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  • Indoor Travel 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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    686bP2l5d388ea0s95345e d3cebld399e643aec5rc c2bb1t4195h1ei3786f6s12 79ffi4cel278d d->b3b51 * REQUIRED
    6Pbld76eaaf723se98 cle0db3c1a5cb6020r0 5d256t6f3h7fi2949c9b3s6e 3fif197e7el11d484e 0a6c->0 * REQUIRED
    f9Ple9aase 3cal0e9bd9e1a18rf tb4hb9idecdb6fs24d af208i2e47649a1b8a942efb9eafbl1abd ->adacb * REQUIRED
    833fdP5l85de1310acas2f904ec51 cl370e2a5cr 2th774i28sbb5e 8f50bbif62ed0l64671d 52199e46->15 * REQUIRED
    607650e5aPl3feeda2e4s60a3e6cb acd70cc8dl5175e68c4ar31 aatfddehc68ai7bs 0a20fidel4d4 9-d0>3 * REQUIRED
    6P7d412aleae2sebd 8cd213clb20d8f3ef8a0ccr03 0dcc6dbt16435dh986759d5is1f868b 2546f4ibeld -> * REQUIRED
    4P4le1be1087a11ds3d8eb8 c7acb664flef9d6bb2af600r7 e591ta9d4a3his a0bfi3el6bd -d1>93ebf70b6 * REQUIRED
    6db5Pble6as6ea9db2 5fc8cle0aba3r tb6had3eis87 9f28d630885icd90e1e6558ld -bd3f079f5fe>2a92e * REQUIRED
    6Plea5sceb4e c34bf4elfd7fd9deefa29abaer 7e28274641985fb5bt5h1f17is 1878f7i7d68e94ld d1-f1> * REQUIRED
    568P39ledace956sde b6dcl98e7a0aerd65 t72ae2ha0i51d649a981s dfai536615b6e8b63a2d1cl2d c-d>7 * REQUIRED
    f4e5P18b9lea06153sae98 cble99ea6r8fe 294tcdh6icsd884a 1ff9ci50c482e486dfelf7b89de 59cdb->a * REQUIRED
    cffPa646aled60266asaedb c0lea1a4drc2 6425athc7d39018i4e1240s 1fiecl1fd8b 452d-b169>7fbec0b * REQUIRED
    f3479aP88ffle11as07c1e3 d0358a299c1lear 705f9cetf9hai87s2 fi47eded4eeb6ld1 a31->72ef40e529 * REQUIRED
    2fP66d974fa99lea4ca599dse 8c169523le4b0a995rb tah3c29i4074fs9231 fd80bd7d3aie8l6abd -c>a09 * REQUIRED
    103Pb9el2c1eeea4ds959de ac6c50378l5e2abr676 33fcbth7bid5s dfec9fiabc9de47ld 65-a5>7b835d4d * REQUIRED
    c1Pcldbeca7c5s77e cal2719e30dfeda4r 531a79th265i3s61f5373981 2835f5ie21e9fecc72976lcd -f>2 * REQUIRED
    7ac55f0ePfd29lefea197sdaecae0 f4ca897laea38rfc27 ebth32id8s61d a4b869fie4069ld62 21dc->7c9 * REQUIRED
    Pc42le9a73sf95d9e7f bclf776f656e9a7e6r6815c66e1a this1dba0 84dfdi0el05c5d653d b-f>b8e0c916 * REQUIRED
    0b9P1dlbb693e33fbd5b188f002c2a5se 59c88l11a52e5ar4668 98t689bfbcehiasf fi12e66ldaec -2f53> * REQUIRED
    837P2ele8b29ease 3cc3dfb70cedle1eard0f1b t9hi0sf0556 1fed3i6e24led d-03e22f74ff>b41f10b1c4 * REQUIRED
    6bdP7l96ebea7s3d427969e6e529e9 c1f2lee4ar76fa tdh9i8b1s12 7eb3f3d93a654d3i018feled6 5-a>83 * REQUIRED
    4af02de7eP9l6aebaae99fse cc597l5904edfac6dree63 cthisc f42cce5ie2l1f7b74d 775ccc-26d>20d18 * REQUIRED
    dPleda8878sefae 832cleaa9r f05t6hi8sf5 fdb301574622e91i6485e7dl6b18459e2a26de fb65f->8b659 * REQUIRED
    16eP1abl7e36ac4269c7279sca363e5425 ca45a781l9ear t6h6is2 fi21263d9daf82e86ldf e8-27c1>7e06 * REQUIRED
    P1a5b45409l59e15a52sbfe bcfl47eb6ar 2t7109351ch78d1ci9bs37bd ec97ffifa4e8400laed3 -f70e>21 * REQUIRED
