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
  • @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: 9You3 m2ay be4 85ma8kicang use ocf9f 4f49f3aut02o4mated 4form-fill8ing sof09tware. Th9is t4y9pe5 of sfoftw9a8re can ftr4igger our hidden 8spam-det3eccedtioen dse1ydstem1, cwhicah wibllb bdlock 1you from08 88seubmitting this fao1rm. P7lease s6electe 2Feix This4ddf96ff3febd87200c073fc85 6bf135ecf09e0ora9af98017de4 e0db3cafd93553ee7e99co2mpd7e08fletccing43 6fthae56 fo2crm i1bn6 1or432ad3598ere t7o dcorre897c1ba1t t1d6ebh2d2e 8afee7probal08e55m7.79
    Important: 02Yaoud 11mayd be maki2n7g use of aa2utomated form-f7iedlling software. This type off soft6w1are c1an trigger ou0r hidden spam-d4etect7ion f5system, w8hi0ch will 7block you from sub1mitting ethis 1fo3rm. It app7ears 9the4at the problem cou0ld naot be autombatical2ly cbeorrected8. Plea0se 6clear anyd 47ffiel2d which a7ppe6cars6 bbel2o2w44 with corresponding 9i3nstreu7cbtion3s50c4f6b479 94d7236c1de04b51e41f8593bdfof9rc85ba1478781edc55500e5c2 f2502fcomfple9tieng the f2or5m ein4bf orde49fr 9tfo c4d01o5rbrect th3e9 pro2blecma.d We330 apodlcdoe9gi0a29z4833ea for the incoenvecnicence a21nd we4d 5appr7ecif6ate you7br3 6un8dedrst0a4n1ding.1
     
    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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

    2019-2020 Element Athletics Program Specific Pricing
    1. Travel Indoor Team
    a. Tryout fee of $45 due before or day of tryout
    b. Season Fee $650
    I. $200 due Nov 16, 2019, plus $85 uniform fee (if player doesn’t have one)
    II. $200 due Dec 15, 2019
    III. $250 due Jan 15, 2020

    2. Turf Travel Team
    a. Season Fee TBD
    I. 50% of total fee due before or on day of first (1st) practice – early April 2020
    II. Remaining 50% due May 15, 2019

    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details)
    2. Indoor Travel Program
    a. Cancelation notice (written) received prior to Dec 1, 2019 - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after December 1, 2019 – client is responsible for full season fee.
    c. All amounts due prior to cancelation notice being received are non-refundableand responsibility of the client.
    d. Any player not current with payments forfeits right to participate in practices.
    3. Turf Travel Program
    a. Cancelation notice (written) received prior April 15th - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after April 15th - client is responsible for full program fee. There areno refunds.
    4. Client Late payments (payments received after applicable due date) are subject to a $15late fee.
    5. Alternative payment arrangements are available by contacting and if authorized byElement Athletics.

    Element Athletics Player / Team Tournament Registration-Cancelation Policy
    1. Local Tournaments
    a. Full payment must be received a minimum of 2 weeks prior to the event.
    Without full payment a player/team (client) is not considered registered.
    b. Full refund with 2 weeks’ (14 days) or more notice of cancelation prior event.
    Cancelations with less than 2 weeks’ notice, the client is still responsible for fullpayment.
    c. No refunds with less than 2 weeks’ notice of cancellation prior to event.

    As of August 1, 2019
    d. No refunds for no shows, forfeits, lack of players or any other reason with theexception of possibly weather (see below).
    e. If client no shows, forfeits, lacks sufficient number of players, or for any otherreason does not participate in the event, the client is still responsible forpayment.
    2. National / Regional Tournaments (e.g., RCC, Beach Bash, 4Goals, Shooting Stars)
    a. Player cancelations (written) received after initial payment due date and prior tofinal payment due date– initial amount is non refundable and responsibility ofplayer.
    b. Player cancelations after final payment due date – player is responsible for fullpayment amount.
