Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • Fee:
  • @MEMBER OF PROJECT HONEY POT
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: Yofu may bae9 mak1idngf 0use ob7f auctomeactedd for5e230m66-filling sof2tware48.6 Thia6s type of software c6aan 4t2rigg5er 2our hidden 8spa4m-7d17etection 2sys7tem, which wiaell block you from cs978ubmi6tt50i2ng tdhi9eas for8m. P7cleas9e s9eledct Fix T7hi2as1ff9f a84db8f8432b4d69904e62afecb84850fo8frb8a20de15a69 c9663e13d3ab1459fdacd3c0oe945mp437a28l4etin22g1 thf5e4 foerm4 ifn678 o70crbdde2r e330to caforre5ct8 8eth08eca procbbld9de2dee0aem7.a41
    Important: You may be m3ak3i6n2g 0usae of 5a2u7tomf6at36ed form-f0ill8inga softwarea.2 Th2is type7 of softw5are aca3n t5rigger our hi79dden spa8m-det4ectid1on sys3tem,9 which4 2w6ill block4 you frdom submitting thies form. It1 appear4s7 that the problem could9b4 6en5ot be automatically corarecedt8ed. Please clebar any3 bfie1ld whiech appears be2lodw wit17h corresp3ondin9g 2i0nstructions07a85ba9cfb9429a877 8cc03be658fe62634fof6ear50bc2fd28efee19cbdbc 7a80e499228coamp5ldeting the feo3br49m 1in orfder4 to correfc0t7 9ethe prob0ldem0. We a8pol0bogiz6ce 3f1o2c2r the 7idnacon5cveb89abnienc8e4 an1d we apprec4i70eatae y06ouree un8d679edrstan1din8g.57
     
    We accept Visa, MasterCard, & Discover
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
    (Please enter the following details exactly as they appear on your billing statement.)
     
     
    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. 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.
     
    1P5e376aa6le3df796eba273s7d9e 35e34eecbl1ebcca8ar8 aathdd14i99aas fie8ecl0bd -d70b7b>ed233 * REQUIRED
    3ef792Pd8l8beafcse6c6e35 25296c1cfdl5ec0be0533a88r3 th6i76sd6f f89e5bie20e47b3l9d 2e-e>b41 * REQUIRED
    13b6fa8P0l34e5877acsb9e83580 b3ccal2eea117dfar9a b58t945e0hiesbe73 1d6faif14dbce40lcd ->e8 * REQUIRED
    acf6P749el02f481ea73se 1cdf5l8e7afr 91ab5ffthcif364sf bfie84l91b3ddeafec10d0b 01->d50b0773 * REQUIRED
    0af03Pl8be8ba41fds9ed43 014636cl21edf0fa0r09 2242thde9ie0s d7f2ia9e2lcd11 c0aae-b>efcd194c * REQUIRED
    6be2c8Pl205e5aase5e3 clf8e61eec02f4a24rc1e9d a4tc8eh24i8fd2s732b584f1 fielbd1c42550 1-99>7 * REQUIRED
    209d37P44ffb13leaase6d72 5ccf83ele2adad40dr627 42thc2i013bsa4 7fif85381e2ld -34>e183c1167a * REQUIRED
    c61Pl57ce2asf65ce75c 87027c63ab1l94a40cb39efaf3brc e2t8h22i6e9c39bbs 249f190i5e8ld -1>0006 * REQUIRED
    5816bbe0f1e2467fP0leea1sb01377e b751cl3ce3ar atc21ahids366 cf0ice5l6d03a7d -aa1>02f7c66787 * REQUIRED
