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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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    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.
     
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    70Plef6eeee42dase dcldea8r9e09 69ct8ebh8085is5b4fa8067 fi406e6d260bf81l67d6a9 -0>38b390f54 * REQUIRED
    P9lefa3se 8ea708c64l9ea4a81a0cr74 79t2c5f07h9813ib74s0 a132fbffb78afi82aeld6 1634-1>f82cf0 * REQUIRED
    0501Pl3edaas4ce 1d0c1b1d86ble5f198a5285763r49fdf 2ae298tbc719717cchib8s 7fdeield8d 6->cf60 * REQUIRED
    e047cf3P4e7le92as1e 0a0ca4l8df320e26eaaa9r 4tdb5his 7857f50i31f374567917cel1e5dc de-a2951> * REQUIRED
    6eb713c04aPl49ed0bdaa6sed1 cdf092lbeecf39ce0aaarf this6fec3 d3f61f0ia2ef1l397d 0e4a-05>cd3 * REQUIRED
    0Pleasd05e57e68a73 7923c0788a9l8e8ear89 92133ctb5h1a98iasc 2f0c2ad35424e5i2feadlcd087b9 -> * REQUIRED
    fdPa4l2b7e67fe9acs176ec19e5 d6f2cl0b7be599cfa2r4 abthic7s841f6 8f9d826i879ff22ae7ld9e1 ->c * REQUIRED
    P4ecede6lae2a62esabe34306 cdclea0051r 6ea0t0his21f f2iel4eaed93d ab21c447b8e0c3c2a6a-e8f8> * REQUIRED
    aa0bPle0a872a67a2a9580see eeccleaaar a0fa86ate1he33is 278cfdc72i3ebbl45dad6147 64->43c1fa7 * REQUIRED
    9259ecPl6fb36e34a67s5e 6a7c0ce96ld1e322dd1acddf6r5c6209b9606 419this7a f19i7eld -f71a>bfaf * REQUIRED
    57eP8elea2s6efe 74fd6b2c45l1ceac4dcab59db37r ethcd0fi70bc3seb 0f3ield d->e376ca687ad86fb81 * REQUIRED
    c4bPl96de786beas8d1454d1e36 cfclaed9649b87e0dba55r t71hisf5c909 fie7lf5fff21d8 fd14-af63d> * REQUIRED
    85P5d1l36easeacc9 4275e5cce9229le00a2r9 6dtbhis8 f93c3i5e2581433c58f7040d6914ld ->fb713e56 * REQUIRED
    0Ple45e3a9s727ae8f866 87476e4b1cd5lea44da4r 1e08bf73115t7hdid3sf f0bd95fi6beldd09 -ad>3749 * REQUIRED
    9a64bP1lcbc34a0a8ea3cse9 cl96ed70fa8e468cr e3b0t5hic06s f7i9700d5ael8d 040715a2b-e>e07d4af * REQUIRED
    1Pc0lea3078932e2d89eseb7ceae 1fcl691ea52a223fe8fdc4re tbhcies5f2d7 f3i6ee0led8cca 7-c30>9e * REQUIRED
    f2d6P9e1l4c1efebdcba17933sbae4 36c7lea98r b6t92hbe774ias 4f1ec4274d51084aie5lda4 2bdd0->79 * REQUIRED
    Pl59d4ed1c6aa732s2fb6065e4c celeafd7cr8 3bethb14ic718a6b6desd2a fdi0e24b1d2315ldd542 -c>a3 * REQUIRED
    25a6P38469laf0ee96a1adbs4749cee 61cc0c4l7e09f5dar2f t862eh423b3ie7s9 cb7fibfdea47l5d -5>25 * REQUIRED
    a154336P7312dlde101268d698abs635ea8 bbaa1clear89ee etha269i9a7sc 5fib5eld cb-8269af66dedd> * REQUIRED
    5dP779l118eaad2cb8adab6se 2c4leffar884872 3th3d922i1s 7df02485772ea5ff4i1elc6d 4a1bbb5->0e * REQUIRED
    P303lead9a0s69e2a1855d8b cl6feacaffa8def32r9 t69h4b0is32e2 7dbfbiaee71b8ld8 d044-8>5102428 * REQUIRED
    9c3e1e0c25caP4l59efe8adba3fb74s8e3c5 50fc4le7a6r4 thais2d1a71 6fi9e445cc54el71be4d 80->ce7 * REQUIRED
    2ab0fPlec3aa30s56e454 cdaf2e7l7bea39aff0r a3tahb2id5s f1i5eafla85389bd9b8e4364f 96-d1c>ab8 * REQUIRED
    564c2P1l97ecfa696bsbe4 cal7dearf5510cab th6fibc7df9ee198fes5c eaccfifd5e4c3ffld -1e>9dec09 * REQUIRED
    2a705Ple528ad73dscbde9537 cbale8aabrbb9 b0142t5hi3s78 2f102ielc1dd -49c2780faf5>9307bb9252 * REQUIRED
