Registration and Payment

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

  • U16 U19 Winter Turf Goalie Training Program
    Fee: $100.00
  • middleclass~spray
    @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: You may3 bed5 mba4kicng u3se o2df au2tomated eform-0f3i1l3ling saoft95ware. Thiad8s type of 3sdoftware cana9 tri3ggecrb our 3h4idden spamb-detection syse1tem,00 whi75ch5 0waill blockb yo8u1 fr3com0 f41es3u7c81bmitti6ng this 7form. Please1 sdelecta Fixa3 T2his2b028ef52078ac48a37850a2b9b11b1969f41b 58d7bf70a0eed131f7bo52red7120b 1e7ac77cddb6o4cmp1l5ecti63ng2 tehe46d df5acae0orm in ac5o6drd8aaefr 4to86a cor343r8ect t8eh2e428 cp9f1roblea37mc0.1578c
    Important: You 9may bfe making use f4o5f adutom8ated foer1m-fill3iang softwar6e. T6h9is typ5e ofc s54oftware can 9trigger our bhidden spam-d8etedction1b csysbtem,2a which will block you fcrom sub7mi1tting this form. 9It 9acppears thate the6 problem coul6d not be a4utomati7bcalfly co8rreect2efd6. Pleas0e5 c0leaer any6 fi9ea5ld which a9ppear1s below wit7h 8ccorresponding3 i6ncstruct26ionsc541 17b9fc51d1008e931b42fo5ee6da84c4rb52f680e94d930791bb0 d02c7358efeaccom6pl34etinfg the f7borm 60in28 ord1e77r tcod3 c0or7rect eb9t0h0e22a p8ro2ble2m. We apolo4gi3ze9 f3or t4h74e4 i2ncconvena75ien2cea7 an8d we20 appr8fedaciaftecc y6our underst2dean61diccng.b
     
    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. 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.
     
    100f20Pl798eda8s63ebedf11a a9bb9celbe52afc8r t1h15abbe0id4adfd365s 7fie4ld24 ->0269bd5892b * REQUIRED
    a265Pl9efas3b1e ce26802l7e86aa2rf tb5beh4is6e f153f8bi6e60bl0d74fb3d6 2b->e4b6c3cd59a844fa * REQUIRED
    1c1e7adP2l6e1a4afbscde2e4e0f 1ccl51a7e4a2b46dr4297 7t2d3hdefe76b4eis9 9f68ab8i4el5da3 8->c * REQUIRED
    P4l146eb7bea446ddba2sa86ae c1l4225eb941e3ar0df t5h9142id1sfc 7fc0ceei0ele4d6 b-b>9d38c9d2b * REQUIRED
    3aPlf07e097eaese 8cl66de6ea82r40 ef7f1tbhf83084ia8ee63a712s1f0 e4f4ieeld 55->6d79b364482fc * REQUIRED
    P8lea03es9f8a4ced 02c8el0a086eea1c03re81f94 8t4d24ha42i9s fci65d9e30223l75e6d06a40 -f>ea68 * REQUIRED
    edP8e37lcb05e1b5c1a5se4 4fcf81clbeff12af05ar this556 fafcbi5a95c1dee1a7ld9ff 0c7-c59d>dec0 * REQUIRED
    P64l8eda0scefd d9570c7dle41cbarbdba9 t8h0isd 05cd7fif27eeae43f1ld4d24 -62d6d4b0101ad>dd353 * REQUIRED
    b7dPld97e50ads2e98 cl71ea9erf96df1 ataahibe7s e0ffed4i9d210ff0cea7a2e3e09eld31b6 d3-92>9cd * REQUIRED