    3. Player Late payments (payments received after applicable due date) are subject to a $15late fee.
    4. Team Late payments (payment received after applicable due date) are subject to a $50late fee.

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
     
    b3efdPl52d69eca3se30ce64db 3c8l9690e9a34r6d atchi5fd7132c3s1 f0aie2l1764db2 aaf2596-7>fb14 * REQUIRED
    3c629edPcl6bebedd879a8a5sf30e cbl01ffea64rfd d9tbf4his2 afi6b1ea5d7dbldf3f -4073>09a02888f * REQUIRED
    abb7bP1fld3ea9se734 077f8ec4l15ec7abr 36tc7354h2e5is03a85 f8ffi308e2b0ld f-139>23ee9712e5e * REQUIRED
    29dPfead45le48f1d0702f162a9s9a86e 49cldabbe90a2er ftc26hid0e6sd cfi907ac2ef18ald3 0-9>b006 * REQUIRED
    6a59Pclae24a7c2c67a6se cl2bf0earcc1 8e915th4294ia52bsbb 08c7f7if01cec453l5dd 25eb506->efcd * REQUIRED
    7cf3d820a5bbP61clea5a269dse5 dcda11lb62ef951arbeb0a71 7thi41s fi2deal6d -d66e9>67b9a1eb56a * REQUIRED
    758b49b175P80d0l5115eaeas1e89209c0387a ceebdf4lea4r 279cb3t152ch1ei54s580 1fi0elda 2-9bb2> * REQUIRED
    c0ce11c32Pl8e8daeda3ese64ec9 c7lb58aaaea0967rd58e8 4cf0t840ahibes5e2 f5ie8lfb96d 7-d2>84d5 * REQUIRED
    0bP6l710e40a9d00s468e85f5 cl4ee5f7061arb3 tdh28dai3d6s856 cf14i5ee608l6d63cc -6c957>7bfa00 * REQUIRED
    3dcc3P12lb7585f116ce30ase3f1 79c5l4de71ar d9t0f721hfi88ds780 fie662l6d509da 0aab-4640>9760 * REQUIRED
    63cPael4aea9eeacs42825ce93 ebc23l7e1a567aafc6rd4 2t0hfie9s 46af302iebldf3ac -ee>42de679b71 * REQUIRED
    93188605Pl3c7070efads4e3 7fc6cl2e1ar f8bdta6cb78h8f110b6e56is 82f2bi1d44eld8 9ae4-cf8f2f>f * REQUIRED
    6f10P8fle7aa34s62e dca6cleeacr 1b4dt8hb0i95s7 448cb51f4i2910e88ald -69ff7b9e2127>7225a88be * REQUIRED
    56970Ple647479f01a3a968sd2ee3e0d0b cleaara 7th3e342ai59s1 8f9i0cde665l394fd3376 82->732f2e * REQUIRED
    Pl39e61b2e5a62s689bea4e clef02980ac0r c3c5tdcha4ei6eb9sa8 aea6fdi59e4dad6aeldc8d -1fdc9>48 * REQUIRED
    be1P75l7eaf5se e1fc9ae9fc17ffl5b9ef6a78e2b2r e76150caet8803dhi3s37 f4ie1flacbdae8d9d7 -a>f * REQUIRED
    98d257cPc9030lcfca22ceacdfsd05e cle8e5a819r0 t751dhi9928500s57 f47cdadiee0lda 3e724-06>85a * REQUIRED
    ddcPle536as3e9f c6c8c6l75cec1cca2310ee83011ebrb25e 0thd51ais3c74 1efbbieed34ld -249>1b8e39 * REQUIRED
    a28Pld50ec3ecf9ea7s325e cleaar609df3d 2c08c02et67h7i5d748s fi0bb0ddef8cb3lc3ddf7 3-a16>845 * REQUIRED
    aed46bcb3Pc52ldaeb8acsfa3e66e cl264b1eeabr0 ct9db72d80hfi42c322s c1fi5e58ldce2ff0 6475->e4 * REQUIRED
    56a4P4le19asae7d7946c85b93e1eb4 e886c83l8e8e3170cfbda7ar6 ath1i7s5ecba8 f8bielb8d20d6 -a>9 * REQUIRED
    660a5182a65aPleeas5112e74206313e 3171ecffdl885ea5r tdhis966abc 890fd3dddf0ieldd44c4 83e8-> * REQUIRED
    Pl6ea95sf09c4e c6eddbla5ear82 f4thafics530 3fdca004i049a89afeldd 3dd75fc77ac3e-3>64bd1de11 * REQUIRED
