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  • U16 U19 Winter Turf Goalie Training Program
    Fee: $100.00
  • middleclass~spray
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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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    Pl1e824c7dasf7e 83c59d9al32682dec0190afrf57d6e37a this9fd26 da1f82f15ie21016e1d0eladea3 -> * REQUIRED
    80da2571cPaleccea5s2e b3ec625ac1d18le0916ac0a7r3d 6tf85hias5 f516bi3770ce0lddd52400c6 -10> * REQUIRED
    Pa9fl1c8a082e2e8851ad84e6a63se40f4 cbcle108a058cr2 a0677b5tcha6i24eas 986efd7fia8e2bldd -> * REQUIRED
    b7fPl7efd42fae70se92 3a38c70fcc097bc7lea2ear54 batce8bhibsb 50ff2baie2cfld6 f-d7>43dbfe5cf * REQUIRED
    4Pbef2e37ec4le626109a0se d41ca4laf5eacr7 t15eh9b17eibs bafi7c9c0d90e9fb22cl35d -6c5c>31fb3 * REQUIRED
    a87cf0Pd1le5ab5dsaee7 721ccle22ar th174f9e8ba5ebea5e25ie1eda9948s fcai7eld0 9b->9c9e2cfdda * REQUIRED
    P9ld81b88ead36ase69 eddc8084360blfde18arf05 tdh9iac1s0 fie9d9d9al874dd860df7b 78731-8>c5a2 * REQUIRED
    3eb8fP96lb09f2deea4asb5e858 acaleea2a39e3ra63 th48b9i0f9as34ed7 7f6ia526d78el4dd5 8-1>010a * REQUIRED
    b5cdc24Pebd7l7c97acc92eas7e29ce clc1eac93f47r t6hc7is53 aa4f7d7fi0c90ee0338a9l74b987dd ->4 * REQUIRED
    2e567P08lb21ebb3baf6as4e3 d0c0eld1e8fbdbar tbdah85c37isf b3f8bi5el56ddcfb1a 1-1>b8f81ffabc * REQUIRED
    bPb3l07a098aeac529se 73cl4ebf1afr 9d0de7tfhib8222b25s bdf91bi1el8d0d5de2e7135 d->a8ba0efe1 * REQUIRED
    9234024P560dl3eac4se 7c29lfb0ed800aefdar0588 tc56a8f37a1haeisc 3ffdi08a3d7e338eladc9 -3f>f * REQUIRED
    20Pl75e68e91cefasee0 c7fb1594ldeabr96dc0e bath7bis 43f5cfi69a9e29lcc9b8b31b2d 0-d4f80>4e5f * REQUIRED
    50f1ec8Pd67la6e3c06af1s246bec c4f427f92alec7aa2r 35te74ch37i1s fi80e8lacdbc 5de35362->2ba2 * REQUIRED
    6Pece3aecl73ceaa6sc2e3ecf 1074cleca26dde02er95b8 8e9thais3 f917505ide8ld6977e21219 b947->3 * REQUIRED
    3Pl6c4eb5d9f68c7fa78s23cdae 48cl65e2ear5 8tfhi5c74a0s0 f1edb36e71335fi706aelde86a2 d-81>48 * REQUIRED
    edPdl3b68eacfse669 5cc14266l821eara8423 2thaai3sceed64 129f67ield4184edce 1-f627b6b>0e0065 * REQUIRED
    2P082l3e290asfe31d442 541ccle36f2f2d9796aar02 6t4hiafc624s4 fc1a4d6af2iel1ad384cc ->d6eb49 * REQUIRED
    8aPl3e93f9a0d8f99cse eccca15l4e7far t7h95eiscb aaa5fb07a9d38iebl3d 42-122862>16e0947724e60 * REQUIRED
    260cb8P114lb2cb3ea7s3247e4c0 c3a8843199lc5ea6r7 182tbhi62ff7817es ffd6ie2c3l22ab7ed 02-c>c * REQUIRED
    cd3116Ple34a957b83sdd8e4 c187b1l9eaa3rd tcaa397h9993deeis f4di8862eledc489 7-045d>cb11eed9 * REQUIRED
    70ed7Pl84ea35fsee669c fd27clfb62e5718ffar0 967t4f3h095i49se4 89f085c1ideb9fb7l9e1d ->33b35 * REQUIRED
    efbd9ec934ece6ae26aeP72ca710leafse fcl1ead0arddbcf thieas fe0i995eldb 7cbda4c->048d570df62 * REQUIRED
    P5l43ceeas4e3 a003e00c0ac8l66efd98b193ar 8803t49h9is88f f85250ieel5cdbec 0-d4>3d8042ad0844 * REQUIRED
    69Pl7eaa5csc70fafc7bea21e29a2 c4lfe68ae09898516fr4a 0a84th1ia612scba650 1f89ciae6ld a0d->8 * REQUIRED