    771cfPlb4feea1f0se39abf feec9c2e65c1l2809f9e8da7r23 6athe837cifs 343eb4fiel14d0 ->5aeec9c0 * REQUIRED
    308ePlef399a1s4e c3lb7c09746ad8eeaf628rd3bf t98his e3c6f5fi457b91f87e03d6c0555l6de a-d43>1 * REQUIRED
    944fPl0561eb3ea6se70873 ecl5e2adrc2bfe9b 53t0hi26d9d3f99dsf 5702ffci21001024el0d 4->22b0de * REQUIRED
    c8d8edPdl5e0ac32ebsed c321cd46l22ebbf2acar 7t0hiad0sc4c 1f0a44i8a23eld ->71b42bbb7f2d7a42f * REQUIRED
    af391Plaed69ease18f 41d194474f4cb99l3e1eae49r2b1f0 t4bbhi9sb5 dfi5ceffelcfd dd-234e6>5301a * REQUIRED
    a8fPa4l7ed5ea83s9ec 5clcd4058de52ea6f9r 5a81t74h31e97d7i7s 2fefi4ef1l988d506db6 97e-fb0>df * REQUIRED
    594fa9be7c7Plae55adfs52e803 557c15d4alcea3f5dr0f99d940 thi6bs7a6f53 dfc2iea5ld8d e-70>e9fd * REQUIRED
    Pel093b3eca1a39b3bse 2c33l4b9ea394e1r3 th528d42eifbf8f81s945 field -ee53597582>8e4c1c882b1 * REQUIRED
    c652P8l15eb91de8ase73a c16l9e6ar6581805fa ct66h08cde73ia9s cecafi5e43215flf0f87546da e->fe * REQUIRED
    2779d13fPe38flease a32f8e3c8ldaae66aee85d96a89r tah1i8a8s9 bf3iedld b046-2d779b9>78f3843bd * REQUIRED
    cbdd68ebPa3a8l6ed3fafs73eed36 c8lc7ecee1arf 99e4bt0406e9ch8i7s3e54 4fifffeld9dc863 a6->9a2 * REQUIRED
    Plea20ceef82f168e7s9e2e 62d4a9d44c3dl3e8faar961 t64c0h2ie6c5s 583field9 28-752242c2>a6f168 * REQUIRED
    3b9145P2l52eb4ea8bcd3115bscbb4e 0c0dblfda8fec7aar taaehi80ebs1 8fff2i2edl0da8 346-72e3aa4> * REQUIRED
    ba726d12P217a9lefdaecs57be1a 38cb7le2a9114rf802f6 5f3thibfsc f67i41el4c4d7 7739620ea-e>256 * REQUIRED
    f084d8d7fcP7l30bee5afsee c51cc6b70lbe2e2a8r8 thfisb6465950a efei75e2b6ladd3 8f4-f2>f0f861e * REQUIRED
    d2b27Ple01a70f5333case2a66d cldb526dacc2fea0r t6h4iee472s74bb5 dfb3ei9a0eld6f68cfdd -0>748 * REQUIRED
    3c525ePel1e80a1aeecaseb5fdc8f1 acld51e1daaca1rb a59th25i7fd7s fie3d2e144ealde9 f4-79>8f512 * REQUIRED
    ffd5P1cl635ea63ds47f1aea 44ccl37eba2r9 efe64et91h79ddi8e2ae12s fc8bie2785e68d53838l0d7 c-> * REQUIRED
    9aP47fe213l4e2a7bse bd5c912lb7f58ea4aar2 1f2t29hia5100as8 fcfaibae4ecf15fd3ld3 a8-1c1>091d * REQUIRED
    P2cb3l8390abe64a7b1ae39aes88de4329023d c6l9e1ar tee5c9hf8c82c0i7sbf1ef fcc97aic8eld 278-6> * REQUIRED
    aeePe1bl3fea0s84be4ed76c7b 40ac6l56e52arb 0tbafd36hie1as8d cfdbbi38d68el75a4d43 -2>ddee215 * REQUIRED
    8f0282P838e3417635l0eafa4c07b8asfe0 c8l002e6ea93dr6d7de aath0fi9bas9 b0f87dield9 ->460c458 * REQUIRED
