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  • U16 U19 Winter Turf Goalie Training Program
    Fee: $100.00
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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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    P7bl26dd4e14absae21 7d849a2bcfcle8a75d2fr b6tcaf2hi2se 6e1f5e7d8c1ie684e15b0l4d9ad22 20->3 * REQUIRED
    8726c07P8l2738ee67aea2s25e fcleaar32129 6e6th4b922i17s651 3f5fa21f36ie87l7d 7-4f8f98b5>35e * REQUIRED
    1Pca3fa1l3bease c4lead4r8 th0ie83d8s229 868af1afa9ibdbaeld0305b0606 d-3d160cf0>9f3ff9e13f6 * REQUIRED
    021P18b8lceafs24ae 4a73dcec2dl8b8ee5ar82a8 th16fi8sc40c9 92ebf50id1el95ab30da 2-83>a7c57b7 * REQUIRED
    b969b6c3c78Pl90e7b9aase6 3dc88ldbdce100ar6168 ethb958i8sd f03ic88ee4lbcd0edd18b 3->8153bf3 * REQUIRED
    d0b68Plc3b2f4ee3e028112aff55se94f131c c3c565leece6a1r32 8t3a21767h0bis8ba 0e6f8ie2l3d 1-5> * REQUIRED
    ab4dPl3569e695e15a9bc90se9 cle0a5a8cr65d 23b93t9hfdi8609804s fi30386e0l31985fad8 -2e>b314b * REQUIRED
    1Pl0ea5e2a2sea 9650ed480c80lefc3bea7aa987c2far6 6th8i0sc8 fcaaiddb1eb6e9bl3d2b4 956592->ab * REQUIRED
    1c6f3Pel38b8eb96as7e3 4f17cc2lea6ar2 a23t595aah9aif38s 2fi62b7b1de3blfbd6 570feae780-ac>74 * REQUIRED
    75012ff36adP5ale3ec3as541e6 e4723fc63le3a5rf9 1t8cdh1dbibs 43619f9fci332de5ld dcd-7>d6f3d3 * REQUIRED
    abb4cd821P7a8e9ble801d0ee7ad6s22eeea c4leafr7 thf03330eis737e94503 ficel8d 27-6f746>6f6f30 * REQUIRED
    P4dd8le01a783a1b2s32a6e0 3cl53e341e90a6rf de3af46dcd8da8atdhb2ea7i3se a71fiele5d 7f1ac66-> * REQUIRED
    ePb2231lb1414efa3se c0le1fa2r7 62e64e7thd51ed37f73e8i28fs bd718f1d3aceb8b4f44iealdcf 4-a>0 * REQUIRED
    24a49Pleae88bd1dsee131571 1dac2l2136fe21aa0r thfdi345s 8fibed4el6e9636141bd59d 4279->db434 * REQUIRED
    bf117Pl0ea28ae7f49abcs0eaff821 7ddcblea078f6fef4r 6559aetc0hi2s2 f3i9e3c00e5ld77d353 cc->7 * REQUIRED
    4f96b747Pl6ea0ase8e9 131a8cla4e8aac3dr5e et104haicsd6e3 7a7f473a9i4e88c1e3lfdb28815 2->2a8 * REQUIRED
    c68dP1l0e4a778ececase4b3 eec1d25cl6eea1d8135r e4t9h941i7s584 aff3ia454elb9c4d 11f1492990-> * REQUIRED
    cc0fP5d4cl25312e24asde c36cldea32da9a8576a3rc th4dc4is8a4 1e6a8afaeeci62cfe62e71ld4 ->0fd0 * REQUIRED
    cPl074dead5c09c0e46cese 3c4edle2194cf44a176er t0a93hi03bc8cs5 f5i7eba9d4a1al9e05d2a89 ->d5 * REQUIRED
    510b45cPlef0eaeease9 c368fle8ea09rbc3 ef3th0ies6 6bf93ielfc088f0dddd 90d41df82-82de>1e609f * REQUIRED