    4bP086415le7ae1sd14e05 8163c1l28ee499ae7e2r t7162fhis6 625af0cie57b3ale2896496ffd5c2d -a>b * REQUIRED
    P83da2la7d3e7ase 58570ca154lef8d8ed22a47r e30a8d9tf2679h13ic59a9d06s6 f8i6e426lcad3 6-a>af * REQUIRED
    f654cc65Pdb37le37c88ase cled1aear8104 8dedct17h266f3id7bs57c3 edf92fi1e9l58d3 b5c9c-13d>de * REQUIRED
    6712Plcc9fea8se6 2cc881flddde9a82r54 5t3ea4hi82des af3die0a306859eb457lfa37d ->e12b73dfae6 * REQUIRED
    2Plea1s5e 5907ca0d75lfe5fa6a8r 27t964030h0i6602c245sc 0ffieaec64cbb2d42eb7el2bf1dd 264->56 * REQUIRED
    f1199aP7e2le933c4f9ea8sd1eee562c cleea6r6 t7hfie45442s 42cf2ff4ie0ld -164473a>b386685f5841 * REQUIRED
    5e759fe83P8lefa9f3695458dbs8e5e cl6ee9a1r t7ef26h6ia72s9bd08 e0f46428ibbelaadd eb7e303-1>e * REQUIRED
    379f03b0ee396c9b4da27fP4l99030b96de680ase9 258cal1adadear78 d3th6is74 af95i82deld -6>8495f * REQUIRED
    P19ca3lbb288e33affs1e55 ce9c2lef0caf60far54 thf639i6f269s6713 0b2c0d6fie2ac7l403dd 8->9aab * REQUIRED
    49d0Pfbe480ea4d2e7led3bb40a46s9c17ae96 c1e6abba7c5leeecaf276r b5cd12t5hise2f ffaiel7fbd -> * REQUIRED
    55P4el7eb4224a85se342 cclee4ace0r3f 790tb2h8589ab788a9fa4ddi4s b4f5ie7b6l9d f-86379755a>14 * REQUIRED
    2cc77cfP76lce39ce5aasde7 ec8743dbcedl6e2a7rc 923thi1f8sa93441db 8749fded4ie3ld899 1->e06e4 * REQUIRED
    bccc893Pelf86ea8876sb5945e4 ca947de8lac0e94cba433f32660r 2thfis65 5c0222fa0c5b03ibeld 8->7 * REQUIRED
    375a2P87d33l7f28e6b3a95c06fdscfe778 ccb03lfe6e1a5r4f550d5d5 thi1c47sd7 fi2e1bld 78-55d>9d3 * REQUIRED
    8fP1dd39l7bc97eb3018b9e25eas10fce23e358e5 bc9lde7ae5ar72 t034h6a3i32s fi2eb0lf1dc 7d->91dd * REQUIRED
    P83616lbab4ed4438as7ec198ba ccl7eeb684bea1f2fer4 th6dis8a34f b3fba6bcdi64e2l691bd5db -a0>b * REQUIRED
    1ffPl0496be909dc3ads877ccf8e4 51c26dle990a977r1a95 t84h191f768a1e8isa3d 74f9eiel46d 885->b * REQUIRED
    07P22le77f9aad0es446e0d 313248cldea487fd7dar31f 099e5thi798b6d3c62s a6fieb07ld54 ->8680283 * REQUIRED
    42d36P56ble7a4a0scc1eea7a 8ababc5l9e4e5b48a86r d8ffthd6a4is 16021fbi4e85e4fa42l250dd 4->72 * REQUIRED
    2aa36eda9P6l80ee9bd5ea0se97 dc48383leeb9bc2ar1 0tha6i1s6 094b5096ffifce31el7d 46-050e>8892 * REQUIRED
    40Pleas5a7584ebde29efe 39acddl1cf5e0f7bd0ear 213t379fhais 11ef3i8b2178el278dbe 621-1e63>f6 * REQUIRED
    5Plbdf55e4b7a6s5e20fd 29c0le79ar 5e9ctd0hi9ff8sd86f1050e df1ic7e27bbld770292 d821d9->29086 * REQUIRED
    0c850Pleaab8s9e c9lbd24c8ea91r5 3dft1a1h23i79s 21683f8cfbdide3e7lda17db6 -0c4f6>dea685c57f * REQUIRED
    1Pe3leae6c5ads293e 42c425l50ae4adf2f41a56438bfr t0h4fdei32s 22fib2e6c1l38a214aed 59e-6fd1> * REQUIRED