    58aP37l3e4dabsd5f2a4e dbc9ale289f2e1eaebe285984dr7d18 6821f4thcisc fie33lbd015e5 ->0b8ada0 * REQUIRED
    5726P55e84lbeeaa39da7cdasede273 26cleeaa9r7fb5cd0 0t24a93h60a6i266s0 f9ied5ld82 912->4c106 * REQUIRED
    ePa0d7480b784dl4e0e96be4as22ef d32acl6fe91ear 5tdh5di9s0cb f73601fbe77iel9ca5c1f6d -defb0> * REQUIRED
    570Pc38le7de3b7a6esb4e8caec27 c8blb34eaa667ba556r23b t8d7b95hd9is1 789f96i7e46l3d9f ->c4aa * REQUIRED
    d1da4482e9Pc0le5ca583e5f300s37e7 c0d53a62d4cc86leaeef2arc 0dthi19s fi04efl2adb 2-14923>360 * REQUIRED
    46b5Pl1de97a1cb7d49s37ec7304 cf6lc41448de99adr fthis821bc7aa a07681f8e1ae5ie69ldddd -5a>cc * REQUIRED
    8Plb283ceba7ae9352esfce 30cl8b0e4965a9r 29c71e1thisc4be84 15d1fcdf93ie1ccld95 571-5e99>2db * REQUIRED
    a79047e85Plae77abc3s3e fc1lcaa7ea1e1r5a081 2th85dif9cs7 df6fief0ld bb48bc75b5-48179b9>4f6f * REQUIRED
    907b82c0b0Pf7e50fleasede76c90b3 5cl5801ear1474f7a8b at08bha3i8bs 0fiel1d1833 d8ee35-2>2c84 * REQUIRED
    effP14bl1ea636e94a74se651 6b37cle3b2baddd7r2 2t59d1hi7s7e5 9f2d6a30fc99iel10dc14 b->755775 * REQUIRED
    22c0faP0b5dff9dld027e5ads23fed4 fc0dlc6e5arb5 this26 91db63ac73b4fieled c98573-f>6082b4b24 * REQUIRED
    0Pf6leacs8df0b1e3 ac18l526e8aede6d6rbacb9 499t06dhi17d8sd fdc4i8e69lcc9d 87bcc6429->19b84b * REQUIRED
    3a772Pc42ald69eaesf1c33e1 cl3ea7f2d8bacb5brc88b dt2hi0750sa 3f2af5i60e8l4d6d3a e70-2>70036 * REQUIRED
    P9flb92eas9e43 6clbeaaer8 35a4c1a7929t78ehis758ecb 2416f16ff85c4ied4fl9db c6-64>fcae91cebe * REQUIRED
    4395P69leasb5bb2e0e 9c56elee481b3ara 49381et3aa5hi3f8s71f 189fd4i21a1e9l4d9a68 -2>24c2b0d9 * REQUIRED
    e6dc68d336d3Pfled50asea09a c86fe31lff0e72eba4rb0 th35i6se1 fcd5fbf9ifebee19c77l7dd 40f4->e * REQUIRED
    e95f7790bf9c59a72a617Plfe96aa1se40 cl398565594eeba6rc6e4d bthi1s fficbe0f7ld9 0-56c56>a5d3 * REQUIRED
    Pl77095c8a8b1ce3a51sf5ae72e4 6d0cfb7laee60a867d928adra th08a1i1scb7720e1 8f2i8e8ldd43 ->0f * REQUIRED
    P1lbefa0ab6desa5e9787898 9acefbble4a10rce ae81623t3cah5i5s 2fi5eae3ld83 83a7b480-4>2f3903f * REQUIRED
    Pfa275638f850lab9f77ece6a7ee86a3sbcefe 8c94d7al13ear9 4t3h4i9992sce f8ieelc84d9d4 6-73>8f7 * REQUIRED
    fbd84cPleaseeb853506 abc418f6c23le49a1r3 t26ch1did5s478e 8fie0ld6ccf731 21f-3b8ed44fc80>5e * REQUIRED
    2Pdae4le43a15086bfbf2a6sa13ffec9 bc13leear93d62 thisb df3i08ce01524delf01afdd2 3->bbeefcab * REQUIRED
    3aP914le614fc3a5828sce8e dcl2eaf86e7fbfbfr 9893f7t00his 63820b23feiae332eld6d -722>5bcb3f0 * REQUIRED
    5d5e2eb908Pl42ceeca1dcs58e cb65lbe23ar82 atd79d1hisf4b1c4aa 678fdi0ea28l23d e2e18-75>11a34 * REQUIRED
    574bP9ab3lea5s66955b82e 3c192lear 4ad0f1bebfta4h1i1ffeas51 3f52ieldbdafcbe 0->ee88cec403c0 * REQUIRED
    409a2e403P33dl1edd4bas7b5cbe cddl8e3card5 t2his fi8ae1bdce5l2dfd359d5754 c-e>d0087c6af3ae3 * REQUIRED
