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  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
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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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    524Ple1base9 e7cd81leb1e2ar8c97 260c9a410t32b20h3ec02999aei0592sf6e4a fi7el47d992468 838-> * REQUIRED
    c396f872c918Plc8f7cea8s8deb33ed 9d35c6l48e9fa9rb27 ta907ahifs baf2i3027930eld7 8-e73>468bb * REQUIRED
    6dd95fPlc0828e48edasea f7d595bcleb35fa341r9c 23e43828bfthaa2ee4is dfi2e6l0dd1 76e0879->d46 * REQUIRED
    bPl729dd49eb8026e766360ae50case c547c4e7lb4e4d0afbr07 th6i8s b7ffi2bea0ld 533eb36-73816>b4 * REQUIRED
    1d15d4d5d7Pl38ea6s10fe72b5 06acleare19601 282a1e5307ccetdhbe83i8s f0cif50deld7e aba152->6b * REQUIRED
    P66alcf9eb5ea0sdaeb7 c6l8efe2a2bfa06b4r36 thda53id2as664da bfidd3462c2eldf -ea>c39b0acfff9 * REQUIRED
    72Pl2e44e263a1seb 5ece1le3835dd0ard46b042412 3d6ecd6t905h1fisa3 247fi4beld d-1d0e87>2f6c9b * REQUIRED
    97d4bPb7l3e936446da8se cc7bb1fl19f66ear th2is3 c0e35cfac6c51ab98i446e1ld2 819-17bb>0aa9cb1 * REQUIRED
    ee8P3l0e8e87ase cc63le0662652ebear5b8a2d 7t127hi29e623221s1ad efc5aa7b3a07ie2bld570d 6-6>0 * REQUIRED
    P173147aal502e1d336a8ad5ca4fse0 14c2c51l3eda1fr29af th7ias c7fiel3b23d5 40-dc>a27a8acae2ce * REQUIRED
    5001bP184laeca9ds322ee75 aac4fbadl27e7a0r72 7btha871f0cibas f0c38ccbi6ce56ldf 1-d10f50a>6c * REQUIRED
    9P999le48da380se3903ee4 acl6e4ea9d87630a585brb1ba2 tehd6fides6e fi9eal42ff87009d9 33bc-da> * REQUIRED
    14Pcf3l6770b1e5214a1esefbeb0317c46 9ec21el8ear 01taah5i0s6 fc3i6el173d85826 0-230>f453e510 * REQUIRED
    7df5e6bead29c8cePbl0e1ase c04l045e7c9e3ca6r 1th645is 4cffecci6c2e664ldff11 436->766248dbbe * REQUIRED
    2d1c10Plec8d6fabsdaef 7clb9ea4dr 384911tcahie6s6dc2f 2afi98c5e3calddfe 36ed-4ec0da2233>93c * REQUIRED
    78589Pe80l6b0be0a8s312e e02eclearab0bffad 265260e722c9fct8e33hidaa35d4s f6ie8ld9dbee -d5>b * REQUIRED
    73Pl316eac1asee 8c383a39cl8b83eb72af20r6 et85h30ccci1sb4 0e3fi12f8el736187276c813d ->0d995 * REQUIRED
    e9fPbb303a1c93ld4359ed6b4a5se clde1e17a8bar12d4 846a3t99hi2es befi89eelb9d e-d3>6b0b4e4b36 * REQUIRED
    99f8d57P37b87226l4eda8se4a cl4f8748eacfcr0 et8ahc63d04a7cd7ids62 f7f04i498be6cflde ec9-4>f * REQUIRED
    c650Plefaf5sdd06c24e2 c3e4lea0r 182f9f6te9494h261i7a7sb 5665f98aieafl64d40ca 2e-af3>015867 * REQUIRED
