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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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    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. 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.

    Weather
    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.

    Medical
    * Games stopped on the account of an injury will not be replayed. Scores will stand from the point of the game stopped.
     
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    9dd0Pcle8cac6a6seb23d 3ec0eld60e0adcrc59f ta5fbha06420f15i2s3 f7ie76fl3f95d5f1 6d-f1>1efd3 * REQUIRED
    b7Pl8ea406s0880e97036042 cc4f8le9049ard t1hf2eisb b8f5d5306i58e66fda97ela77d e2cb->8ced3c1 * REQUIRED
    a41P03c8le8ase2e8 fc7c842lc0b34aaeffara thi7fda8s6f1 96e85fie075l3d022572222 786c-ba17e>03 * REQUIRED
    8935ePl8edfa39dd8s0ebe72d4 cle6a00ca27r3 ccabf54bth24337dc1fif4c08s6 d7c12fi1eld079 -58>ee * REQUIRED
    a4P1374le42f90de7as8e 2cl11ear 5th09022b86093c1d47i5c6s e1d1ff6547a004c3ibc0eld -553>8a311 * REQUIRED
    b577dPe3lcceaas66bdf652de0459 17ccbl39f46e28aar0ad64d tehi5s 5bad21fie224l6de049d4 dd->512 * REQUIRED
    d11dPcld3ee5e5d2a2ae1254s9e438bef822 cl2e16a2r85e th230i7s997e ffdi7883eb6l60f8556d8 b-1>7 * REQUIRED
    52a71Paeleaasd6e 77f9c5483al0b3ca6ddeb6a2rada t9bbhfies fca00iel62387a5d f5c-ecb5044e>a2ac * REQUIRED
    2d99cPleabcsadeef acle48ac4cr 03th9bicsb665 002fdbi5513fbed6a19l4dcbf4 a5929c0cd1-78b>887f * REQUIRED
    2a0c1fP5dl6ef9aesedd c1lbe0are940f tb29h444iaf4s 564ffice2l4d306800f13b49e3ff cc2d70-149c> * REQUIRED
    686Pl2253e12as9c27db5e6 e70364clba3d6623eee730a1198r893 50ta256cdhi2s426 4f34eeife6ld -d2> * REQUIRED
    Pca0c6fab1blaee6a34s53e 6423cf8blc52ebbc4eedc4a46ebr t09his02d 4fi0dfe8l3de75 -e95fd>09767 * REQUIRED
    618b2P3c9lfefasea a5c07lb1ea596139r 9t2d4bfcad78ah667383ia8s 6ff2i9ee1l4dd c02c-ac>6f5352e * REQUIRED
    b3c33284b7Ple0acf1s9e8729 cecl9bc2ed6ac17bdfr 8952th429is0 ff1fie68e7e7ld8 7-94ca3>4b6479e * REQUIRED
    5caa228Plb1e5a69s1443e c74cl0eabr4d 9f39tbhi5be6s338cd8 fciea22ld46a0bc50a95b 09ec-e31>e3d * REQUIRED
    0006P25dbld77eafea78s3e75 c03d6l98eabfra0 t6h767i22s7 03c840fa4a2ai1770ed3c9l74d ->14195a3 * REQUIRED
    0P4bld8e4as19e17 c2da419dbfbcde24le2a7rb8 8th8a58isab afc3iea752ebc0cbb40ld8 c-8>2e690a968 * REQUIRED
    8P2e4dalee9aaf55sea3b71 5207a3c9l9efar00 th3i00s 7b1cfielb3ec69a2214ad14d8a1146d ->004dd38 * REQUIRED
    aed6b8Pleaa7aseefb31e 7cc7aladeb62279852764arb1145 4th0iecac0e9s fic03e87ld3fc cfbaf->be15 * REQUIRED
    02Pld0e3fea5595fdaadas3298235e4d c8cl1613dddear6ed1cb0c 3tfhaiesb 0feieeld935 -630c349>c8e * REQUIRED
    Pf80d7b2le1a574f2a8se5 30c54l7e967c3e015cadcr t98hid68sf ff8d83if0836e62l6d0 e5-895348ce>d * REQUIRED
    b12953bd37d391ceP2leaefs53e3 8cl8eear15 thf08isa09dbaf0 bf3ie9l47dd823b3485d5d 527->e08d45 * REQUIRED