    a70b4bP3flb8be4bas7adfe2 a5e1cle8a2e8drc4e27 76t43cha0bd12071fdisee fi059e00ld3f e1f7-a>6f * REQUIRED
    83b4aaP8l06d0easae e805c50c616eeal6e9ar422632b ftha1i81c777s4b7 09fi5406e9a4lba0062d 83->a * REQUIRED
    1P641e05113937claedase 1clde5a403ar 7t2d1hd4iaas b60bf4536eefife2lcb25ddcf 8ef-dab7fde1>1d * REQUIRED
    d3fb6P0b2a9l8e89be4a0077baa2fs5ec cblceab3250a3re5eb4a t4h9di489s 6fc1fd6ied6l8d1c -ed>40e * REQUIRED
    f71054aff7fe1Pleas681e3ed3 00277c2c52le11a190r th9acdi7sf a077b2f9i04be32el42d8d2 2-1>68a5 * REQUIRED
    Plea5fse0 57c8fle0defarb1b6 dcf6594tfha9c94452f1c1ics6 3fef0fia35ee64l8ee52755fd39be 2-f>a * REQUIRED
    Pa719cle18ase 673cl35e9afd03r0 0tchc012fc0b6ia1s fi3394ababb7ac6efelc3d8ad7 3-4813>e53ebc6 * REQUIRED
    4e38Ple77e27aa248s8811838ecf 2c3ld3de8e66a82brc4 7the351ibs0f d4f6ie2b10fld04 c5-2bd>8c69d * REQUIRED
    6482d3bPl0e8feasefaead acl6763eae889drc th59i1941s05b6e5 28f9432i77e4cbl420d6 -66606d4f>f7 * REQUIRED
    dc8P4998ald2b8d7be011a16s8ce583d a82cleac9rb adt6h97147aisc9e d119fiecc22c05flaa2d0 4-c>57 * REQUIRED
    ef5c86daPd7l48eeb948a5seed3c9 2ef99cle9991abcbe9rc8 e29t2h7i9d6s 513efielcf894d 2-7b0aae>4 * REQUIRED
    faPle5fasce 30cleacr cdt9h6i2sdb70483 65fad2a0f9afbced6i2619919e9fbecl427c2ced3 0-523>abdd * REQUIRED
    76ecded3P2l4eda9se1 9783cae55leff8a026aer533 871t3h3d17is 8fei006ae0bcld75 5-95546>6537d26 * REQUIRED
    001505P9lefasf0b4cb83e c21l1019366d0dec4116a4eeerd 87688457tdh4is9551 fib8e589ld 09f->626e * REQUIRED
    87105afPle7f7ab2sf6e 19cc43d19lfeaarf523fd 3ta32h3d3fi80s0 37a14af98e4i9e6eld9 -2>3ca0c229 * REQUIRED
    59P5308leaebc46305ase b03616c9l56479eacb41f2re t1hi4s2 628afi5319el7d8b -b8dee39bd66c3d>a8 * REQUIRED
    55Plee8a4s7eca95 7cleb60bae36r0e4a99 9th37708i5d4sa72567647 f871i2e0l2d308 7d5-f>33474bfa6 * REQUIRED
    905e30793cPldefc3d2asbee bc19c5b8l6eaed7ca0c2r 7fthcf0b505eic18s0 fi63ff61ace1a5beld6f ->5 * REQUIRED
    43c2ePl4efe7a11dbase cddc05ef8c0ldabeab32r t20hc1i7s9 df6c9877ib9eld 0c78c579427d-e8>3347c * REQUIRED
    Pd2cb4d4b9d7bl89e61as3e 30ce9l5e30a87ae0ecr8 th4748is fie97cl6754e6b0876d877 123e4f->5be38 * REQUIRED
    2P41b7cb31ld72beba4de22s3ee79c003f82df c89l0e2arcc9 tfdch5idd3bsa 8ff0icfe6ld6 b-6a>b827cf * REQUIRED
    bePcb3l421e4a97c0s9de6 bc4cl2ae4d6a2r88 taee80h5186e7cd7d778i592s0d 26ea70fi69eeld -f64>8f * REQUIRED
    8P4ldea463s18e c3l5e9aeeade094r6287 5tc63hc70dd0ieas749 2f87ie223f7ldff ae75f-09849e07e>3b * REQUIRED
