Registration and Payment

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

  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
  • middleclass~spraymiddleclass~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 70ma3y b8de making cuse of acaeubtomated f0f0o1rm-filling s0of1tware. eThis6 type obf3 s943dc8offtw7acd5re dcan trigger our hid4denef spa3m-d1et9ection3 dscystemd,4 which wi1ll 8bl8o55ck fyou 5frocm sua4fe4bmitting th4is form. Please9 82selefct 1Fi2x This5fcc2566fc2dc93f15f65747 9f1bde8e0fo333984255b245bre3779a5b0edb 9a8b7657c593c0o0mp7l078babetinc4g2 509the 8fco78rm680c9 i86n5c7 o8rdde71b5rf35 tao 6co80rr1e9c8effe0tc tahe2 c35probleeeem.76
    Important: 7You may be fmbak2in3g use of automated1 foerme-f8ill2ing so8ftwcf6aare. Thei2s type 5of softwa5rae can 5triggebr51 o8ur hiddden 9spe2am6-detectcbion systemc, which wicll39 block 2you from8 s3ubm8itt1in8g this form. It appbears tehat the pbrob26lem ccould not be acut3omat4ically corrected. bPlea1see 8celedar any field whi2ch da0ppea2rs below wit7h 5co2rresponding instructions9bd4265f140d3 b73a31b159be03df5667c4f8or3d39fe8 4b62ebf29bc90d927cd61635com6b0pleting89 the form din4a ordeer to4 co6rreact th1e e52p4erobc8lem. We cadp1dolo9giaze for0 the incfon4vaen7i69en9ce 3a4dnd bwcc5ebc ap8p5f7reciate ye5ourb bu93fnbder0st80a1n8fdfi6ng.8
     
    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.
     
    39P3l8easef8a 04c412lf74eab353906ra8e9f 3b4af3tf5h3ise9 f566d3f2i91bc2el8d72d -28fa8>994c9 * REQUIRED
    94e77Pce4l7ef6afs0b836e d7df32c9le810dee85a6bf7c3r07 75db8e6t7dhe40is9 f9i8e5l0d -dd9>e45a * REQUIRED
    Pdle23a7sf5e0e fd8clb1267e960a7r873 etchib5dsf19b 0efifel13d -a55a>6aaf39af7cd9db3a214b0a2 * REQUIRED
    6a137511P43l1de66aacs41e eebaf0cf5cl233ear 8b0tc0b2b0h31ibdas af9ei90de84fcldad 48421-b>db * REQUIRED
    fcc500b805aaPl4ce60bfa77se f14caaacle1a6rc 88t01hib8s5 f3c92i20ee3l2d10 2aeb4-ed9cb9d>6fe9 * REQUIRED
    7e20Pbl3840662ee81d9f6ae5sdbe71 37cleac1ar2 0b745t3hi9702sce a9f8d49f5i934e39ld 0->4af5cdb * REQUIRED
    abe723a5dPb1025l2e90695ea3f5eseb c75le28c5a1er0bdf a2cth19080is ff875i9e4lcd e-b15604915>7 * REQUIRED
    ePd1laee5as425e1 1fc1l7d7bee244e3a608br 0a2t15177hd4367is23a4b97a6732 e2fiel3abbd30 4->3c2 * REQUIRED
    3a0641Pf934lfae4e45as1b7e31 2cbf5l1eaar thbf1a6isff230a fbied9b0829l0d 2-be27>e81fb373ab53 * REQUIRED
    00a7b44b3dddcP408cl7bd1ease0e cb2d0l880d83d009e2ar1 td9h39i8bs659 9fief1b2ld a158-20df>3e2 * REQUIRED
