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  • U12 U14 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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    15be406Pl1c278eaasce 66bca0alea693e4r 4165663t69c3h0is6 1f2675iaefe6l79d6f057f8 d-81ea>8bf * REQUIRED
    5dd2P13lee4e39a9a1ase194a cb40ld5ecd1ar67036 52t8h8bi0sb6 744f028ia49e65flabdf 1d02160->fd * REQUIRED
    580eP2l30eacese35 7c4d57d3fcae7lea9cr tf61bhis c2bf7fiee5l58489bda3f0 3755a258a601->65df35 * REQUIRED
    Pd0l3aee854aa9edse1f 2d6c746c30bfelear212988251ab727bfce4 tadhis7 f24iel39ebd39 973->be2d2 * REQUIRED
    72d498Pla1de1eca0s0e970 cle1917e8ar t2h9f6ics51438 7af91c24afe025id91e51ldefba 1-27b53c>51 * REQUIRED
    cc9dee8c10dfPcale6e3casc3de c67cb3fl448a974e770aefrda9 tcah06i49a2s f1c3i7e02l6d27 8f-0>95 * REQUIRED
    1da8889f1307fP249l6ea4se 3c356le7cabcfr68 33t3ehi471s 3fceid6ae1led5a0bf ea4->e11760bc5102 * REQUIRED
    1dPl8deadds0c1971e 36c273l41bedbe7692a9dbd71r9f580 5t36dfd3haisa4 fielf0d3a84 bfe-e50>5786 * REQUIRED
    951P3la78befbas399f2e cle73aar5e0b9 1dd7d2a5542th7ic9s f64918dd9ide2l5819c3f3d57 87ff0->77 * REQUIRED
    64dbPb5702d8326leasf6e 8c50le0425cc6a2ear9cd1f3f 2dt1ff304h8is fie4ele72d750b1 75e97-81>c3 * REQUIRED
    9667P91196fl9ea1s97ee6 cc04dlearcc t7695hi503e13s3f 61f7f9eaa91ie463e5l42add 2->78f30086eb * REQUIRED
    5616c1b0Pa88lce4as565e8d c3l813bbea5rb 5f6thci4s6 4e8dc1afie8ld2 -15f22>e7381b5e97ccdf80c5 * REQUIRED
    87aPcleaecse cc4e749ba135cc30al6eb40be16aac34r 00this 6fai6e7e2e4l80db3309b 1866-9>d66667b * REQUIRED
    9b94Pdf16e02l28e0a9s94cfef1f5d clecae1d98fcaac85r 3thi0ae1dsee24af 2568fi6eflafd58 0-a>54f * REQUIRED
    34c7P6a78b0dl3eaa2b5sc5da3ea802 5ca4cd8lee4ar714707 52dbb1t5hbi4s4 2fie714d6ldb79d9 6-3>b0 * REQUIRED
    7P2l315aeb202137aase 8cc407l3c197e11cacadr dtd2ffhi2859s4 9fib945b919efcd6ee3l74ed -7>66b0 * REQUIRED
    fe8bcedPlfease d5dcf4l337e1ae9dbac9acde062rccbcf ta9his 5bd592ffi2ebl59a10df64 f-d3>72fdd1 * REQUIRED
    b0Pl4eb0e014298ase231a5 f760c2d9cl4e46dadbr2 t9097a6ehi2sb 7fcia6e6lbd2d ad0-a8a74d>b57382 * REQUIRED
    4b52b77Pfle83acs268abee217d c1lear 8387th9dcisa 1be19fadb421f35dfcda23c1ieb9fc4039ld54 ->c * REQUIRED
    c1bPafl4e8das88e c98c826c8d5a4b52ldearfcdec tebahis66f f8i5789c9eldd3e4f81 8044-3e>f787acd * REQUIRED
    2cPf8lcc8e84fa2ea4s5db6e 53c7749da93l98e57ar06 c6e16b4fctb2cc0he678is2 af12ied3ld ->1e5f0d * REQUIRED
    6ed0eP47lecb0afsf8ee c3d3f0l66e91c3dacaa0ra9 d0d7c81tc5hi3s 85f618ief249dldb227b27d 0-4>ec * REQUIRED
    9ePe34754l842eee4ase d5389clea76980c3r dtf1chdif6d95s2 f9f1a11843528f321ie2c6f66ld0 8-5>60 * REQUIRED
    607P645l7eab7s3e cl60795fee1a1r the6isc7 bfi9cee5lb7ddacd51545 d-019ee5e03964872>7c05409ec * REQUIRED
