Registration and Payment

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

  • U12 U14 Winter Turf Goalie Training Program
    Fee: $100.00
  • @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: 9Yd5ou may bc5e ma5kieenge us29e of 1automatfedc forbmb3bd3-fiflling 1soc7ffatw5are. This type bof s8fof6t2waree can bctrigger o6ufr7 hiddenc speam-detectib48on s8ysteem2,3 whicch will6 block fyou fr4om su1b0mi265tting th12is 0form. 5Ple9asee select Faix Thias89bdc48c05b26ae cbc2465c1bcc7e6ed547ecaf98o0b1220b1da314rebaf 9791e3e35ee30ac46om25ple7tb72ffic3n812ga3 50the 69fo564r9me2 95b610i7e3n46 ord582e86d48r to6 cor5r8eect the36d pcf96r3ob5lem9.
    Important: Yo5u may be m2aking use 2of automateeed feorm-dffillin6bga software. This type of software 0can trigg9ber our h4ciddee5n spam-ddetec7tion syst0em,4 whbich 0will block47 2cyoudae f7rom submi2tting t2hifs form. aI73t a3ppeaer3s tehat the problema ccould not be 8dautomatically5 correcftbed. Plec7as5e cl3ear any fi247eld whifc8h appebars d6below with corresponding ibns8trcuctionsf4704 82d6b8e0c922fc4235349ob42856bb89cr81f366f9e11c29e8868a 1dc244ba974c9o5mp8let48ing the7 3forem ifn eo98rd9er to correcc4t tc8hb4e prbobleefmf. We a8poaa1loga3izae fo4ra2a theb5 ib5anconv6enience4 fa6fnd we8 b9apprbe4ciate yccou32r unaaddderstan4di242nfbg.5
     
    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.
     
    b0d9P829l9e6f74cads52ed 5ca0l1e6acr8ae 7b0e5bea8dthie990sb1 7cfi5eb1ld74725 85822ce6e->b5c * REQUIRED
    3430b0Pfed1cl1976701647516564ea9se 151a29703c27l37de25ar 3dt204hd0ies 55fce8ief0l67d64 -c> * REQUIRED
    4a857P6flaeas843ee 9cf37l9cc34fe2a1dbb4cre5babd bt6hb0ices1 e3fcbibae426b0ld9 9cce-6>f3bcb * REQUIRED
    Pl5a04b858e7d6a4s93e8 858ad8cl1ee96ar t93180ed57hbi4as098c fie8b0b7d48l5bd ->f895aa8377dc6 * REQUIRED
    ea0P84905le2a8d7e9a0s852e531 6c918187l7ea3a66cb5e9a2r1d2 c9t0his f79ibaece5l7d c88764-b>22 * REQUIRED
    88690P750e35ld273779a6cd610b9e2asee1a 27cc95l1e309a0af9dr29 162788t4a71his fi41de7ld1f 7-> * REQUIRED
    6a016bP8l99feb5a4d64s95ef7 98cldea6r tdhi938258s3e05713 a1fiedl62d7413a2dc 0bd-344e716e>8c * REQUIRED
    258Pee26817dlbf310easb42930480e 9c6c19lear 83dct8ea3e1ech6i8s5 f0i1c07ee73de7fl0db7c 6->98 * REQUIRED
    5901ePfl57ea242a3se27 31cc0lea0ff3r28 dt85dhi4b4se24 079f5f5394794ac8i89319eafl9edd ->9bad * REQUIRED
    267aPl21251ded2a07eb7fcs7d23181e2 c88cle2f8e3abr8642d bt6db6hbidcs20 fi6efld2c54d d1-3>04c * REQUIRED
    19dcPc8l3a4ce14ase9d c6860lfe5a59r 5cdt2h70d7fisef5 f10ib95e115l01ad6 7b0ba08-e>8c33784126 * REQUIRED
    a01a8c1c8c01dP6c87l3e7dbac3f5ce5as1e clceabr2 th02d9i15s 55fifed343ba05el5ad1d1 5f41-ea>26 * REQUIRED
    26fd669Pc3l6efasee3 ec85a07524flfeb1aaed58ed32rb et3hif53s00ac98b3 10c819faiceldb 6f-7305> * REQUIRED
    711Pcl7bfced28354caecb7e0288bse3a 5cba2l055e17carb at41chis6 2290454dfdc3ielcd8e -f2>f33b6 * REQUIRED