    P6l00118e52adas27feef12933 cb64le7a3br ta35c09hb437dca9cfcis 6f1ie1ebld2 dd142-a60d>e20f66 * REQUIRED
    P3dfbf909le5as3ed 61dbc1a7leca8rc fe4th7isa85f6f9 dff83bi4fb2740c4ebae6b80ld 7->a78cbbd5e1 * REQUIRED
    3c7P095c2a1c8l8325e64ec5bfe14a1see6 3cclea9d0r53 7d8f85t6hibs0 fid331e1e0eac1ld6f11a a-8>a * REQUIRED
    a82Pel43ef36asacbe5c4c c58f0e1l1ee8a935rc bth96fe6978i2bs6 2fi7629debeel02fd 24-53>600e34c * REQUIRED
    f4e77P5l31069c2e9a5dse6f 0bc42607ad82619l5976b2ea7r36 thd35di14s fe5d82i2c61e7ld a-c0923>c * REQUIRED
    e9f844c50a702P64a75al93eas36ae2a94 85ecadf42254d7ledcar7e34 eth1fis5a bfi23d4ecld fa->1833 * REQUIRED
    faP99bl7fe6a90ds0e2b 10a766cldb1e75fa7a2ar ecb88f480tdh89i03d72s cfbbi0el48dd d590-4b2c>94 * REQUIRED
    Plae5f7abb14d9se97 c3clfa2de70a5r3e94dd 21485c26d9eee16dftd28e00h7is fe0iee04c8ld4228 ->c3 * REQUIRED
    d4440b32b39Pe13le6a77s0be45c4edb3b c668412l63efc33a38f1r77d9 38th38afisd 9fif3e3aald -1f>2 * REQUIRED
    0Pd8le2asdbef e369c294lfe90e7a23r 407021dt12h2ci5s64 f499di3e5le42ddcb7 8-e08da9>3734b6db2 * REQUIRED
    bb1f2Pl5ee83598ae25ae49d56s31e2ad 7df582clae0ar8b 16tcceh3c79i1s47c79 f46ie50ac1ld74 7->53 * REQUIRED
    d5P5912l60ead5a969se 5c41c0b75l3e2e4adbr0816 0b0a3thb0ifsc 809fif03fd6ecc9ld 0346a2-75b>6c * REQUIRED
    743d8Pl92af4deaa0esed7cf c08b92le2a4r 4thcfa8i9easc7c84 f3f769if3el5de 0d6b56->664290534dd * REQUIRED
    9386e9dPl4975e6eaaa60s5917704d7e 4ccle9dbb965aar e6d3tabd5fh24bis fi1efca3deecc9ld 8->221d * REQUIRED
    a425Pb10lebeab0aes24ee 0ddec06el1f05cea1r7 9t2d1dh2f27id2269d156s4 2fa3ieldb 793-9>c22b80d * REQUIRED
    b4Pfcclefb2asc4ce411c5515 clbf79a9e8796ceaabr 9fefth48i3se dfci8eldbb5835 7c-7445>58218246 * REQUIRED
    f2Pl6e32ada2se 34cel4ce6eb3a776rb428fe7cd d0thc3b0isfc 317fib097e68d0dl2d1 -8885e63>757639 * REQUIRED
    5fe8ePl19e1a5esceaa69 c729l4de4b6d291360a4b886a70fa1r cth0aisa6 5fcci35e6bl98d ae763cb8->2 * REQUIRED
    6P1b6277l2cea2es8ea dec5lf7136e1af2r bd51thic0s32 4e97fiea9ldf13bf 31a97ed331ee1a186-8>bdc * REQUIRED
    75dP1lecaa7e3s7acfea5 c44lc741d7f5e9a58r b2ta25h19bc95f4affaiea9s 1132e70fi0e9lcdf 5-d>8d8 * REQUIRED
    Pl109eeaff107ds4ec2eb fdacd579dlea33rf 3f708thb9iesbbe 16e9f13f6ieffe42bc1eladfb ->6175bc7 * REQUIRED
    1a974dPlb1f2db216e7a6sefc9a 3b8cfle4a17e6cbre4d f3ct2hi04ds1 f426baa51iea704l6ed 1-9>415fe * REQUIRED
    Ple69a1s8de7e2 fe9cc71lf20cec9abc38frfb0 38t4943h45c4ddi4dd2fse fi93el7d0b ca7-6914e2>7b77 * REQUIRED
    3629c49Ple570cad6fdeca5d64se e1230fcd9l5ef79ear096 ef7dta80his64bc 6cf9ic3a0eclde ad-2>eaf * REQUIRED