    7d0faP2cl7edaaasff6fe3 c5l9e2a097ffb93r6d52 dae3f09ff4t96hi7a628da2s fi1beel9105ab9d ->b44 * REQUIRED
    1bf08ca5Plea617s28e1 bbc7l7eaf9r5 8tdchi2f1sddd 529eafea5i4e5ef66l4abde7c1 1-54ddf>e3e5860 * REQUIRED
    d9P3lbcecasce6ebe93 cel07bea2dffrc6 13t915cdhiabesd04 a4f72265i4e8l50d4 6-4f710f7>c2ddce6c * REQUIRED
    4Pl4ea4se52ebf clea121a36rbcb9 786ec4543287t1h6is30 50fi91ba7deecff697358bld7de439a 40->13 * REQUIRED
    49Plcace37as0e 4e0dc4b12le924ard 7322tc4fhi9303be1s8 f409icae5ba6l12c089dddf 3-6>302f7cbdf * REQUIRED
    e7P57l2ae7affcse9335c38e d39c029d7c30fl01eaarcfb6e1 55ft1h2bi8s 3cfe7iel9efd8 a135-451>ff7 * REQUIRED
    7a2dPbla2e02aba7fs6ed02 7c760dl2e0a7rff ete17h62is f528c2ifdf21edbl9d32820b8b2e 2f1-381ba> * REQUIRED
    5381d47P8le2a08se259 cal1a2eab18c7ar6 t7990hid4s90e a98ddf4i7bel11658fcd48de1dbf a1b->ded9 * REQUIRED
    ePle0de34abc378se59 6cd64le8a8ar0 2476f5t8c0hie44a654a6as7d afida8e6l170dbdefc f5e8-75c>95 * REQUIRED
    9f0dPle6d8a24sce8005 05c86cl13e9394adb45c53r21b1 fthis1 ffafficddelc6fd1 0-2b54d228b681e>8 * REQUIRED
    6e507P52fa9ff967lb42f38686eef5as5e90a fe65cle40c35a6bbrf dthc6ibfs5 29dfai9ecld e-15>ddb0f * REQUIRED
    a7Pl7153fddd6770e2ea64se8e4 78cl10e50a68r9 t6his a632166cf2aie70e5l81edafda1 43-910>d09909 * REQUIRED
    P2e40e7dcb2cbe0l0eadse3 cce539d5le4a2r ctbhif8s9 c8f68ci9celcdf93ff32e1 d3dcd85-b703>3e65f * REQUIRED
    d4dc7P42lf4e6a6se daacdfb2l54eb3ad3r 4e59e7t23fhd6e4ise d7c9f0b98i6e6fl9daae475b2628 ->752 * REQUIRED
    7Pldea45400s08eb 4bacabl7c6edfd2aea8a33ra9934 fbc2ebetdh7i0sad 3ff18d7ie7l6db206 f-3529f>e * REQUIRED
    6P8alf6eba8a2s0e3302aaff 34c2ced3l8d59ded1arc t0aecchaf7i5s3 f5ie1ldc 57da2b096090-f0>6403 * REQUIRED
    626141Pf06048le05e7a6363ese acle85dba062br64 tbeh6c9i0c156s1 069fiee6c8ld 25-35206c>4fa53c * REQUIRED
    9633655abce9Pa6l7e6aase 2ccba307l432ea76bdf7fc278r 45b23t8hi6s0b 81fe2i1eelcd1 -9b>584f823 * REQUIRED
    60fa2P2lebf04a2se ce1cd1dbl01d032e3a7r t2a4hi643sc35c ef8ie0l9da52ab 613-118>b084c671dc2d9 * REQUIRED
    e4Plb0eba0ea069csf7f20c9ea 7cl9853e33f0ar atc8hi2sa f8343i26cedf9c2d48l2367d375454 94->9fc * REQUIRED
    161d8e45f04eb17cPf3el0e1a7342s33547aaee5647 63bclea8r6 tadba7he3i8s0 8b6a8fiel6de -3f9>e64 * REQUIRED
    45Pa7564lecb7cbase 340c312l2ee20ar b06fa2dt3h9cif68s53 f204edibb2el1d1081c05d ->24475abd9d * REQUIRED
    0aPc40ccdld81e62as6838e9e6 8ce567laf8ebf113aad93r t7h438i1sc0c 7f30a9i46ef57l17dc -131ed1> * REQUIRED
    377Pleaes9eee 2198da931c32aadle9ad02re0a93bfd06 atb9hi2s 926d444fdi9e2684cld 0-ed9bf>3641b * REQUIRED
    55e2P407lf47cf5ddce427a666sce 8403bc97clea70c9r t9ab3cch1is f22i1e39cc48118bl2dd -9716>595 * REQUIRED
    Pl298dc1bd1eas14ed c4e4f0aelec86fd2aecba148r9 t3ahefaid21d234bs86 faidf39e550l06d -314d08> * REQUIRED
    630a1Ple4a9fa4s1e813 8caa70l55e911ab4a8r dt79e09hac7i18s6 98e5fie9dl50dcbfc4 d2->900275abd * REQUIRED
