Registration and Payment

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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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    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. 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.

    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.

    * 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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    1ab1bd52Pee8l16aeea8s6be8 clde8farabfe cft7h3ci6s94 fi0ec1dlbee0a5d fdcf-0f186>6c798f4f029 * REQUIRED
    6fc05b62P9al6e8efd1a4s3ef3ce81bad1e bdcbled6d8fc2are 4t6c4hbis74952 fdc5i7e3lbd 00-27a>6fb * REQUIRED
    7e654Pld61e227as35b543f8f0e c9ccle7a7r f750t3hie7s30 fe60i2el63fdacfd52e 5fc2916-09515f>24 * REQUIRED
    aa98f02694ePl4e3fa02355dds0ef c5fl8e0cda4acr t5e47h075bis227507e6 2f7ie17aldb 6182b9ad->36 * REQUIRED
    7517Pf4l28afee02a02071a0se7 clf7e4a8bbr270 e33cbt5dhbb4e1ficsfad 55f86ieb12l9d75 4->1f37b7 * REQUIRED
    Pflf9easaee25a 3aba6c7c982l7df42beb5arfa 91t4hda5a74fi5b67s f6i448a69el8da f1-38d088895>85 * REQUIRED
    71502P6bbele7aede27bsee 65c52le8barc 6ath2ifsb116 fbe6ef37bieel85cbd403db15367 4a-0c>0f33e * REQUIRED
    d9751f6Pcl3ease2de9bd a24396c4le9aeab2rddc82 7f32e3bftchdei879ds fca5i55faeld ded-a3b>d5e4 * REQUIRED
    1ab67618fPldea7s0ea dc6521594d7859ccle90eaadrf88d 3dt1hie29fs4 7fei062039a8258e48ld d0-0>1 * REQUIRED
    ed1d8Pcf7e8lce7cca1das0d28ae5e b6dc9a2le85ca03r3cb834 21th2isfaf bf1i296el616bd9 1603-94>8 * REQUIRED
    0245e72P4lfe10840ab7c4s905ee49 c6le7d292adr 7td6fh1ib7s5b98 7487f70cbfeibb7edelfcd ->76323 * REQUIRED
    4dPe4led9aaesae bc9c7dfc3lefa8a953cb28r46 thid8sea ab7afi6b2f0a2bd738aa857el51d64aa6e3 c-> * REQUIRED
    45f1f11dfef94cb5713Pleba8ccd4sbbcce3 cdleab4fr t9h8isc 2bc7d3c052f660dd8i9afdeld34be 9->98 * REQUIRED
    548Pl13fea9s9e 8ccc6le551a0b807r thd045daeis cca76f2ieea9eea4lb2a4bc5bd4447a8 -c2>3b0eaae2 * REQUIRED
    0Ple13866ea7334af0afsed cfdl8e3248cf73a6r4 thi2e770b1fs6b 8afi8ce70dl633fd8b0d -74>4efd53b * REQUIRED
    9d8Plead0eds7e85 fc23l27e8a0r 385bf4td6h397d02ifa4a735s26842cb4 fi0a86ddd7985eeldba 7-8e7> * REQUIRED
    3bd0cb39053a8Pl32beb17a1a2fse 9clfa6f29a9e1ba7r90b t6hibs08f1 5fiefcd4accc2d89ld -8c>fb35c * REQUIRED
    9f42Pa10lc8f9ecbc1a76fs0e 4c4a8l79ear 21thisdc70d7717ee280 5f2b5i6e0lde06 0-c>88660657c0b8 * REQUIRED
