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  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
  • middleclass~spray
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    Registration and Payment
    Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission.
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    I, the above named individual, being a least eighteen (18) years of age, or being the legal guardian of the above named individual who is under eighteen (18) years of age, inconsideration for the use of the facilities, services, equipment, programs, and or activities provided by Element Athletics, its owners, partners, successors, assigns, employees, and/or agents (hereinafter the Releasees), do hereby agree, acknowledge, promise, and covenant on behalf of myself, my heirs, assigns, estate, personal representatives, or the like, as follows:

    POLICIES: I UNDERSTAND AND ACKNOWLEDGE that Element Athletics hereby reserves the right to dismiss or prohibit any participant from the premises for disciplinary reasons. Such reasons may include, but are not limited to: unsportsmanlike conduct; possession or consumption of drugs or alcohol on the premises; violence; posing a danger to others; any illegal activity; or violation of any rules whether stated or implied. Such dismissal or prohibition shall be at the sole discretion of the Releasees and failure to dismiss or prohibit and individual for any above reason in no way constitutes a waiver of such authority or discretion. Should a participant be dismissed or prohibited NO REFUND will be given.
    ACKNOWLEDGEMENT OF RISKS: I hereby understand and expressly acknowledge that participation in the events and activities and the use of the equipment and or facilities offered by the Releasees bear certain known and unknown risks which may result in INJURY, DEATH, ILLNESS OR DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGE to me, or the minor identified above, and/or my personal property. I DO HEREBY UNDERSTAND, ACKNOWLEDGE, AND ACCEPT that such risks may also result in claims against the Releasees and/or claims against me, or the minor identified above, by spectators or other third parties.

    I DO HEREBY VOLUNTARILY AGREE AND PROMISE TO ACCEPT AND ASSUME ALL RESPONSIBILITIES AND RISK FOR INJURY, DEATH, ILLNESS, DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGES to myself, the minor child identified above, and/or my personal property arising from, directly or indirectly, the use of the premises, facilities, equipment, activities, and/or services provided by the Releasees. I understand that the risks associated with sports include, but are not limited to, sprains, cuts, contusions, abrasions, concussions, broken bones, bone fractures, and in some extreme cases long term scaring and/or death and hereby state that the undersigned is participating at his or her own risk with full knowledge of the dangers and risks associated with such participation. I further acknowledge that Element Athletics strongly recommends the use of any and all NCAA approved protective equipment and that failure to use such equipment may increase the probability of the above mentioned risks.
    RELEASE: I, FOR MYSELF AND/OR THE MINOR IDENTIFIED ABOVE, DO HEREBY EXPRESSLY AND VOLUNTARILY AGREE AND COVENANT NOT TO SUE THE RELEASEES AND RELEASE AND FOREVER DISCHARGE the Releasees, their agents, employees, affiliates, sponsors, or partners, from any and all claims, liability, actions, demands, causes of action, or damages which are related to, arise from, or are in any way associated with my use of the facilities, premises, equipment, activities, and/or services provided by the Releasees, INCLUDING, BUT NOT LIMITED TO, ANY AND ALL NEGLIGENCE OR FAULT OF THE RELEASEES, THEIR EMPLOYEES, AGENTS, OR AFFILIATES.

    I FURTHER PROMISE AND AGREE ON BEHALF OF MYSELF AND THE MINOR CHILD IDENTIFIED ABOVE, TO INDEMNIFY THE RELEASEES AND HOLD THEM HARMLESS from all costs, including but not limited to, defense costs, attorney’s fees, medical bills, pain and suffering, damages, or the like, incurred in connection with claims for bodily injury, wrongful death, or property damage brought by me, my estate, guardian, or other party on my behalf.

    I hereby state that I am in the best position to determine by physical abilities and limitations, or those of the undersigned minor identified above. I expressly acknowledge that I, or the undersigned minor, are in good physical and mental health and have no condition, disease, disability, or impediment which could impact my participation in the activity or which may increase the risk of harm or death to myself or others.