    aeaPc9e4le8dcaaesac80e500 7edb0cl62e1aeaara 5t9hie727sb911 fe3i1e360891f87lcdfeb 67-2103>3 * REQUIRED
    ce6975ca83f7aP1a406032l5089ee118e42ase c2lce1cara997 cbc0te4ahais9 5fi39fee5ld 4-6b3e>1bfb * REQUIRED
    8033f2Pf7lfc1eb77ba69981b7s7ef5f cddlc615401bce8ar 8t3h0ie1c49e3s cfei0f6e0l3d 960-20>5be4 * REQUIRED
    3b1e4e4f4848938d9Pl9e80f4ase3 c348baleb97de5far 5645athi0s 10f640b77ai7fb9e46l62fd 894->e7 * REQUIRED
    31a5bPlc08e58f6a419s3be 36ac4ld8a841e809a415r9 0e434t453d70h1i7f9bs 0fid5e9799l93d f61->68 * REQUIRED
    3d5057655aPl37e257a6a2e3se02c156a21 cflae0fa710r 6thia2s89a293ad651 fi3el49322952cd ->8be4 * REQUIRED
    ce908c4Pdfblbe74a48sae1f16ce4f 5cl8e5a37crd48ff ta19hisc80 dfffie96ld9 5de5fb23fa-80>25c7b * REQUIRED
    ea5Pbl84ease 6acfb446cbfd9blc8cc6cea2rb18e9267508da e3ed1t36h9i8974s fie9fbadlb27d -2c1>60 * REQUIRED
    cb66eb21Pl443cbe72eede0a6a8b3se d9cle8e5a09r7 ft75h86a87i840saa f9ie6f5b3le99d7d c-78f18>4 * REQUIRED
    a44895c344P8le9996bad237a74bseab671 1612cecle664a52r4 t6fh85f57c32158dia9s ff016i2ecl0d -> * REQUIRED
    3112cPbb3982l2e2bbd653799ce9adf2bse c2c771lea2r 70t30hi9s883b0 10fielda6 2daec-77>8f681bb7 * REQUIRED
    8554Pl12ce3e8faa41asfe4e c91bb5le0d4da0rd5ef79f2a21 7de2a8t754d6hi9f6sa a80fiecle8bd3a -3> * REQUIRED
    fe61Pleadas81148e 301calea1r24f2a t6h045b9i8s d7126f54f5i6f4eb8l15dc7116b8 c191-ed620>3e5a * REQUIRED
    59Please5aa 8cc5c745063ce1l86e0664ac5r3 0tfhd64f6bid79s6cc f9ifab1e2l8dcfda 88cb53-79053c> * REQUIRED
    19846Ple97a1sede 4e9c8le2ebeca958rc6ad6 fthicd0b8a54cs 157fai8e8331ald3c353d 120-cf2>6e0e9 * REQUIRED
    cPdfc53f2eaele15121a6se40209 cleae620frd9 a94b06athdis2 68c5b955fi487316e2l42d 54-300>aca7 * REQUIRED
    3aPfblb55461e934as5be7 3cbl1e07a8r7d 745t88aa1hi8390d8s af4i4788cbee7c21ae3l07d 1-c2d>e852 * REQUIRED
    Ple0f6a1s2da3c3aeba817 c1a64l4b93ba74ea4dce6r8 f1tbhi48s fi77ec950acld -05>616964db7d6bcde * REQUIRED
    643bPbld8e4as0e33f c0dle29aae0849ef57r117954 bthfd8b2di2d4172s168c317 fd5ice4b2l05d -c>5af * REQUIRED
    e1eP92elea4abs4e c3ddfdcb7l3b584e9e20arf0efb 96thi08a6ds32 2fd00fdac1i9edelc71f14e8cd 2->4 * REQUIRED
    d75P8lfbe3bas233e3 583cal2e480a78rb f3th2a0f0is1644d0 1dcdf4i58e435dld3b63b7 ->533aa8882d9 * REQUIRED
    552Pa55le3b58d72f48a11c5s4c0816e25 5bcle9ar 786t8653d80hb3036is1 9f462if4e6fdl3d d-93>b831 * REQUIRED
    4a46P3elb3900e83e889a1d94e9cdf0b065se cea2l0ed2a1d7rf712 t8c8e7hbfi3s4 fef5a34bi0eld54 -9> * REQUIRED
    95d791d075Pc0l1ecd3afse 032a6cb850le6arc 97t67hi816s48ffecbb99 05f472i92299e5152el051d8 -> * REQUIRED