    9d6P8bl65d1ea54sde26 ac02l4c9eaa88r c25935dte35bhi2f1f6ds8 9dfi6de0eb3ld 16-af6923a44>d2a3 * REQUIRED
    bPdle313a47se3 0d410dcdfc56ledf0e2cda7ra2e 18t31c38hi2fese 3870fbielf97d624 4->dd58a6ac1b5 * REQUIRED
    f48b9Pl7e9d9asa919e 3acc217le8573ar 02ebd477af0b8adcacate05hei4s 40f03ei619ela64ad -7b>93e * REQUIRED
    de652b739b2Pf72dl7eas0e c28dle191e4afr t83793a0h9576aie5973s 1ef4eiel4d1ced 6-b7a016f8f>cb * REQUIRED
    afb3222e130P0l18fcd1eba84se16 clcea5r t2c6298hc8id93cbas9 be67fa43ia7e1lb9d8d -f5eb79>6205 * REQUIRED
    5cP9l7ddf3e27450aas0e 7d03d2ca73l71ear th7i8822cas 7f23cibbe2e97cl24de08f19 8495f2a-1481>a * REQUIRED
    ee3ddbP635d7lebase9cd4 2c94bld8237ea42rc t9h85icasd f4787e0iafeld2 fa-ca6453682f>4effecaad * REQUIRED
    d18c8P5lf4e25asae800 7c3a721l7b6e64a5dd1f489a2a49rceaa thifbs90 bffe8e0i04feel8de0 ->ff1c3 * REQUIRED
    eP628l3ef8a26sa2ae487 c6lc29ae60536ee575a80drb t9hdis f2i6ee37c7006850l29b8db97b 7-75>3a05 * REQUIRED
    ba8Pale3a6sec c2bflbe26ar3 7t3hifas3ade42 7fi5bf138782b4d8e3lb783cff5d49ea612385 ->3d652e9 * REQUIRED
    dP72lea0sde5 1c3c3ldd0c2e7a7rb 0t760his 51fi2e59e85c913366dlb1eb9469f3dc3c6fd562e ->82d926 * REQUIRED
    6156P197l9eb62084a07c8911c18fse8 2c38leda12rdd t37h9i46bfs5 6bf4bic8adee9c6l7fd ->4335be10 * REQUIRED
    8f3396P5l19e2da969case 5cadadfl30858499b23e5c12a61ar11 8b4thdis fie7edadbbl32bded -386>72c * REQUIRED
    b33a1673Plf3ea25se 5c2cldfeb7558afr50e dt9dhfi1b2se8a4c32becb1489 df6cicele8323abd2 2-c>1e * REQUIRED
    67d68a6c9519P0lfe14absbe d8cl0d350e6a296r tf02ahda1ci9s dfci50aecfeld0f0a50fb3 -7b2bd5>7cb * REQUIRED
    09df3P6eflc6d8fd1672ceas5e0c204 5ceea249l7decabdr 7t0hais2 1bf91ie8b387lfd1df3 596-4>c271a * REQUIRED
    56fPl7b5ee7ea8seec00bc cedle2aaa800r t866c2c61hi37es41712b 152defie7l73d 4-9>bc1559e7c9865 * REQUIRED
    169d99P4lceaadasfee2b551 clear3 118fthdiabd3s79b0330 c2fi3eld 978a437b6100-d464fe5edf65>eb * REQUIRED
    223Pl450c5fb6e9ba7e86s5b43cea dcc91l20ab2ea1r977620 fec5ce5ctbbhias0504 47bf0i10feld 9b-9> * REQUIRED
    25d1d33P694e74dledasce5 cl0e2ard1 8ft1h2d1ai31d33576fasb bd7bac084fi55e3ld 857fb1-1>cc83a6 * REQUIRED
    cP6le787a7s3b76ec9 cc1flc1eae54r0 t96h9ei6sc3 9f0ia8c86f0e6cd8l820450f80cd8ad71b6 cbe-f>d0 * REQUIRED
    e0cPb1lb0e990ased1 62ccle92ar 79c46b968t67hc0e6fb58951ise38 edfa7cie03f754dl4d8 79670->dba * REQUIRED
    Ple8a6d1se cae97c35dea9le6a02b830abec2cbr 8tb48fhi6138f1f075f1s80dd f9i637e985ldd 3-f95>6b * REQUIRED
    fb9bP3cl9be76as51e9 c5el94e20caf071fr6 28t01314hi7a6s9748 f7d917fedb0ei39belbad7c 2be-0b>3 * REQUIRED
    P4d87lde9f6f8984f8ae5esc9e2 ecl2eara0 3this0 6a3f6a80i85del6ff41e3bd03f 5658c891c-c8fc6>d5 * REQUIRED
    f1b4becePlce730a61sf83681e3 cc26le0a91far 7dthd5i2s553 fie83el95dc 554f-20002875d3>7d30a63 * REQUIRED
