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  • U12 U14 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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    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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    a6691P54l0ea61f2se8f0ff6 ccl5b4e8afr69b3a 2th93b58b3ib4s1950 1efdi75353be5lb21d0128888 ->2 * REQUIRED
    fe1f4P9ldbe3a4ad0f2se 2cd0alfe1ad8cr1 1atbe4d8hbis cbfid92df9eb22lfb4d d-703d7c>3afea52bc6 * REQUIRED
    63dPle5d63ac0fse69140c dc16ec8cl3b0e7a1r910129 5thi65c3s04ec fi8984e48l8fd7e9 -307b5>9443f * REQUIRED
    ddPl88e8a7a3fsea e77c31lddear9 thi86d8385s61e7 f4aa3i3996e609elccd30189dc 44-f3c>aaa1c3783 * REQUIRED
    cfac9eePel3e606338aa2se 83cl42db67d6caecce18ae531fedr ec0t6hf5i0sdf fi8ae2l2d4b ff->6bd8ae * REQUIRED
    ed883eP87dblee7a1s4a55aee62 8cl12d68cea23dr the53i86sd3ae 755fi22fbdfea81ld -adc7>156ff9bd * REQUIRED
    893b6P21leas9d7e5e3634a22 cl34abf1252e99a8efaer490a theisc0147f 0fiae7e353l26f96d0 -e>d326 * REQUIRED
    aca1P346ac0lbd3bcc8aea98ase5 cle4c0bear ctbdehi599s e3e70f077di9fa2dda784eaf13f6deld9 ->57 * REQUIRED
    86562P9l7easdeee81fe 2ec935735b45l1e2abr25 t88his21 1dbffi6089elc8559c7c3ed 6f4fa0ae2b->dd * REQUIRED
    Pdb7dalae07a85462f80s6ee facfca92a4cclearf 065118thc8ai1s7b0f9821cb 1f3biel53d7d1 1ee6d-2> * REQUIRED
    9P1l1ease3ea5 c9ee6clfae9f74d8a9ar 3f8ath6b3bi6s212a02 98bfi65cf9edd088l135d -95f1>012a80d * REQUIRED
    2Pb2dl4d74de00e5a4s5ed3 cbl207beb0520abr0e18 6t6ha6abai5093sb f3fi5e5elfd b82-3>7284ede858 * REQUIRED
    Pdb4flaee640as3d9defa 2cb14dl4dea4rbe0ab7dd783f9 6f0et5bhbf2is6a88 42fieldb1 -fea>b78fc36a * REQUIRED
    f2dPb2le1cad4fd3asdeee2551 ee4cl2e1aa9f7r84 t0heisb083 2fie55l254bc7d7c -8f7bc687>32d41c84 * REQUIRED
    3af0P1le11a4sed0 ddc43alea9r41 6t5b4eh1337i5dc4s6 98efi2521el724be18df 5a-218>5bb74ab09f01 * REQUIRED
    2e1c355Pl36fee5a2saeee5 c7le5a8d5dr27f850 06ed94th3is d8fib9bbfd4eldea5f1 2f01-c51aeacbcb> * REQUIRED
    2e248f5eaPl22aeba6asa3558be6 c1e7l875ee264ea0r thisce8 f39i4bbe9a107b628l2db 1dd691f5-0c7> * REQUIRED
    0b34d0P9el431418a18c449a2ea10ebs30e4 cl6ea043ar atfhi3sbfb394a 5fi7e7ac9lf87fd 813->142de4 * REQUIRED
    85258Pl04a674fea2ds7851e55 fc91l23efeadra4952 2th1is53af 755cfeid497a38aee35l8db -3>22d0c6 * REQUIRED