    72bbfPlc57b8e0bfas333e9bd cd5lbfedear2bd t9h23f8226iasa1c7fff 7caf9i0e42ledd6 b-ad950>c857 * REQUIRED
    4aa3b5Pl8993806ea44se5 13055e1a9fecl3b7ae7ar 96t1f1310d6heda254fis e3fbeielb7b0d -2f602>47 * REQUIRED
    Plcf2e8f6ase 98449d9c46l77eb1f582aere tbhai6s b15ffb0256f52ib96fc6d3e15beel38db3 7877->fbd * REQUIRED
    8f5b8Pl407707022c7e60as2327eb 18clf82aea1r7 c2tab9647hi7s 2d62fiae6aldd0 5c49-532b>274940a * REQUIRED
    bPa8l44de0b42fa3sbe569e3875f claee3adrfe a14athi7fsf610b 66f9i6e88el44d26 79-506>761b5c29c * REQUIRED
    d6Pleca8ab5asd20748e dc7ea1le391a9r 52tbh4i70960cc0es12a f5i50ec12acle0d6aedc 9d9-8>b37c7f * REQUIRED
    038aPl6ea8628s65ec12 bc976l8bef61a4aa8re8dc t34a4hi60ccs1801 7f6e74ai1ed6l6d4c8b24 -2c2>0b * REQUIRED
    08dP4ale2a05a78s6e9631f 2cf3ldea3afe7fr et6c1hidefsabe ffcia7329de377dl96d5f8f035 5->c301c * REQUIRED
    0dca0a1c6459f4P08l348ea6sce0 c4dc91le4a7r 1dt63hbis9be 6f440ie4lbde 7e-7617207>2f1e1eff1d1 * REQUIRED
    7bP65lcea81as9eeaec1d cl4d360e0e4384a3r8 e2t9hid3s555b10 7a7a9f94bi8elda6 530c33b69-b195>4 * REQUIRED
    29bb17b7P47l8ff8edase1c 8cc2e8lea989232rebeb5144c e3a5bct5hb6i2as6 1af3i0eld4 3->a0b424eaa * REQUIRED
    42019deP913le2002efabs1e b998c5l0e2fa6rdf9 thaifs d1ffi1dfed1leecd -097>3947ed3c98e72f3085 * REQUIRED
    84e7fec098e3fPa0bldede5a5se6b c3c0leaa7ra 4e4t6h4962a4815a1bibs e70af2i0ebl4d8215f4 d5-4>f * REQUIRED
    81cPal9e7as9247e9 clf13fe31ea0fe3d9842r858 66th9i42ds7506 9fiadd190eldc04 6-5e7>eebdf64fff * REQUIRED
    Pf6dle2d5aa4se3aa7 778f021ccebc9b3f0blear93246 t7his1e6fb32dd82f 2fi1c4b8eledf41f6dd60 ->a * REQUIRED
    Ple2a9d37d3ase27 9fcc1l8336e7366a9279r2e722 3t5010218ha3cis fbebi29e469f8l856d4 5b-72fd>78 * REQUIRED
    f647fee34Pdlae1aa657f1se8 2c992a5lef3caa9bba5r3 9t40bc11h46is 5382fia35417a8eee95lfdd d-1> * REQUIRED
    5308P9l28e7ceaddbs6ea9b5e5f0 c6leb66d37ac8r thi07cs f26f0f2i453c5db5deled0b90a9af 1a8-12>0 * REQUIRED
    8dPafl1e21a5sf86e060b7 203c189929a3le1cf73c5arb t8d6fhi182s 0abf6ieb85l0cdda 51e-44>40d5af * REQUIRED
    5P0elb2f1ce6a8sffee2 2c30714e3flfe6a5ad0rc 1t7897h079i15s 3d5f0dc8i1797e6eala6d6dd2 5->44b * REQUIRED
    0Paleasea9f2151b ecd9d4l4eeaerb cb0et87hb96b3ee2isf e669b46885bf56i6e255l8135cdd2d3a ->0c5 * REQUIRED
    14517P1acleab7fs9b31ec 2cdebled42a1r2c 1tccd285e4hifbsc 499dfbiecc682eld98c 18e52-51>7aff4 * REQUIRED
    Plae123as9e306b d90c53dld08413f03287ea077r 756eta3h0ai9s001 fib0b0ea7eca31lbffd10 e5->2974 * REQUIRED