    2222a745Pe6bf8lbea6ed84dba75sbeb da35clfef86aadr4bd3936 th1i9s9 efef43facibe2blbdfe -4d6>3 * REQUIRED
    74c58P74dlde7507ab0159db552seac 464fc83ale8a07f51r ethic5s2a1a08 fie9ffdee72107ld 5-b0>ea1 * REQUIRED
    87P3465dl29bb94ea0a85131c4e0esce 7cl6e31a72acr5ed 7bthis 9622f8c9i567e866ld64 0-12>09bf8af * REQUIRED
    f9b7c4c5a247c373747Pl24dbeas60e1c ec6l5ee8d609ar 361t0chaias50 fcffeielb8d 84e482-d>273520 * REQUIRED
    f3bPl2eb2aa09f98se6 cd16c002l781eba542r06f8eb9 4c4t8hf84is6 fa21f2f9cibel9dd 7b44-c>938eeb * REQUIRED
    7f2baPl1bed7asece8aaebcd2 769c32l65058eaa5r 0eta7hi6c98943ae51s0 cf89ie7l0268b9d62 8-e>bc5 * REQUIRED
    78Plaa7aeac2seb c4bble0f8f2c156fccbab68r tede9ff134b314b85hc8dis af5ia0e02b22ldd3e1 -5b>cb * REQUIRED
    c962P0de2al911d0eeed5as49e0d655e 37cle5e4a16e6dr9fe t1c598his fd3b8if7c3aaeldf1 e-b>92ac8f * REQUIRED
    6361aPle5a25se66e22 85cc5clea72rd24e tabh6i8c41bs5a 94fie280feb03957l5d0172d453dc9ed9b4 -> * REQUIRED
    caP8le4ad3esb7e9b 5cf32fbcalea53r t1h7f4d69674is c57fd8e24di3ae86a311ld e->32d7a2df5e79aab * REQUIRED
    a90bf59P06ale5fa564sef1 44bc1lee7bcaard e8261t728h3i5488s9 0fdfbf2d0iel8aad1a 4-69caf86>cb * REQUIRED
    41Pl7b3ea1s2e 67cb2le70c1033d4bar220 6fc14bte533hice8cs f8e9833a1ei0eeeele0ddf9 -e71>289a7 * REQUIRED
    d6cP054dl4eea007a29s3a5367af88e2 clde7a3224bdr t8hidbs 669f4ife0d2a76lafdd57c901 -e7>5958b * REQUIRED
    839Pdc63lbbef27ab3s9ab538e53a bdd8964c1lc9fae8a8er400f 2b7th6b0is5 e698f25i5eafld85d ->399 * REQUIRED
    57Pb3l2ecasee bce38dl5e037a17r tb31a82hi2b0as2 f2ei42efl41a37d636 3a-934eb4d8dc>d5825db452 * REQUIRED
    7f429Pld58e361e1a7e4dsf053e96d066d89 3ecl83a73e3a2a5r 01t8hi21sc5 149fif985eblbd2 a442-3>a * REQUIRED
    79909607bcePb91ldfed24f35e3ea07615se16b9a clde32ar063 7t7hi3sc f9dfci850eld351c f89-4e>ff4 * REQUIRED
    1b46f4P0le73cccbaacc6es8e 8ace60le599ce0c014d99a81r eta07his19 0aeef6d07ie1bl9d 5202e->436 * REQUIRED
    5c828bbPd7a3l9eas7e4480e e0c7b0l04e06d6eca1r377960 56afa2this 10502f1c4d5bi6e5a59ld86 b0-> * REQUIRED
    b1f30P8leaaaaasecee6e 0aec42098e5fle1a7fcar90 14thi3sce c355fi7ealad 99a8ee299-65>005073ed * REQUIRED
    6P8lb169e2fa7891a8d46seb b9efcael69e6335are thi47sabeb0 89826d44f1aibee81097edl7d48 1e->04 * REQUIRED
    a1P02d71lfeasb7e49c 6c0l2ea1d975c16r td6hbidd5fs08f38 ef4d8e2i39e536l1fd6 c-144>e67b6f1b82 * REQUIRED
    f220Plead43a06s2139e c14fb3lb49e63688ac8r 8ccde3t0b7h517c3icd893e13s 2fieb6l8d66 1b-92>484 * REQUIRED
    Pl69bd8831feae59ebesec7 ccc3d9lc8ef07abcrabf17 1ct8h8b1ies fd5fb9i5el4d51ccc35b a1-0b>702b * REQUIRED
    1aaa2914P21al9defa2cca90f3s6e4ee 53bcf02le3a65r1 t0dbdh53ise 82f8933d4eie1dcf7e8dc1ld 6->c * REQUIRED
    c2f07598P13l688e887678as6aed 5cc94laear 6065tdheie0s 4b8c6fi61e9l2b5ddce 00-3ca40d5bef>1d3 * REQUIRED
    3d64P18lea85434d6s9eeb1 1c26f7bf8alfcea461d6a7r ebet64ebhi7s 7a5ffiafd01el1d12 8cf-5e3b>e5 * REQUIRED