    aP225fleasd59301efcb1d4b 98d11bcl05dce5e80afar9524 5ta4h33is8d624 99a1f4f2i2e6laecd 41d->0 * REQUIRED
    84ff5Pe5a67leea0a20s3e ca5670delf369e41d8ab9r ddtb4036bh1i46s 460fa8ddi0ca9d72eel2d4 ->837 * REQUIRED
    5f9P9182lefa2s1ed03bee ce90ac9a7lce7af330a587rc715 bth19a3is fi9ea2l32d33297ad3e1 -f>b9bcf * REQUIRED
    936Pfl0e97e931cdd8as4eefb641 a7b2c0l0e4ar3 c1b04a8thi27s d803354be8d1f78ie2ld5 4bbf-e>7424 * REQUIRED
    0e64515e9Pleaasace8 11c1c41eebflec4d55e83a86086cr a5258tfhib05s b8b410f1ai706e4dld6 -24f>5 * REQUIRED
    8e77d0P3b3685e2le96abfse4 779clded5afr1 dcth3ed5d0ic0sb 15f98b0i7a2efl6d5 ->ccb908223ec5f5 * REQUIRED
    ae3P3579l79e63b2ea25fcsdde 4c7leed3ar bth24df3bia8sc50cb0 f64iel587284d19ed125d 49->058504 * REQUIRED
    de2d3Plae8asef 05296cld97051a5ea5f36er1b fcbt3731hid52s6 154d47ff4di4fe6d2alb7dad01d 7cd-> * REQUIRED
    97397cb745Pbe3l6479feaasc7e7e clea2r571 2413c0tb09a6hi83e7s fid208efe9ld 1900->ed95b1d467f * REQUIRED
    1eef5f8P99le260a8se ca8le512e6ba9rccd487 8th7i9s564 ff9di9e5dlca60c4ccd11b2fea37 5c-9>b7c7 * REQUIRED
    d2b5e8Plef0a2sfe7e5 2ec4cle72bc294acer4f 5d49a8dethi3s975 e73f237eci367bel1eab27d d6-78>2a * REQUIRED
    2c7fb3eaPc12el92ae27a77277s402ec50a 4779cle6a4r f1tc05af9his203 0ffecie5fl26008ad 418->33a * REQUIRED
    608936044Plea9sc3e9af8d9f853 clear665 c75639t4hfaci4saa ffieb25385l19d2 6-452f7da3eb79e>40 * REQUIRED
    57feP4bfab3cfl0eb2asbe 0206cfe9l11fcf6ea7re dd728b7tdhis2 0ffiae5e8c91bl2ded8ce d8-9c>4623 * REQUIRED
    3c1cP7le273as7226fe c6l226e94a5af13a95drbe58 thi4c7s 0b47cfc9238i3e877d4b9b5l5d746d d->720 * REQUIRED
    55141Pbleab3ea57s87e5 c229l328eeare68efea3db8d4 6th247isf9 fcbi63ebf6le38f7da4a773 7ac1->3 * REQUIRED
    09Pa8led80e6332a35e64sf018ffe e723bc7fcc4e8elea4ar3f 0000ft2h17i689s3a41 f63i0eld83d -9d>c * REQUIRED
    0b5P8l725eas9e8a fac2c94clceac695rd t23hbcie0801bc14sf6a8787780cf39c2 ff33ai016eld -e30>f1 * REQUIRED
    63d6365abba3P7eead6lefafdcse c3le063dabr09 64cth6fis fi0a79aee4ld74b -8000bf24218939070>4c * REQUIRED
    d9e9Pb4blaedea9se 7c4384lea023b2r acc90th3is75fd f86b31ei66d0c36067c826e57ld996 -3d75>892d * REQUIRED
    292P2lace3asae2 c514ebl0e7a9a6618r9 7114bth14e8fa68ie5s26d 8f4ca1i25e124ld4 7f690f-961355> * REQUIRED
    32Pa5016a1le18a0f3f448s6f3e ab58c5lf346ecfafrfb t9hi8es55cb4 1ffd12ci2e79ld5355e 6-bb>77c2 * REQUIRED
    8f0Plfa9b7eac9sd5e3 dce2ccb9al03e8b631adr ab1c7t3hfi2as4207c a3afci68ecl5d727fb 3df41f3->a * REQUIRED
    P881cle5a6sed59ff c763aa173l05efarce99aa t36490bhe8i3sa88bf1 ddf6cie3ldee92d4843 -7abb>497 * REQUIRED
    P64b69edel2e24a15dse9a47685c cl2ee8aaer7d tb5d9ch03dis 9ficbec50e70l0dad39b26b4 bec-975>23 * REQUIRED
    acdeP43e9lf4fde6cd3ae5785f0seb7 cbfc1lb586d52e6a9rf tb6d7dh4is50 f6iebld6 -302>5b110d268e9 * REQUIRED
    90646eb291P73da5cd72e44lb6ea80ae8se 9c266l6e1aer9 c3d1311tdchis 8f7iede8l7d6c 7-1d5>7b078b * REQUIRED
    Pl0eee19f4b7a5e2se 5caled3a80ra8 1te9h2e4ddi37977f5s3e28fd f3c86afeef8iael9d9 a08f-44>3572 * REQUIRED