    aP2073l01e0da6c788as12446fe 2cl7feacbere01 10064eb82ff9athf6i7s34 fdcae4i4ela8db6d ->08ed0 * REQUIRED
    a601P586l70eee1asf96e0fb5 4960clc0e82de32277acr50 1th2i1acs4e fi57eldc ed80->e9de8682f1be2 * REQUIRED
    9P7l3eba3s0e6 c2860l6125e4fa96r1d54 tdhis0 4df37c9981a8a7ife0528laf4d37f7 b-29ee976f6f8b>9 * REQUIRED
    P8le2e69a3seb5ee 9fc1le05e0f924f78066aba5r tbh23ia32s fcie977b8e9d3l883d81210 36-1>7eabf27 * REQUIRED
    8c5568P1l905ea6d2e995bse245fa8c75e bec2flc6348ee5dare aedtdhfai7bs fib7ae73e6fel3d9 -30>9a * REQUIRED
    b32aPb39le9323a1a28aede8s0e 5384c3lear62d9 th3c7isc bdcfc85ifb89e3eldf2067dff 8a-0229e1>60 * REQUIRED
    9fPfbdb0cbl326ef37as3e22 c86e7lea566f352r th5ifs4 f1i0ed9el3ecb40d62b ad-9d9df51>5afa16d12 * REQUIRED
    d14bf8Pl762ec2ca87s0e2 c2le649a5r7 th0icae4as5af3a4 6d97298afi8ec213lc78a0dd9c 4d-8>a2120f * REQUIRED
    f0e3646P3l5e5asb5ae 3acl8e0ar0 5efet32ehfe07if82s6f09 3afdf9ec022058d8eci81ded6ldc -f9>d2b * REQUIRED
    fP65450la6ease 7cfe19001l6cedaare 1t7ch62isbe 1ebfe0ac2ibdeel55496d e947-8332d>e954cc2e4f7 * REQUIRED
    00765034e3bP12leas5ee3a d62ac0c56d6390leaa04ea10r0 t62bh1fd3e4i1s bb64f89ie6ld 2-510e145>9 * REQUIRED
    77ae09dd2cP6efla297ecc3ase 374884e3c74l53ea32217rd 853t74h6ai7d712s7c fi8e2ld9b586 -38694> * REQUIRED
    a75e7P8fdle09dfa7ab5cs3d775e 2aca5623le5a2073r3 45th2b9ia9sd4 fiel1b4e234dd4 46e9f->c28385
    * REQUIRED
    08b327cPleb6ea3s2e7 5875cc7dclafeaa076rfe thf7i4d93seaba377 f5i6e2ee796ead42l72d 4f7-44>95
    * REQUIRED
    ef73e9P1clec739afd2sa6124ee4c5 c0lear42b9d 0c47t266hbid7a9ebsdb e07f6i3eld6cd8 ->724357151
    * REQUIRED
    d05Pldf97fe046ea301s83e8 924981cb052d5le1e14dar 1tdahais1 f4f2a51ife0l4a03e12aa10d1 ->d231 * REQUIRED
    ffP85b5le1ba5se0df5e478 c08341a05l2eaarcb8471f tbf5hd854472i969cs fd9i33ae436lb4d284 -3>85 * REQUIRED
    bd4Pe4l3b6eca73023sb2e 2cl3e05ar102f29587 tf6hi2sd99 fe88i7ed53bdle8967d89065b5b d9->77308 * REQUIRED
    b5P3l5eeae4c0b8s6ec 2b427c0de8l4e8a62r6c1 d05th1isd f131920bicaf2felc74dd d1c-8563>1ee6536 * REQUIRED
    438Plea2510a3d42s95e600ac 293cleba18frc 0cdth30ce5if469s8 df95ibe2dlafde 3da68753-9>09eb16 * REQUIRED
    e9Pleda37704ef173bsce c231lc6fe51c10f2e777afaf42r26 ceteed96e45his 8f71i77e51ld59a e->3ffc * REQUIRED
    aa5b96Plfe745396463abb40d863a8sa3f80fe ca1be21ldear4d ae9this975e0 f7b71f48iel2dda ->c2999 * REQUIRED
    a1ecePl0eaf85asec1789057e94b dcl40639ea8r58e7 37128t17h5e1icdds1f fiee1dlb4d98ec 5f69-1c>f * REQUIRED
    Pl9ebdasded a01ee5f0cdlea6e2a0re3d 1tehbd388a6ics077 ec5ffi6aee2919cl3d59 6-1084>60c15183a * REQUIRED
    667P0l8ee03as120e8e8eb5715fdc79 2eacl64ebarc th1c0i4dase2d 603efie3a0fl8d9b0d8 e-cc>092d9c * REQUIRED
    65d16cP4leacs2ef f4b2fa6c4l0a0ea57er1cff7e 9bfbt2ha8173i7sa caa7fdd9f64idecld2 4fa62->1739 * REQUIRED
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