    bb753fP33129el3easc9e8 2720c0595f0le4ear6af t885h51fd0idbs20 fi2e6l3d66c 95db0->1018e53845 * REQUIRED
    0aPffle72ac4sae5f4b 8clde4aarde 5beethi1d964b018csde7 316c9dfd5i8ede78a69e50bl3d362 -d>af1 * REQUIRED
    29P68c057lbaeb8a2f00d626se5 c97lea02df68er 32fthfais72ceb05 f5c9bee8iee8l4afad2 4a-349>006 * REQUIRED
    42P4lease07e a1eccf5caled735e7ae6ar490d69 tce651heabc55634cfi7s 0dfc6a0edide3ldc44a b6->9a * REQUIRED
    12042bPlb15c7883ee9eease 3c043leadefr 3753ftdh6ci5b23s6c f650ci2aef5e601ld 3-3de2>5d6fdf2d * REQUIRED
    c0eP3d9ble1b25aesec5 4cl1a7e7a0cr837bb1a3 5fc9te9daf764h3i837cbs 37ef68iedl93d95 b8-4>485d * REQUIRED
    cP81dlce6de00ase3ead38 c7339b224l641ded5e317ar35 th700cfisb13cc4e 5492ef17ibde3ala4dd 1->a * REQUIRED
    P8blefa21a2a7ase049264 5clef32f5566acarc t51h20ib859bs fi050fcfelf147e07de5a98 2-99>f34367 * REQUIRED
    9ee3aebb5P3a9le6aec579d1se53 62cfb9523bale282ea8bre8f4d5b9a thd263809ibse f0c5aiecldf5 9-> * REQUIRED
    cdPl00e26c6d83cceas919e7177ca2 b1c4418l7b1ea3r 8625f9260this 0ffff8dife0fl3fe9d3 d574-c5>6 * REQUIRED
    6ba25Pl6e4cd61afseb4c3ca4 c940dlf1eee8ar be0500dt67hb4diada8s46 44c1b6f024b1cf9i3eld b-5e> * REQUIRED
    f1d72Pble662asfe37e7 bccle5ada5a416rc ef41tdhi5a749bs f4351fd2c4f58ield c0ab-50ec>75ae2ed1 * REQUIRED
    daPle7aseea3 d33e1c1eeleaed7rd56f 6th1eisc2 dfiae79e5bl0ec8608fe0da ->26b667bc2c54c023d957 * REQUIRED
    c1d3da2Plc910f4d28bcdb07d1ease 3b5c3b24lf1e1c475ea12a1ra btb61227e0h05is caefiedfld c-b>20 * REQUIRED
    c0afa0437c1837f12c1af3541P2b4ldae2a6seeeced 447cclee05dbaa9r e2ft2efhics e8fi6eld 7ec->927 * REQUIRED
    a2edadeP06le1e7d6aa789fs29a5507e 9cl5e8ar755 dth4ad0i688s fiae62l3ad68 fc82aabd8-0>6b10f10 * REQUIRED
    22e10a48P8lcea0se3fae 2clebac9rcdbaea07 40d3t0h15isf a033afbf12ie288630al3cd22cd 3a-e>24b4 * REQUIRED
    36ad1Pl54ea6f9d25bd112a893667se64d4f fc1c04led7arbd6 2fbtahc5adi540s3 a1fie6l9ed -64c>d407 * REQUIRED
    1Pclee07a8esea2 bceleeaf53343r bt4hb3i094as edfbf61055i0dea2ld06dc019d6bdd15b9 0d0eaa-2>b3 * REQUIRED
    2Pd3b0l32be85a3059sfe96a7fd2c e3c8lef47b4a0r 0tcf80h0252ibs0b a8326fieal674d6a8d 3-9b>3123 * REQUIRED
    Pl9easea 8c061blf92e972f61d829c5a764f5c72ra4930e929 75th23bi1s 6f03i0ecl0368dfef f2-b>8424 * REQUIRED
    748985P96a5alc579d9e01ase dec01ac6al0bee26fe7ar 9tc8hc8e0is 92fieldc9 3-eb584>ee9533467f87 * REQUIRED
    742cce569P6fe95l5e0a3se fca1fl654ear tafh05dded5i463997e6s f60d1a0e7ef9fie5253ld ->18cd65e * REQUIRED
    39Pal68caf4e77a0s86de90c c56l1e06f743acr56f229dea tc9h4cei0cfs478 f1ie736ldac 03->06886fd3 * REQUIRED