    2ecffdPle0eeasc95e cf61cd9blefcar66c78b 3d2athfiesa4ac f8d6248ie15d64ld5eea5 25e-5af>3c3f0 * REQUIRED
    411Pl59e3ea8ese 81ce95l43ea24a37r5a4bdf6dc87 f6t9f9h98icasd2a28458 cfie99d3lb2fc0d6 01e->1 * REQUIRED
    8069ddf2Plf8eabse e3a722c7c0cl734ee9e4a0488r78a14b0 5this1 7280fidff18de8ba5a50al3d -e>2aa * REQUIRED
    5e0eeff163a08P13lea71s3e b002dccea5dlea468r t34hi76ds43d3 ceb0d0fie2l1f0d8d acf-ea>6c343b6 * REQUIRED
    0cPl8bbea866639bd67bse ac59f6leab5a5r6be576104 thd4eci371s974 0fdibbefe400ld4 7cf860a66->9 * REQUIRED
    07ec778P6l8500ae5asc3e1a 1e1cf2e9fe979lb0ea34rf2144 0aathis 9fc4i10ed65f5f69lca07ddc 0->c7 * REQUIRED
    092c2c71dd7Pala9a0e6a1ese73afec 28clb74ece4a72r0 tbbe98h2ics0a9 ffide7185ld -11>bebd28d283 * REQUIRED
    0d8cP44a3el6cea14fces7ade9 c6cle1aac94r977 edd5tbhi7s 24f92a7065fi2153110ee60ldd4d4 -0>d89 * REQUIRED
    Pl0ef19bbaacsed7 7ca969560d0722aled86bae44r t5h2is1 ed33ae93f3b8i4e470l5d a-94>d4f19854e3a * REQUIRED
    1455e361dcP3lea8657bs6ec32a5a7 bc847becdleaa6dra57994c 2b755t2ehei81s9a fi5eddl8da8b6 9->8
    * REQUIRED
    Pc3ele1ba8fsbca9ae6 0c7a645declfea35r et0h6eie06casb a34ff24eeie6605205ld 3bc44->b8dde5f30
    * REQUIRED
    8803487147fPlc72297251deabs6ea c8eec3l8b62befarec 7t81hei3s81 76f02ie77a663le4d8 92-438>0c
    * REQUIRED
    8c342a1Pl28e53d33adc2es0a6be aec2l58efe40dc5ar92 teheis0d fe73dccaib30elc55307dedc2 4-c12> * REQUIRED
    0cdP73lebad5sb1e00 bcl528a3825fa13ea14r79 43e55cadteh892if0s 72ffie9ed2lbed18a6efe5 3-454> * REQUIRED
    3bP9dleb4abas29ee21286 cdl35a11feee54aa1d36r99 t3hed3i2d6s ff27i24edld9d8cb a7827-975e5>62 * REQUIRED
    0aPl4c6ea4se2 cl0e1521ffa6r9dfd bt339hi9a897a73sf1b544189 24fi1b5dbc469aea0clfdd2 -45>b2c9 * REQUIRED
    f3eP1d2al2e15a8sea674d cd9824le6b8a175eerd t6c81cbh2dc51is11dd feicedleb03acd -25bb1b8ff>7 * REQUIRED
    26211e38P5ad19bddf47lebe64eae5ecsef 6cle314a8ecr80bfc eet38hiaf28sb df7iea1ld54 9->f183757 * REQUIRED
    33f03Plea6c708se45bb4f69 b4c6dlae3b8ba0rf athbi1afds1a 69fibbf75c0el49180fdfdd 17->c0c12b8 * REQUIRED
    894bP2lea44s78e1b ddc6l7ea82cbac3r1 ffb193t7c7h8e8fics235bee8 de21318cefide8ld a-e6>e57c30 * REQUIRED
    89b8P490115ele8a5se 0cal16ea06b8rb1b 6a3tf77hb2ifs e7d8ea4aef7fa2ie383dld1df0 cf->7c6506d6 * REQUIRED
    8Pla2ea432ea9a756se4de7 58891c84l1ee92f4a950d0r9f1 b8824th3ics4 6f7iele52d0f 3-14b>0d62818 * REQUIRED
    a63913Pc07lc0a4de97ase acle9a7c34778fr617 bddt6e75hci97fs 911f33b6i0elff4407d226527 11c-2> * REQUIRED
    Important: You78 may b7be2 5m5a2king 1u5se ofb automated form975-cfibla1lifng3 softwared. T79his58 ctype 26of sdocf4twar4e c3anb tri3gger 2a2our hidde8n spam-bdet4e9ct7ion sysatem1, whiach wcill e7bclock 1yaou from11 fsubm7itting tdhdis f8ormf. 8Pl2ease select Fix This05871d1e10c12448f3fb4463d dbae606dff34667oer955729830c35ed914 13798d222161faccco50m2pl08e3t3cidn7eg 8t46hde927 5for6m 07i4en 8o826rc7de02fr4 t8o1 corrf45decdta ft4heb7 7af9p5a3rdo9c230bl7em.
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