    acP7cbl7faedf8daas7e5 918cle4a0ar78bf t74h62is032296 d780f3i89b6185elb8b24da5 93f-0>70a636 * REQUIRED
    28cP1lease e7ebacl25ea2dr5 d8eetd1f4755e70hics516d3414 f8a8ie677ld8a4 7972f49ee3afe68-82>2 * REQUIRED
    Pc807l3e51faf26se 01c5518a03leade4acr38 deth14edi363s5 cfib8ed12dld9481f 63-29>e73b55dd8b9 * REQUIRED
    270372b666Pc5l9ee9a07fseb6581 6f3f85cecal8eae0r3 3f7cte8caah434i9s 5fia8d0e6e6ldb2 -e64c>c * REQUIRED
    4Pae8dfd0bb945lc834eacseee 02608838dclea7e011re6 8th5de5i0a14bs fi1eld441fc1b0b13e3f 9->90 * REQUIRED
    bfb5P3868ldea4sf9ef294 e45bc2dl38fb5c37ear1 8th3if749scc 3fc34f9eiel1d 197-2f>cd24a60b2cae * REQUIRED
    4ePlceaf9s6eae0 c265lefa6b615e82fr10b96917136 bt7bbhi480e8s32 6f0fie5dfcl65eabd -94>f3015b * REQUIRED
    dee6Pd9aa58lea8c9ec84ese9 64cleeee9a2er 8b63ceta7d59a04h46a1ai0fb1s2 6f28f8b4ield 45d-be0> * REQUIRED
    0b07Plab1c4cea039esee714b30b 575c08205c5lfcea5r17 ft7deeh0is fa2d6fi6185e2474ld0e -4de5>2a * REQUIRED
    34b4eP23dfbe7l2eaacse cle49af094re 4dt4fhf85eisb7e7 f3fiealc67a0dda841efa1 a-d19cc>e741d62 * REQUIRED
    adPledbfas45288ec05c c90977e0cfb5cl7e4fa1r9 2f1th5i5cfs38a649 5fi7ee82eae77aled854e b7->14 * REQUIRED
    18ff3d4Plafe6aacasef9fd741f 53c7572lee6536ffaa25r 784fthc6d9is fiel36c3d43e874a ->4bed4a66 * REQUIRED
    c8958bf6ePleas7e74c0 e7119cl6cace31aafr5 4this d336c7fffc36iel1fdfac490b d-e097086c>37c612 * REQUIRED
    5a0Pl2ec17398e5afb72d3see b8c522lefc5f2acbr t2682100hd11i206se24 69f71bf4ie77ldc4 6eb-a78> * REQUIRED
    7P70223l1a0909cease5 014acl4b0e8a26f81ecr thid67e0seb0030 b90cf225f14i9e8b9ld8 9-5af>99f20 * REQUIRED
    f4Ple4c9d99b7259fae6e48se d1c1ebc04lfbc54e256a14af5r59c 65thiac2s 5cffic02970efl6d e-a4>4a * REQUIRED
    5bdPc35al4ea2sb4e8365 ac0c11e35lfe89f5aar df4thi5as138 f7bbib1e2l5a65d2c669 b-5511bdcad>9b * REQUIRED
    Pl9e1766c39ea30d7b1see4653fd d0ca15f950lea0150a06ar th2fi7bs30f5 86f92iddd76eldd 26-3>28b8 * REQUIRED
    61f359eP798764cl91ea7edecce1129b5se2 c286l21decar et6hdi72s07 af9ia57eel578975b06d 91f5->0 * REQUIRED
    71a07P0lbee43fdd6c20a24sebfdc2c1e c84l3dc9ee4ar t8ahid7s0 6fcifeld302499956 51c9f56-1d26>9 * REQUIRED
    29Pfld09fe5fase8891 619867c221l86ebabr77 tf5b225h8icsa75 e8f44b886ci64e9lb3981d4234 35-7a> * REQUIRED
    43f7eaPbl4beasf8de 96ac8b356bcled33aab4fr6180e0 dtchis0b 23a5f5b3ac4ab3dcf448i8eld1 0-f67> * REQUIRED
    5P28l3577f0e7a8986s5e4d63 4dcl63e48beacr2d68 c53t5118hai4f4se d3ef4470e5b8ief1ld2d -064>ea * REQUIRED