    6cdP7be46lde8f9das47ecef2975 cce5flea9r af0athia777sfb5b 07d14fi1eea11f1l376d 2e-fc2>8e63d * REQUIRED
    b6Pl5eccc55a84fca6b9s62bf3dbe2 cle2eae611r4 38th70cbeis9 73c7f2fbccb44i1f4a2el1362d -34>74 * REQUIRED
    9baf6031P5151bble4a9se 6c2bf8lebd7adf2ra c96thi1s4e5 cfebi32a85bc1fde0a8bf3ldb56d284 5f->2 * REQUIRED
    5bcd94Plee0a922a9ccsef0190 c82lfead511e6ar1fe dt474hc605ci2s fi8cc5e378a4e90l5fd0 6->82da4 * REQUIRED
    2d23e0f3Plecasde c5l427ea5fbc71ce4e8dar0ac th7e2is 212f5eield5874f6 -d3>f03a8b8fc2179b84c5 * REQUIRED
    7356821P2f55fledac0se ecle448ar6c6 754t64060abb9heeis9afbfc4 7a4feiefe966b8l8de 9d1-88>842 * REQUIRED
    P7ela9ea9e890abf0s47eedd603403 4cal4932ca7e42ad5r thi3s6b3 451fab9i7719e45c5al25d 2-9b263> * REQUIRED
    5e58P8fl09ec4a6e2s9e c020f5dl28e5314ea9b3r t8hd4i0cfe6e65ds24 b7f1aiebl0d6 fd-c837f591>dbb * REQUIRED
    Pc70771le67ase6e 0fc633de3c29c81lfbeabr285 392ac12aa52e8t5hfis fied1lda1b08454c 0-4a>94706 * REQUIRED
    34Plf1e90a982sd2ee 27cla6a69e2d094dfar bteh235icd7sbd c7a10f21i3effd1ld8dc0 ->1ab1b9b1f589 * REQUIRED
    fc10caP6lea15see 3a7f48d73cc6c894el387dear57c 240thi69abs8 d1d9fbc5f1a8iea7a2e8ldc b-d>1c6 * REQUIRED
    Pceb631el0efea1e91s1e 1cclbbea2815er22 2906bfb1b28a8ta1his ad2fied9f5el6d -31>c9016386e307 * REQUIRED
    fffb1P97fdcld9a4cease 7a9clef173393a9r tddhis19c291fc1bf29 8fbi616e57cl4d 89b-bcfa>430847b * REQUIRED
    fc0ffbfP8le07ead0d888see3bd 690cf2l0e93a0r685 5t9hf8c0b4i19s3 6f0i6belfa4ad5157 ace8-0>a69 * REQUIRED
    80Pelfece1ba1e0se39087 dcle9bc2a9a13ar tbc1bfhd47ab9is f37ie930fl4db88b6add 0-80f>275e2414 * REQUIRED
    21d1324fP55757l8ee8019as2363953f6e8 cae4ce3clear3 thics9c25 4865fiel5dd359b97f -2>46cdc204 * REQUIRED
    d67Ple4fc255deaad4ds1ec1ee3 6af06c2dcl7cb6ear cft59hd1aia6sb73c5da1f1 fie0lcf10da53 -9>232 * REQUIRED
    637990909e0a1Plb703e5asbe6 cl4cfdbeeabr e4etaedf02h13iccb93s8 5b1fi11f5b83e8f1el12d bd17-> * REQUIRED
    1Pa48a2552l4e394a7sd8e4d68d469d acac4l30e1a4rd10 8t359950h8i4as0b7 fid536elb3ddcd8a3 4-2d> * REQUIRED
    0P6a2al3ce10e1a6a1sdae7 71c8e3l2ea84b4r94e33f3cb theifs 5baf002749511diefl7de39a0 9709-0>2 * REQUIRED
    Pdle2a47fa7s6eea777d7 1b5c10929b87d2lecf5815ae442br1 50tc187ah84ibd4519s 5f71iel15d -d>736 * REQUIRED
    8P14ele62ce76dac1b53s5dae0 c45clearb5bf7 t0ha3ieefb7817cbs6746 31f2fi1cef2lda4 7d48ef-e55> * REQUIRED
    4d2Pl89ea7eseeee646bde 43c698l7e978ae6cce7cr3b50d thi102678s8bf e2c70ffdic6e1ld7424 ->5c2d * REQUIRED
    00aPfl440757dd7e2edase 81c9dle2ar8a4b7 c59dth9isb77 0814415831ffie7lc1fd d-7>ccd659306444f * REQUIRED
    3a2P1lfe74as294a23e7f29a 35eabc6l0e32ar1fb thc0i5902sf901dd6f42c fi37eld d-46>efb41acba0cc * REQUIRED
    fPb0lf56ceeas17c51e23770 0e81c03bl87b5fe762aebr 9acdd2t49h7is5 8fi662e5dld1a 45f-27>eb57ab * REQUIRED
    aa833Pelf43236459abease50 c85l2ce8a1bc1ar96 7d6tf8hisa9ee822 1f55c9ie677l98dbf 9ca0-d2>2c1 * REQUIRED