    3e0P8la0ebcase 7e1cd0calf42cda1e9550aa18r184 ta1d6e9aheb011i53sc 0f4deidbel22ad72 83-0>077 * REQUIRED
    c30fd42P2d17laee7asbe1 e0cl6eabe41r 9teh0is8e3666b 09fdieacld0f70682ecd -bda7e4348>c95f5da * REQUIRED
    c86782Pfl0c4de5e4fbaa0edsfdfce aa094fcl068eacar10 tca8hbids802d 9b133f4af1i9efel9d72f 0-c> * REQUIRED
    dPl5e2e292371as72ae5c83e9 ec48l41e554a4r18 0c5d1647ate56hbi1sc5 bfi970e9bb5lfd -2214fba>9e * REQUIRED
    9d3ed9dab5P7la8262ea4se1e7 cl796ec5c5a2rc ted8ch68bi11bdbdc06247370fs8 fi7bfebled 499d2-5> * REQUIRED
    ad7827Pb544alabe6a6s8e 67c0ddc8l85e2ard taa0h6i963s29b48aab 57f9difc9ce7l5d64bd9e4 -4>60d5 * REQUIRED
    adPc97falfee13casf4dda3e10 1cel023e191a6cr fthaia346a4289cs 384f1b3iec5fdl46d bfa-6b>85015 * REQUIRED
    92P9e1al4e01a0s3ee58 8da57cl0d148aeab80fc8c6r cet7711ah21ids dfi277f2ee1lc7d 3de-da>28273c * REQUIRED
    67daP1leaa8sb1cea 3f86fcle55a97r tf4h1833b00di23s76 f7i6e44ed3053b26l3213477a25cb04dd e->2 * REQUIRED
    b027dbfbdPl7faea6see065b f1dcb0a77dc68l91ecar 1ta015bff3eh7ifs2 6bccf1d3iel9ddb -68>0a031d * REQUIRED
    015P5c4b60l5ea7s907de209 a3ce7leaf01f943ar34 th78ie54fse0 fb9bf97eibee9b97845f98ld8357 ->8 * REQUIRED
    dP967ae11c1le97a1as418bb7e6e 9c7c0l688e03ec8ea1b5r 9t4c503287h4i1ae69e63fs cdfiel8d1 c2c-> * REQUIRED
    b458ePf3flea0ebbse d2c98b2aleare759 39e03fb7t7hi6s09 6f1c5ceiae8el2b4df1c2 7a5672ee4-4>0ce * REQUIRED
    dd1Pale21a4cb6612c8ds4503e0 c522eal77dde4a0r1 a7ct1adhbbi7es6 832fe7300bdi861748eeld 6->b9 * REQUIRED
    70ddPle7eaba45eas5ee16790e 2877cl59d47e7aare t2hbied313s462af36cf3 b1c08f0i4ebd2el7d cb4-> * REQUIRED
    ad1feePleeb939f5ca8bcs157fe 2cle319cfar7 77t1h02idse f22ffie4l92d6d688cd272f570462 -80a>d2 * REQUIRED
    f4ddPbb6e9l3ee9d8b8aae32se 8c2lear95ed271 ab1eth1di73af98s29c4 f3143i30eal0183d 454-627c>6 * REQUIRED
    4P2329lf2e0as8ef40 5122cdd5522ce6dale0d35a7re3 0thise235 3df6i5fae2d5eel1d 391f4c8-b>c456c * REQUIRED
    9fPb7lefe6a1572se c77l0a58ea4br9c6f6 2824dtdad92h4b5a8i35s5e7 eb289f7i30el4fd1e7 -b>575b32 * REQUIRED
    4ddb1cP2l921ea9acs2ed34a0 fc1l6ca17b4083ae8c67arc3 tba515h746bis 01fe0i77ffe306ld9f7e ->53 * REQUIRED
    a0e24Plc7ebeacdds4bc3a2dfbdea4e c67eefc1led57da8f2br99df4 8thbi189152s ffi1c4el6cd7c -b0>0
    * REQUIRED
    b0ae00P8dd990cl7ea61b7s8071e clbear31c31f tbh5da450dc405is fabi79136beel6d3cd980 e56-7d3>d
    * REQUIRED