    LICENSE: I hereby grant Element Athletics an irrevocable, royalty free, worldwide license to use my name, image, or likeness for advertising purposes including, but not limited to, photographs, brochures, videos, electronic media, promotions, publications, or any other trade or advertising materials published in and medium.


    Element Athletics Player Registration Cancelation and Payment Policy
    1. 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.
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    fP9bblefeeasade0 8aee37c4el0e0fard7 t5b1bdh3is440548d f9f02529ai05becl4304d 960-0f46>0bfca * REQUIRED
    2P040le295b0d09af09se 4accacl9eee5b566a9fr1ae1fc23c143 91482th9d8isb a0026fi15e6ld ->1cbcb * REQUIRED
    94eP2le481daff9sf96ae269d 342ce37f7le1a46dadr346 th29d6a3is5 1d671f6bi3502eld4 187aa-a>c8a * REQUIRED
    2P0fdf77lde583980asdeee4ee cle2ad3re34 16bt1h2f2501dis4d324 77bcf364a6fi8e0edl6b1dd 5a3-c> * REQUIRED
    cPde72l6aease 518c9l1423e7ear87 t4hci4bc8caf5s7a397 fab3d3fi3el8ae18dd7c7 180-f8d28>e70b97 * REQUIRED
    9400Pbd6bele2abe5se8 9c0745le5e33bffar3ad299b t7ac7bhis fd53i43eldde9e f4a8-1579a>f5eb5e12 * REQUIRED
    e24d885P64cb9e9le008f9ae0178csa85e84159 claea32r bdthbefbi3s1873 afie1l5ead5 b-5a>75d5e64e * REQUIRED
    4Ple25af85c86s3e40 4c46b44l0513eeee6ar4 146t9hd7aa22is df7bi9367e30lbe8ddd4c -d>b943566dd7 * REQUIRED
    758df4c5P3le885ad7se48 46a7dbc7c52l6e24acra24 2bb4t4ebhiffcsb 142efbifeld bad-1b4d>aae570d * REQUIRED
    7d9144e27f6eePledcasffde clea3401a095b745r7c8968 589th6a325ifd7cs 68e66df0ie0l995d240 8-5> * REQUIRED
    Pelce9cas0e0e72930 497d9c58lef0a14rba tdhd57dbai2ba8se0 cfibe7307lbdd4783d1 -a6c1ac2a6>f7d * REQUIRED
    P2leeded76asc3ef cf8bleca9df25r36 69btah1eibe8s7d f0ie98f5d1f5e46b603357l9d ->d8551d09db07 * REQUIRED
    0308fP8lf1e118ab1se 2cl7ear30 t3b5h8b8i7s94effc9e499b3 6fb5i5el33da7b4ea2290 0b->3f7a44db7 * REQUIRED
    99Pel0e8c1a6s7778dabe cl5eac36r060e a77t93h8b3i3se f1dd201eiel04f18ffc283d74fa90 c7c14-f>f * REQUIRED
    b79Pl60eb4a21se0e438f4 cl01ecca7arb1d7 t9hd7f7fi624957s2cb e8f40182bd0fice6ald9 -8a>2c2815 * REQUIRED
    ee91db2645d4Ple298a6s32e ffcba28c2l5be2e2a4cadr664ef89 et44fhi001s41b efi64eld ->852bae862 * REQUIRED
    8f8Pl7e8335aea20dda8s4ee0 a104cb724718c8l3e7ar9 287bcd6f559bth4ies 637bff7d4iceld 7c-bea>8 * REQUIRED