    c0d6Pfdle5f827453ase921a2b bec2le349a1fbd64r tch5cbi1ac3bs 3f673daie1e38l95dda1 a4-24dd4>6 * REQUIRED
    fd0cc2b6P0lbec151a2s3e2 dcle738ae72rcb18749 5de22ctf98his dd1f8ffei5bffe2lfb6dc024 d71->4f * REQUIRED
    506ad86e295Pf46a05c85f1ledaa352ccsce c1ldeab19r0bc09e9 t3chi19s6d 357ccfield 36d-04>56fed9 * REQUIRED
    dce576Pblce4f4a83s6eb c175le86ard157 40c6216e848ft023hci5s9 bec38e5fie2l7dff ->8707b49c452 * REQUIRED
    e13b75P6l0fd7e77efdbed8asef0e cle506966d3arf t4f3343f61b7hisb54b 1fbaie1l15dc9 -cc>ae8227a * REQUIRED
    a350Pclbe8b00a7401s0cce97 f9fa3d26bcle4ae8adr 7e06th5ia4s 6efie8abl4d c33d-16261>6862f5890 * REQUIRED
    b3eP2le3a7d3049b2sa43e dd737096c3c76620a4la645b86ebar03f6 t7c8hie8da91s a42fie865ldd aa->8 * REQUIRED
    P054leeb1asea0ce5ed cdclea6332e148e25r8ab76 dtc75ehics98 f6776ac5i31e68ld cec99d0-37>32d27 * REQUIRED
    e7Pfdbl7098a9e9ae8dfbc4e2bs5e c57l9ebf4d62aa50007r83 a1at35h2is cefi4c9bel97cd52ddcd 4-f>6 * REQUIRED
    bf070789646f1P69982fl7cfe00b3e92a9s72e11 c5lfeeb5ar e92thi55s 6e5ffc2iel68d65 be8-c637d4>a * REQUIRED
    5412d2Ple0base237e6e1aa 842c4leba6cb21b3r 9t5hi658fsf7159 b2cf7i853e42l0d5a 3eb68-9>98f45d * REQUIRED
    1dPc0cd9lae76adcsfe5d74dca19 9fcl55203ea93fr1a26 t2202315h6feis afe98i0ebld4b e441f->85b41 * REQUIRED
    386e7P6ealeasbe3f dcfcl5ear54b ted5h46iec4542daffesc656598 52fi2eaa1fl10cf1bd39 93-8>64beb * REQUIRED
    b2f4Pd2d6fbalee5e51ea7sb9ef86a875dd98 clbea44r t014h38d9did8s421 3fibe2fe1dd6fcld 1a4f->8b * REQUIRED
    deP0l2331ee5511b0182afase8 3cdal6ea2r822 7tce90b24hia2ds fe0ci2e034a517l49add51f 0-c>7cdaa * REQUIRED
    a6a4bPle54ea2ffs66e3e93430bf cl26effd5ar 7ta30b2h534f52isf 3d5a77427c35feiea5c2c970ld5 ->2 * REQUIRED
    345cb27d2b7P0aleca63se4d3 c7b21a64l41ea8r8290b2 atc81h9iff9s df97ied72f02lbd732a75 10-95>f * REQUIRED
    6Pl4bcaea952se fc94bd648fe4f62eccc6e49be117bl5edc2469ar0246 e07tfh6687is3 3fi5e4l6d -96>44 * REQUIRED
    6df94b751P167le7d5ase 15b1cle1ar50 dtf361dhci71ae2fcsc0 6bbf58afi9a87fel067d07e f0d-47>2f3 * REQUIRED
    43c573P8c41bl106c55ea0s2e73a1 ca02l5dfcear 9t5f05h11is082e1 7f34i8d3e9l64cde ff-105>bb281a * REQUIRED
    0facP0cleabse1e7f c0lfbbe034c72abrff 4t91a7b422dh8i4a26ds89 dcae23beed7ebfia0el1df5e24 -c> * REQUIRED
    7f6P1cbl9ed4a3s7beef cleeaa8f8r329 7252d71ad0c4edb25thf7fffd6i40b2a7sc3a 1f4ield4 -379>8f0 * REQUIRED
    dbPc7aecl1be4aaa952cc7457se fcl0dea5391r 2tbfdf163h1idsdad8 f793idel097d7 -09>5ef6562a1ed2 * REQUIRED
    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
    * REQUIRED
    5P398f8bedlbeb2ea3a0sfe d3396cdla896b9e49a2f76adrb5 4t7933096d1b6h2is 2f1i3ec1al0d72 -d6a>
    * REQUIRED
    bb489d32bP27l3f1ce0891as36ed3 fcc8l4220eda8328r 0t324hdis 02f4defa93f6fielfbd 1-b4127>9bbc
    * REQUIRED
    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.
    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