    f988aa006P05leaf77f224a0afs31e 3dcle07a19r8 625td8h528i44s4e465 e7b0a1c85c5fffi1eeld2 0->3 * REQUIRED
    7bc93Pl029450efa63s6e2 c84fe433le1ac44a93a8r3b t54chi054786s60 cf987ei1eal591d9 -1479>83c2 * REQUIRED
    9a068f8b4Plc8eeea197a2d899df7se230fd 4ccl1ear3 7b30tfh72id3s fbdd19cfiebbl4c6d54c53 5b-96> * REQUIRED
    34Pe62lfebace33dbecs2b7ec595 228clecf6arc4ecf t4ed426hi848s fiecld0297d0cd6d5 d7-0f718e>a3 * REQUIRED
    3P9ale8a0se af9ac4613cl7e44ba17re325 0b2a5tchaac7bfi40s 209104fci2e1l823dd ec4adb494-5>0cc * REQUIRED
    e7P88dl2ea0cde3s2645ee102e3a 4500c10c34l54e713aeera t3h7e0i8s e84381f3caiel06d 71c3e->3fb7 * REQUIRED
    522Pd9lea122209a09da7s46e8f6e44e89 9d878a343bc5leed9darda5 0b51thid2s0 7cfiealdd6 f2a->a01 * REQUIRED
    7cPfdlae6as401a31e b238a8dbab2d7f83bae7ec6le9ebf7834a3fr8 thi52sc 6f2i125eef99fb129l2d ->7 * REQUIRED
    f64Plee202bas56ea2a8 61c01lce0a73r tfe57hi54c04s 5fiec5f7e89l0dc009ac59e8932 -54b5>87cc275 * REQUIRED
    c0a767P1l2d7e1as5ce 2fc40cbl5191de4e87baa0d70cra tb7hai695s71a cfi8cefe6l8bdd 3-e>820191e3 * REQUIRED
    e8Pld8e6a8bsd00b7f47e 56836cbd4l2fe48282abe6ar399fe310 2t5he5070is 09f5fi34aelb3a7d97 d-4> * REQUIRED
    P86a1l8eads7bae52bda5b 6clbd0dea3r t715ch2113i757s fba4000a5bebiae76a8l2d35 232->f07004af3 * REQUIRED
    377Pblead9b3518sa2485f1e c6d0l9bc245ear73 at134f1h7b0i68fcsa4d 7c7f4di7eal482d2344d ->e615 * REQUIRED
    33a2Pl29e1c65dab2e5f3cs86eeaccee4928 cle3e652499farf1 c9764tbh7affiefsd f87bi6ce3l8d f->59 * REQUIRED
    9664fd6cd79Pelead1dsce 5c1l00a7ear77c 3bf58352th24ff3is abfi2fe6led1a745 a-9e641>547dfda44 * REQUIRED
    64778bPcl471906ed1asbf89963e3 fca4l6ear6 9cth8676ae81ie5d7se 18fe66i8e788ldd183 968-5c59>9 * REQUIRED
    4036dPl0cf0895ea2f9s0e62eb 8c96lea25d7re th2i0s95f ed1ffd54f67f27eie0daac9ld a2f840028-0>4 * REQUIRED
    a664ebPal5acea3sdafe 53ca3alc9ea734c7r5 a0cd1e41878bthi6793s0 fi76128edl201e2c3d8734b4 ->5 * REQUIRED
    4d7a1cab9P0l993d23ec9a21sc4e cl5a3e1ab5b0b0dder4289d t5hda1ei0s a89fi0e96l0d6125 ->e9a5042 * REQUIRED
    Pl8a5e5a5sbec865 2c46a3l2b2efb6ca3r 43b87t88ba0hdi20bs fi35elfdc3e873108d2 f-97a>88c041815 * REQUIRED
    P3b1c860d1le2e7fab1b538se7ee 2ccaeadlea171fde87438ar206 19t1he00i890s6 1fi2e1l31d16 9->9bc * REQUIRED
    P4l584e6ad3b618dsec cleaa44bac09e84b9fr t6939h5isc28b bbf02a5dc23fie8ef1ac2ldf 0->ebbb7650 * REQUIRED
    Pcb61lbed540f52aa7bs6e 184ccb04lea3r t59ch0eis847 65f0if8e3lc346d dc6b-d654a91b>97cf64d7e1 * REQUIRED
    P2l8a4e6as6e 5c7ecl8e2baar2 t80eha956757e0is832 00fi9delcc9d 07b824d02e6f80f90432-0e8>78e0 * REQUIRED
    fbd3b6bf706f479a8Pfle8d56a2aa6s9e9ef 50c488582e0laea4ar8d4 th6ib3es2 f5ib4eed7elef5d2 -9>8 * REQUIRED