    Pl83f365e4eas55704e 3c331blddc332f5ear t29eh711isff6ef756 dfi68b77e9l9db38 a69061-154>2a07 * REQUIRED
    63aPl62b4e343a3se 7cefe7224d061e22l9ea56re34 8d40tadhifs8ce80f7 ffieladfd 23ce7568ec-34>21 * REQUIRED
    cdP7f30ffa7l462e3fasbee ccl21ea45rf4 5tfbhi03s1699b 72705bfieb6010e2eccl8273de8 -3>9caa938 * REQUIRED
    8P5eele324038044538ad510fsea015fd cleaa8ar 6dt086c9his 20f7i5fdbef7l1edec -17041693c>036aa * REQUIRED
    a2318a6ade01P939el6cdeb6ab2beaasae 5fbclebar 023dbt670bh16ffics f9dc3die8led7c 653-acca>b8 * REQUIRED
    fP7cfl6eb105ecb98absd37a6e c056leafa84b1ar3 495t0fhaf3a340ibs f82iel735db4 62c3-37>dd41bca * REQUIRED
    db9fc0P6lcae09a6sec63b 7cbc1cl9255cbe5ar797e1 5a927fd1tca9536ah8i42s 4fdf6ic3f1eld2b363 -> * REQUIRED
    bc55Pe06c3le5061e9a8f21c93bds99e 1bacl0403eae1d2d7830aa3r455 890t2h1isdf 305fi2eld ->a6d02 * REQUIRED
    561P7352le9e00aa8578s1e 20cl66e95a8b793ff8crc 7th50is70f 7fei8e2632el9cf3a53d8d73 80c-e8>1 * REQUIRED
    P1led211aas83eeb79fea7184aca9e72e ce7le87a8c0br03 thi99bfcsf1 c475bfiebl719d27 -a>53dd21d1
    P52738dlcc5ae3e0a3s1d86d30352e c1el1ear221e47 f1thci5e2s3c6a93 ebffideee10l8d5d5 -9>30116e
    590Pbeleaa0esf49b3ea3 cl25e915ar226d5 tach8is32 cf6fc46i7891b546de3ld4dc 11b-e41c39a1>3f8c
    7fP6ld0effcea8se5 e085c4le09aab65r4 a3th3is ef838ff2b4bi1b892dd43e62lbd047a74a80875 -5>40b * REQUIRED
    c0891Pceld77e6bfaafbs050fe cl8a8add8245aecar 8f7t59ahifs3d99 3f2fac4iff47387e6fl8dd 5-b>bd * REQUIRED
    de03d2339P1231b2880l9ea1600sd5eb 13ccl6ea07r0 a2d6thf81is 5af561ield49 9e5f0-7793cc0>52b90 * REQUIRED
    bPe17l6ec35da6se3b ea21bcle7arc128b 0t64hi447560as0d 3f304b72b35f6i5e96ff5l43ca08bd60 2->3 * REQUIRED
    496fP6cale2c81aeb128sae2e c325e034c2dl10ae08ecb4edc3ab1er 44thfibs fib6fde4lf2dc00 6c95->b * REQUIRED
    adP2efclea2e4a49se caff9d4l6ea2d5r thdce978052i1sf 31f9fd4i5ea5ec29c1lc4df 00b24-ef7>89ebe * REQUIRED
    1636aPdl6ee5a5fs1b4e5 a312ce692le29ar 71e6thi7bdb05b1c6sfd03 f6f7ielfddc 33-0d>b691224eaae * REQUIRED
    82Ple9522baseea6b f3de819a302cle85ae646ca4dc8edfr fbct741398hc2i5sd1b 8d6ffiecl37d -0e83>6 * REQUIRED
    3P4ddadf48fal9de2a5dce9s400beb 78aac6le4a9r6 62tbhi418d3203sffc77 822130f8i3ef8bc5l6d 1->b * REQUIRED
    cP8ldae86afs00c3e 105726cbalfde1f80e2e0fda3db5r8eb thieb774s f319i38e4el5c5df d3ea3e1->26b * REQUIRED
    158Pl7f51ded00asb7e c175289dbl3e1c042a69f78r tdd2h93aie20s fdic5e409l6ed1 -e55ec>d6ac511da * REQUIRED
    Important: 4You 9may bef maki8ng use o1f automated4ad39 8formd-fillin77g sofetware4. T2his type oaf5 esoftware7 caen t355rigger our hidd7en spam-detf5eebcftiod7n381 system, which wec6i3l6l9 6block you froam 53submict6bting 3993this 5afborm. Pleas3e s3ele3ct Fi9x5 8Th2is0c6701f815958975 bed38ff592be3o34278er92ce6d58f606d9b06b91e c61e0bb12732c3cfcom04plc9e7tf6i07nc78g8774 thfe1ecfe for7em2 idn 2d79or4dearb toa co6r866re2ct95249 tab4ch22ea 92p40aroble2e31m.7
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