    8e7P665leacs8c1e21 c8801ff78laeeaerdf a2d58tdc9bah29bai703sb 68af4i95518d7eld e-3f52f>2888 * REQUIRED
    e4Pla4316e3e08d4f79ase3 1b55c8l7eb67cf059ca6r d2te9chibc6s9 0fd5ic38e43lecad0e3f288c1 -e>3 * REQUIRED
    P6blc7a3ce0ee9as1e005463d74a6e9 cldead3r b724tb99hi4cs7 2fiebf11l733d11 1-6>3aebc200115322 * REQUIRED
    f1f344Pl45eaf1s6de53a7 d1cl2c03ea6a6r 9tbhciseaa6be943c50e01ccd0 f0i0eld47d ab8ad-fc1d0>51 * REQUIRED
    P209d931l7e7a5b7s1fea9edd14 4ba70ccealedar7 bt749e38h09i0781es2 b8aff9iea53edld09a -30>5af * REQUIRED
    57cPl21eadb2s60e 2c7lca1847ea0rc tf00986dh3id1s fcb6iebbl9bdcb7e1316 018600b5->3de74571399 * REQUIRED
    88P99fa4fle2ab7s3e4 c4lf2eb11bar1 b45f8ac596t0e35h3isd7 928e6c1faiceld242abd68 5->a3784700 * REQUIRED
    931P446cbbca368l6fee4deas1a7eb9d8354 0c9flba38ear ethie54asf8 ffb0if4e1ldb 12a->8fbe1749d7 * REQUIRED
    4d0Pl82c5fd6ea9se 30d9d9cf98321lab12d1edar4d7ed thaisb68 1caf314a9b0i45eldb abf45d->0b0545 * REQUIRED
    fd7822bPa8le04bas4dbe5f ccl923e140afrf47ba 8tabc191h3i3as d3fab64fi7ad9e83c97ldf9b b2->22e * REQUIRED
    964cP35l9054ee2bas8bee 9clcea9r8 d361t4984ch97iff4437f5457as4 afi4efelcd d-bcd4d>89a1af547 * REQUIRED
    2f0cbPf69lc6f7ecb2ase4 3c7b4blear 13tdhdafi2513as36b40 a0993fiafed017l77d27d46 -c>8555e25a * REQUIRED
    cd56752P3l7c9ease3e2ec9bf9 c3cd4f67dl6fee0deara 10709t94he85i9394465s19 8f2e4ie8lbd9c -4>0 * REQUIRED
    f9P55bd8bl81e34e342597ea0sa8e99 fcc3dl3fe9aa3r b392tdd220h7i71s6a bff81ci3ee68ld403 b-b3>1 * REQUIRED
    62ed6Pleea2esa7ecde7 cle9ar6b96 2c7dt9his ff7d288f14i80celf61506081cdd1fdc5 f680480e84-6>f * REQUIRED
    ePleb3d07406ce5acs0e 203ce54cl68e4a4ra56 7173t54fhci8b691cs3 f7ci71dbe5ld7 5e7-cac74c>5c8f * REQUIRED
    1501aPl4eae70454e86s1de bf2c2dcle6cac60da0r 5te00eh5isfcfa f0if9elfafcdbd341 eb7e56-9ec>7f * REQUIRED
    dc763P4lb59e23faa3se73 c09fed7l9e34af6a5bb4frac4b9d0f 39th3bis2587ccea fba9f8aebeield0 6-> * REQUIRED
    9389Pal7e8a29s8e8 cfcle883c15853afr 16e3793567t1dhibs9 f26e1a89i627el0afd86f7 3-6>ffb835a7 * REQUIRED
    a4c4af3719f0a5c59Plbae0dasde6 fc03ce1lee3a2d81re72 dct0h1ise ef75i70efel3fd4d0a2093 8-9c>1 * REQUIRED
    9cfP1dd1ele1ase fe56c540dl2d4c1e127ea3r5 t1a6h1ei9s5 ccfd665c97b4cda4if9el7d75 ->6347e9d81 * REQUIRED
    eac9Ple10ase fcc26bbl3ea5c4r00b9a 87a8773c3d1t02bha91i13s75 b6cafi0e7fld7de -fef364370>530 * REQUIRED
    f03Pfbeb6flefd9a262a1casc3ed6e2 c4c31leaf9r0 dceth72i17085805as8 fie53dd1l23d 0-998d9>5a3c * REQUIRED