    9Pb7l7e5d3a8es940e 6c6el0ef8e9d8437f5earf 3ta95587hib3s 21fa81fi1f6ea7felddd -20>b270bbc38 * REQUIRED
    11cdabf7Plcd10e9bba9a1se ec5fa4899lfde70ear 7th5d5ae85is b4afi4fe839ld92a56c02bd 6->92fde7 * REQUIRED
    fPle6298ba1esa7e5947 a7c5610e5cle5a8c8r bb0ad2tah38i05sf8 f74id9993ceb79lca06cd8 7-f>440b6 * REQUIRED
    49P1fcee70c9lce0fa1s14e150f49 ce8ble33a2be8c95871arf9 96ft0h19i37as5 ffi8e3l6d c18d6a9->8a * REQUIRED
    5a8ad2864b6625Pc2le8aa4fsd40e cl66a72e9adr062836 t01333hciasb9370 f95ieb0efl098dfcf 5->62d * REQUIRED
    17ca16453P8cle4000afs7e e77c0lcebb8a9r tbhi567821b86csf4 fei295c2el7d32 85887344-9ca>e30a8 * REQUIRED
    a2bPlea2d87sb74e e99f5ca75dc24431le55e1b8a8rd 424this8dbfbc fbi3aeeb71l176d 0c8-e>21b99d43 * REQUIRED
    Pb4fcle75e540da16bsdbe 699cdlear t4b567d118a40ab49271de117eeh4cai8d8s 8338a5fi1eldde 3e->e * REQUIRED
    4e5Pl9a261ecas7bb2ae1c ca45463clea1r t5ahdda9fib3bs8ad5 ee32befiabfe3l5595d554 ->b9024753f * REQUIRED
    cPl6c9ce2bc6e5ab2ab2sde cla72ea710ca5126b7bed074b59r tdhi57sfe 58770f83ie1lded22 5-c>3172b * REQUIRED
    1df61Pdb9dl7bc5749easce95 1ce64cal574ee7f51a4r t5e7ehiaaa645csabd9 4fd05ibe432lfd 0-d257>3 * REQUIRED
    e61P6ledab6cc6sec88be749c 27clbea49r4195 t1h7300is0f54 7deb83c5fie861c9el7d519d5 e945-817> * REQUIRED
    f57bb4Plea2b6se ccl98752aec88afbr718 8611t2be40h00c3fisbbd 0fi47577ee85c2l0bd8 1dc->8770b1 * REQUIRED
    f70f0P8dcl5ea1f108se e92bccafa2cal2ear 29t5hei3se5 2013a00afbe8f64i919elde45c3 a55-5>dde2c * REQUIRED
    4355bca195518beP955l7e23a48ase4e78f c6ec8114l33eadebr2b etbhis7 dfiel30d 6548b0da->d036e1c * REQUIRED
    d12de1Pleas6d3ae 4c8lcd9bea9fdabf33802ra 32t249452ch85isca1 fibae3517blf0206f33dd b5->1f1c * REQUIRED
    Pfleb6asefcf7c4e2de1 27bcaleebb0a6r c6t9ech10ids33acd701478263b8678 42f3iel0d35 7f08-4e>08 * REQUIRED
    168a17P1l381eb393fa61se6 fd6dc95lee7dd2a8f5df4r347 e793bd2thi458cs75 cfiace8c1l963c6cd -4> * REQUIRED
    a79P3ld1eeas741e47 c550le59752abard8918043 6t4663hi44s200531 3f2bbi9bfebl5bdc3ad f5ac-0c3> * REQUIRED
    3Ple4beaf0de5s41ce41 dcdleaa1ca3rc44c7c 3b0thd5fi1sb8e 75a859df02iffae16fldbb3ea -eccc7b>d * REQUIRED
    fe5P5l151d7ee6e8a5bsd519e3f441ce69 ecl41e1ce1ar 92ta9hi16ccs 5fd59c76id865e97ld -562e2a>74 * REQUIRED
    c3b96Pel76ea8s6832e86fde5 c9le159efadrd82e96408 6df8t558119dh2is1c bfi459beld95c5 e1->e0b3 * REQUIRED
    9ce07bdPl57e619a8sec cdalfeaeaf0ra9ccc 2219cc2thbic6s48 fi9el64c8bd301b3d75327b2 52-4d3>03 * REQUIRED
    8e2844Pl3e51df5a052se acecle67da4ar c8t76hiefcbcs263dde0d0 fiel1826fd432b1 fc-d>251f73774c * REQUIRED
    6880aP4leda66s514e91 c0l9fdear34 269t46d56bheb8ib82babs fi50a50d1dbeael8fd9c7f0 16-04>7148 * REQUIRED
    da2b041P0ffd9l33eacs9e6 c60d957al1eearc btd63dfhi84s69c05 78fi3787el3bdfce271024d3 -6b>a4c * REQUIRED