    d00Plec1a1aea0sce2aa48bfe1 7c2l3eb44dac0ecr ec150475this 43f9ba7e4ccadei0de23ef9bal2d1 -9> * REQUIRED
    e9b71e358b9Pl90e8ab1b33aase7c1225 e9cle82a1338r1 etchi3s46f8 64b10adfie7l5f5d 030-4>07544c * REQUIRED
    daPl938a79ee73a5s7c3e1 42cfl6b0c1efae9b6d7rb9 dbthis86023 9fie6l1d652d13e9f -d1d9>aa6e669f * REQUIRED
    5d7feaa0970Pfledaac15af3as9eee 1aclbc36df0fb7555d44f9e4f57719aaffr thdi5bs2 ffieldc 1->149 * REQUIRED
    ed5Plefad658s4aede cdld9ead523a1189rf1 7tahi4574s2 befia4ef8f0a1028dl4dca57 73bcb2d-b>f9b7 * REQUIRED
    224615965ffc1b0a2Pbb2b689l6ee2f795as69e519cca d0claear4 t54hbdis df46iee6eal6fd9 -81e>b102 * REQUIRED
    2ca291d8Plf50ea7d49a5ee9f1se dcc6f71lear th8e3b7i1s7eebd0b87 37f5d1i7d5498eaaa2lde980 -7>4 * REQUIRED
    7beb018a5P2b33fl1eba188cs9beeb09f4 dc7l1325ce286a6r df5ct1h3be7i8as2 7f37i913el4ad69 -1>dd * REQUIRED
    028d0cd842e5aP47l0easdae ca21bceb9l35aea8a633ra78 208t666hi5a958cse 4e9fie7l354d4 -eb>c37d * REQUIRED
    2Pf315le33a99s3d03f62e6 clabee0755ef7a88ba4dac2rc5 354th5ia10fc5a3sa 1f0750i3eld33 -7a4>b5 * REQUIRED
    96bdP4e91l47edaase6 f71443cdf96flear4 1eft5d861bahisca5 02d0defd3e5i5e2ldba470 8-6>e2d58d0 * REQUIRED
    P6le598a8bfa0s97ca5fe897a a65d67cla3390beb434ar3e tahis1 c2ef0319232iaee8l315d baa-596a4>d * REQUIRED
    ce1Pf0l0e6eaa372ds6e ffclce421e3a5fdrc 2f9thisa7 f6ie8e6ba06l17db8 a87a549a25-b>8938afedc5 * REQUIRED
    04a34eP66le8a9sd5e 6ccle775arf0 431ddt3hdf60db7267031i9s8 d320fdi94e8l9d3c df22->81f300e50 * REQUIRED
    cae385P92lebeafese9 6e9cb7l2f9bee0afb92be3ra749789c 5th352d0i4b7s7e9 fieedcbbld 53-bdd5>1e * REQUIRED
    Pd74l9ebbd2724aa8es43b98a8ec8e0d c0fb9le5ar5a7 13t3cdhb5is 6f661d365i8el118d3 -5>4f8976bfb * REQUIRED
    Plf1easd22a4137ea081 1c9820le82246c4aar5c3d c4tf5bfh13d0isc3cfefb2 89ffife1e6ld5e5 95->e48 * REQUIRED
    32P2lc970ea6fs4ebd c9cf55e54lfc643eacr6b56de5 t54bfhieee9s2 9af77bi93el9d2ca8bc5 -d>8df779 * REQUIRED
    aabe8P98l7a7e51ba908se cbed4alec8856ae1r7b cf9fthcc2isf23af f55ed9eieldb cf-6c10e95245268> * REQUIRED
    Pcd3leca2cd8143s9b96e7ec963d92 3clea655617r8 33d080tdbhb46cis5 feaif6elacd91a5351 c5-83>4e * REQUIRED
    4P945l9c551ee83efa7669f6sbe9d 3f6ca20lc2551e4a1br3d 2a4bt434h4i2f53s8 b4fc43iedlad c-f88>8 * REQUIRED
    c67634c8Pdc63e704c63lea47dse6b05ade7b0dcf13 clde6f97arf t0hi9sf2 0f9fielf197df 1757-58>b6a * REQUIRED
    0a678399f749P7b6114lcceasec21ae c99alb4ef8a29r4e5 7ddth75i7s0 8f4iel1d17ccc1ad -a>90388f30 * REQUIRED
    f3844Plede6e1c0aa1264sed39d2ac9598e eecl4e441ar14 a501th3i355s7 49ff3i14eld d0-7>61e2ec3e5 * REQUIRED
