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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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    1daPl373ea810e433ee1asf5648eb413db8 f1c77lae4eacc41bd1r3d a80tbh13475is fie7l59fbd -a>2315 * REQUIRED
    d488326b3043P4lcea4bs9ec837c ccc22laee190arb 6th21971ics fca8707i0e3l56c9a9b78bb8cd636 b-> * REQUIRED
    5266cb3a8fc499P3bed052ad64l0ae87das7a7e8 c7lear16 t3h0067i59aefs7 5f8dcie2d1fd38ld748 -7>c * REQUIRED
    94P4l3f7easecbce04c6cf0b4b6fc 4cc7lea540r83 tha693i80s07 bf0fd68ifefdl0e59d 2-5d>ffe2061eb * REQUIRED
    P4le5a5d7bs3e3a8c 675526ccbl709earcb93741 9218this 6fbiebla47d33a503a367d1f fd0->a8b1d4191 * REQUIRED
    ab544faPle8ad6s8ed a1c44cabcle94ar1 cbtb69h9i0d21a88c2sa91 fb2dc876i56c5c7e86d084ld 4dfc-> * REQUIRED
    9d22P3l44c586ec4202e6a5acd4se 9cfleard 872t70h6bci5bd53s 990c6e73fi117a1e6l2bd9 091->20231 * REQUIRED
    3P55cfl0edas0ade66a 7cl285eaf4cbr b135ab3e40thi42bs316 4661cfadiel04613055d8ae6a65f78 ->97 * REQUIRED
    3P8a65c5666l4e5e90af0d5s36b72e cfc049fl6ede86cac9r7 tbc4h1is90 63a905cfieb709b9ecl71db ->6 * REQUIRED
    966d6a2Pc6d7cbd1leef5f7f8ea493847s7be 5d48dcaad3lce95ad829r cth9ib5342cs0 fi58e9ldc3 c-b>a * REQUIRED
    P30513eb21l9ac6e3ac8dd7s410ebd acc0l9e0aebar8 61td46h4940d3f8ibc0f8fbs f10d9i3eldf4 cb-8>1 * REQUIRED
    38Pc8ld47ea3fs691b6e908b 91c9cl8ebf9ar 58be2thd07isa455 f9a0bfi9ebd4lb3c749343ded49 -1>066 * REQUIRED
    d8Pel66e6f885absed97e73a25ad938 clf1ea0r3 t8hias 9ccf4868e431ibeld1b0 f95e-7d>33304ca7c11a * REQUIRED
    17f8b55cbP84leb0497bca707fas4e faccleeae4r7e6fc t9c80h3isf 54ebf1b2iae79el5d42df87739d -0> * REQUIRED
    P85829felefase3 0c944blea39ra8 t85ebh0ie2d43820f2s fde0359iee0ac4eldf2 13d2-1be72f9>d813c5 * REQUIRED
    e3Plbbeea2e2a88fsfe65 3373598dclbe3aa0d7r3592 tc1deff4b4h32i2es5 fc2daf0ae45ieldc51fd -52> * REQUIRED
    7316P5lf741e5a439sef08 c6leabr83e0df1 abth0304i2s3fe66e 1effi80eecbfbd8l1ead4cba7 d113-b>d * REQUIRED
    f5b925P548206l8e5acf2see f0e0cl04ear9ed7ed9c 7736tch61dais fi0e8cld543dbba f7dd-d0dd3>b7e1 * REQUIRED
    c48Pl582e2815aasd8e208661d3e ec77cl6ea0fbr 30t92hi3ds 33c3d71fielb75d8 35e3-0008f01055>89f * REQUIRED
    Pfl55feda89da4s62a6f0eda8e0 3clefabr7347eb930d 8thiffsae44ed671 ffci6fe68ldba25c35 af->678 * REQUIRED
    f262d085P3dl8c8eas64e 9c8l2b80a81ecaa6crd5 b6e7814400tf63hi6a493420s f8594d2ie0ld a40->5f6 * REQUIRED
    aef50P2bl2eda727sfe3e86 87bcc848aleb746aar80d1a8 ef21th754is ff76234i6676e92bl9431bd c-9>b * REQUIRED
    7dda8828Pblc6eae5420cd005s133e48b eed31cleabrcae24 thic5s 3f600dfiee96babafld7 -3>b4ceacf1 * REQUIRED
    3Pl5dbfeeas4a64e41cc14 6a061cd153l9ec1ar6ac1 t062fh0i90face6e1cf0b08s c9ff6eiee8l5bdd ->1f * REQUIRED
    6d008a30f37P6e6c9e9l8ef5ased8 c3l55c8e6987a7r4 05d7t60his d6d0ff8eieclbb5d8d7 -712d>e5de30 * REQUIRED