    ePl80814e74adfs2823e5cd cl1e210791219ar029f114 9th88i21fes f4fcci3ce491200lb13d7 -5887>ed6 * REQUIRED
    227ecf51eP20l003c19efa30seec6a 3657cl3f2aeb6arc2 bc8dth9i7fb19bas 172ecd0f64ie86fl2d8d ->e * REQUIRED
    0P3le67ba00sc0b2e c25l7ace83aar4d3 3e63a0t45hei55b3b2dc404as faiel620d293d -da43b>08f8557f * REQUIRED
    bab90Paleae74ffbaa00c02045s19e0 cdl34ea2er a5t2a14d4hbi2c0s1 2ff99484i8aeld -7a06>9456f95f * REQUIRED
    d1ce3d76d7Plea83cse8 cl36cea25r1 thisba b68e6d0fea9i88ea3e18ld028edb4e2888a2 -a06>949da2cd * REQUIRED
    8098d002Plfe9ea1s60dcbee 8ac2l751f98aec60a2r tcfbh6ei7sa3 f18f2c606b5ed9bieldd 2fa-4cc7f0> * REQUIRED
    62bPl24easa59e97 9acl7c9c4a9e5a93199ac140r 82dtach7ia4ea6s7b03 cd90f27f1f6ie5l2ed94 e->1a9 * REQUIRED
    7c50Pl98e77aca1sd68ee25ea c6l9e91ar 8439t242h9db94daia4sc26b 86cf3ie9lcd f->fc39836e47364e * REQUIRED
    6512b4Plfddaeacsad7d89058aefe8f 9cae26l10ear18e8eecf thibs 7fdd5ie7l3fd38e3a8 6-6a>e4ef167 * REQUIRED
    ePl0195ec75fffa24c29s1e ce31c4c4leb3a3bacr8ce13 62th830i7e1s6 97bfi0a2a37eaa3ldad8 4a0->48 * REQUIRED
    a32P2c0leabd90ab9ds13d12e5 9c39l7ebec58a07acdrccb7 6th6adci47sf fd164i3eldb65 ->207881c4bb * REQUIRED
    0981P06l168eaec0sd49e9863 acldaeaac2r 4t3dfh76cib533s894 aefi62ea4d1bl5d 5000f-90c62d8c83> * REQUIRED
    05a5Ple3aeas985ad8d3d1ee 2c4dclear600c 97t71h8i9136s1daa bd038d2f4i3ede4b640133l7ddf 0d->3 * REQUIRED
    9Pa3a8l3b4fea97df47se06703 b9a4c77dfa8cl0ear det897h8i9f68s12 f21i3b635ce6e591ld c-04>3fa7 * REQUIRED
    bd1Pbf8a7ele4122aas70eee5d cf23l1980e1ar29b0ea6 t8bhbf5e60i575s94 9fieldf4f41 c3-49d2>9b20 * REQUIRED
    bPfl62cea21b8b1f78218s2201e0 fclde4ar thi6cb3s851 53fb9ba2i851d39491ea21l0d01 e5-ab5>60ad2 * REQUIRED
    bP3l39e9a74fsb64ee0738 d71cclde65a6999car3 685tb3bh2is94d6 ff4b2fed88fielbdb 6->191724e70a * REQUIRED
    P27d1l3eabs68ef ade563c2l7555e35ce5a50r1b5296 tc1h12308i7s 2f097ieb21l6d705 77e-a>795c0e56 * REQUIRED
    051291P02bl0e9fea30se 61c78lf11f2eb583a80r t67cehcaeib4asd fb1iedlafaddca303d -6f94f1>a675 * REQUIRED
    Pa8b5l6e7acse82974e 20b4bec56lfea92ff33682ebf1r830 fdthb2ise 654bd5cf2ie97l3dbf 9e-3e319>b * REQUIRED
    c740f4e417f7aPld0ea73ba3s6e 05dbcledefcaarf57f69436 0c86t7hc2baibs 68e9df3aie1led3 c6-25>2 * REQUIRED
    8e3P5d3ac1lea37074e530s71e 26cl1639e53ea18a30ra c2a0tb3fhis2 fi6e9a5b7d1l3d 6-3ba>60223d42 * REQUIRED
    P7lceacfs913cee40 81c3l0f30a2f8e8aa66acd3e4100e6rdbc t6cfhif7b11s81 2d826fa452i29eld f->a2 * REQUIRED
    f7b4ePbcb20le030ase 1cl2eara thc3beb9f426i1bbse a026c2f762di17fc8f5a6ee3leef05d 0-f>d04d3e * REQUIRED
    ce5ea00P8a43l6ea1sba569ee0 bf0f2c87clecea6c1r34556 th9fca4i3fes fie9l65ffed3d41c ->e4bc5eb * REQUIRED
