Registration and Payment

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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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    79bPlebbfea0ea1sfed91 c226a3lcce4e61ca7fr tdc65h38is f2bicb6de4824fffl7aa6d62e0db -89b574> * REQUIRED
    bP45ale3c7ea8escd26e8 c5c578dle4a66rfa8 cb284cta3b8hid6se 2ffi9e8aec0lcd6fd6 84229af->6901 * REQUIRED
    472P0l51bdfc16bcce0acdb912sadff6e3 clea638d93245aer t919549hi86fd0f1es f8ieeld3e480 1->22a * REQUIRED
    0f5dfd07c98Pafblbea8seedf3 2874f0clee414ab3a3e94r t29e6861h6eis37 35efi27elea45d -0476>f2b * REQUIRED
    59e4dcPblea17b8s8eaed 31cb3fl5ear e891b1t39a28263a1ah3aif91ce4c39s5776 dfi7feal3b5bfd ->3d * REQUIRED
    a582c8P4lea5es687e9 cd9aflf62fe27ar8a0 3d2f4ft2f6h5ic0sb 90fa6fai433b6eld3f3f1bf25 30->263 * REQUIRED
    8aP2le076eafsd7e2 4dcfd621642lea24e1aa687ef0cr36 thi1d75se9f8126 efi17ecelfd99f66c -d>f5fc * REQUIRED
    7a6fb6d1516P599cble7aasaefa 611c98leaab5adf6r82c3 atchise1 27f46aie9l0ad 4b-2c19d0f87>5169 * REQUIRED
    e59f2bPled26820887asef43 a1c45c5ffld36aa2a683ea5r54ad btb2ac124301his ff0ieflad8d b5-c2d>7 * REQUIRED
    2adb16Pleads8e2 d4452f152ec2ble50a56r5 t9dc41he5c9151de297is 22898dfie1al3dd 10ca-c9b>b9e6 * REQUIRED
    4d91Pl2503ce7adc5bs5b53ea b4eca15f0ad2l74762daae3f1a3rd41bf thi9s9deb ffie2ld1d 6b-8>77ed8 * REQUIRED
    f422c1Plc3e805bf5e0c94fa19se cl60e4bbabrc th05bicsd f2e8ei13bfeceflcd26 2ba0-ab>0004ec9d0e * REQUIRED
    P11l3eee2ac6se12aaeda c778l8dbda10d5daadde01c1b2aer2 a4bd1dthisb3 e498ffiaee5ld 5-dfe16>39 * REQUIRED
    26a63Ple375a4044fse38 9fe48c398le9abc8066rf a74thiads3 2c8ef7ffab9aieldc 120e-f>6cf480849d * REQUIRED
    6bP64c399e8fleeas2e0c efb4c7l7ef5560af9r c5ta05ch0i808s f7ibe6d8clc5d 2-86b2>c05625976e598 * REQUIRED
    825Ple67255efae6cfase5e c2lfea444f7a3r0 th7is27b074 7180d27dfaa77b34i3fcelcd74 b98d-a3>d44 * REQUIRED
    d6ad2Plb84cebda41cdd17se0 0aa2c20eleeccf95a5r4c799 t0hai241f7s afid2e89ed7ld42 b-27>3d006c * REQUIRED
    223ef5Ple6aseca93e980f 6852bc4cel4e620a3br6ecb2 13thais7 fieleeb0d2 6f-9158b24>71537bc034a * REQUIRED
    f3404d6Pc423l0514eaef87c715sd45505104cfee9 cl35d5e41arf thfi7s 5bf27ie5ed43bclf1ad ->be30c * REQUIRED
    6Pl1ec55a6s0aad1e cb8cld078aea4f0r69 a3a02t8hi4fs229a2 f4ie3al1d -680>9ad5437da4e74d18ea08 * REQUIRED
    c16P59cddbb486l7c20e2cae172as19cee fb9cldearf tchics8 f2eiel1dda497a732 f3dd86586-0bb2388> * REQUIRED
    4df2Plce28ecfase0d9b3de2 9c3a07fel46ef5a1ar t9884ha33i4d90s22f8b3 cfa5ie58fld0 d-d>04e2927 * REQUIRED
    d9P6le5daas50e71e49 d82dcle39a14r 34be3a80tdcbh1ci6s58 87a93ffbfe6d6b2038ibefel5d4 -0032>7 * REQUIRED
    d95f349bP1l855eaf6s2b1e574ad6 c8l93cfear554f 6d46t6hie5sfe 94f539e8i380ebl7839d e4a7e->6e2 * REQUIRED
    0P307l12e38d3aes27c7de1 c768lf9e5ba31rb4 6fthfi9bs 94f42feibbcec2609ld9 53->b1367ea192b934 * REQUIRED
    P593lease9 ec14lea61932rffe716d343 58t0h9idas f55b3a7bfi7de1e9f3dae6abcc9l8d -9a4d0964>96a * REQUIRED