    82b43b7d2cbP2a26aef3leasef8eb 86c8lb222328fde3b360faa0r 1th9i86s 6fi7e8055l414dc e-f6c7a8> * REQUIRED
    8cfc0aP3fl31c1d7e2as5de7 ce1l8feaa9a2rf33a6d38f6 tehd7456cics5 fe88iele6dc4 78ac-7c>dded2d * REQUIRED
    1135a1c45P2ale1a6sef22 7ed1bc28cff13681dl3ef7d54ed35aceer tch632d4be5is 6afb2fiebld 3->b63 * REQUIRED
    fabPl9ea537es14e ecl5273de3a11e869fr a07thd09eaisa4e72 38cf6a80i50e759a5ce5lf3d b6-2e>c54d * REQUIRED
    89P7la81e952a03a6sbe c8bl24784ce83a72ra th5ia2ds 826e6f185220c4f1a77i76247deelad -4>a065ad * REQUIRED
    P2e6ale4d1b91a8s4eb1a2 7cab74fl993eca019r8 thies71 49426fad23a4b95a435i0868883el94d00 -b>0 * REQUIRED
    2d3P63180lee1da34be7se4a3 76c7el9c8e7afr 659th65i5afsc 6e0afi8el2b9daf4225c0 b616->79d1776 * REQUIRED
    b7061ePd1lc44e6afb5aasd5ef819516ee2 97ccle3ar bc9t7h41b0ic5s4 08eacfied233leda746f4b 4-a>e * REQUIRED
    f24228f1f5dfdP840cbfa2bl8e256baa36s93ef c77lce03a3r bt3h490ie4d56284d17s6a9 5bbfiel6d -2>e * REQUIRED
    646163e7773Pleba87368ease7d c6fal6eare36207180beb9c5 t57bahi69857e4cfsff3 2fi4faeeldf -3>0 * REQUIRED
    P1ladde34a3s30e cl8c0d4de0a76r tfah9b3i9s89e1b ebdfe49dbfia2fabe12lbcd 359-d5ddcee04>a7f61 * REQUIRED
    dP83e3da245545d4l5e2fa8sa7ce 3dd1dc49le6a2ra theiesb 06f7d45i2f6d315ade73ld1b0ce -7>583a1b * REQUIRED
    9aP134l2ea043s80e cdlef80ea6rb3ea37ef1010 3c9t947his 5f5i43e86bd2lb3db5db9502 20b850a->7f9 * REQUIRED
    992f9240dPd0l49bfdef009469ce2asf897a22d4e 81dfbc4le5daer 038a12bthi0s 640f44i5de2ldf ->48a * REQUIRED
    1e5ea99bdP902lfeas6bfafe9 9ec95cel87efad0rc 748461tfhfcibcsa 009e31ficeael59d5 cb-92>fc60b * REQUIRED
    daa4d1842P8eelea8ac5s7e8 daf8b43cle71ar56 5171th4eibs a114f3i34el85ad77d120d 358-6>4f3d304 * REQUIRED
    06383ce0fPe5b16le2asc19ce3 e911827cc0le142a1r 621tahis691c fi5e8l3426aefd6 3cac8b-f138>c2d * REQUIRED
    bf8d8ePclde1a2ase8d5 9cbl1e0af6r 90th15f2i2d9s bf0826dd5b1a707i9e1edld fc1416499->4e17649b * REQUIRED
    a6530ba6dPc843l4e835ad223f14se747 c61laea92r5 th6i342s4217 ef9i80de58acl6d2 ab->5792d53932 * REQUIRED
    4P918al6easde136 cle2fdac04r cbc3c0t025cdh0ff0be1is8a1 9741329f9di54feldf ->2f93843e18e5c7 * REQUIRED
    b2dPlecfa417s5e1fe 68c1l656earc f6db4t2ch86f213767d133cd66i6s3 fa698ffi4e4342ld97 78->82f4 * REQUIRED
    5P45l3e2ade3ds1ed4e c8e1d663le80aeb2a0adra90 b3td7717he2525i2s 4feicefbl34d7e07eb6c158 5-> * REQUIRED
    bd684fPl1ca1c1c82ef9das6e58 86159cfc1ldeea7ra th90ddi0fbab3s feief45claddb89 31b-7>d07c138 * REQUIRED