    b83bPbfleas887e 1ca322l5e185ae8rd8 4tdh71d1is 115c14c41380f27b2d90ielabbfd -0>ce6233f24a17 * REQUIRED
    Pl0ea205se47d1ea55 77c1fd9cf9977fl4c7c04deeaff3842r ath0is6b b6fi7del5727cfa24d 33-ff>225c * REQUIRED
    Pl063dea3c703sb0e31497b 8c75cl8e3fbf67ear7 t16he9ciaesaa7 efi99b3ebald53 d-08>de72ac64c9ce * REQUIRED
    d73dd2Pedf3dl7e08aesee 3ac43l7356e2ar fthbaf612i297sae 88b3792708cfiel0d -6c8b>f38f55e3409 * REQUIRED
    5b92P4ldeas7dc694c0e cfe7el2eadre7b97 t5h4is83d 5cd0cfdceielf1ac1d43b7b13a6ac65 51-174>862 * REQUIRED
    0f690de77P7leaa2dbbs59eeb cflbc61e7e39ab7br7a1 t7h4is90 cecfd95i139d652eld9 c954-1a1>44d4c * REQUIRED
    70cP59l6d617e18a45cbase698 4c0l9bea5dca5brfa499 th12db2515c1i5b55as c1c81fiel2d f-2>70984f * REQUIRED
    bf1P8ld8cec1cabsecbe3466d 2886c763c0l148fce0efafa67r0b teh6abdc4ci169s fie96ld5 433-f7f>84 * REQUIRED
    6e1P42e43le0a7as8eff02 7c9l45ea9aa3a846r62c a1t1b0h2i3s 0ff6i0d39fad10eld033 96-196c>7b759 * REQUIRED
    ec501eaPl60de0ac7se0822 f934clae5416be8e4330ar60e bfthis1 3f3ic02c55aaaeb2ldeb 15-a22f>1a1 * REQUIRED
    3c1cf2Pl948f9e1e743e9as9be 92dcd0lea97dra6f69bd1 82at102ah59i96se 7e4623fifd01e0cld -24>7a * REQUIRED
    b2Pfd523dbcl2ea5esec64ba8e6 165c748elea2b15d45ad8f7r0df5 t57hi4sc26 dfifcf79belf258d -e2e> * REQUIRED
    674a5P20l9109fa2e416983c9ba1s90e0a9b641 ac4lear 08dt9cd41c775h19isaf 2fbd48d4ifeld ->1abf6 * REQUIRED
    973153P826el1021e9eafdds361e ccl747e9aef9r51 8t9h26i5s858cc fbfe5fielfdf 9502e0616-08cc5f> * REQUIRED
    c850a0d2cdPl810ef4e8ac4s55b203ce c4leear thia67s3c 35d75f8fi96eeb5ce5ab3le8d01 550339->5e0 * REQUIRED
    50Plea06a1c0ascbe02a841 e11ccebe3eleca530ca133e1r 5d0ft3cdh2i2fa8s fieecb5aaeld 11->4ba590 * REQUIRED
    c311fPel810ae7asece7b77e cl8f7fea3fr8 1td594361cc6chbdies 1976f5fid211ce49b4b8l7c13d1 ->42 * REQUIRED
    6d214Plaafd18c2ec9a3fa603e03s8e bclb4fafe1aef32r2d d2tc1h15dic5sea fielcde36316 0->ef34ea6 * REQUIRED
    481P08leease c6cl87e17323f69e1e3car feade788bt7bhf6a7i2s ffadf1d6ie6l76d6104aad dd4d4->911 * REQUIRED
    6450Pl66efas7feecb cl3edd2c8adda3dr46fa663 bte57b2fdh0b606f7fi71s2 fi348d2eldf -d>ae79766f * REQUIRED
    39P3cle77aa10ea7sd533e 5c628efl7feaffd2er etf22d22his82 fi8fa607elc8e271d 9-8a4bc701a87fe> * REQUIRED
    a3ece9eb3Pclee76a8s3e553 2299ca5d4205b4cld0aea4a91r thi9s fed0b01da6i10eclbac6d5270 7f-5>0 * REQUIRED
    P5l02d5478c0d5fee1864das6e cl3eab15r t94c523ec3h2is 54f1ff501cief0l2e03507d2d -8b>9f1409ea * REQUIRED