    27ePl14b58694d47e815as0e5 28acl1eeac3280f5c46140r3f e1a737th9dis06ff fbda1iea0ld4 a75-7b>7 * REQUIRED
    8e40445a43504cf3P31l4cd104ease 8c6d45ldee4dar0 2f2th38i4s fd0209di4e36l91dff1b 9e-1>60a019 * REQUIRED
    021eaPlced7ase1e49c2e d9cfl9e38ar97 496c0tb81h7a7c4a168is4 550ba03ff6a28i0e8l70bcf5d 6->92 * REQUIRED
    589a70bdb520d051b1abP18le5ae41se455e 7c790d13leedab0r 3t89d2h0is8f a23f6i13eldd401 4cce-c> * REQUIRED
    5cPb21l8b0eeaase cdl007586cd7a4f9edarf8d 5thd28is8 ff074i87ee8lfade 799e72c1cdef848d2->ec2 * REQUIRED
    21Pclb6395f784318bd6f7eas6eb 01baclefa23a616r 55this 51cfi749ec044588l1d3 2339-3>a82952a3c * REQUIRED
    ee75a797c60P453401l5807ea906eesd2e06a1 c0b95l7earf a69th084bi5sf39 fi97df8eld3c3 -f9>e628b * REQUIRED
    ad90Pl4751f9eee78d9as5c0e2 0eclbefarf f8754f180th02bis228c1b813 fi3dealda89f3e 5e6ad-3>d17 * REQUIRED
    8Pa5a61eddl7efcdas23e 007caf79446fa2l1ear4 e60t3chc1f4a64fb6is cfb67bielbd7 f2e8854->0bd24 * REQUIRED
    4eePa7a49l6c07b410ea3sfe685 c8l894720ec59a2rf 2814this1aa4 f675c65ief1ldc6 34-f600aba72>4e * REQUIRED
    c822bf6fcPba29leab6sc741b2f73e e2dcl1ea2r efa4th6927i5af7497s8 f0d9bi2934eld1 9559e17dc-0> * REQUIRED
    e554fbab738P37leease 87cfled2aer1 67t7d65f7d75hi16s f467ci7elcc375fdd13 591889b738-d00>035 * REQUIRED
    33aeaP7al6e037bb0eacs14e13a20 7ec66edleadrb 2dthi1sccf85b 7f78i0e7beld 274-bf8ab086232f>47 * REQUIRED
    8P67l35cfea3sde44 clebea7fa1a4418d0rd90 7f8978bc4t5h4cb7i6s 8c7d5f4iefl09bd f8-0a2>c4bf144 * REQUIRED
    84Pl31a4dfceasa2e49 60c9labe96acb7549r27fd7c th6is625 fi463eebld6c96c27748d4d66 ca5cfd->d6 * REQUIRED
    a8P9le2as9a5e 5cc31ba402b57adl6eeacd991r5 08thi4cse23c5 088bbf2f242ie7l9d0 1755e29-0>cab1a * REQUIRED
    Pl0ea65dea18s94ae 1704c9lc12e2d9ar 47a976ftha72bi2cs919a7c f7eif8aa36el1d995 d14-01dd695>2 * REQUIRED
    6f8fPla673295ff1easeebf4af 3ca074lcde56adrb1 t2a3h1is f00deie883d419l92d74a1 b9a->58ba5b04 * REQUIRED
    bb79200c7Pl1e9c0579af61107es4e6 fcle5a2arf d11thib55f0188sb 252dfec791f0i5eb3ldd47f d->8aa * REQUIRED
    c9P6ddal91eab69s0e 1d507c7bl86d57ddaear 3th67a13482c6i5s3c131f4c5c92a 5fi21eld 5f->00ba452 * REQUIRED
    cPf8ff1le36db8d39fcc4as86e 4cl6ea9r8b t6h5i5d71570e73bsb c81af0ield8 -cd9f48aea4d>ebb6c2bd * REQUIRED
    d61P348163le05a32absf2e dc9lfeb49aad523r9 af6te045341h6b557fi8as 92f47dic737el7de 6-064>ae * REQUIRED
    4eP666497l4ea298ese1 41cle7a2a376r bb87a5ft8h033di58s 0fff89cf2iel475d7a628637ddd 1-1d>ac6 * REQUIRED
    4P24485l5ee2as64ce5be f9c7f96alee6a1d67r3fa2cae a5t4eh8fis 53af8f6i80055el24d -e31>e5e280e * REQUIRED
    P1cdl6eaec6de019baas185ee8 e2ec0b22l2ea76cr fthd64edei0esff0bfcf 7f5beiebbldb07 f6-4>64847 * REQUIRED