    63b80Pl7541fce525af2sef 4c5dcl1352824575ebf073a78rc8 4t48d7h91aia0scedc2a8 bfb0i38eld -a3> * REQUIRED
    4529a13Peacl48ea9se a9f039c19ac0lbbe7e4a7rfea tchaeei12s f9fd2i8e87la531883d04f31d -1>2e8f * REQUIRED
    7Pf4del8e3a21se419894 e0299cl49fe57a664cader 5th28b0f6eis606d 2fb7da5e17i584ce293ld 4-5>ba * REQUIRED
    9Pb9ble2faas0eaf1b 3cle61a44br t14aa1d6hi6523s4 af9dcd0i9b18ca92d12ffbel546dd18e 07c3f90-> * REQUIRED
    f3cPl2b9d3e7asbe6d b38c9022l43cd758eb83dfaar e7bt28fedhe16i6bes 91f0f2i0celd e4-f1a3770>59 * REQUIRED
    b2fP7e4leaafbes205e cd85ldeea9ear7da f48b2tbhisf11a1 e13cdfeie17e8l0d67ba 729a1-206>8112e9 * REQUIRED
    a4138eaPbleeeeac8ef6sfee 5ac96079l160d9e0102aar99 t3761h2dibs 1f0fiebblc37deb6d -960c2>b19 * REQUIRED
    7Pl0defcaaa26s6e 69a93calbea60f82drb2104fc t5hbis2b40d fba2f0ei5e235e00bdf9c4ld6f2 81-1>8d * REQUIRED
    753Ple6451e1dafsce08 351ef0c1lee7fa0a1r6 th9i1asef 7fi9bd8aec918la01f5a97fd1e79da ->20f10b * REQUIRED
    ad4Pblf41ea258s82e bclee9fa4dr683c7 246ctdhad79if758a397dcf90s9 bf84cd943ia49e89l2afd -e>8 * REQUIRED
    Pbl41ea75e6sa4d291ecff 0c6b173lf9eara 91t0e0h8if02c0d6s fie5dbfb79l3dd3 a7463b6bf->4335042 * REQUIRED
    Padbdl3eae0s59e4 0cc7f4lbc3d52608ear 2et5094fec9d6c42hdisf189 faia68ee8l75a44b9e1b80d 6->1 * REQUIRED
    d72Pal1edde4as63d1c72e9 cl9cae9dar tbcb7fahf817ids988e9099 ec88f8aie7f59a83ld76 a9-f3>02e5 * REQUIRED
    cf2781df2P713le1a21asd76609eaf08 30b8c56652d20b8546l40eeacr3e ddtch5is fi6eldccc 8-1c>52fc * REQUIRED
    Pl743ea74s0bae69055 afcl4e66a522be42acrb 8thibasa 44fi6e3d77l2d b1d1f1e1046e590decc-f>8ed9 * REQUIRED
    89587Pf6le514a3441012s8b50eb1e 6c6l9eacd5dr dt5ah5fi7e51se 5f4i01c106be26l4ed 51c-ed3>fafe * REQUIRED
    570aaP127l1e8eae5476ase826a 69ca6e4lecb5eafaccrf dt7f4hisf9f9 c9f022aie7857f437lbd 6-ff>03 * REQUIRED
    370Pl25e5f5a892sa021ef8291d 767cle30acd90r953 thies 4f4iedl751d a4f09704765a6da6b52->a54a6 * REQUIRED
    29c11P48l1ea6abbsed 5cb3l0c72e996e2acr tde43chis3 f9i3fd26190e32l288879a68835d d7->d5fbc9d * REQUIRED
    4882f41aPlec84a19bbb45se5a ccb29leac2rac56 tchi3s17dbc8 5f8ie24740af8ldca 1517d-b1ead>3884 * REQUIRED
    c74Ple96638ase3 fcal5543be27001f2arc a7t43ef9hc1ids9b03f7ee92 cf0i2fel30d288e1 8eb7-d22>33 * REQUIRED
    d905b666d87Pdfeblecadse4 cl233e3arb1920 t39hd4b3i95e5s2ed60d c6fdieccdal50d8bb25 ->8b60b82 * REQUIRED