    Pf221l9b6e4005a2s02ae cl367beab3049cr 0f0b2bt88d4h712i4753s 4f31iebfaff0f55lf66d fe23-ef5> * REQUIRED
    2e86d0c9f5Pc4fflbea75a2se 9fc0acal85eac3b98cfc45rd at2hf8887i3d9ec3s0 9feielb671da90 -2f>a * REQUIRED
    39dfb77Plcbee9c77a2ec1sfe5 ba11cd53d1dlec9aaa2r 5t29ah9i9465asde4 f63fbai8d27e1ld9 -80b9>1 * REQUIRED
    5aa35cdP3f5ea65b3flc0a23e4a5se64 c2elf51e8f2afar athec3isc2 faa71fi7038a557e415321led6 3-> * REQUIRED
    1P4dle5f43ea8bas6ee4 fcl2efarabcef8 67abt431ah404id3d0s0 1fi8el5dc91c7fd2042684 c8-53b>e07 * REQUIRED
    0bb16P89el7e5easceef6ae83f 94c0d5l6a8ee0ar21f t3a8819dhibs03 3d6f1314iel8d98 10e-a0e33159> * REQUIRED
    75caPl65c7ease1 b6610e5b9cle7fa8r tf3hifcaf23e8se3e8 7ae1f3a31051i9decfacld ac97-8>f2ce2f3 * REQUIRED
    ff30758Pel98ea25sc5a6e9 7c971l28e4ac5c8a1f9fr3 cab413t9chis 7f4i5a730f21e4ld4 9-1be>3fb074 * REQUIRED
    b60Pl93eba695se f72cc15lf03ear 3e3726fc043bfta01fe3f2c9e3hi45sfa2 f49ie27l0d2b42 -a58c>f40 * REQUIRED
    feaP7e0e45b4le2a23d09asdeff13 dcflbdeaf814frc 64thif8s4e f462ade21if1e84fl7a89d6d 6-a5e>25 * REQUIRED
    8P3lea9f3scd4eea c7dl5027ce8de09ar t4c9bh6ei4s fd6806c6a5784ifef10fe5l38a17d3ea126 d->7f4b * REQUIRED
    f7d7Plceasb9ec09e2f8 1cd9e5ale54fa5r b4f4tb0h5i9a028f9s f6id1e2ea3b514f4ba08la2c9cb0d ->c4 * REQUIRED
    0e6a3aad9bPla7493f53bfcf06ba41ea6s3e3ae4e7b 439cle9ar2 abctfh4i6s19f4 cfci5ec546ld14 ->d62 * REQUIRED
    7416f09P6f4l7ceea8as8c623ea8a c0l7eare388f5 t9ehi7bfb772s aac57bfib0de7a7lad9f49bc 0-bbd5> * REQUIRED
    ePlbebfcdd0a4s2bde1b5 55375f856c98l2fdec0d30f21a6ra7 th9a9aid4s c5fcib7eelee0d4 ->db50b0c7 * REQUIRED
    8fe0f9P5led37as5ae8 3c988673le3a83er8b56a t6c402d4hae3ic0299sef1f4 bfc43ie753l3d3 37-25>07 * REQUIRED
    P2la7536f0ease dcl2a3ce59farc9 fbt64h4ibc0d78be838s 26b3f234iedb4428ee93e17l1df81f5a -8b>9 * REQUIRED
    e4e67cPedfl443fd8bbde4916aafs4e86 cfle44a47d8rdb598 t7h8i7b7s36 c689f987eiel5ed -ba7820>f0 * REQUIRED
    5831P8340l35ae4bas6e92a1d9 9d5cdlebafarf29fd38 9eafcthbfeib9cs31 3c1c699fdi9e48ld7d -e>03f * REQUIRED
    9764Pl65aeba0cbse337f 9ecl2e5ebaer0 th2i2d939s 75c30fide93ab02lebd2c0 99302c-f31c87a1>1be4 * REQUIRED
    8585P3l46edc7acc4sefe0 ecle7c85131a1r954d0776441 t7a48h8ids0 4efi7959e05lfcdaa410 2-6090>2 * REQUIRED
    877dPecl7e5eeaasc2ef43c 8cl4bea8rffd9a2391a5a65b 958d7t4a8h17a2i9s eefiel1b6bd4dc169 ->66b * REQUIRED