    14cbPleb30aacc4b64se 3clea0144r72 2767eet4ahif5s 4f8fa18di7ddee468ld716243edab f573->953ea * REQUIRED
    P0f3688c6le88acs2638e a750cc453alea820r 8t5hb07eec9i91s63 f66iefcbeld610df 74-d>2c3b97acea * REQUIRED
    74f5d0c4P2db5821bla2e956aa2ecse 5c7le0454f6514ar b4ctfh5i83c3s 969fif50eb88b25l5fd 8d-a1>3 * REQUIRED
    30Plbeaf4a7d4bdd7s99e60 ce9bef4e0lc8d99e865aa17r3 8a4ed8t098h7is8 57f05ie1l2b7317cdd ec5-> * REQUIRED
    78aa983c7P37leca5afs6c7e 51c89c52l38efe71ae33r7fa4 tf82c8bb71his948 f0cieled 6-35728d>793d * REQUIRED
    57ePele4f2aab8bs7be8 c2cbl3bceada1fccr614 433b45thi2534s afdi4ceb09aeldef -058e87cd3cfb5>2 * REQUIRED
    P1bla87fea83s6e28 6cel0ce02f336c8d8a2frdfd ft0a95f1h8ia12727s9f fa99i4e96275l4660dd -d>ea3 * REQUIRED
    dPl8cebe29ccas67c94e09 9cb9fl4e5acf6r bacbtb659h9i4s9 fefe4ice9015ld5 d868afcc6ff-4c1bf>e0 * REQUIRED
    c4P517766c1blde0ab168a669s0ef cal7ce4a4ere23fb tbh3b2i6sb5 1a48f0iea1e33cal32d 14->81cc01a * REQUIRED
    b93c24fP5cdl786ea17see 1cdl57e7687a876a0f79r9a380429 th6id78s 68e1fb09ai6e279ld704 -3>919b * REQUIRED
    5P5l3e48afse621 97adcd7le2bceaacr8dc 696c90fftc6e6he67bic93s5da400 331fiea1l7b86d f9e->4f3 * REQUIRED
    76cPl574eas979e54c7f c3l05e676aer1ae 71tf6246h7b07b95icsba12 efic6d4487c41eldaba e7d-02>d5 * REQUIRED
    1cPcl65ebbase1e1 6cl4496301fef3a6ar1 t64h0c4i0s 93e5a2f2ie8956d20lc2d2 e-9fdd58e470>1a7b90 * REQUIRED
    bPealce49f104ad576as013eb13 396cblad832462aeaad9r34 4thisc6ca 2d514cfe7ie7l6bd 2b4->6087f5 * REQUIRED
    P2l6eaa11d2e0s6ed7b3f 39b7cdbl2ea6ra88f85 5b5d2bt74b0f2hbe9a65is ff07iffelbd9fe0a -8>5243e * REQUIRED
    540P87093l8ea9b61dasfe dc0le25aaerdd t12hi1404ff4s5df97 fi67b25el20bfdc c3de4d-6b68>f72367 * REQUIRED
    cd9768bec28P4ea69f73l5ea9sdbe69 cc5ele87e0a1r6 6t07ee1e6hifs9383929b ffe69ided58bl3d6 7->5 * REQUIRED
    129ea435Plb3ea1se167 06fc8led539baeec140d9fc8ar 695t2h1dfi07s19f14c cffieeald 00a5842-eb>6 * REQUIRED
    452fdf0Pdefb0d4885l66eea4seef097f dcele6dafr5 92eb2d7320t7h8is1 d3fi75dec1ld5e77 e6-4>e180 * REQUIRED
    2eaP030l0eads9e2 429c74le4e597eab2ccr5 4a9ft66142hef008i5cs ff21dc7ia4e5294f4l4ffd16 -c>f7 * REQUIRED
    7P5l3ec3aas5795d672e85b7a ca3c4lear 5tf425ch17654i4673s031f884 78f8bi1eld8 95e8f57a7-03>a7 * REQUIRED
    5P5589l7e235a02bsb100039d6e c91495l6ecad0rd8 268tb84hi2s f9771iedl4d20b322d 9c4-bafdd1>eb9 * REQUIRED