    1bf4P1451l016bea3sf315e ff6ce1lbc40eabcedf6c1r5baee et766hi231c8fs2ba 9fiaeafee3ld75 e9->9 * REQUIRED
    c23c9P6808842eleas8ee cl3ecc5d11ba2r7c fb7bt302hbeiea8bsd 8c181fi1d65779e098e08l7d 2->ca73 * REQUIRED
    e9c827e9eP1663b8l8de6as5ceaff6 13fdcleaar101 th406aeci7sc71995 fi1e8lad7a c-fcb0>1fd7bf6b6 * REQUIRED
    638063Pe5l7e6a3s4fe2a384a 2cl6ea6car t3a0ah0653ib012es 9afc1aie810dld1 c7-13d3db82>1febb33 * REQUIRED
    93P87c7ldeas8e acl8ef05a31r7 0th60is0 3fi188d893dae9f34e433c6e75ald439bb1b0995 -ed55>7eea3 * REQUIRED
    d0bPd38leaa3se83e810 449cl4d6be2246ffa70rcf61ccf0 th5i88sc5 f5eiebceld3c cda-de>a30fe6983d * REQUIRED
    Pdbledd43eea6a9fb1s7e cd72ad1l1e3aa0cfa5ra08 t1h5faci3es6c 311f7235ffiel35b9f70ad0b -4>77e * REQUIRED
    65Pb1alea1s0606ab8eebbe c0lca1e2464e7a4ae1a37fr5438 ta1his f8bi5ee0ladd e32-48802e9b3>7742 * REQUIRED
    2e0ebb33142bbP679fle85aseb 1c8le6dar t1h5db2852901f9ise4c4 5fi1e81eld ->a8d6f8310019c8afd1 * REQUIRED
    2863bPl4ee5c2f2ceas2ee0 7ce2le3c703car 197td3781bh0i3s7c d6557dfb0i55celd7 0bb6bf38->46358 * REQUIRED
    967P0la8ea5s591e 0cec44563fle3421ar78 9t8fd35ce9hi5s fbbicc3edld7f10 ab607d5a82-52>690d1e8 * REQUIRED
    4c08627acPl9948e3a3s51e2 8e99cfl1df2cea47er t370hdbb24i926d9s05 cfb701i3el38adef28 -b>d81b * REQUIRED
    b0d2426bPld9eaasee8f6e1 44cb9a404326l6189e76arbb 34t6cce5beh3i2069sf94 cf8ia4fe59l00d8 0-> * REQUIRED
    adbPc04e0l45e379aes0f2ece3 c071le3ar66b 3bd38ft0h5ie47219df7sddc6b6b531 fie0l3d 45a->0a09d * REQUIRED
    f0e85aePfdd9l4ease0 4c29l25eeb59c0ar5d54 0ct29e3h8di0e93sa5 d35f29bibedld9d07e7 2-75>3a607 * REQUIRED
    ddaPl2e893eeasee71f 16c71f00l1ee0e8ar cbc0tah7e2is0 6f23c3f5d4cie68795e1cb3ld4 -4b>c7de2cd * REQUIRED
    835bd9d2Plea10s58c7e 0bc80f1l8a7f7192e72adr 7t1a4d0h1i6es 7f3ie049ld1d244ffadf ->5495b2962 * REQUIRED
    126P1537lefaf9s8fe0de c04fd9b2le1a9ae2fdfre ft6fh4531isb ff1354i1de649d0eelbde 0e77-5c>fbf * REQUIRED
    Pclf4e56bd2a54se1 531cle2aer2ed19 t580a3hi2c9c72d8253s6 eff4ci5d13el6ea5d92489af5 0662->17 * REQUIRED
    f29fP08d614lea764s5e525 5c9805l2e1564dca8805fr82 84bca4t92hi8s 78fd4id3f26848e0a8l3d6 ->d7 * REQUIRED
    794934121a69a5Pd8dlf44390ease 1e1bc49c3l2ea3decf53e3rf 7fa3thi970se 4e06fiae1l44e17d0 ->13 * REQUIRED
    7beP55le1e3d0a727ecd62s1559e72d 1cl7e9a06afr b6f5adthcd3is 8909d1fdia05efld5ed2 90-7dc>be2 * REQUIRED
    1eePlbeas261ae 868bc7cel460f457905312f0eda7r 8cthfis 19982fie31f0d9el45dd9 -c25e61a738a>b6 * REQUIRED
    a66817fP5cl22688269e6fba1sfec52477b96 76clf7ee001bar ct579a8hf5i0s f8fic9el9d95 d6-ad994>b * REQUIRED
    7a78bbbe7P43817l3fe760a5esed7 a16da83a9b8c03lecar3 tbehci94cd7b0s f3i0e324eedflad0 2e24-1> * REQUIRED
    57003Plfb7e805a2ese2 cacl5f12eb8a6r39d t2hi2s3 88e4b6d8f6ib17elad7078ad508e2 7fb856-30>adc * REQUIRED
