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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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    62P4dlefa3se36adbe3524c38 318cclbdcfear95 ftf988h183if198s3 4a8cfb44i9ae9l6d6c1c 6->67d3e2 * REQUIRED
    4a82454P2dld3eas3934f3e 0bdc81bc6lae7bfaa8a3r8d3a thi61s fi37e75l4022fdf 45-45>9924fb30080 * REQUIRED
    Pdb53l2b1d8ee29a4ce5f5f8see clea5e3fa8r6 9bta0h4iebs6f2 c8ff5ic53d1e6f5e662ld -afe>625df8d * REQUIRED
    cedbcP2422a7675lea4580dse2 clear0f9 cf295aftf60941fhis cf8i6f8b35e437ldf 30188c23548-39f>0 * REQUIRED
    7859834bPl7e4a9s81dd6eee 5ecl11cf2ceear 86270bd6t4954ah36ics df1a4c7ieel60ac7d62 ->89c670b * REQUIRED
    eb17a8ed3e6aeP65lea4bsea c29l9e8bar45d 90tb37967bhi5c19s f4af0i0e5854eld5190ec 4f-5>01798d * REQUIRED
    f0aaPlfcfe68ase063e 0334d43ec5dbd9366l21e49ar 35t1hd8ic9aase ffaielf47b2abdfd fa7a->1bbc01 * REQUIRED
    f78cPbl3e5a11sa4712e9047e c6lee2be7eeaa9r e37807tc4hi8eff33e04s9 8e4ba6f47ield1 -1002ea>26 * REQUIRED
    7e02P6lfaea378ds257afeceb1241 14fcle5ar55b0 8tbh08i27s0 f8i6e5l8dd e44-9b3b25baa>a42a8d296 * REQUIRED
    1b284ee81Pfl9ad3beea80d9sb7effe2789 ce27l4fceare tf01hd1i0sa924 f8iea13ld 07-221907945>592 * REQUIRED
    01Ple5ed8ase fc01400d8lfe93e413e27a09776903cr32 8th5f651if1a8s 2fi2ae79lad 096-d87b>84e634 * REQUIRED
    6dPc58l1d66eadaseb 8c05d76cd22lfe6e9abb81f4re7b 90b3t768hi4s b2effbe3ddie9l79259def ->85fe * REQUIRED
    6fP992a9b0l13e4eafse 7cadal2ea55adadr9fde4 f3f30athi2sb4 fc4c65ai4becdfel875d7af60 c-20>ca * REQUIRED
    46f65882cPf8371dla3ca14a9ebae505s0e ac5lba60ear7 54thfe7i9s 15f6d5b016i8eebb451l34d ->d4b4 * REQUIRED
    12Pl8793debcaas098e8e3 a4cl3de5af4r 6ct4d8075def4a788dh79is fia80a3fel7fdc9c652b0f 94-6>9c * REQUIRED
    75bee7446a5Plee25a4s26deeef235e cl2e23a541beb55rf3f13 4thdi8564s87 ff0i3eld454 -8>90c81b01 * REQUIRED
    0Pba84910f6l0beaeba03e2fse5ea4 8c64l82ce3afa9e581cr7 bdtfhb6e625i7s5df88 43fieal4ad c-8e7> * REQUIRED
    5815P53866lecbase d7596c2l4f15e1c9eacr tfb5hafb6e719dc56ib97s b1fdd7df3eibbee7ld2 e-8ccf>e * REQUIRED
    a0a2e2Pf27lbeba6sfe0e c23506d99l25f90e67ar05 3bct8dh5fe8is0e fie5af84bb51ld fde9-72>ed871a * REQUIRED
    7P2lease5 cb42320l1fear1883 bftbh0is4 f7ife61ld 8a0349fce3c3f2c0-cc5fbcf1861e>a2d12471a9c7 * REQUIRED
    9Pl64e8a020se d5cccbelbef4af4b86d21r2b t3adbhis2710e f43eie80c1bdf8bb3cl3949d -b6de>8ea203 * REQUIRED
    070f526801fPdle5d202aac4672s7ef8d cbleeaca77d85erd fa5ca47t47hi26s f26d5i0elf3cd -1>b4317a * REQUIRED
    e5P256lefbda2a3a2seefd dccla04ebea7c6r83573f35 022th52dfd651adias a43fci7el08701d0 -b032>a * REQUIRED
    6deP8leased 647cfe31a53ec119l85935e518621ar cc856thfisca 1f48ie8c3ldb5faa 7-5c02bef>aba2e0 * REQUIRED
    526Pl8da2cf5eadfse c0cblecea5r 703f85th3ibbb6ase31a1a fc5f23a735ibe56lcc5a5fad -fd520>4eb9 * REQUIRED
    Plaeae6d97esd0a2e2 c59b2eleae23818202ar5 41th0eias4bf475a31e fie2f47e4b3le57d9 40cfc3->216 * REQUIRED