    e7c3721eec47Pl801de3a3dc6bbds9c0bef c5al98e1afre91 171th92e18d19is17d2618e fied4ld ->2e2b2 * REQUIRED
    bP3le9ae163f16se acf7127bcl4900ec4a9r dd8179dthaef9is66 6af51f5ield e8-2cba>259c5192440f4d * REQUIRED
    6644ea6ffb666Pl0e720asc7383e07bf 0cd12721l93ea8ar2 ccet25927his 0867147fi0ebdl4d5 09-472>d * REQUIRED
    4beePld7e9d85asf6ea 7cc9229ec863celf43e08aa59rb t285hibs0 a269c3cf9fe9ieb7ld25f 921bcc->79 * REQUIRED
    59306Pdd7737l2b284e0fa0sea0ef fa04c50le0a98d0ea9r9 5bt6his2717b fff02i8elf64d3 9d-c>fd9e32 * REQUIRED
    f0cbbdf12fcPa707fle1a63s05de c91c52c8l6e4adarabe t8h06ib03s6a4 1f8id807995c70e01dld ->d11b * REQUIRED
    ec032Pcbl546aeeas43e2a580e 6cbcle0fbe79f7f599adar4 t0his59 d541fa3d3di1e76addlb3d 0->ee52c * REQUIRED
    aPle8e2e4b8aasfe39a 8cl2bf2eead09rb19e25dc4a017 8td1a291chfise fibebeld1290489fd e173-a5>c * REQUIRED
    aPflf6e9b8a32fsaeb0c cl1efe1ar 18tb90hb26is fa6b3e96d76f35ddiefe02c1l79ba3d96 2-b3b>4b7683 * REQUIRED
    P7a9bd62l8a9fbe4asc9be ec9eb6aebfbc6a99l95eadr6c 4tchi0cs9a2fc7 3f9biel1bd6b710a ->f7ef43a * REQUIRED
    Pffc8leaf7s6e c657ld82eeadb0r2 ecf1669f2c7ae6e0at7hi438c5s975bfa92f7 fe45eieldd a0-bb0>4f0 * REQUIRED
    231Pa97l629ae4ebb4fa7747063se 15d3cle4e5ar70fc 0t482h2ci2sf0 c9c5bfi2eld06 748b15011-f90>3 * REQUIRED
    b7a8Ple06446ea8911sec cdbdb8lfeafr684603 c9725ac38thcd79if0sbd1 fic36aae58lfd 79b1506e-a5> * REQUIRED
    f6fP1le9b6ceac875s61e0c5e8c59ea0 94c9leda4rbeca 4thi6s9f9c6 8f89ia79beleaddcb 40aaf7->6b87 * REQUIRED
    5Pblef06f630ad3d3sa66e45b38 ec9d01c857ld1e9ar876a9c 909ta326baac4h9is7 e3f8i272el431de 0-> * REQUIRED
    5afffPblec0f6b2afbd5cs9e2f586ca2edc clda6b09eearb 4athia0e34s2e 245f2i1ef24ld 19-4>b451030 * REQUIRED
    8e6925Pl8063426e0eed4c6a1se6 clefa8995r4a8 e2t8hf28i02s566bc8a 18cf01iceel03d f3dc->08f758 * REQUIRED
    fPldea5s8be8 fcd5df99574fleea6b58er f66902t05dhi52sa04 9e99ffif6c9cd49ela71d f->cb583ce5d7 * REQUIRED
    P976le8e3b31baased c7le7d66ar1abec7 22793f6tfhi1sbf1 4f9970i0db1el49f4dfe0c2 b5f-b>15367cd * REQUIRED
    4d23P600c6l637ecbae2ce0se3 cl1bcea6a860r94596 t78h07bf8fib2a61s4 7f85ic620de379lad bc->d94 * REQUIRED
    152Plf3a548afe79bae5s7e42b6ae06a 89b599c28cfl8e7c828a4dr 4this21 a5f75ield b59-3ffedab3>fe * REQUIRED
    Pe0l7fec7180dbcasea1c 86e8f4cl6ef91b1e9a9r t55h0fis fi3edf11lfcdd6 3cf9b7fd-25>25cfe7be1bd * REQUIRED
    eP773l9962536616eb3ea7sabc9e 175c62e8clea60r46 t659ah79ad380eei95sc f471ifb9el5ed6f f-7>c8 * REQUIRED