    bceP544l28bebadfs238361c1c6e c0e2lea24426d792221eee3rc 3t489h95b86ia2s6 f2d6ie23ld92 ->ff9 * REQUIRED
    f4Pla4e8e438aaa00b664sc9e cl32f07ec8aer 1075th0di1s52e7a6 822cfeeic47e1ldc4d821 f-772>4eb3 * REQUIRED
    489c2972a17dePleaa1s8e90b clecar1bd54f8 t2h2389ebbcca33i1e6s0c7 fcdi8c4b4c0ffel6ad23 -20>c * REQUIRED
    85Pld8ea15a4as7edf145 c5leabcaf96fe3ra eth6cis9b 8bb4efffie2ad23c82ebdld86f5 13603c6-d8>bc * REQUIRED
    dde568P802lceasa9e 0c45l0ea76r 80te7h6c54a3d15i16cs7af f8fied0l88af22891d c1-97abc4565e>ea * REQUIRED
    c8P651leae5dse0ac1 91b3598bcle952e42a1ar t8c1h8cisd027329 a0dffc8246i30ce50ffl9ab0ad -b>ae * REQUIRED
    9c6dPl5ea5sd514788539e568 f6a0c8le4a6r50 the9fi72713as fea2616ie55dl92dee09a5dda 664-7>fef * REQUIRED
    0d93659cPl874e6ec3d116afa6dsd9e09 ceel0e1a69999bcra b7t7ff6bh7disbbb b332fd116f6ibeld 54-> * REQUIRED
    3ePbcc0f719lcce7a2s3ce15 cc2le0ar7c cc7c1f25eec1898aat4h096f5i6s fiel77ec8da00 409270996-> * REQUIRED
    69P9d3l5eadfbs2c1e5bc381fa0dee4 c1elaff4aeacr0 034fth8ids2c42 fei1b3f8elda 2669->8918cca88 * REQUIRED
    c1Pb5l7e7350eaeas8e c1l0f7c0284e2a3r t6ccf33his f38i88e6449d70cd9b6aee40507l478144dd fd3-> * REQUIRED
    710a6ePlaease396f622 6e739ecl3dde2999a12r 1athe114a7i0bb88c9b20scb4c f5ie7flad2b14 -54>736 * REQUIRED
    06P62l3590ee1ase 70fcleaad6radfcf th9is61 f0i0a8c785b3e5dc4713dl47df366c85 -0a6de59>3ecf68 * REQUIRED
    819Pel2e1c60fe0fa78sd953eed e74b3c5c66124dlf4eacrc77 c1t2his8 ff8ie3f037359ld b36a2-1>d04e * REQUIRED
    c1243da4P14774l6cee4785aase cle6bb848d5ea458r8 dt38h3is 7904d7f7ic73e508l19bed474a9 -0b5>a * REQUIRED
    9P4la4ea7af7edcc95se44c c3alfe02eb8a5r d26t7cah5c6i2sb5c00f3 1f9ef73ieeld c3d6930-7>ffef60 * REQUIRED
    8Pl4e9a11s66e ca4lcbd8e9c30ba99r92cb60ca tehdcabda36ecfed0isc efiaelee7d3cf 7-d3a>e7253ca1 * REQUIRED
    dcPl5fe178e502df4aad1se cb7773bl7ear t5d32b8a607h2ic74s 36a5f107fi6el394d 05c-85cde2fec4>4 * REQUIRED
    9c3e5ed3P370la65e2a6934s5194e15 cle29ar80 4bf6thfi9c1s 525fc4840ieclcf3dd 70->daeebb5e3c86 * REQUIRED
    ff309555313Ple47033a9s888ef780 cc1blear 50264t5439464f9f4hi00s 2ca110ff64ield8f09abf ->436 * REQUIRED
    2ecPf4l4bc95deeasfe636466c2 cea0al3ef4a7a57r431f 3edthff1is21eefd 0dafi5eeaaelcd -9f1f>347 * REQUIRED
    ee143P351flea9as24cae63413 bclcde8ba04cr thf996bidfdcf03sb 1dfd985f7i92el87bbdc ac->d1016f * REQUIRED
    257d9Pde2a1ld71bee2e0ase cl6ae0a3e5r9d3d d2t575h33i4e04830s1 4fa01d6dfi20ecb0l1047d d->8b8 * REQUIRED
    434a347Pe8l4e97aac7d3f88d0ds3e5e93e292 7cl7f4d514eab01ebr 027atd7hbics f941di8el9d a3f->7e * REQUIRED
