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  • Recruitment Advisement
    Fee: $125.00
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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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    3fcP6l251e8ac0sb0d2e c0768f27l3bfear b12th6aad549i254sccff 63f2iea970l4dce3f97 440-9>fe157 * REQUIRED
    6e5ca9bedPela0ebef3as1e732 ccal44e10ar249d58 t52hi1sf119299 8fb29i91e3lac46d6d8ebe 137-2>d * REQUIRED
    f671b4cPlce8b9a86fc8d8aa6586a0sf36e ccl0efaar5 fd02dtf82h90ib2s1e f45dieaf429cld6cd ->10b2 * REQUIRED
    33Pf1587c5l57eaasecaf16 e6c7930fbl170ade7ar636 cthi668scc8467 64fie99l5d4b 3-9>1edd022612f * REQUIRED
    443Pale378e2c94d5a200s38e7cc647754eea9 cleaf1c2r1 th2ia292a8s a6e36fe87cieb32f204lda -aa>6 * REQUIRED
    0393P349l3b8de9daa35a4se 434226a4ddcdl795be62ar thaisa 31dfbe8iece45el87541dd49dd7 -eb>30c * REQUIRED
    1f524a8P0f6fle2a62sc70e26b 904c3l0a3d1ear60ecc b3the16ids 00d1dfibe0ld 0fe118-17bc9d0>c1ee * REQUIRED
    8c56Pl3ebe454a3bbsb2e cc81384flb1576eaacf4d3frb thifs c91fid0e275044f2932l2073d1 05f0->e8d * REQUIRED
    2b8b43Pdldce5af5aa1se19 c0ff73l3eeare5 btbch3dicascb7076 ab5fbield5ae27b9d -7>6184fcf347ca * REQUIRED
    Ple1aaaf30se 6fcl3d9ea3526rf2 th98ed902414is cf3490b6i8ec5ed994aldabf 7-32d>6762e60f697af6 * REQUIRED
    a3257f10bP0lea11aa31s6ec5558 9cblced6ea0r 9b9e6bcb0th4594d2is8 2fi1f32elee70d4e61b6 35-24> * REQUIRED
    c32cc05P8d0687555le59c20ase 7c1dl2ea1fbed5ad8rd t138194fb891hicsbb0 56f0fiel1d5dc -f3c>26d * REQUIRED
    5Pd4dl55663cef78ab11ed363sfe 3c1fc966led25fca9rb 9a81t0h9abifsf4 bbfec5i58aecldb d2->60df5 * REQUIRED
    P98lade49214c4a5475s9e2 1c6le1461aafr06a41ca tbdhaa5isa 6a8feie18eal9f0d5 -13f6b>b6aabbaa3 * REQUIRED
    47Pe9lfea6518aaa75sae 6cle5d9a2bar4 425cb31e473the70640ei8s0 9f276iel02d0a 8b-0>24a976d9a6 * REQUIRED
    fbbe94aP5le6asaee04 779c97cec769a5lea00ar21b a30th6is a909ff6efbielaede9 -5946ed1>bb874125 * REQUIRED
    84Peaelbed1cf316a02as76e07 c433e9l8730ear 6tha76is004 31f256fdi7fddaea473228fldd4 2-5e59>4 * REQUIRED
    9P8le76adsea12bf c16613lbe6afrfed7 d5c39t9h5is f2b5a4i16cedlb62d1e 5ea0542-5f>f5d88002a772 * REQUIRED
    7c67P55lbea6se532d3fce fc8le0ar4 tf748h5i3s c32733fid24e34celd4adab60aae 65-0bf3077>84a6b9 * REQUIRED
    e5660Pl5eaas27691e47c 0cd9c2a3l42e9a9r 0671t7h74ie08f0s db2fcf3i040ae372dalcaeda31 c->8307 * REQUIRED