    5583250f5Plc26edda92sef fcle7ca90r aefthif7se 1e6f93ai5e1674ef9b51del3ad5469eac -657e>8df3 * REQUIRED
    8d928898Ple08as72c736efde01 2cccl74eaa5977er t8h2cis 4efaia120c42e5elfd 2-b86>7d9ecbf51625 * REQUIRED
    1Pl7decacs7ce7 c9c7l566835e5c5a5r239 c97cctch4is2d4c38a 44f16f7f46ie4ld4 0086d5->84ca11117 * REQUIRED
    9d02d0Pbbl76cea89sbefbc5e51 clefar c7241t05a6dh76b8d6cff2ibs8 deaffd5bei0eld 7fc3fbe-78>d3 * REQUIRED
    1a2d6b4baP01lcbc4e42ca4bse6 28cd1dlea86r3 9t4b6hise 9d8bfci3e131bl085d3 8b8c-9>1d8b8c1b602 * REQUIRED
    5d1613Pd34dleea63se33 4ce14771lbear715 6a9t1d0hai9ds333 45ff8ieb958d48dlfd 3-98677>63482f8 * REQUIRED
    8ba3871P8lfc3e9af8c453549ds59abe9d77e6 c5lb4ea05c93er 492this932 fi54edld1d bbeb919-f>5d10 * REQUIRED
    2Pleeasae7615 clec5e22ea786a3r5c 66904thb2is9 f24a6becaefc0bbbaiaebee3053l44d f-b>6cb64aa4 * REQUIRED
    00Pl41388aeacsaca3edb c09l2e80afr a5t9ef2ha995b6is41 50f36ieaal4564add -02db>d3a2adadde51c * REQUIRED
    fPe3090lea953d08s58ce35 ca7d68l21ef4af73r 64thib24s44e ba0abf2i7eld 6->3b1952141a1956aaac9 * REQUIRED
    dcd72P4l5ea9a0seed08baa51 dc9l4e7ar0c89e8ae79d92e2614f thci01s 26fif2ee7elb38fd8 -ad96>310 * REQUIRED
    19Pc9lf71e3eadbaase6a 1d01clebaa0977re1af6b92 4c0tehccis9462 3ffdfd70i83e8ld -941>4492cecc * REQUIRED
    cd45daPf15l00c87dde2a9csee2b0d225 8c67ele5a17er752 d717t5hi54f07s16c3b bf5ied25l14d0 0->a8 * REQUIRED
    6bf6c9e46289fP2leca16s83ec4 1fcl5a23b408ce12c0arcea t6c4h16i2s 3fid5eldb960e6 fd378-dc>9c4 * REQUIRED
    46aP06l70405dc8ecf1fa1c78fs6e059c 3c38lefeeada8r 15t7513chfci051d3s54b f6iec54ld8 c2b->a4d * REQUIRED
    2f53Pl3de6ba0s46b8ee07a5b 0c18974078cle9436ar 02t8c7hai617aafas9f7 0aa693fae3b4i7e3ld ->80 * REQUIRED
    P6lb119dddeaese1 57ecc0cl1e5aar 2th829ies4 3ddba92fabi25e346d6544l849cdfa1c0 5252-877>8c11 * REQUIRED
    Plea08s4ede9 dbc6le8ar59b 328t22h36ccb1ie1sac3167 ff48i81fa55cd6736cf5e15l945ad4dc1 3-5>64 * REQUIRED
    5fdPl7a3e5eads6e 7c59le057ar325527b89f6c a269b172atha4ciase9 86bdbfa8f425i70e8a9laad da-f> * REQUIRED
    dP04l5dee22as6bc209e03e04d7 a5d8c5le6a1r3 1c99th09f02600idsb3 1434f78ciela0d681 -b6>9b9850 * REQUIRED
    45111f067P1dc4f7lease 7186cl45a9ebabcr 7f37c4t9h03ecis 4f727i6ea5l24a002e22d43 637-f98>a39
    * REQUIRED
    ebP608lea91eseb6b27c 8bcb3aeldcfe0ba3rc d2thi4c3cs 938f19b9e3aiel6469d53d498 -24aa2e56d>48
    * REQUIRED