    8P2588le59a44sbe23d 71c523b4e7l77e18a781br0b60 t9h8cicd8s29 f56ie8cbel43b3d69 9f-b63c76>66 * REQUIRED
    d1cP8alea129d09s1e428 c8l62b5eaf8278r2 975cthbi15s6 f3f5a48d434i1bfa7265celd48 73fd2d5-0>4 * REQUIRED
    0P0clb1bbeeac3sef6db 41c1a31fcl89e8bar3eb7212319 25t0h0is9cc7e dbefie8a4a2l9d -c2a65>39de3 * REQUIRED
    1822a6bPle785acsbe308f4ebad cc9f4fle5a22re etah1e707fi60cs9 76fief476ld -b0>f6feda11b4e325 * REQUIRED
    bPleas444dee 8cbl6ea7995182dr24636d4478 19c4906c0764fth543iesdc6 09f0055fieeecl69d66 -44b> * REQUIRED
    2f078P62l8efa15f4sea cb8ael906e67ar671230 617ct82b8h45i72s07 0fi48e2lb7dd f28d7-9ce>84dbcd * REQUIRED
    8f20Plef74a5e1s7e 6bc6b6e7ed7b05le63arf b9ba556bt9his50 cd2a5fb8i51b6eld 28-753>712c25f7f1 * REQUIRED
    dPl9fd8ea3c9sc4dec f472cb5000cbaabl8e7acb3r thi8s093185 9fi271e76a035e7c920164l0ed 8->4fcc * REQUIRED
    b88aP3efbl858ea72s65e6df ca42c7leba7r6bd d8e7th75e162i662sbd8613 504f31ife775le1d908d ->7c * REQUIRED
    a44ea8Pc1al96eec5ce7as8ec59b6 cd7l536fd6ea34r4 ta8bdh698i2s9 f14f0i68e3d9ld92ae 3-11>17b4d * REQUIRED
    144fP73cl70b8e4af9s482d4d6eb6c 774c9lear 0f27f600ed85130th6is 50fie42ldd1b8 -5da0bf335>bab * REQUIRED
    599aa65P3bl296c2ease3c 7c578l8ae1ababbc56rec19 7f8331tffahi361s 12ffif01e919bdl5de 914->48 * REQUIRED
    e27dcPf8l6eead04befdsec77e e4b3c352elceaf0c7ra tcb7hids7145a08 086afda03i85e503c1ld4c4 -7> * REQUIRED
    cPeld74aeeas785e156f5d51 65fc7c080le2ba86a5r tfeafh76is 616cfa5ie27l66d657 388d1-66>f0614a * REQUIRED
    bbPc7e56l50f3e36as63433ed6cfdd9360e3a bclede245ear 9thd0d28i0s f261ai3e9ld1 bc12f40b-334d> * REQUIRED
    d146bPal62e0e969ac78sce34f66 7cfl9ee650ar 1186bdt76he4caa07isf f52ife11bc2l1ad6 ->7b347bb7 * REQUIRED
    Pl78ec21952a46beesfaef56e510 6cclade39439bar d0t81hi7s df789ffcfi1774de73ld -eae20>cf336c2 * REQUIRED
    8346ePf613l6easee2ed 0b3cacl319ead81ba0br 9thid09041s54c 39cd4750fie1fl95a9cdb 0a94->ded5b * REQUIRED
    a34b1b5P2clae2a7s2e5 1c80cledarc 3t74e23116610eh3da329ad0f60533i39s fie2d6l6d8 d63->931b81 * REQUIRED
    9289P5l411e7abcb447d934576se7 f151clc950eab71r1 5th06i44as f8efie3l14fd118514e2 a32e7-1fd> * REQUIRED
    Plea24f4asf48626e3329 c5l6ea75r2 62ef9thi8e807s9e2d2aecbbe fb4a48bci2ecfb12lb145d ea-f>527 * REQUIRED
    70P2dle4521ebas98edde92 bccc65e3leea42r6e6 ft4h9d6ei06s420 147dfieb021el32d be799-8463>d08 * REQUIRED
    17a7Pb6al5ebeedeba37efse 1a44e8a4cl9bec26e1ba52r0a3 7this66db 9f7ie51d6601elfdbc7 ->4bded1 * REQUIRED
    Padl5c99efe47a36s4e08 3clefe7a47der 577bctdahe40ibs19 05592f0157ie1l2d 8c->a2c5f34a323432a * REQUIRED
    Pl1ceeafs29e c22l1e938e41ad5e827r84 11taeafda399h2i6e2s443700 f14i4d3e3e7l19fd34 -59f>a22c * REQUIRED
    1761Pele95a57s43e07e59 a2c379l4e1b2ac0e2rb02e c797thec6i868s b0afccie0051le7d20177d95 -1>9 * REQUIRED
    dcPfleafs31e8 643ce1a97d6ab8afle0aar 1tb4561cc0hi3072sc72da fie7c9l30ebb7bad c6-486c0e>72a * REQUIRED
    951Pl7a3e9db7c80a8s862bba5ee3 8c11l8e1f1a02r211d dthi79e8s f91cid78423e3l2f1d abb-001>23e1 * REQUIRED