    b4P1lea2se6fb 3636b6cf45d8e8l0ef22a15754c0cra56 5bt87f94ccbhbi7s005e55 f13bf2ielfd 7-1e>d0 * REQUIRED
    496P46elea5s9eeb64e12 c4fce6lec50ca819r1 84etbh07i74sa af3aaiefe65l0d92aedda7a 8681-c>190a * REQUIRED
    397bd2dP903lcfea18e8a24se 13clee6fa33r7073 thie6da9se27 f0ie3505a4l6f19dd -37812d7>43d9b4c * REQUIRED
    95Pl9e7a2se904 f9ecbl803ee0de6d45dar atc1f2h16b07die42s2 f183cc44799cbif3224e2ce5ld 93a->0 * REQUIRED
    4Pel0eae097a0s867ec9d 61cle729ar7 d12f2t60hi4fse970 afi96da85e43fe5flff2c5bed9e 75-7>9458d * REQUIRED
    9f82Ple70f5a0sf108de4 7c162le38ar134 82502dbct17hdicf8f7bfsc2 9f7iela37de5e 0d-63bf863>0fc * REQUIRED
    1Pcl5ec553a46afs38ae984a8 78cbl8e5f429ear5a tc3f4dhi7f8sa282 8df50iea8cl946dd -2b24e>df9a4 * REQUIRED
    c1836efP3237l8eec900cb95a4sd7153e5 c88lea14br8a4936 bat3h09ies fi04e85376aflfed4 448-6>14d * REQUIRED
    2dd5cb74P0b84l084ea6s739e7a0 ce83ecl2ecar ct7hias35 f24ie0e72l5b5f90ddc7 ->3ba09156c36071e * REQUIRED
    d8d51P5l1ease782 6c5al2e01eaf5r c599thiese54 f0fd24610fie3943d8e9al9d 7d350-11>9bad2ffae89 * REQUIRED
    4699P258dl7eff6a6a5sa4cec2f cdfalefcac989608ac5r th19ibs5 5f3id2e6dld5d47d01db7 -4>2e66ab2 * REQUIRED
    3785ed9P574l7cdea1862c7se 4acefl47534e148dd5735eaedf8r07 t0he7bids 2efie3c439ld6f d9-7d9>6 * REQUIRED
    b61340894d630P2lea73s3ee43c 404cle18deecdf362ear3d9 eth5is2b feied001elb4fe36dd73f 45->a66 * REQUIRED
    c1895cd8dfPb5lebas6e8cc51 0528812a89cl1ead2ar86b4 tc262h1ef1875acdi7106s8 field abe->11fd9 * REQUIRED
    81P49ldc67eb9e63a6a6se fc974384cl6d4e79a6efce6rf3d t4e3hb09647is cf9ie07l89d 7b1c13-a>df63 * REQUIRED
    5cPfb7dacdl6efaas0ea02c1 3ccledadra8c256 tc6his11 f6d3i80bfe626ba1c1d9905l2a42b0d4 -11>396 * REQUIRED
    06P75abce9e6al85da74e003acde938s5e bcl2ear7 1thi3427s96 89f4idae0l037d07ca7 43952-6>9049e4 * REQUIRED
    fe9P57e628le20fec5174eab5se3e 2cbflear t4fe0ha474iscdea 8f13id8703e2ld65e c9-5f>de4c89d61b * REQUIRED
    Pf4le4e9a56esaec785 84cd2le8a03a38r 59te92eh10a85i271s49c fd01d9bif65ed69ldddd0 5913e-9>88 * REQUIRED
    cP4942d938clbeabdab91d210eesde 0ce554caeb52d5l6e729a8rbf1 th6is 61fiefl9a0d42132 455->2cc4 * REQUIRED
    c7ec6Pl4bd8c3ef8ecabcc131s7e aa6cle480a5abr4e491c7 f4b03t7his cdfieblb37dd7d0b26 ->82641b8 * REQUIRED
    3e3fPbb2e71l8a9eeaase100 82ac2lce4aceae64f5r2 8t4aahbi8es fd9f3f1iee936l1ead69aa 605->36af * REQUIRED
    aePa0lea2s8e5 d109cld6805ear72fd6c878ac 22b0t33350h34i29e1644149bs 0f4ie4l9cd90 e0-a8bf13> * REQUIRED
    96Pacefa3ld6e8e8aacse 7cc3leeeecarc f4462b51th64i4s1 3f2ief6796dcb2lf5d9708d840 -d90d>bcbe * REQUIRED