    e193c36e8f5500cePbf79l7e0d49a97se cc6747c3al46e853e8fcarb8 ef8t71hi64s1e 60ff2d6ield 58-2> * REQUIRED
    Pleb8cad958sfb3c0e57 clee7bacbfrc070 937356fad9df8t6b1hci69s 4fia4ecc4fdld e2e6->177c99ae9 * REQUIRED
    deP6l2e19e61as39e bc013lefb502arb d4thi01s1a 71f18i028b9f2aea2bc73l69d258 9a80a-0f6ca3>f02 * REQUIRED
    9Pel1c6b0eba494e2sce d8cl343e0e3aer th97i5861897faes2a31826 fcc5i1a03effaf6l39d -ef6d>c885 * REQUIRED
    56Ple4fa84sef ca10lecc1935af98rc77448e 10ctc910148hi8ab67s 705fai0c4d03efd26l89d 6f->dcb30 * REQUIRED
    6adbbP24d5lea6sce5 d7402c015fd229el00eear0 tbhidbc1ebsc bf72if6af2e21l4db65 2-0adc8b8818>5 * REQUIRED
    88Ple33a5d7b3104bcb6b6ase 8d4c8fc52l1a819aea8r 48t3hbe9is8 e247a8dcdfbi57cef418l8d28 7a-3> * REQUIRED
    7daP41l14e6asbe 1dfd2cecc5l708fe38a5781rcf3 3et2hc258id0870s0545ed f6e5ei2e9l0fdfbf 33->9a * REQUIRED
    42P917lf63e956a7s2a59b15e9558be8 c7cdl53c2be516caar c6fbt7hi7822s f4621c1f5ideel7c6def ->3 * REQUIRED
    f3P1dl0be1ada797s9ed 7b3eebeb1fcl59bfearc at9c00his876bcf23 054ffie110c07lc51edb 6-33>88b7 * REQUIRED
    882c8b6P5d1l31de914ase1 e10baacbfle988far9 a5th9d44caics3 fi8ab08del02dd028 e39-cc0>12f538 * REQUIRED
    5faPlde77569as33179e 05e9cc87f23d3lecca7a55re0 t1hb94f5is33962 4ffi1ef8e7095l6cd5 -6>3759d * REQUIRED
    e2aca272db9P3ldf098fe4eaese cle9eb4911e4a715arf t884bch8is69bc f9i79e1lda6 dadab-2>466a2fb * REQUIRED
    P8262la9ae1e8aseac5 746b00d532cb6l766983eb881ea93r teh9ais fif36el12d84 b04->8abc60007b69b * REQUIRED
    P2lef8a8b2s6e c9le7ec8ar943b6 28bt1bae3h8ie1bs539 c95cfie5dec4accldc6 fed282b235eac689-7>e * REQUIRED
    ePl1eda080cefd8se c4c460544l8e6dbb2acrd7a bt8817h05a4fi7s18f 0595993eb3fie484c0ld ->4ac05a * REQUIRED
    573Pl75feafeb02923cdse cbfle66b6ar 99tdhe2aic5fa8e81s e8fie26ec07dld54ede65863dff37 1-d>25 * REQUIRED
    24Pleaaf9cffs9e299b 8c28bcfff7l67d6bcea6r21 thaeifdsc8e7 38fie1d9l248a190c4dd5a6c9 233->43 * REQUIRED
    cPlfecaa2712sbe 07c7leaf79r0 t0274hc032i1s 9cd7caf5i7eel1f76d b429e7-98>72ec6e7ff9c1ed8dd2 * REQUIRED
    ac5fc0eafPl6947ce3a6e0041edsaeec e9c45el6eca54fr thfibs fielded1cb9 a7e9777-6d83>683260fa8 * REQUIRED
    Pal38e668c05ad6fscb24e 81cl4ee683d80fba5crc3c6 tha92cdisd79 fib93452e7937ld -64a2f>971f4a9 * REQUIRED
    6efa188aeeP8l356e4a09sf8ae c7a8c2528b8lecffe2aa5r ef560this 0effeb89i389febeldded1 82-35f> * REQUIRED
    5eaPl35eas1d69e5f3d0 e3fc81el1ce854204ade7rf8 852d1a7thc1cc911i8s efifecld0650 ->e99bac752 * REQUIRED