    1de4658P57le88ba8s9ebed 687921104cee49lffcear 1th0i50se11 1b8fdi0e6lbe09d19d -4f791db3fa>0 * REQUIRED
    Ple4a3aa2s242519fb9ec4 a0c4elde34adce4r95794 ft85hisd 9fi5elaedcfcd99b8 17bae847d41-28>97f * REQUIRED
    5e0fPle1a52sdfb788feec1c789 2bc92l99ear6ea21 6th4b1571eifs 1f042i4c4565eldc01412c2 -05>0e6 * REQUIRED
    P818b4cabl1c13e5d6a1e6sceb9c18d ce5b41l4909d4bear 1e6tfe7f26dh612is a49a8efe5iaelcd -5>b84 * REQUIRED
    a50e3Pdfl7bcea7acasefb 6bda2fc4af02l0eba5d505r 54cc29teeh292cai4a5d0s fie84ld -67>9c729955 * REQUIRED
    e406P24l80e0easae85e 785aadaclfe1aer t0dhddaib5s8aaedf 409752f771i732e7087ldf9 8036820-9>c * REQUIRED
    e8P54dleedase0e8 caafelc3ea839er8f80ea456d1f 3th57i1s e6f2i47ffeld2 2388e-b>813345e06f421e * REQUIRED
    d807Plf2eea1bs4e9278e cl1d1c6deefdcaf2r 36t2fhisbba 55df318f9i8da0e59l138d9afa 0->b85eda9f * REQUIRED
    P9l2e2ec40679c6aefse0 c8b77leef33arb7157 thi95s7e 1369fb25i47f6el4de3db0d13 12e5-af>4922d2 * REQUIRED
    bd703a9aPbaebbb8l17057e0ae57se9 623aacae352lcear8a176 cdt3da9hd25aede1bis9e fi7el6d 7c2-4> * REQUIRED
    9baPl96b0f3ebc5ase40 cflea96ar5 504t1haa20a5eice60s a63fcf66i88eld7 2b1f-1>0add8632474bbb7 * REQUIRED
    5a2c827dfPda03dd6fl5e9952as28eb d8c47c9lea9r8616 te00bh85db5is8 9e4b54fielfdada8 f4-8>fbd5 * REQUIRED
    ceb8Pbl4ead5se92e9 cl68cef27aa06ac2r t354ch6ie93sfc6fc f92c8i0c5aeee0bl0d607 ->d0881480658 * REQUIRED
    d3P75le39591da97se56d 6ce4leae8r 57db08ftfe4hi1ds aefc32bfie28ldd0ed7 -c6bbc46e>d7bb2c12cd * REQUIRED
    aPc01lffbe51a56s3ef2b 0edf66c34l13e73eb07afra thae3i696354as fafaie360b2ld32b40 -02a753f>1 * REQUIRED
    310a9Pele1af3a3ese3e 7c8leca3ra358 techdcec50is f23ie7dld69 1a2fce5f185-5736f0>12a7b0ba45a * REQUIRED
    abe7c03498Pl9de0a9s21220e 3clc3ae21arc86 1te59b1ha48i74s522d2d fib462el3b29d7baf19a0 7->48 * REQUIRED
    86a5b1bPle2a1fdsc26ddfb6d9eeaa 0cleda33ea3r8 53dtca8efhiafs 362fd32bi19elbd63 624-3b>684a2 * REQUIRED
    24P5al1easada68fb540688ace64be cl66e3156aa6r8 dce4e412thiff8saf4 f127cie4d47ba25cld76 ->e0 * REQUIRED
    dPb0l52e6e8as12e71 5c7l5ea825r69b 8c690811c4t5hb22f611if2sa cf7i0e4cb5l92123621f5c78d e->0
    5P398f8bedlbeb2ea3a0sfe d3396cdla896b9e49a2f76adrb5 4t7933096d1b6h2is 2f1i3ec1al0d72 -d6a>
    bb489d32bP27l3f1ce0891as36ed3 fcc8l4220eda8328r 0t324hdis 02f4defa93f6fielfbd 1-b4127>9bbc