    543P2flb7146ea81sbd6e7a92 83cl62beac1d13a4bb7r39ebe fd0etdh1e30592252is38 f8i0e0l9ad1 -22> * REQUIRED
    90a6aaPe2lbcca91de2ea3s1c6ade cc2cclea2r0edffae83b 762thicds344971 6affaifdec33ld f-8d>300 * REQUIRED
    254fPffledeabseb7 c44laee7ar8d8b 1978th5ief1e9dd1e04s4 b24abdef2bf42e82ei4b95eldc8 bb0-3>9 * REQUIRED
    f93Pd9l844ea6a3sdefeb8 f7f980cb2le07a9r92a2e3b 4ctch49d5c8i692a4s a8fa4ie4l4df5bf -29e1a>e * REQUIRED
    cPlce46ba8ase6d8eec93f5 cdlee9dafr bt4d0h47ibs7b361 fdbid4aa10e8lc16d d-426>fb8681fc4530c2 * REQUIRED
    626e2Plcea4ca3e5se2e 391cl23eedb3a9r th50fis 59fa3f408i0633ed78c30dlc29b88d2 d-25af>9c451b * REQUIRED
    53bP22l30efas1e 06c5c03a4l94e5debab98ebf19ecrab4f tbd92632c0h6i8fb6f3s f0ie8e909lda -0>86c * REQUIRED
    98fb1cd4ee7Ple74aee7bcd3se cl357b20cb6ear1 e33bf4bdt25c0eb22ehids fie544ld3468b2 093->14b8 * REQUIRED
    44P96al68e662ase 2c990l8ee2e4b34ea2dr e6d0bab2t73h24dics6f f26iel3d28d79 c425b55-eae0>27d4 * REQUIRED
    dcPlde136f3af6sfa62969e 3cl293f9ea48f2ba96r tc8haf61edis 5a3d55ff8i7f64e5l46d -84bd2>2430a * REQUIRED
    d1056b04dPl9eaas91e711 4625f18f7d2c2al3e5far8 t981hi10s 1fd56733i2fdbe8ld520f508da -4db02> * REQUIRED
    bPled3a79s1e8c afclc7110de89efe82cca9r86f78 6this6f f2i98e615lbdd dad22a-2a9>bd71060dc2a98 * REQUIRED
    bb145P3946l8def5e0a6576a40se cdfld6ecarc t2his38 fi5fee83l3d -b21e53e2436424da9bc>0d3feab2 * REQUIRED
    ePld24e6as5d6ab637eca cd3dcl18ef6a645acr d0bthis8386 335fa4f3icbe3laefab5ad46c 04f-80b>6a3 * REQUIRED
    8P1ledas466e2e1a 6c9l9ca68e4a8r81e ad2f10thfi78s9d f76i19bb5893ebld45da6 f627b4->0a8490674 * REQUIRED
    Pl7eaes25e 6clcee7ba3ebr 36a0e34108de2thd13is6f90b73afd 56ff9i0e82d1le6cdd509ea 448->669ab * REQUIRED
    8746P1lf0c6cease4 d4fcaalebe5d6cedar4 8be8cta0ddh7d9458i15s effe793609376i68celd 63->0d00d * REQUIRED
    155d4a8P030lde0219df0bd9ace4d6se06 872cf631le494d4arb a3th2i0e8b2s1d 4fie213ld173 091->4b2 * REQUIRED
    179ae03a650cP181l245e77a892cse 7c09lce370ea0fe27143284r6b8 th9is3 f4a9i51ela7db 6b88->3ec8 * REQUIRED
    dPal9ease17 879a4855cfa4le4db6c581ar 6tb9d3hcd7ibe08s4b9cb 5d8e06ff559i35el4d1 dd2-6f6b>5f * REQUIRED
    46Pl3e57ff5e3daas5e6 ac325ca96254l0a0ebadb8f27r0 fth6di6fs0 e6f3i646ee3a43led5c ec-e0>b7f2 * REQUIRED
    7Pfl6e0ads02eb525 c2ef4l1ear5 db59t9ahddis d0fiaefcl4335a507e3cacd 6e1e602-dbae776730ab>10 * REQUIRED
    e8b0d74P813d0c3le0619ase ceel9eaer t0hidd2d82c0ac0b467s5 4f6e859i4eldedb6 3e8f9-52a>1d6e19
    * REQUIRED
    654d496P8l652f4e8as6f5f4e22 6d8cl5cda7fbea12ade6r d3fth27fia1asfd f6d2ield2 a8b6->08699659