    e94d51Pl570ed9a95s5be19200f7480aae b7calea31r5 tbhf711i4se0 0628efie7678ld8d93 708a-88>e34 * REQUIRED
    09d3453eP2l76eease 04cbl899ce05c57b815229316da8258081r8 9th6b74i6s572 fi97e28ald a2-d>28cc * REQUIRED
    7P6le7264fd4as3ef edae8cl18earfff97aa0 d920t2his e6a001b05f0ied4c5ldcda 176fbc-2b>35b4f371 * REQUIRED
    c3P9a23l71227easf65eee5c da9ce201dd6lcea5f42dd1r a3tdd5hfi6a0d46s12 0fielbbb22d1e 9->593ea * REQUIRED
    20b9Plee1a2d6a75fcse4 f906bcd2eccfele8f6af60rb0d tfhai35s65 53fai5e66dl445d49e20 f->4fd9b3 * REQUIRED
    b46b4P8lfe088f1a1sf29d5e79abe b72abddclea9r 8720tddh06ifs bef5fi5b2ab89e7fd29086ld 927->84 * REQUIRED
    7ee7e064e58d7P2afle3594ac1757e35se 072bc3l4975c7e7c7b6ar fe1cthdis feiec8lad 4574-26d1>075 * REQUIRED
    5971ecP3a38c5ad5ledacs0e 100e2f941clee10b2e8ar 2th0isdb3 ff49fi3e1ef094al4d6 -e>10e0894b3c * REQUIRED
    b79845524P4b0b3ledea030sf4500fe6 c8a8fle9a03c8r 4t41445hisb 2f0f9eiebfeecldb d28-16c889>72 * REQUIRED
    411fc58502P62bleaf0fseec88af6d54e c36el685e0arf 7t8hi3b87asde 8fb7df36i250efl8d 0-061>eee6 * REQUIRED
    63P11le2a6sdec610e c5al2e4a1cdb84da6r 63thc5i1s fb2e2i3el3ddd9d3d8e2ada1baf0edba7eb 7d-4>d * REQUIRED
    faffe89dbdPa3le1262ase 25edc4l9eac6acr6f758f0 ddaath6i68ab8s df94i5ec6bld 1b0f7b-e6>ad0c8e * REQUIRED
    d0fP4l82aa8ec3e1ae43s11e0 1dcl60d7e0a1dbca1er b7t60h392i1733s 60bfie9l33d47 60c->fbee21bac * REQUIRED
    e12P89b9le0067aebseaac7886e 33dcl4aef9ae8rf99b 12c2a8t2cf7hd1isf48d5 fie56ld26c 49-1>ffdfe * REQUIRED
    bb4Pl690ae0a4fs4871ec2 ba1f2ffcdl3ce9ar2123 tacc0430488hif6fcs76e f18ic9eal8d806 811->70ef * REQUIRED
    70P7l4e0d4e6b4afcs9ee4 cl0dea748387188ea8bc49r thieb2d9se508 3f8i70e018eld0 -a22a8e>bc5b14 * REQUIRED
    1Pl7de6afs323ef a6260eacc14fl9abe47bc94ar t6hi3s 7fidb84ebc7f91659la4d 08c-1a1>6c240ace4aa * REQUIRED
    0aP7l6ea1219asd8eea a0fd269ccalcea8720aarb11 4ta9hi0e9db34e7sefaba 4fi4ae7ld3 1-951>1b888a * REQUIRED
    b6Pcdc108b7clc254394eaaadfas6e4e4 c9fle4ae7ar 891bfbet521b86ee1hcics f4ieb6al701d a-41>c06 * REQUIRED
    5f0P84le61cc05bbda3sb95f38ee 2b1e30ce2bl69ear14 th297ieaa87769212d85s f581i46elad 5-5d78>4 * REQUIRED
    4Plbefase8b15e1 86b6c1blear 1012109fdt4806d65d7hie9s6df1e5 49fi5ec7ac36e1l804d071a -f8b>85 * REQUIRED
    18f4Pd98bdlf72efaa9se 84ec228l25e371986a4ra56a2fcf2d4 t1f3h83ci0s eea0fci7feld26ad -211>4a * REQUIRED
    e94P94lade88c7abs9efc664 6c6lea21re 6t0ac2f2h56bi2e71csf0db12 faf89e9ib6e69ldd85a 8a->03cc
    * REQUIRED
    514abPle2b551ease23899d6cc937aa0 5dc0ldea49rd3d 391t4h4i71541fs bdc1fb194bi8eeld0 -337>233
    * REQUIRED