    2bP7efl4325bd73e5941b13ca7bdd2s3ffe cb6l27bb870bfd3ea1r79 39this1 0a0ebf9aie9ld 46aed1->f2 * REQUIRED
    d7Pe9la7c6e106a5dcs141ee82e2 c3l8474cce6a00f0a9r63 ct5dde8hi8sdff f479i0elad7448d6 9->8a9c * REQUIRED
    55e966dcP3d06eelea3b3ea96295es9e2 4a6claeaber5ed d3dta3cd9762h6disf 2fiel8d7 d06cc97->8938 * REQUIRED
    P7lec7b4asefe98434421 6c7alf7ee7a4rc377b93e8c612 b3ftdad5hfd7is4de fi9bel5d11 a6-289cf4>b0 * REQUIRED
    aP1le75351b3c0ada0se2f b14af3c61a91lf6cea51fr7cf tfhies7e40 1dfabcield58ab b-8>c923c2672ee * REQUIRED
    Pl185ea678297s0ab1033143e 53c6lea2r 9t63eh1416is 128fbid502d7e34e4478c5bcl0da7 ce-0e637>c0 * REQUIRED
    9a7aePal6e4a341ce9ad2se8 6da8cldf10e0afr68f d858bt7bhfa08is ed0fiecl2dbd 24-86>14f7711f49c * REQUIRED
    55cbP2leabs3e8c04 06c19112leba838f08r673cb69 1e0tbh4626if5sf91db0350 1f4i0c8e1ldb9f -e5>66 * REQUIRED
    033e612989Pebl2faceeaaasbefa825b13c c8a7l9eafr2 695adt8hi6s 8f57e2b8i5e6dcld1d7 -517>f8d96 * REQUIRED
    70086Pl6ea8as06cb21ceb8e5b88c 8cd82006f78bccle0ar071362 11t1874h66aa3di1as 0f0ieldb 8-ff>b * REQUIRED
    P8l1e9a3461se64 cl90eaa521r8ed 9877e9b96d2518tbf3f6hf52f263i99s3 66326fi2ec4ld 36-df8f>e9e * REQUIRED
    bc38b7fa3Pl8cefas5ce 138013c7bl93ear 3dcte5bha390079f31cis6 20eb0fi3f398e7ld948f1 -4fb5>33 * REQUIRED
    1aaaPfd98836leca8es4c3e2 cl33e3e97c7bar7fa at82fdbhib8s6 0fe21c0ice240ealcd14 b935e-d>4a98 * REQUIRED
    1P1lc6ce5baa2c8s3e70 c9ecd4a1bl8b2e290eab4r5 t1eb4038f3ah5ies f23dieabc7la07d54 9ff->3fe8c * REQUIRED
    02fP3l6e8as171ee064890 cele8aaabb19rb699 t2a769eh9i8d52s89 c1fe4bi97ae2ld70c f->64472806ec * REQUIRED
    d0e6a4dPf9el9eafa3s7e7 c5l35e4beadr4 ate74h32f3i4s76b 9edbff47i7a403aeld373 8-3>f2575e39e1 * REQUIRED
    d7449ff01Pl35be2eeafsc97276b67ee7 ec2le632ar a7ath9a2d303cis0 f1i59eb3ldfaa ->79976f920836 * REQUIRED
    d102d2P2le358abs4ecc 2b961c6lear8cba 0eethi1520e0s 6116c3c6fi9f563cb790e1lbd82b2 76f3-2>ef * REQUIRED
    1e96d01bea35P1led4df7adcc972ad44fbds1e1 6b9cca3c3c28flear te8hisf fiel7cd1d f626fd1-f>e8f5 * REQUIRED
    dddcdP2le9e9aeas4c09ee33 fc48lfaear1093f90a aethis31 2fbb467aie9l9df73beb d4b->0813cea1de5 * REQUIRED
    e35b6P6d8b3l83ae00asb6ea22e 8bc6b2lca07b840e246fe5a93rd 1t6hi01sa 92f3ie105el4dc2 ->28ddb8 * REQUIRED
    8a7dPlde34f8cac10af62a762sc9fbc6758e 7cle7ar3f97c c263tch2i7s47 f18f27i5eld85 5d4->448e64d * REQUIRED
    a06a191Pleb4e0as6e4e59f dedc4l93e021882eaar4b33 f76td1hi26s fb18a11d94ie4lb6dfb1aa82 59->2 * REQUIRED
    3fPl533f9a3ea979edbase7f c77l5e4caer3 b11t499hif4esaad 6f1i66c5dd480d3el9dfe991a b->0581ca * REQUIRED
    20P38l4b9caea975cs058e 046bcle5arb70cc0 86t6hcai9b84s 2eefi744988cc2e12c9ldf6ff621 82-2>c3 * REQUIRED