    22P3al52ccefe588a7se c62ebl8b7e9ee78c8dar4ef 9t427hi4e52s1b 97af6ib0f1ael02df995 -1f>57ec6 * REQUIRED
    77bP5bdle37a01ed9e6a61easefc cle2arec809a f3tfd9a4ch1e2ide5bs dfi4ae163f9efbl9d38 6e->4a2c * REQUIRED
    5P4l8e7b3bcasfec47 92cae9bl6e71aafr 9t801hd7626i6010ade4sfcb fcieele0d88 3f6f-a3d1a57c>ffa * REQUIRED
    18850Pl0ee3ea5sbedf1 2fa2cf2lc3a16ef9a4d1r16fd 3t8chi46s6d4 2c3519bcdafc4id3e5l5d67 5->53e * REQUIRED
    f12ca91037P6070l62e96c02baes7e3e8 c732l20ef9aar853263 t0222dh4idcsc5 4ffi3e95bld93b ->9c96 * REQUIRED
    3aafb9d57P8ca2l5ee3a7s76173ee cldea38a9b9dr 8c4the3di1a2s fi1efed9l0a6bd42b81ecad 45ef-0b> * REQUIRED
    57Ple69a8s785decbce0 45fa37f11accl27e1faf6r fthis2 b1f98i52e0ld6d 6c6d07d55f072d->80bfe677 * REQUIRED
    1Pf549851l363ce44asef 49ac8l688ce92aa74d90ear03 40be6thdi5516e411s 6f0adabi8elddd6f 6-2c>3 * REQUIRED
    7092P4lebd8adb3s0754e2e14 cf9l2eec7a96re7 0ctb4816h019is6d2 f7ce3ia3elfdcddcaa 8->3204fef7 * REQUIRED
    0ec570P36ale3a98ccsfe c3al1f207ea0496654abr 5e81et6ccf9b144h0ibs0b 175938f2bie5ld1c3 ac5-> * REQUIRED
    f53baP8182lef5asbd0e5e c7l5bc4e019aa595532bder92 thbecf9cfci8cfs21 f3fd2ie55lb0d 3e->59ce0 * REQUIRED
    d6P4e6l6ef9dcaseb 5cl4ea7r5a5e 6e684t94bhi00s0330d ff1a0cbd6f650d511bi2de3l0dd8b4 ->9d8b67 * REQUIRED
    f7P85l3fffe4a78sa4187e20e7a47a4 cdle85a9arb42 8thabisbe323 785f5b8i05328e6ld45 ->7743f8c6d * REQUIRED
    84eP491f4leas95eba8e7d cla7caec8ar t619he107fis042500 0d0b4e8ffie1alad dd-fc824e>d2ea898dd * REQUIRED
    7b41edPdleasead26 c636dl39adc3ebfd0adefad7r0 th33c080aie905s3 68f40i92e99l412b52477d b-e>6 * REQUIRED
    5Pe3lea19se43 7ecfdleeeaabeea99fd8r7cf 7t6f5hd39ic783s2 e560df757iedd99l4d19bb 0-a36378bc> * REQUIRED
    P1e713laeasea 22clff74ac38e8a05d83ffe8c08r3 dt7c3his6ea78 fid29a0f86e8dl7c01d8a7 ea->854b9 * REQUIRED
    0567b064P3b1dl55efeada4s76e c8ble3aaa399e087r84f20c 5dt1bh9aa90ib8se 33bf3e0ie9ld2b ->94e7 * REQUIRED
    fd8P6693l5058e4e17aseb2 21cf5le3a3aar1 4ftahi2s945319 64f515eei382el0d7e -7>7ad5a0cbd277a8 * REQUIRED
    P78e7ele8a0bse7839 50ba9cfee36l08ear6aa9f433f a72cbf99thi3bs84fb cfc59fidec3l8df -b0e9>69c * REQUIRED
    5P1le6fd9eccas5a4e acc3bcld235cea3r t675hi29s6 efbi292e2181d1c4eal8d9 da->0823727d2a09f5a7 * REQUIRED
    P5l0a2d969ea72se9 83c2l692ea9d6r eat19h4b2is908 265bcff2eaie186l52ddb3 1ea90ff-a745ff>8d1c * REQUIRED
    P9f221l64ebaesee c9lafee2b0ad485a2c07r 49thi03s a9b121f9b0iea89eb4eld5e4a559d7f87 ->c3f948 * REQUIRED
    a0454a2e6P4lfe1ac11se004bd8e514b bcl30ear17 8th3a5i4efs2f13 f2b91446ei326eb2ld 64e7-e>c64c * REQUIRED
    0a8P4l490ecaese 418cl76eb1174aarf0700bfce4c ctdcd54h2ies 9ef7i7el299c4d8 d996b2-1634>6362e * REQUIRED
    c59Pd2ledas7f519ba49e5 8f9clbfe9dfc0a890ar8 thf0i9bsf fafie30f0ba1021d919ld -00>93bca3fd83 * REQUIRED
    603P5el5ae0eeas1e5 645520f4cf498lea9a0rdfb96 tchi59s b95e273ba9f1ia5fae7l8d -12>6003ecde3f * REQUIRED