    d236Pe6l9ca41e07e826feaese 5bclbbe0a1857ar70cf 30eth115ifs2 1ac5f7fie7lbed e6->c04c2e930e7
    * REQUIRED
    9b42P1lddf61aea9sf238e4f 24cl65b44fc771e0abr5b a8cth20086i2sbe2a25ea f1afiedlbd183 ce4-37> * REQUIRED
    35363aPlcd78be02ase34d 8c8dla7d078d2e1a3fr ebt792ec06h9ics 1f6dc2iefb4l5d 3c-16d300d365b>2 * REQUIRED
    5Pl1fef4a4se d7ca1l5ceara 582d99dbat826dbhf5is586 2fd4ibeaede50ce3l17eb6fd3 5-e372463b4>6d * REQUIRED
    5Plaeeasd21e cc42c32l2eaaar9a b3651ed4t3bhi4f6c3s0f 42d8f4f78af2df92bie9cfebld 0-a>9eb59a2 * REQUIRED
    5c94fP6cf9l76081e4as67eb 8aec586lf89ea4ar5 9e1t2hie1s2 ef4i4e8dd9ld0e f7eff-8477b931>24b1c * REQUIRED
    P95el5d1feeb68asf7031181d1ed cecl5ec11a7rb 1tchi9sc 9d7f4faiaa5f0el0d76b5d15 5->a6028ac88c * REQUIRED
    P6d681lea970e010572seef7 9c06l9e82868ce44afr 4t8his f7bi0d91e91lb632a2dccff0f5d5e 397-86>d * REQUIRED
    316872Pb0bl9e8d19ea8se4e a8cl7ec7arfeb13 d09dt8h72i1as69b4 efea9ff68eie3l2d282 808-78669>d * REQUIRED
    0813b92a929bPf88lc6ea41eced8s24c1e c6ld92ea62ar e58t1ahisbaec4d 8fi52a0c53ela6d a->258989f * REQUIRED
    5fPl995ea92a0bse8058 e4ce5c575l90ae07ca3fdf1rfb15 5th3i081s2 52fi24062e04394ldf4 -c6>30301 * REQUIRED
    c955Pl1eace0cse01 b50c9359l1ffea7erc 89d55a2tf8e7hc1026is110af fei56ea6l9d908 749-6bc4e>d0 * REQUIRED
    Important: cY2o2u f4m0ady 1bea maki9ng3 u2s6ec of automa4ted f5orbm-file4ling csoftware.a fT9hi4s type o6e0f7 csoftwar81e 33can tri3g4ger1 o7ur hid3e7den s6p1a0bm-6de2tection sy9stem, whi4ch bwill bloc09k you from submifbtfting this f7orm. Pl09easef sela3e4d9ct F0ix This27311 55dbe898b3037728f3c5oe9a34rbe 7b611f3d6ab372d03ea9a0255e5a538c32cec106990c2obmce1pl5e83tbei8d6n45g tb72hec f06orm fin oer52174d65er79 4a6a7tob79c correct the2 prodb825lem66bd68c2107.
    Important: 3Yofu8 ma3y bea making use o3f automeat0ed foram-filling so1ftware. 4Thi5s etype of 3software fcan trig2ge3r our 6hiadden sfpd6am-detection sys88t0em, whicfh2 will b2loc9k you from submittifng this form. It7 ape6pef6afbers that27 th3e pfroblem could 9not be automaticallfy2 corraectecd. Pl8ea5se clear any f4dield which a5ppe9ar6s above with d8correesp0ondbdfi5eng instructions8a29b4fc9f2ebfb4019385 3e0bf81e5affcco63e55eca66050048braf0cb5e3bf b8bc47b0com2aplcef8tin2cg the for8mcd in dord7e7r e816t09bdo c5o4rrect 1t0he5 p8rob2lem3.0 Wee apologaiz8e f1ocr t9he6 in47convendei6enace aend web appr3ecia80tbe ybour und16534ere5fstandi6n34g.d
    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 4:56 AM EDT
© Element Athletics Element Athletics