un91derste9a8d5b9cndci0nd11g.7
    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 3:48 AM EST
© Element Athletics Element Athletics