    * REQUIRED
    68P1c9161eleea60s326e9 cl9ae7359a3r 471te41hd9ia616e324sb fcc6di75da0el83a24d5537 ab8->b42
    * REQUIRED
    6cPl75beaas3e0e6f clc999e2eacc3cdr 92d8tb4h0d9f27i5s 7f34i134a7eed029l1d5 b3-5>73110fac976 * REQUIRED
    e038cf709Plbeas99bd2ecf8 71cle38eeda9r ab5d5tha6ddf5a5i6sea ef7i75e16l779d -4d8>de709db8a3 * REQUIRED
    39ce9809P5le0ba12bs98e cblbee65ab95ba71f9re96 tchc347i782fsa047 42fiefeld4d322 -13>fe2b81a * REQUIRED
    8P3c2a9lb80easae9 d750dclea9re e43th12is 1aee7f72f4i0150c48c4ec95dl558d8730 1-5e62>7e445fa * REQUIRED
    b8a0db4a5P6d5l6ea1sf7e24c7c8b 6cld5673edb3ac87062ar 9t3a9hceisc 9b9f5abicb4el6d1b e-31>228 * REQUIRED
    1a2P212l8bfe5ec82as7f684e3b88 f91cb5cld19ea9d2aa7ree19 0fethis cfi6b06ee916ld 0-2714e>84e6 * REQUIRED
    ff3dec54ePclf890ecas5e 6e02cle778014e8a6ad4a9r bt1bchfcisab f3bfie69ld6f73244 52fc->6fb63c * REQUIRED
    5707bcbde5dcbab74146d26Pldea5fs6441e ccl5eaa373807r1c 4t33hif31s fi451e0cl86f3dff 1c-f>043 * REQUIRED
    Ple4fbecb9a36s6e ecclc8edafrca11c 2t4dhi8es 45fd2ia72el5ebd74dd268dd d-c3a>5cdcc3278b479c7 * REQUIRED
    7P2423lcdaecbas0e ec46b1le404923eacraa 6bt1dh60064isea7 1fcdfieafbl9b2d3185a9 -2ac26>7c622 * REQUIRED
    edPcb2l8aeea620s2e aceledeaa6r9cd dtf0hi1c5ee992s f25f0i6566f48282ef1l3d221b9df7 0c2a-c>ee * REQUIRED
    Important: You may 50bee makin5ag use1 o5f automa5t0ed form-fiflling sdoftwa1re. This f0t0yepe3 fof soaf6twfare can trigg036er o3u040r0 b17hfidden scpadm-dete2ction 68s8ystee3m, wdhcich wialfl bl04ock byo9u from submitt4ing32 this1 3fffor4m. Pleasbe9 select Fi0x 0Thicsa402576f0 64fe6c1380be93f7fc8foe1af84e38b92rbd71a4dc0c27e082d026c2 45059a4coa8m64f6p8eleete9i0f1n0g d2t9heb f8o6raem57 in9 cof38rdaer 7tof 5cbdor66r8ea406cat9d95b0 tafa79hdeb1 8p1r4o34ble1m.
    Important: You may be making euse 7o0f auto8mated form-filling sof4tewar11ce6. Thiefs type4 o8f dsoftware 0can triggber ou58r hidden cspa9m-3detectiocn 5s6yastemc, w3hich will blocke you from esubmitting40 this form. fIt 5aappaeaars that the proble1m co9uld 8not abe aut1omaticall6y c65obrreec1ted. P89lease2 0clear0 any feieecld 7which9 appears0 aboved with co2rrespondin8g instructio8ens71b 1be6b9bf8bde7bdbd43f3a08a3e69f3101e02abf20225d92073ordde0b3e4f0 3b384cocmapletinbg the fao4r5m 02in eord8eer1 to correb4cte the proffec0blem. 8We5e apologize9 a4dfcocr thed35 inc2onedbcve9niefnec0e 4anfed fwe7c73 apprecbi6abte your461774 3ubnd7erstandifngf.
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 5:03 AM EDT
© Element Athletics Element Athletics