    dP4leea1s9f2eb c3b1c53cb6d3l5af4c305e7farea tdhis06 f6a11bc1ied3l3e3d601ab2d1f -1035ac3ba> * REQUIRED
    7a611353f7a4Pl25ee6aa44se 8c3clfe5arb8 b6d0fac70ff1tc8ehis 89dad6cef9ci9a9d5e9fld0c 2-0>b2 * REQUIRED
    aPlea6a33e820sc14b9f9cc83ec7f 8409b24c9l0610e7a4r 36c5th54i5bas1 bff9if0629a0d4eld 3->35f5 * REQUIRED
    9aP5cl3ceb0ae2be2s3e dc4l3cc0e9ef1ac10b2r t70a3f385hi474dd87755b10s0 dfibelc18bd3 4f-1>9dd * REQUIRED
    365f3e58Pl46cee0aseb f8ccclee4bba40r0b 604f2ct83a2he7eiae68sa0e43 60f98i5eld1b a2cf8a2->a7 * REQUIRED
    Pl049cd43e102a0e6486bsaea 72af2ec4901le569ar 45dat5b0heib80c5s f509i608290fa9el28d 11157-> * REQUIRED
    a2f16P4l747eab6d9s1b6ec126dca a30c055l5ear6a dccc0d0c5tf750h2a5is47 9f54ie2lc79d0d3b ->c9c * REQUIRED
    aaPb718c91153lf64e79ca4se cl8ce9eare2 7t6712h4ec52is1e1 fc6i5618eld206d ee60d2bc19e6e-7>ca * REQUIRED
    9Plae916fas04855328bdb1754a3e 80fcb0184l4cee6e77ar76 33065698thi8s 4f2f3i12eae4lbd ->b8320
    a5f4Pa7c193lec3d2826as7e cbf5leear54 tfh3e0bef0is3 db50fdfe2976bb9fdieb0d0l4121d1 695-64>5
    25Pl31ec07a7sea 14cca51e3eld853ea28r307 et64b84hi01940c0s6 9ffa55iel70e2e9cd0e888 8-9>4cc4
    4cPf1ff2e5db70l1ea21450a60fs08ed8d45a5e2 822cl3ea03rac t6hceied8s3dfe 02b7aafa48ibeld 0->a * REQUIRED
    1cbePl0decbads78fe062c7 cb6l4eae7a1bf84r 0td2hais26 4fc7cf8d347ddi9ac9c65e1l2d8 8a5188-4>2 * REQUIRED
    P5clf454eaeseef32e 9cl9eec78417acberbe 509thed2465dis66 f5d6cida328eld5 3df->ad7bd1ca7b4fb * REQUIRED
    8b1Pldeedacde6sb771e fc5966dd4leeaarcc 09th92cb2i8dbcsd3b705 efi88eab41l4bd115 d9->f4bb00d * REQUIRED
    c7cacPlee5das7a72ee841c4979 c241l9ded51ab4rf8d c3et7h1fi7sf 79584fbiec0l16d52d50 3521->50c * REQUIRED
    94bf79fP72fl6ec4a985d7b2414esae02b ddb4ebda9c8f8l7e0fe6are63 tc3hisbaf d3ba5fdield9de1 ->c * REQUIRED
    9cf3607Pl94bbb1e3a2fse092 c71lea0009r thba2ifb6es 94051d1fi35ebel6d1 d-3>c581337adad19ec46 * REQUIRED
    Pb6e3126le7as265e8 7cbl6eaar089c b77e8b5t26528his f33ia57ebad2c0a27l4da9cd76417 326-6>c6c4 * REQUIRED
    Pc7l5e5ase 0c61l8cb402aed0bdaab9rd54a tb22cchis8 939f9ic15el4e7396cd4f4 b9eaa-abe>36f25ca9 * REQUIRED
    a05a5P958l2ea4se c8cf4l3ece1ar4 92c94ftheis91 dbff5i29a2e5e737l337adb6d14f 2de0ed-739ed47> * REQUIRED
    5beccb1e588f231c500Pb7l4eb507a1sef7 c57lef7a4r2d e5c99te4h9704ibs afeba1ice4197edl58d 4->b * REQUIRED
    Important: 2Yeocu mbafy bee 4mab4kinag ucse0 o87fa auatcoma3te5d form-fi8llin9g sofdtware. Thi3s4 type o0f0 1s6deof9twcare facd6an4 trig10gecrcf of71ufr h8i6dden spam-daete2ctiofn syst4aem, wh9ich dwill block 9you 0from s8ubmitti5ng t8his0d form. Please3 select Fix This6c0d22025ac5f 0ce3e9bd1a3e9f8aob39cb63b270ar812bc38681165dd0c192ace0 6d9704c3oeempdl4ebting86 t3he07dd5 form 7ib90n co98ec1r4adfa342er to5 0cor4fa5rfb92dect tb709hefd6eb6b p9adrobl5be40m5.6
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