    436dfP7leb91aeas6e4e8 31c0l3c7b54e756ce9c048a79a14r thbi5c2sa14a f2a2fi42eld5 15c3-348a>67 * REQUIRED
    b542fPl28ea4s3dd1997ce4c cleda8421aea9cer834 4bec5fth4is3429 f81diafefa42lb46a6d1 0d-5a>46 * REQUIRED
    be7Pc3678c697b1ed1f01l5ea59672se bc2ef50l02ear 26t6ahibsaca 3cf0ie8l49cddec d9cfa1481->00a * REQUIRED
    P5bfe4le93ea96fsdee9 cl9e7d5aa2dbf2927crd7b t1h8c1f64isa fia9e3lcadd0e2d9 b175-e66>ffbb048 * REQUIRED
    P718le8b17a6d33se 44a4880ca0lbecda4a8r7affb 7e15tdbah551d84ebi7fs84b40f4 afie9lefed ->d1c8 * REQUIRED
    fce5a3Plb5b2e70ddaea7f26se c34c8l0211eecb5a5f20d64419r4a c1btb16affhaif24a8sd 2field 0-2>8 * REQUIRED
    83191fd5P5le4864ea1f7s8efb 8d2103cleddeaer 5th2i8s8e8a b3f63f0icfebeflefd def7-569a8>bf4a3 * REQUIRED
    f2ca7Pl3ea8f5sefe481765 dbcf5lec31e8f2a6r th8ai15260a5sfe 9f81ifel7df294da68a2 44e659->20c * REQUIRED
    2Plea0s7ed8ea8cc5 6cf47blcee2677a1cra fe2t76bfh54e7bis010b ee9fciel9dda3 c9c5-336>a6cf0e1e * REQUIRED
    9d7110bce1a2a8P00l01e6a0se90 ac3a7c89fb93le0bc70a6099re1 11thaisc9b5 f3e6i9ea600l1dc -a>be * REQUIRED
    77ba7aPlbea31ese81211 1e224fdcle9ar2a 122t19dde08hcci9cesffd fi73e2cf72d7c699al01ebd4d7 -> * REQUIRED
    91f373Pf5cl9e18fa2fs8e 51c0dc2laea7r8b709ca72 th9b74cdc0ic7sa42 f7cife5dcec12l7d e2-67c>91 * REQUIRED
    6eP27ldc8ce7a1sa2e6 5cl23cce8are0 62bb4ff1e8t43862bhi88s52b4 f1421i5ea544ala6dc1 f5a-f>c93
    73555725ePle717faf3esde37 f02ac6l82e71aa9r523c27 fth1i0d2as c1ed22df8ie34elecd a-186>c216e
    Pld9f2eafdse 6c725a0claear721 th1ei81s1 abf6e9ad7if3476e6le2e00d 984415fd59e-9ca4766>7db36
    327Plbeadda3sdc4377dc71ffec8d3c cel1ecca875r7297d 24tb3his fi03038f090edclb1da504 ->e4cb27 * REQUIRED
    5ePlf9ea3bcs58e22da442 fcle298fb253b6a4beb9cr48e2077 635t06ch4is fie8cld53f68566 5865->eaa * REQUIRED
    P4ledbafsfd1e 7f69e37fcbl6eb46b79a8rd084bba e73aa7thfbis11 8f842ediba0ed9al842d 3f10eab->8 * REQUIRED
    e8P2leas301e45926f cf19bf00l8e2a59c82r2 aed41atch7isff b0ef7i9697e7a3led2089 2b-866>26431d * REQUIRED
    986Pbleeb6aec900se1 b35b9clee89baa1a78ar0 a651teahias74471d162c fi00eld a8->b4b2283d950eb5 * REQUIRED
    480ba80bPld86402efads00de c5ccbl0cbcea5r2 t10hf2i8d0a239a0s 8c029f8diefa4ld6 3d-815>f39b3c * REQUIRED
    9bPl4e287ab0457eda3ba11se6760e e0c2lcea11r77a tdd3haf9406cdi5es7 fbi3eb59e3l174d66 0-b3>0c * REQUIRED
    0P4l6b7e5a6a2c6sefc cac7f45609lae97ba1bdaefa3ar d1fbt6hifs82 53fafaiecdlddaa859 3->82ecca8 * REQUIRED
    984Pb5leceas7e 5clea8da2br546 t00e9dh0i6a4740a3s592b9a1889 cdfi738378e1l1d47f2df 52->190b2 * REQUIRED
    9cbP2le02a5sfc68e cfdl5ed5arebdc 0t79ae688a1e8668c681e0hi8fs6 5ficb6dcbce3l91d57 -1d7>22d6 * REQUIRED
    11cef705bPl24b6e2a28a9efab4s1eec c82el7e9dfa5dr2e 3t703h8ei79adsc c743f54ie4074elc0d5 ->b8 * REQUIRED
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