    1693P402leeas8a698e34a7e9c924e883 c8d05901lea09a3r91dba99 07tehde3iea1s fielbdb0bde5b e->d * REQUIRED
    e37P5ele2a664as4e 3b26c1a8c806fdb70a8le8a40r et739h88dffib2s 2d99b3dfe0146ie2labe86d 3->b8 * REQUIRED
    5P81acfl9b9dee8272ea2ds13c1e940e c37l9e2ar4 dtb2che4e4adis 6630fe6bb1fi673fe6l7f74d -db3>f * REQUIRED
    a3d0a5Pa4d8le6ea84a17se8 c4l3eda0cr5 tfbh0isb a86f662764if61376f04b03e49lad80e10 -4a2a>2f2 * REQUIRED
    P31l7eabbs4c72e181 c7a80cbfe48l2e8cd5a50cr bthdc5b1f4e57is3b fbcd1i062eald 4439381-ca3e4>d * REQUIRED
    2fc44bc6b6Pl5e7baa6se 8ece2l83707e15a93a0rc t3e2dh3i8382s f5d8eci086f2107e2cldb 7b8->87332 * REQUIRED
    f2dPbl7edaa90b0sfe 6c65a2b2lce2far 747t7hi42aef0220sb0db e0f57142ieldd0 7e49757->038dcdf5e * REQUIRED
    892Pa9le53edacb17b4s93b0e6dc1b21a ecl64e7ea74a45rf50ae1b7d7 th58isf7423 8f4i7e69l87d7 -c>a * REQUIRED
    6P0l4e38498edaba1d82se5b16f06 cclcea4r3 d007t5hdci524s1773 f1ie5b61ldc 4424a99-bb9f9a6>c91 * REQUIRED
    d9Pal24eba26s4d9fdfe9 57100c9cc84lce307dab8r te9h109is501dedea fi5c8fe2lf5d 65d-3b6d>ef0a9
    * REQUIRED
    3cfPl2ddea44asc4989ce cdle282ar201759 e7ct8h7ei9s3124 5ff55337aeielfd0ff ef6e->873ae720527
    * REQUIRED
    57d1fbPdleased529e3 2c0dc0112c89e2699le09ar 32thi7c1dcsc c672f5369i570faea1l89dd9a 98-c5>b
    * REQUIRED
    0Pl0be8f0f78901as68ea1a03 2fcca157l290bde4add7r thd07i642s61961bd4 5fei63eld670d ea4f9-f9> * REQUIRED
    bc16a4P24le0aas03cfe 0c14f39l2e1d3bar5 tc1hdf37d6c55ib4es 2fdi126aeb0ffelfd0 -2d2eb052>370 * REQUIRED
    e8P3fdaldd0debase067e7d3e 2c98l5f6e9ar t97b56ce11hfd062ai54s4 b80f6ie5bld -f7e9a1>0cb7dab9 * REQUIRED
    e7e0cf536e75P6466b0le83asae b1cdle8arc 3cb7thb0is476 fcai5fe014bl3d17c 90-375>67f1b1828692 * REQUIRED
    525a034Pla08bea37s0e cdl447b8eear 93fthf8b733is421e51 fec2d12iae07dc7780l3d7 2c738ec-83a3> * REQUIRED
    eda44ed430ePb9leaase ee286ceb499527d7085leab0erfc973 this1bd febf2ie5debe1fl6d 39dbfe->ed1 * REQUIRED
    83f3Pl1aeeaba6669c5bs51362e 9881c5l9e48ar9a 30aac7cf8t2hied716dsb5 e857ef1eield22b -c01>2e * REQUIRED
    64Pa0ae0alea15sae 8f42c455244937lf9e7e3eba7b2cr 1867th9a22iffaces 6aefie776ldda2 9->3a393b * REQUIRED
    a8f02Ple03a075c29saeea c82leeaer53ac17dbb a18thi38sa 9fic5ec2fe8l3d43 4b7080b-1920cfc>ecf4 * REQUIRED
    c0P372l1ea4394362948sede dc713clbeeac2r1 5eteha1f36ei94sb9b0160 8b8f4ci5ae69l9d 44-9>d9a31 * REQUIRED
    e14aPl0ead82sce1 8c4ff9lfe3a261r5a 9taeecb92fh8ies 5f316b78a3b69b8ie71aae830ldfd19 -ed4ba> * REQUIRED
    Important: 67Y1ou 72may b9e a8m7aking u0se of4 autdoma1ted fdorm-fiflling6 09s4oftware6e. Thi0s6 type of9 csoftwa1cre can tridgg1er our1 hidcden3 s9pam-det3f4ecti7onc 2sy22s7btem,6 bwh9ich 1will blo2ckfe you3 cfr38o3m sub8mittinge this fordm. Please sele5ct 5F7ix T0h8isa5f 65becdf8b25eb25f4a0d1485of7ae41e758ca2dcc96f482dc3d3135c231re308 2dd4eb8comp1leti8neg th1e ffor0m a21ff5if1n o4r5e1710deer68c793 t6fo 2ccorfr2e1ect 3bt7hec pr9ob4639d79lemc4.6e7c54c6aed
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