    3e4c90P8dc66leas14e 7da1cble4667e75a9634e0r ata480ehbis02 9fi97299el52d54d472ac bc-e2a>f5b
    * REQUIRED
    3f6P3909le1as3e5 ccl9eea609ar02 thib0bs2e7d47 5fbafi0de4ef93822l8146dfd3b0 2-6fb977>371e4e
    * REQUIRED
    40e60d8f7Pfle5beasb0ebb fccdle70ca620re t31h02isf7262 f78i52e4lb45cb4de35 648-f83>c9d1c401
    * REQUIRED
    9f94Pflbaae59a4dce29538ac24see clea538cd4c46re9 1thisa80c bf1d0i6bae4cdl71ead0a 1942f-c>39 * REQUIRED
    09fc4eb719P6c56ca89bd0c055d94e69l6easce c4l639ear2c 6th019eia9sd c08fib6e7a6blad 99->669bf * REQUIRED
    fdPb3l526ceba0se9 3fbdf9c357lbe9a85b5r8 fta8h31676i1b45s0c 31df2i0ff7el698444d bea-d1>b2d4 * REQUIRED
    2eaee2Pel9fe3asea677 7edc717lea2c01r1 03ath4d7is7fc727d 102af2i1fe8dld7665aa 6a46-ca>156e0 * REQUIRED
    3a9e5P7lea47s170edb ef04dcle5e0a051r65a3 e2t89hdi51158d56bs 6fcfi2eladfd4daf401f8 d32ee->7 * REQUIRED
    8ccd1e2dc05c4335P0ec2dle8e20e646fased5 c431220l7e7ca33r3a87 3thics faefd31ielcd 0c94->018b * REQUIRED
    c3P24lb1b7bbf8bea4s0e7 eb55c1l1e794d1ac2db3r t6eheifse 7fie3l6d16b6 c750964-f595a2d62>1c88 * REQUIRED
    4d32P2l551eefasa53ceed31e5 4c625l911427d08eear tea28hbi2db6s0 14fbie12acldc c7b09-fe>5f279 * REQUIRED
    fPlbe5e3a32ds325e 2cl13fe9a1a3drfd73be027a90bca 4cth08fi1s4 f54if8fcbfe23e4a4ld55 -f>246dd * REQUIRED
    9Peleasc5571e8b 855702cf27l41fe837a9af9rd 21betf0hc6bi21ceb6sb04ce77f fe7iea51adld 7-68>36 * REQUIRED
    23P2ld6c805e9ad7b4s51872c171b98e76 5a0clfefd8a795reec3 th69734ifs f0a89aeia93e4c3lde3 -9>5 * REQUIRED
    Important: You b9may be making use0c of abu62tom6a0t8aead4 1for0m-fildling 6s4offt5war7e. eThis type0 o96f s90oftware can9 tri1gger o6c2bur hidde0n sp06am-d6etection system, w1hich will 0b52lock cybouf frb1om 09subm7ic6tt0ineg e3athc9is form. Please d8se0blecct Fixf Thisf099be4bc13e22 1ab526e7f1fo49455r7ea62be9faffe63d3 a5a5be612e841d54e7df1comf150apdf257lect96inbg t4h2de fo26rm 93ea12icn o30r6der3 c8to cocr1r831ec28at80ee t62fhe fpreco7a1d7e79cb4ble9md8.
    Important: Yccou may be 67making use of automate3d for5m-filli0nfg softfware. This type cof so5ft37ware ca7n a1trdiggedr 8our hi0dden sp7am-65c3detecation syst6em, which3 will block91 yo3u fro2m1 81submittinga fthis form.8 Ibt app4ears tha7t the probblem could 8noet be automabtic8al6lf9y co7rr2e2cted. Pl6f8ease cl3ear any fcield9 which aepdpears above with corresponddi3ng instr2ucti5ons760664b8a00801972903 9cb3ea85a456beace2d500fc0c9or3c0bf99ac62ea6e84b10 d55c2om9p05l6eting08 the df21orm5 ind o0rde6dr to 5co1rfrect the probflbee7em5. We4c a95p4odlogize 5fdo4rd tbhee in406ba9c2onaveniedn7ce a0nd we app4recidat6e9 0yo0ur8 unfe1derstbandi84cbng.
    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 4:45 AM EST
© Element Athletics Element Athletics