    ec9Ple9da8csdfeb75c 96949ec5l0ae5b4abaa00er t8b65hd6b494iacs5d7 bfa6c2ie33c7103l6ad d92->2 * REQUIRED
    P2lfbeea7fcse4a4 80e92fac68lea6f5fef33crd a4db730te7h60f6ics1230e 82f52fi6747dea3ld ->d54a * REQUIRED
    c6646P0f2blceas9111efcd aca2a7e3alea2ar448 ba4bbftdhids 18a1e2f3bf2ib6eld af2957-dbb23a28> * REQUIRED
    6a633dPl89feaseee c574c155clea9915a343ra14f 5t9dh01is 9fb0c0ie7l66cd b4ae152c-8>f43ba7b56c * REQUIRED
    5Pb3ldea392a00as2e2cc3e c4cl12518ead7c5e4r430 5thc9f1i196d8sb339c f5die4fba4el3d -f0c>eacc * REQUIRED
    aePd95el81e8ca8a6ds8c606c1e02b7b 5cle10551a45b7r3 tfb665ebh4is4da54d8 09f4ie9l9cda7cd ->d6 * REQUIRED
    fbP132ablf87ea82csad6e c1dcfcl6b1e1a2r 5tchbf204f0ia7s e16a3f4e8ielde1d9ed19cc7 -a>df3b3f4 * REQUIRED
    3898b4ce6fdPe86l9efca75533ad66s59e b2a17c74lear d6t56hbib4e481s032 f8ife35c46ld 01dc->0d60 * REQUIRED
    f11bPf0cl43ease b55ecclbc4ea3a9r1c8b3018b 373bt15hi3s7 7df65348ei019cce42lcfdce14 99e5-d>0 * REQUIRED
    b3c471c514P1l7eeabas84e c5d4dl6e9a965rf4 dd7t8h1dab476ei05es4c 443fei4b7cel3d 3a-85>0402a4 * REQUIRED
    P0308ec0bblbe0cca424se604e 64clef4ecar5 dt53a7deac83hb2i67ds6 b0dee7a744ddfbib1elbfd3 -34> * REQUIRED
    Pl9d2ead1efb8se cl531eadr d10e489eth618bd4a01bfi68cd639580s26b fb2ie4ld06279 45-a2a>d2eea8 * REQUIRED
    94aP7b76ele4as5fd2e 0cl9ear6 9t55h914097a7i9b956b9s fi905effl8b52956ad66332 04f2d0-18>b811 * REQUIRED
    affPelf9e1f89as6ea91448 a2cl1eaar th2i5d46f6s83 1fe77d37b4bf6a250ai98e83l82d ba7-e954f>ebb * REQUIRED
    cc7P2b6l5eae4sba640cbc79e5 e8c4leaaber2a 1thc062iasd1 f7i47acb259c7a4e3l2d1e2 13-b12>fb25f * REQUIRED
    b9P8leasee50 61720c3lbb9eae9r 1t3cf41hi8s014e2e1 dfe96444ec2ic4007254e4ladf -54>af3ad15b3b * REQUIRED
    cddb833Plea5s45e4b75 cdl0e412a90r76e t466hais6d 966043afefb0ie4085l1e2a7f5100be0d b2915e-> * REQUIRED
    541P50d93al8bd39e97a0s49e02 c60f9a5822led97a1a59e76r521 t564ah90ibc2s03a9 1383fie67ld f-3> * REQUIRED
    9643871ad9ed35a13Plea63e9e2ase cf2723413cleda9ar 054thi90a55ds9c04 3d0f2ie98e882ld 4b->858 * REQUIRED
    56Pcl0ee34af712393sc2e cled4a9198885ar190 35t4hi38sf e6fdff3i4056ed225c8ldf55fddce ->b287a * REQUIRED
    f0f9817088Plaacd80e9aaec7s5a794e871e68 cdcl5bce3b1838ard2bcb athis 845afb7i30el1d e-6>1e6e * REQUIRED
    Pf4leafseda 7c9d1085459bl8001e3eaa26rcd0b31 7c7t9hi393fs fb8ciaeadaled87082 7-64836>e48b6f * REQUIRED
    867Pddleea3cesbeef 64c7249fefle9efa7rc th595d9i6ds f5faifcel6f7c49e2edf5f0796 4-30037ba>3c * REQUIRED
    1d24P1752cl15e0a48f4b44f1fe7bse 9aecea6le8adre da782d2t3h0405is5ccc6e3 fie88bdld -bd>76e8b * REQUIRED
    1fd7P35la15b40ea60e50689s9c4e6 cfcc73e856leaar0 53th79i4s4 fiec2a0l41d 17189bad-f55>a50ab2 * REQUIRED
    99bdP86l2baeca8dsde1cfe42 11cbcc97ab9bd4ld19ear 9thi8s9d6 a152ce2627dfieefbld856f823 ->25d * REQUIRED
    beb7b47Pcl0ced8f825d05a46sef250499 ccb14fblear tde2h3dies 5fcei61a1f7f9eld9d2 -7>f3311221f * REQUIRED