    P8l920b6feasfe fe8c6lea8ad855fr t610ddhiafs760eb88f2f 3f03ieelda 77701-6b9e68>05b8f2075c4a * REQUIRED
    9816a2fa5P53leda5abse6d5 c0ale2a421699ar 06701734at7h25589id9s0e3 fc3ie7f34lbd b86-899>b29 * REQUIRED
    408cePl25ce8af2s91e1 4dc7alb4adear8 t0c8b6hidfabfe5a26387b7s cf1d0ie2dl6e7dfe1ca7b de-3>64 * REQUIRED
    595b9790Pldbe4dc5a71sefed 9c7ldee560aaa2211ca1bc32cr79f t23ed680his4 8f80i6eldf -aec0>037a * REQUIRED
    f6aP69l6eae2s1e 1c06c37leea25er e0a4c5e1971th838e8ic17s4 88b0f6fidel9abdd 2f3cf99f08d->acd * REQUIRED
    95200bPl7eadaesb0ae75855 8bcld3eea0rfb th00i342565s74 ef93ie3l13a6edf87 -f53f>fc6399840438 * REQUIRED
    b999f454Pl7083d53ea8sd59e 5137ce392lf7e4ef491fa83r31 4t3bhifc7s5 9595fb3bi3elcfb6d d07-54> * REQUIRED
    75aPlc05ed89d71991be468abs5e 6e29ecld6ec0adr05 1t82ch471i1s 7a1afea3ifaceeld4ed208f f1-b>8 * REQUIRED
    91aa8ceP103c785204al82e946c9600eas5e474 c3432l8e6af594063r2 t4hc5is 7a4fi91eld a130fce->9a * REQUIRED
    addaPcel786eas2de1023b48e 711c4ldcb84609cear03 7005tdh0ieb9sbdaf95 bf5eielabd5e4 -9e>048ab * REQUIRED
    P61l677cea9a8see4 c87c7987le4are 9th96e7i1bse8b9 0f0800d5a5bdc38b060i5e6f68l81d57 ->ce9f4c * REQUIRED
    eePlea2adbs2de4 34d23222420d1cb36294lea38fr9f 4t17hci1s689 c3efefiebla3dea2e d2f-405f4>e87 * REQUIRED
    Pl5ef35169ads432c1e75 d55ddfb70452cclda5eaer89b49 d16c1thies 647cafieeeab51841fld6 -b2d48> * REQUIRED
    b9Pa67lf9ea7see2 69cfbl5eb85a67r38b8cc f5339th8ic9e2ees89 9bfci7eb2ld1b986f555 ->b032d6244 * REQUIRED
    cP91leea25aed96ef184c21bs5ce82 896fc3b5b2le5ee8ac2r243 55th6ibse6 2bc5f2i0e5eeld4 -3>13333 * REQUIRED
    9Pl265fe7a7seed19 7f08d62fc0bled8d03d546bae79ar5fe cb15491eb0t4hi8s f19i0821eld4 ->124c315 * REQUIRED
    6db6ePfl60e42ddase 3cf2l2d0cea8r e0a1th2137i3s6cb21 923fi93d0d2ef6519lbc22adb9 960c-4>923b * REQUIRED
    2f0Pl6a1113c4db5ea9bsae38 c1ela3a4ear3cfa 0t08d69hi728s 8fi6e48ba7f81bld6a -489703dd>75cb8 * REQUIRED
    fP7lea0b5238sfd9f159326e4 83bc994l239e1ar d266t0fhi6sb f6ie70cld7729f06 0c54d-03>916f794f6 * REQUIRED
    95bP7be158fcle3af1bsf82e0 8ccle16a87488r d40t2ef4fe9aahbi5se0e8ed774 fci09e25fa3l7435d ->f * REQUIRED
    b3ccPf66f8le8e0da61a23s1e7e729ee 1cddfcc86l9ea3c553r1a tehis 9df9cb1iel08f3de88c 3->867e4a * REQUIRED
    aefP2feale839ea8ase4f cl34e0ae96r4 1f72cc4f52t1587dhis f8129icddd726e6d7elcc5ad2e5 b66->4b * REQUIRED