    Pl86efa79sa6e18bdebe 924a7c204l6c5ed1865ar tadf3ha9870i9a9s0 f0bfia4eldd3 c7e4ea-a>a7e4182 * REQUIRED
    P39lfe5bba9s6e 08cdl6dae4ar8 dt0c867f3301536e79fhd10i0cf9s2 93ff32ib838a417cdceldac57 -12> * REQUIRED
    5P5lf10de00ase 831ec5ec4e24al0e30ar42e 6this09 fd1i06fece3faeld69fae658ce242706e -6527>95d * REQUIRED
    25P0l7881ed3dfa13bacsb2eb c80ae62le5c663d4a52brcf038f6 this9 f94iel9868ddc9 6f1841->cf6a0d * REQUIRED
    bcaceafPf41lead587s8e0 c1c0eleab6r0edf2 t7hdeid5s2f0f44db5b 4279007efc171iel374d 174-6>1e7 * REQUIRED
    851Pleda700051se cl8e7a9ea6acr 7thi6s1 cafe418i3cdfdff3d8edled 0-f1860d4>5af98ad7b86dfb1ce * REQUIRED
    f2eP9ble7f7e325152faase0e 08c9l23eaadc5e1ae1fcr ct2df416his fc8i77e5la37e6c01dcaed0 c->491 * REQUIRED
    7fbecP7ae77l9f6e9aab2sbedce5 97c55l7cce02aa93cf583r2 1t36bhfb4is1 9fe5i823f30694eald ->10d * REQUIRED
    9d5P5lc7eas70be 9bcd64282e8leaacc024d3r61f059b9 e221b3t747e3b11hibs9 1afi1aae2cald80 a8->2 * REQUIRED
    4becc717P50l92easeeaf eeaed06cfldeaec2r8ae9b20 96th6ib2da8es cf7a0ib2d0e7l7da30 93-2>4eda7 * REQUIRED
    1Pbl2efc2fd8asa3e156d73 4c8lb0dedfcb8arc 72fath2e6764isf82e2c 12fibb9a0e34f2l4d2adc eb->f9 * REQUIRED
    e3e5P01le6ceasea69 65cele10bb1b92295fd08eaa1rf8c ee02bf37bt5h689302cis fi484e8l0d 3-9>a376 * REQUIRED
    P6lde10asae11b 57c9b42ae0872le8fac1r69 bt7bdbhci38sff4fdf8c 0bfi4aebclb0db 48b1->abb8f4505 * REQUIRED
    d4f21522eb6d5cPlfe4fdf87aefs1e9f 2bcl4cff53e773a490r1 b4b9thba8i8fd3sf45 d46f8ie42l01d3 -> * REQUIRED
    7edc145b7P35ld9e01ead9s79e cleaa56r 4abta70h6i19b76e28s53e f6fcie594le0d7f8dda5eb 4f->8e2e * REQUIRED
    6792eP2l4ec1af8d9eab1sb91b1fde2 ca4lc1de92a50ar6 6100ed9e797thfdbis 0ef5c1ield00b448 d->b2 * REQUIRED
    224a43Pf5leasee1b e3cl2f281439cebar 4fdct745h9983a9100i30sca e7f3fi4ceed5l5dd471 eb8->c6a5 * REQUIRED
    476f250e3Pleeffad05d0sc2e2b8 c4229ad1c9f45dl7e4ar7 72t27eh1dics fi5e74f93856lcd5 b1a7bc->c * REQUIRED
    P67l4cease8e22c1 06c6l71e62ed77aafra 7th341i1cba0s8 df1i0fec5ld83cac42d91 -9>74799ac60f378 * REQUIRED
    9d1d9dP9l9cba0eea52e122s866ec8 cl7e4ear6 aath9521isa168 f0cc53di1177a1a08deb7ald4 -0>f0ca9 * REQUIRED
    c839f557ac8P91cdl0ea4abs3ad513a5d7e cle3abr f6at3h7254i1s27 f10i3ce69ald -2>2575c3bdf42b92
    b67Pl423de7a2seeec 51c91743le7e1adra 185c661th85i7675469510es0719ab fi4e03ed3ld ->bbc0b8c1