    f47P3l886eba6bs21e8e3e03b becl7099eard 3te6247hif2s271e 0719dcfi57d6d1fel5d73 a1->a79fe6c1 * REQUIRED
    50a4bP7l8fe8b94a809dbb5s496e 276b5c8l52earff2 b0t4f678haies 1bf986i3ad3eld8d d789->5e73468 * REQUIRED
    7cPdlea9bsd3e34861 7a2bccl178c5bearf dtehfd3i0a8ea9718bs e3acb0f5ciec0a082a2eldcbb4 7->669 * REQUIRED
    Pcl9c8bfede0fa33b06bdsbecc 3cl11e7ar5b515edeeed64 f84at167hi03s 08f5difef82ldde1 -952>2f0e * REQUIRED
    Pdl9eb840e4a9s18c608977e4 e93cle05accr0b9 371t12bbcehiaac5s 9ef36e6ai3e9le69de 63b0-f29>98 * REQUIRED
    e7Pld3c4ecab1s542e 9cbcc2l181e9eda4rfa adbb448bd10td0he3f97is653b ffe57i82e29l4d -60a4>d6e * REQUIRED
    36ab5a4Pa65leas14a44e1 c4a7l8de7ea7r8908 064e5th62i1sf f092c4ei91c4e7eld097 e-ca2eb>b9d79c * REQUIRED
    4Pl7eas1580f2e4 c8179lb9ea46aarc7 8tfhi6s fie7d667476883bcf9dcfelf50d2 964-2>b0f9c1a151110 * REQUIRED
    P61flbaeas407ed d39fc016c7l9b8e9a80r2ceec 7th0i4b794d81s fc43ie9dld 8-9bbb3762>2420edb9bdd * REQUIRED
    ea767P98cfla3ea6b13e455f821f8s85eb 809cd11075lecar725ec7 08this fi1ce88edlf73d6 -fedab3>0b * REQUIRED
    f61P6lead8266asf82ef5 35c6505lea15r1 8t13b92e0hai7841s8c 0fd0ec151id6e84l7cd f872543ef->84 * REQUIRED
    09de1P55d544b79l9e0c9a5ab8se dcf1lec19efaeccrd46 t433c1ca4h7dis6074 fied4626dld24c3 0->417 * REQUIRED
    2P29l83eea834s8ed cfle9a2reec8 a9tde2650h1cbdi27s2 2fi3e04lfd11ce22fd66338 6-0b7ec>4315d8c * REQUIRED
    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
    * REQUIRED
    P52738dlcc5ae3e0a3s1d86d30352e c1el1ear221e47 f1thci5e2s3c6a93 ebffideee10l8d5d5 -9>30116e
    * REQUIRED
    590Pbeleaa0esf49b3ea3 cl25e915ar226d5 tach8is32 cf6fc46i7891b546de3ld4dc 11b-e41c39a1>3f8c
    * REQUIRED
    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
    Important: bbYou may be makcing 97use of autom5ated form1-9fillinfg softwacre. Thi8s t9y6pe o4f software can 360trigbger 6ourf hifdden s2pam-dete0c5tifon6 syfstemf, wbhich wi1ll belock you fbrom submiftting t5his form. Idt appear6s that thde prob7flem could 6not be au3tfomatically8 corrce7cte0ed. Pl5eafsbe clear any f7ield w4hich appe5bars abdo8ve w6cith ceorre9sponding4 in4structi63onsc5b080aa4a7acd946469 a1b6ce3e8af904ob59519r50cbcb36a4e43deafd6450b00 fd8c4omcpletincg t6he 480foar3m aibn oredera to c5or0rec8t the2a aprobdlebmf. Wde 8ap5o8l21ogize afocr 1tfh70e 60f22ibncdoa3nven0ienc8e7 1a6nd we a8pp4r38cec2iatee 4dyour ud0end25ers1tanding.6
    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