    c7288dbP9eelfea58e489af851seedfa8af5d50a c7bl9c3ea4901drf99 tf4hfi6sce ff4d7i95eldd05 -a>8 * REQUIRED
    8f97f7ff1aP7fcl91ceac8eesbe4160c c8e5523f72de3e2leabr4 40this1e 57ffeie39f66ldfe 78->f4ee3 * REQUIRED
    5P4798l30ee88ase1ae d758c0le48ac53686r8 487t7h3i10esb c12b3662f41294cc2a38c47ei9be5l3d ->1 * REQUIRED
    2P5l49517e849e3a4ddcas7899ef1 ccl2ea56r40a ac8thisfc 9bf01fi909e08e01bld 7fda043-b92>a521f * REQUIRED
    cPcl7fce71e3a28sc309e 04cb9clea00rf8 3e152e0bct003ahabi1s 1c93382707ff0c19diel3d f5bf-1>8d * REQUIRED
    842Plce7das9ef9c2aaf4a86b3739 9c0dd97919acl0eba43264c61r 5317tfbhacdias5 5fie2a4lfaed90 -> * REQUIRED
    aPld92e0b9ab3se1e4ddeb790118 1cl105e7a65r732 98t3h7is1d80 f4cc91a59id2ffelb6bd c-9d>1a30cf * REQUIRED
    1cbaf1cPle05ea4015s7cc0e3fe cl2077eabr 896tb38h8cib1bs5cd d44971fbie3l9cdddea3d60 8a66-3>a * REQUIRED
    fc79091069Pf0ldb1eea7csdeec905 f4c7d74fla45ear tdhf243ifs 6df421ic0elde ->cf6342b7c6d85989 * REQUIRED
    8aP5leasdecba85 9ecf5elea41arb47a4b d9thi3s1 3f98i73d18e0c5010ebl70d b7c30-0>5759288bd7c14 * REQUIRED
    7e2e81Pl1eb41eaf04edd90dsee5 b940c2f4b7lceaf2r 6964d2t04ha9is efi0cfec97818d1led -0d>6b5de * REQUIRED
    2afa92c0P639alea1d41d58eae6c6s38ef cl630ead35r82f7 th7i5s f170e3di5e1el78d1 2-f556>fd5f752 * REQUIRED
    a7dcPfal9e302ea5s69454e 8cd2lb85e5a2e1r 291tcdhficfes261135c d36adf355fi2eld a-e57c057>ca0 * REQUIRED
    7Pl338d9eed06185e81as6eb8decf92 ccblcece3ab19081r tbh3cdf5i2dcsa9f8f6 fi7a48ee2l9ed -53>1a * REQUIRED
    ae970P0l82e8a1715e121b9sde166 cl885edf7bc6453a4r 7tdh8is6ff d1cf51ic8efal44bd9586a 2cc->57 * REQUIRED
    3492ecbPleaa3s49e 21cle9f5ab0ca6f027rdc t87035517ehi521bfs 5f60ie685ldde 1b01de255b841-9>2 * REQUIRED
    85ddP4bblead3a6asd79e8 dc4l77b800aea2b36a03e2r8 5095th4dbc5ef2ias f13eif2e81242l79d3 0->d7 * REQUIRED
    6405P8elea63s6e3cad1e6 c7c6afl1e99cf33ad5e8r 1t159b7d4e5hi0s7f8 2f5b08i9e0f4l3ed 9-9>ab9e1 * REQUIRED
    18f65fbe7311Pla89eff2asea33 cf6lbd2b96ecc01b2adr f29t7hi35as 161c6f0f3iel42d eca-be54>2bb4 * REQUIRED
    fc38Pld0ae368615ac76ase72b793 1cle93arb tf2e1h3is3 c00e36fcbda0i13ed1lb45de4 7a28d5-2>1976 * REQUIRED
    2b3c6Pl0109ea013771sffe c204l8e4arbd 698e2et13hffcb567b7dicsd2b1 7fi0e44ld 1-83dbc>75fb768
    * REQUIRED
    34d4Pl3ead2sb1ec7d43580 c4l8e1ar c7td7h1c686de5i5as fdeaie0a914a03240dlb59443d3d -4>48482c
    * REQUIRED
    ccce45Ple5a5ds38e7b8 7clbe646ab5earfe3 8t4513h131isc87ed5 e9fib50e969l5ddd 4-7a8>7113e2328