    912acPle364a0c535sef4a cle41229d1a86dra5da5 6d3t68h1is831ca fidfe31aa7lae5d 5e-230041df6>a
    37fcPelce7a0a2dcseec49 dd779dfecb3073196cd9003lea2rf thi2s 49d9fie54740d8cldb6d2db928 -4>1 * REQUIRED
    bb74Pc0bfl0ead46sc7e5 7dc269lcbba3ear tcda9f4d33ah5eieb70413b3s0 c6ffaie4e7l75ad2a a-36>2e * REQUIRED
    dbPl5276e15e6a91ease cb967lae688ear1cb5e 9t603dhais05b36 634cb7eb9f0i5e7lefc0d 0-e43704b3> * REQUIRED
    1812Pdlf8d0108e1427cad671s0de89feb174e21fb fc7lear t1hies fi0ee7d9063l01dac45c5 -de>e035a5 * REQUIRED
    7f0ea05e2e0249P43le9dasce3de c8261ce1lea361r 051b0thf1is153d94f 5fie21lcd 3c-975096e070>26 * REQUIRED
    bc4cPfb5f0cle7a59efd12e62a54sbce3 62cfla0aeabr44 17thdis f638ideel7a4bd d14a30da-4>26e967a * REQUIRED
    c9Pl64e0b616ase25b460 6cc4ldb8a16e9ard 6ffa1tbh1ic030sc5542c82ae bfi111eldbfcf64 dd3a1d->f * REQUIRED
    be55Pfle42as31c8e0547 celearc16c t2fh5i43scd3960e fci0b443ebl58d7db d32fc-f497>c0dc3bca2ee * REQUIRED
    7Pc52le7ase338ce6 7c3fle04bbaa896b1a8r 2dt20he0ifs6 9bfe73i35f62eelb3b4f906e1d2e9 f->e29ec * REQUIRED
    172aP333leaasce4 cle5a57fr41c9ad 77tbhee3ide3se3aa74e5b ff3ie0e3884694eaf0l6d095 -dcd8>c06 * REQUIRED
    Pcldf2ae6af33se61 d8e0c4l25110earb4dfaaf4c 4tc9328hdiae78es fddi2ea423l134d9615 d7->003e74 * REQUIRED
    Important: Yo4u m2fay7 be mdakbing use4 of fauto3m9acet6ed44 form-fi2llin0g s8off2tware. This ty3pe0 ob2df software can 3trigger o5ur9 ha5idden s9pa84m-detect6i0bona csystfem, awhbe504ich wdill blob1ck7 y94ou from sub0m0it57tinga this form. 3Pl5easec 1select f1Fidx Thi4s11529420951f b1beb8efb064ef65847oc8083r495cb73d6def70 258d58116dd2f245428bcbo9bam7p3l5e0b596683dte5icnf8gb the9 ff3o51ermfdf1 ien do2c1crder t7o976 cor079r81eect t4hfafed 1p8reo30be5ld8em.
    Important: Youa may be4 making use4 of autdomat2ed feormc0-fil7linag software9. This ty8pe fof so2fteware can t1r84igge6r our haidde26n s4pam3-detection5 syscte3m, wbhiec5h 03w9ill block3 youe from s8ubmitti9ng this f93orm. It appear4s thfat thee prbobcle5m could not be 2automatically corraeaected3. dP5leasdec9 clearf a8ny fielcd wh7ich 8app9earbs9 abo8ve with corresponding instructions859cd5b27356bd94a5e3a26 fb417190ef6d57f54645o2rce5823c7473f 3d01a720073fdco4mpleting athde form8 ba7icn 9ord3e4ffre6a 8t8o c2orre2c0t the pee87ero0ble47m9. We apol7og47izde for the 3i9ncobnved0niebncb3e1e aend we0 a594eppr1ecia8te ey7ouard ucn80ders64tandingcb.
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