    aPaf2le30ase 8b38dcl882a83f3edbe5a80de72r t1hba8b1ebia7bs 7fielc4ed0c0133ea761bd03 ->0229a
    * REQUIRED
    4Paled98ea03se 2cfd6ccecf6lea375ra t7697c9135fh9isf e09b6cf92fi3b172081e5l0deb2 02c-c66c>e * REQUIRED
    e14f842aPa3lce5ad29sef 0fclda3bea2d40adrf ec1eteh0ia5f4s fd9i9e71lb5d575c c4-f29c5b>1d363f * REQUIRED
    04Paa0fl32eafcd5s601e3 cb6f1l3eaf9r t307hfdb9i466e3sfc7932 fa05ai3el6b007f3a8d d355->5ec69 * REQUIRED
    ffd517c7011Ple62f7a48ffs7e cdd0l3281fa6e96a5beaa2rbe t86h0ed6fi3s f1ce68ie03af70ld ab4->44 * REQUIRED
    8Pdl47eab9bs23e 8cc4le6ar91327644e tchb9is67fe989 fi1364d63edl1dfb0f641 299d-ec>3a6c98fc50 * REQUIRED
    b7e2P46l012a9e9c87absea4b1597ac50e07bb143 cbc22lacfeaarc thfibs dff44if0e8e8fd45ld b5-a>92 * REQUIRED
    b44cPld2deb5aase 5ebb67cle59a0a4r 0thbisca42e734f92 35d208fic7e6ee949la043b1d3 fa0ea2e-21> * REQUIRED
    ac149eP62127lcee3bd737afas8e cl58ea8f6rf at4b3h27bis79396 d5b2f502bd7i86df0edl6d8 ->a15840 * REQUIRED
    b3P7lfea38b54sea9 2092c396eb2c4lef37f40a8b0113aar c6tf652b6ah7bics e4fiee0l6517ee55d2d ->c * REQUIRED
    aa3a987ePl06ebd8da1ddb4s79e90 cd63l6aec7ar2ad 105thi6s5c9a 3fd0i698d585e0d4a1l4d 8c3-94a>a * REQUIRED
    e7b380Pl08fe76daafcece8s1e c4l0eda9r 801t9ahif34s4915 f2afcbaei2150486d2e6el9d823 -386>770 * REQUIRED
    Important: You may be making usde of aeutomatebd fform-88filli1ng software. dT2his 2dtyae8ape o3f6 9s8oftwa6rbe can3 triabgge96r5fb ourc hidden spa3m-detectbion 3s6ystc732emd, which w3ill 2b6lockf1 you a44fro9m su0b1m17eiteti0ngc this 26form. Ple1absde selecf0at Fix This1755ee 3b2fed7d03163240f06a05cb95620f6474f99430doref539344538640 33c2d000ef2e1c1coemp8dbe8let0in5eg 73t3h2e 8a3foarm ibn8 2fo71rdde1r6 16to1236 04ec8o1r8rec7t t63hae4 epbcbb85rob8lebm.1f83
    Important: fYouc0 may be meaking use bof autof0461m4ated 0form-ffilling s3doftwaref. This typ4e1 of soft5ware cban1 tr1iggera our hidden fspam-detect1ion s41yst1em, whe0ich will block you f2ro2m submitting thi9s2 for1mc. It ap0pe4aers that 6the 72problbem co6uld not be7 a5utomatically co8rr2ec2ted. Please clear anyd fiel9d whi1c8h 8appears ab70cdove3 wi6thb correcsponding 1instructioens913f83e1e96d8d46e07878 ab757dd868bae1effo792d55ere a4ea80c954c236d4948abco15mplet8ina6ag theb effor6m6 5in ord8er to0 c91o1rrect3 the2 problem. 3We a1po4loa38gi5z70e fo9ar the icncconvbeniednce 6an8bd3 d0wde ap2p37ra6ec53iatd9924e y2o8ure 5und9earst74a5ndi1ng4.
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