    * REQUIRED
    b84fad5be4P8bl8ea8d3sfe 6cb5ldea6r8b 432tehai585bbs 9efeaiela5d327e14c0a 8a8-4>7a7998fb68a * REQUIRED
    669a8cPb6l6eas54e076a cc7bal0eeaca9r077 ae9thc28d3ai4s 9057f66fi33968eld -6fe8a5f95d91>e09 * REQUIRED
    1c63f1dP5lea5aseffd 72305c8c8le678ac03ba807ra7d91a 63fethe9a441dies acfdi0e8d5ld -2151e1>9 * REQUIRED
    a3504P28le8b1eed89a1bca5s5ef8e 8649c7l2caeadr 446aea122tdhe5i7c0s0 f9iel12d2 84dc-6>77562f * REQUIRED
    92972P4lf0ea015816dfa3s0dbde8e0537 c87ldd5e2a22ar5b9 te3hc6ias 17c65c2f7bieal8dd -b487>e91 * REQUIRED
    4be14P5lf6f803cfea9aseffe 5ca0lfd4e7a679r th399714is0a11 dfdic10fel9f457f3d1 1f4d17-9a8>87 * REQUIRED
    77f2525P83dfel38262be6a4das3e 83f374d98c9leea8ar tee1fh2ei7b0s bf2iebdb0lcb4d 3f5-c11>8650 * REQUIRED
    45d7f5afc3ba66b5efe26Pc2l8eas2e c94lea78br25 ft6ae0dbhi7s ffba5b2i50450feld4c ->0d8b1003f9 * REQUIRED
    643b6P2246l46e13ea82sed5d2 d8576c3a7lb72c431f2510539ea1frf fth0ibs5 f3ield652 ->3f4bb7b2bd * REQUIRED
    9f02f56Pd10l5eead48e289e4cb11504ase57 bc002b38l41de4ar 5t9hies f74b17i16ee89l9df6667 1-ed> * REQUIRED
    P41l53ff3a03fea1d16f126bsee 1e9c0l18e6fa3r 90e90c89t909e48h286ei8s80 f52iebl8e8dd b0->01f5 * REQUIRED
    Important: 4You bmay 4b1e making use of cautocemaated f1orm-effillif91ng sof9tw5are. Thi5s1 type of software can trigger3 8o04ufer22 ah5id30ede1n spam-d3et9ect6ion syste4m8, 2ewaehi0ch will1 blfock you af93rom 8su2bmitating t3hi39s form. Plea5sea s8elebec4t Fixdbe cThis4cbf59703505b135f4 41baa5346adf2a439b31074e8ade84e32d3ffcor0bbeb12e3f8 d4cc7om3bplebt3i9a7ng te7hb5ee fordm05 i6n 72fo1r7ed3eer 404to 0b07ce4o9br30re1cdtb02 t4db88f4he p4rofblefd864m.69530b
    Important: You may8c be ma3king use of autodmated2 form-filling software. This t8ype of softwa2re can trid38gger our hidden spam-addetection system, whbich wilal 8bb6lock y5aou2 from submitdting thibs 9form. It ap9pe4bars tha4at0 th7e problce7m2 could not bde autom2a0t5ic2allay correecte83d.c Plce4aese cle6ar andy fiel2d1 whichb appea5rse abov6e1 w0i7th 8cobrresp0onding 3inst4ruaction1s646b 6e0b0ddeac60cc9d5d180f3d989b6817d636f0821cf9a2o02r46e2a19f fc742c2ecomp7letiang t3h10ef5 ef1orm incb or49der 5toc cor0care1cbt ft1he 5problaem92.4 dWe 5apol5og3ize 00for c5thee 6i8nconvendie5nce 8an1dca wea app3r3d06ecia0te de3youer du5nde9afr00st2anding.d
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