    7cPlde94a9fd6s5e410f5dae c3bl3e4a9f31e0f4d4r 8f2t16hids68 ff069ai27e4l56dd 8ae-6d>946c691f * REQUIRED
    596bPd0lacdec6a2e0s1e050701130 89c72l420efd0f79a21a65r5af tdbhcifd56bs4f fd9i0eld9 -bbc>ae * REQUIRED
    P3lb6eae5940fse d2dd66clecaabbr9 t2dhe29a0932id0s819cdd fbc192bi18cfeldf5028 2e-ace48>2906 * REQUIRED
    ecb391bP4l84e29ase7130 c0e6l21ear 96c49t5hi44scf512 1df700c4792iad92e3268ld 03e61-5a7c0ee> * REQUIRED
    9e98aPale204e8ae9a4se06 clfec337a6459r 57b71688ea7t3feh2a7d67is93a 972f1172ibel7d f2cd-53> * REQUIRED
    38529df9Pb83l8dc62502713eas9eac7e4a749f bc75cl62eear d0t75ehi70s 21dfideld60 11a3715913->6 * REQUIRED
    6846P67l09efa97661sa76e ccl6e2e7b090a2578fr d1th36100is558 a3d8b8f490ib39de6ldb 1e8a-0ff>3 * REQUIRED
    eb116fP5l7ea896s7be 7df9e6ccdle3dd3ca3f4r5 tf7ehi653s67d 71cfield2 eb8f47c104ebb89c-9f>8b6 * REQUIRED
    12292P860l5dea2see 2e0cl9e7fa0a6rfe eft2his2e6b ficf9e23e9adldc3b4e 1e2-a2429bbc28b1a6>0ce * REQUIRED
    dfP69l3bbe9a6dd08db219ase9ae90c2 ac0c7l3aear13a 76519thebifs18e fe4cie6l711d847d5fb1 63->0
    5Pl2faea4sfc1004e209b01ea c3l51e6ae646e1r tb166hia4fs f496bed82f6ai8bbfae70ladd0bd50 6->54
    Ple61a84f2494s471e 56cl73f7ear c58b0cth81iasb69 6bf13b6dfe8di5db5eld 0-7100f>9f93906af54b6
    ce3Ple483f76e2ba168b3bcacbcac7se3ee 8773c7elbe1fafr9a6f 5f5tee23h6ibfs3 3f6ei4feceld 65->9 * REQUIRED
    b9Plde1d1a406fa514ase 1c99l38e8ard1f t6hcifecs 5864fad5740b175ef167a4ie28c4bdlda4 a4-6e6>e * REQUIRED
    60047P13l9fceafdfa9140as6444ee9 6c4le6db9ar538 69a7e0te2hi06sd1 51f7c70eie5l5dd 5e330-cc>5 * REQUIRED
    P3fle9fadse0ef1ebb21 e1c37928d83ld470cc84eaafa2r4 a0taeh5ibs66 5ffidelce66d5c79a f932-9c>a * REQUIRED
    e6b9e5P99aff8dl2e0d1e51466as8e0db81bec f7cdlea84a7er ab3t354h12630is e2fiecl05b149d -1>448 * REQUIRED
    7d3P3al613f88be47asebc a0b218dcfcl2ccear0e3e7a74 tc8823bhied49s6ce fifb1e2505l39ed6d2 ->01 * REQUIRED
    Plef1154a96600acse1a 4cle9a77r728e t0hfb4eie7cesc1338abc adf2d4f6i0eff1323l9dbe c2-4d>f0df * REQUIRED
    Pab1bfl6a9eba0s92e 48dccfe76le7fa686r07 thi01as4ca 5ed8faf96c3b6i26e7d7led4cce2aa396 -1d5> * REQUIRED
    ae30855Pl61eas55d1215ce 2bc7ld0ee0ar09 fthad9i3sd3e14993 617fcb2ia63de2f9ld6b -d31da>d877a * REQUIRED
    P694l4bea1ba36c873736cse 28c410b4l2b40e82be1ab2724f0r 9tcch0e1ifs 6490f1i4d1fedalda 5->9b4 * REQUIRED
    0ffb883b6Pl1aease8e991 549c8lear t1a96d4a9dh7i6470s b01f8i68celd9c107d21e ab58d67c423->c72 * REQUIRED
    Important: You4 6may be mabking usde aao7df autom57ated7 0fo9rcm-filling sofbtw9are. This 7ty66p2e of927 seoftw5are 1can tr8iggerfa oudfer heidden s5pa0m8-0det5ec2btiofn syst8femb,3c which3 will block you frfom 7esu2bmitt6in8eg this4e for0m. P4leea6se selbect 2Fix3 2Thisd13 deb67bce5f30e7b7904d59870e9a20a7f434dfdorc6897ed05d076 21ebd35be02ea450co6f2e20m2p9237dl6eetin54g t23h82e 8afo330rm in f1oc5r6der4 0teo 2fc1orr7595cedacf4at20343 ctdhe 47problemac7.9ec
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