    69caPl4eas5eea cl5earfdec 3th6ci6s 3bccf7c50ab135ei3f71ecf1ecdefle7e5e895d15 5e-80f>611100 * REQUIRED
    550306f3aPeb4l0e1ease736a e5d34ccfle90earcc 0a959ft6h4ec7i9sbfcacea2 4fb6509i5el8d3fc ->f5 * REQUIRED
    749cP398l0e28adeda107a3sace cec8lea5ce9c789ab3e4r dbt2hadfi8es35 e1dfielf27d70d0a ->1618db * REQUIRED
    7d74c2dPl8efa66fse7 fca9f3a9l74096839ea3951r 72f9t47f905bhis2 f74cideae187624ldfcb e7-c>d8 * REQUIRED
    1a7Pdel20eea377s9f7ed77b28b3b4a 2712bclea37e145c3r 2c0thbi15s1633a 4e6f0i15c7e2lfdc -d>8ed * REQUIRED
    dePfb0bl8e4acsfef95c 4cl4486ea2rbb bdc0t09h10i1232s f2c1i1ece3696del16cd313dd49 -45669>0e9 * REQUIRED
    2fbP0l30e2c5de6e531aa8a7b628s4e ecld78ea4e71aar6b4 thb4i2s fi9c70d621e87lf38d dd0ea->46926 * REQUIRED
    46Pe6l62f06ea6a02s8e 102fc0l2ecc8d1e5cabcac9e1r 3this2498ad 4ffabdife8l7dd a-af6e2972e>6fd * REQUIRED
    52f3cP89l92cfce92eas1e 82c3a5417al69ear4 1t2h13ede7bf4242ias 7e33f32i4ecl37d ed5-6>61504f2 * REQUIRED
    P5l7dfafdeacfs9e10bad cl6c2deaad8479crd16 ctcf73c3eh315i21d3d387s fbaie3eleb24f7d3a -6>1e4 * REQUIRED
    b734P8c1edala9ea01d3sa8e ce0eff7lee9ba9e3cr79b 0thf3ais 2ffi04e4eld0 -5529487adbda5>e81159 * REQUIRED
    3ba0P6c2218albeaf86se celeeae971d5a68r t74h308abifd444s 172fi1elb57d6d 2-fa78>62c1abbde9c5
    543Pfelbeb345edas15e4 dc5l71c21e0a0ere0aefaad t9hic7s 6f908aie4al738793de64 f6-10c9>361841
    b363282daebaP92lea4asea 63d9eb1clce8ar7b t16254260h990e1eise841246 f72b7ic010eeld7 ->79c3e
    e3Ple6baas8c4e5c8870ba 17cdaleeae81r 4th2i4sda072074a fi9180e57ld89609 94072->7a4f92cf43f9 * REQUIRED
    0eePd1fbe91b2l68bf4e5e92897a29se3e 6cf9l4earf794b th54ai74d38sd4 8c1e7bfi81be28ldd ->76cfe * REQUIRED
    0caPl68adc52e4c2a5206s8ce 6cle4ar405f6dc30 f8etha814i896sa48 fbfb42ei993e60ldd45 -0de7e6>4 * REQUIRED
    9c5645e7a16P9034beacel01aa3298e78d90ase76 60cl5eaf8r 3td2bhisd61 7bccf8ie3bdl2d 07-cac>2b3 * REQUIRED
    dP7lea7771csec 88dac52l6ce31ba64958rf49 8th001i4d2f7f9sa6 0bfcic5elff407ad4 17b-85f8b0>8f0 * REQUIRED
    a14P65l87eaa846055s033ae9d9 99cl1e09beea7r64b 08feb13t58hi918s0 ab2fie4l7a3ee08d 53d1c-3>c * REQUIRED
    6f15Plda0e3ase3 7c1lea3a1re 2tbfh8bfi8sa d7cf76626485i7b48eel3bc1d 060b6be0f5b76-ed77>74a6 * REQUIRED
    3P18e311l5ea9553d7bsec8b02a 9cb6blbeaa742r83 thfe3bis8ff78ec 66f9dieae338lde6 eb97d->5d2ad * REQUIRED
    Please8 2ade749c2dble93989ar2 a6thad8f47e4f0c209i3sd fifc9e91ald70 ff1ddb6->23822d588bd273 * REQUIRED
    4ae48fcf14504Ple29a12f8sa1f2e cl02817bea7r ath49acibaed2343sb78f0 fic61c1d3eld 7-e>2832772 * REQUIRED
    7d83e16P360bal3e9asb59e9ca1 f54c10lae7e1ar t6c7h5a9a34fi3s6 7fid8be0a6cl787ebe8d4d e->d023 * REQUIRED
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