    b4733aPlf3beasa2b2fe b131c7ed07e42flea87r5b tah7fc80d58i18s3bb 784df6b73f5i80e0l0d -0>79c2
    * REQUIRED
    fbadff43a8P36lea5bas5ca2ed9 c3b3l3ea09072ar7 7t1h3cfbf8cd9ief2sc fi0b8ef56ld448c3d3 6-2d2> * REQUIRED
    3a29fa13513e2P55le2d4aesaa8be a6cd5al8aec0a5c0r 1th2ieb835e9d7s266 5fb4ied39l3f61d 1fd->35 * REQUIRED
    f5984fb4d9Pae9l9c8ed7ase dc6al606eacadrc dtfa9h7ifsc9 10e6fb5i6b6a3e8ld6 8-1>f756fdcf1825e * REQUIRED
    99be3bcPd293dbbdl89ce88a1s1e 9aaclecarde d00t60hiaef4sacc93 7fc5166di1e0623l3adc f-0>64e7a * REQUIRED
    dP5b636808leeaease 867fcdclc1ae05a49r4 a68tchi5235bs7098 b29bf5fb3ice94bl89bd -0cfd55>5b1a * REQUIRED
    86cfdP3179flea46s1eaa fcdlf6eabb5de1ar10bd4 9fta9hci38fs8f ca7ff1if1a4el60d6c83b435 -9>548 * REQUIRED
    f98a4851362e882Pl4aeasfbbe cc7789ad2e2fl879ea8ae0er26 tah90is f19de2ci643e4l8007d a-3a7>00 * REQUIRED
    9f48ecP23lceas05b9742f8e5796f52e fc2974l684e7adr80c t3chi7sf4f fceiae06l82dc93c 46-9005>eb * REQUIRED
    9Pld200bbebea66se9fc90adf cclefaaa62r07 e0th4ee71is 8fbicfel488774de8 beba61-20e4b0>7a1b80 * REQUIRED
    Pa9ccle6bfa2sb8e82 0c59dl0eara2cfb206ca 2a2t2aehies f407dd1i0eld2f 2eac1bc585f-a28>d91cc85 * REQUIRED
    0b0dP8lc9e478692ebc83af5as89ee 6cc93e2le4a745f7r 6th53ad4i9s 2f02i8ae7f80l3fd c7e0a-6f>23f * REQUIRED
    Important: Y8ou may be making uf4s2e o9f au8t1o5mat38eedd f2orm-filling s9ofetwacree.6 Th7is type of softwaree c0an5 trie3gger odur dhidden s6p8daem-detectebion2 syst2ef0m, which will block byou f5ro3m17 su7bmfi8bbtting this ea6form. Pl47e74ase 6se6330le3ct Fiax Thi25es1289fabec590f5d8be604493f5 8b4eef654ade07a527for03212556eb5edf3872ceb6 6620c8ompe1lf66eti96ng6c f1fte5hede1 9f1orbmc aci4n o04r6dcerbf t8c7o coa3rre3c79t atha3eb 21p20cfr4ob181l6bemb540c1.a
    Important: You may4 be ma2king use o4f au5tom19a57ted forme-filli8ng 8s7oftware. This type of soft9ware can0 trig2gce6r our hiddean spam5-detecticon systfem, which will b1lock you from sub8m7itti3ng this form. It a7ppears 8that th5e problem co4uldcb 78noct be7 autoemaf1tica8lle643yb corre83ctedb. Pleasfe 3c9l6ear afny dfield 0which appeabrs 3ab9ove 8with co9crrespcon3ding i2nstructio4ns404e67a97aa09721e5cd60faf be1cf1c1294ba7f9e28d0bo7r20557bca7e4 ce28974e4dcodm1aple0b7tieng 7tche form inb0 order to cofrr3edct 7t5hae 6p2ro4b3elem. 4W7be a1ep0olo0gizce fo583c7brdb fthd0e in5ddconv3benie8nce acnd we a539pp289reciate yo1ur u1n6712derstand8ia3ng.
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