    b0P8994l697aea55s21e cbeled74eaeee6reef t7h6e5i15s9 cfi4fb4ee15480853db7l40dd6b b2->35f865 * REQUIRED
    dP8l42eaa57baacse62cbdde3cd7ce00a 7cl85e6264arc8 t9h1101i4c0cs84d6 0efceie6aclda -4>15bd2e * REQUIRED
    71P9d6cb8ac0le7ads0547e 8f1d5cl41eaa60bar 7t534ah23a8is50b4e cad1dff42i5el0d6ebd -8c3e>5ec * REQUIRED
    45011163593P37lee32aa9fa51s6291e ccle35fa8fr7 t9477he5dis fifa25eedfa38ld 614ae2-6>7b31468 * REQUIRED
    82eb33Pl80e9aeebsd3f48e 3c2le96card 610the5ccc5d604ise f57ibel9d30f1cbcdf 7-694216d4832>9a * REQUIRED
    caPaalb99735e90a7c04677sfe7 c50b31bfe171le7d8a351brc3b tahb9cb6afi17s3 fifea9ldcd8e d-6>55 * REQUIRED
    2d0d425bPlea81se5 b0c52lea3d4r3734be8 79599ftah9i966c03dc9sa8 5f0ib1ebfl87bfd8f ->ac273f72 * REQUIRED
    abb7Pl6e8d769a6s722661e3593 cf2l4b00e5baarcd2d4 6t0bh5i12s65b 32afbf5ideafld ->01385327b3f * REQUIRED
    8ecP7l23ea1009814fd5se143ef37fb 4cbb4aaa4lc21e2arb0 t6hi7s1fa4 fi4f06ed31bld749 4-fa>b30ec * REQUIRED
    0P0aal677e17f78a84s20e f64clc38e1c2e7ceara9 t8h3e2di6c0f32c7s7 fe7e6ei028ed5le3b3d2c3 ->e3 * REQUIRED
    5a5645P9e5ae2dflcceas3e7 7c769e6510dcle9ar e94ddd8th7283i8s4 24f3f62ice8l2d -2f4c88c7d4>ff * REQUIRED
    Important: a8Ycb5ou ma5ay be5d mea39kiang2 u1se of 1a4utoma1ted7 fo3rm-filling s9ofatware. c9Thi1s type of sof55twardef8 ca5n tr0i9gger8 ou4r58 hidden s4pam-1fdetfe4cti4on system, which will block2 0yocub f1r4omde submitting thi1s3 25f8orma44. Pflease select0 Fix Thisc1d5b414417a b662c16716ef71acdf249914350385oabcr389f7cce 38c7bea10cf9d96d737coemf2pl8e78tiebn64ge3 thed1be 2f88fo03rm90 i1ebn4 b3or645der03 c1bto2 co37rrec38te 7t0ah4ed 0p41r2ob788clem96.6419
    Important: Y4aou may be mfbak7in4g cuse o7fb a9utomat3e2d 6form-fillin5g softewab5re1e. This 7ty9pe of softwf0are can 1trigger our hid8den spam9-dete9c9tion7 system, which will block you afro2m s5ubmiattibng thi6s form. It appea16rs t7hat the peroblemdb could no2t be 2d0automdeatic4all9y correcated. Please3 eclear7 any 6field awhich7 6app1dears ab3ov2e with correspon7ding instr2uctions6bd14ef22a0336c35e 82cafb1b870be9fac973d6do525r940a98da080c129e dabf792594compc9le2tin2age tbhe f03form in order 2ba5tceo 7ccorrec7t92 t0hec p66robbleem. 1Wee aa0pologizde for th0eb 8inc1oae2nvdenie6nccce andf2 2w4e c1apapr0e9ci714abte yo0u8r 8u0nd4erstandi7ng6.
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