    28ba407a1Pl6604be561ceas4e 4cl7e608ar th9i2sdea 6fd73ie36a5d369b65l0dd2f9cdab 7-f00f>03e83 * REQUIRED
    36Pe9ele0e5a8s7e cbleab06er5 12t329hid2f37509s5e91 c7e4fc12i1el3c77e7dff 5-98a2fd>482e4f4c * REQUIRED
    17P6950736l0ce250as5ee132 29cl54d0e1e177dad59c1dcada6r4 409t3hacis0 0f9b4i857celd1 0-3f9>5
    37b115c378P6ablease99 clebafrf de77587c784745a9t69bhd06548e309i796s 060edbfiel2d5 6ee2->60
    cae986P617dl4ea18se0ceb049 c6l260f895e61a67r1 aath363e5isa0 fi48ceaafc53dl1d9e f8c->fed15e
    3ecdPleee76a87e03a65se 18c1c3dalb79ef0be812aara8cd2 cd796thie9bs fi8e3l45d ae09d-0>fdd1ba9 * REQUIRED
    Plfb9eda48a2dseb 44cd2e817cc6l9311e6eara f9514eth8704is f675ia0eecdl4aadd a-8636271c8683>d * REQUIRED
    04d62a7P97l9b70eb4c7a2cs49ee5 cc44144dbl2318eb43a77b5r 9tbh5ebis 1f8iel9d 15c305-da0c>ba3d * REQUIRED
    98c8920P4ld287ea9se 6f9ac5626dc869dfle0aa761ec9666r thc934is09 3f0ieafl29389dd39 be8c-e23> * REQUIRED
    fb11Paca3a5468lbe7a7fas6b1eb 4c0elea5r85f 8this124 f536iae94f3905el8d1f a4-624c81>916c4c21 * REQUIRED
    d25P806l69eca5es3ce 4cleea5c015edrbe5d2 th07i9s 5ffed6c99i3e8400eal4f6db 54-9>56adf835c413 * REQUIRED
    4357e98231Pc38lea5da7ase2 clb0a5be8afa44a49c738aar a0thid4es518ef e123fiel58d05 -632f0e9>4 * REQUIRED
    3959aPfl87ec8eab9se c6bccele2125471ar3597a506 t3dhi0s ff67iee9l0d2381f18da9d 1cccf-5ffc>d5 * REQUIRED
    f62Pl59ae0809820424d788fbab7see a6c6a13l210e5a6arb t4h5cie2s697 b48afi3ce1e774alaadd24 8-> * REQUIRED
    08P66l5e4083babefe034eas9e6 eclbff9e7871da4r4 3443t9fcehdi3e87174s8 949ecb65fi806el1d 86-> * REQUIRED
    53Pb99l971eaf6s44e1f7 626c9lebaa0r3 t98bbhf5fd44is626 326fielce1d0 fd2-d81d2c67679>bd55f62 * REQUIRED
    Important: 9You m6a3y bce making us89e of a7u9tomated7 formc-0filling so8ftware. Tbh7is 1tyepe 4of softwa5re can treigger our3 79hid7dcen spam-detectc5ion bs4ys9t1em9, which wil7l 5bloecckc yo12uc f373r6omc sb1ubm3ei6tting thibs 0forc16bm.f 3Pl4e5asae2 fsedlect Fcix This30f4d764f4b ab7678ecfcc2f56e3f46occf0a10043ac5cc0a3018r4edbab b8393f6d4bacom8ep91le7ct5fb544i30ng th8e1 dfd416o0rme 9biban 052borededced55brcda e85to corr397ecbct 6t8he 79pr6od5bclee16em0.
    Important: Yeou mayf 5bea dmakin0g6 use of5 auetomated form-7fill28in7g soft2war8e. This batype of sbof9tware 5can trigger aour hid3den spam-detecation system, w9hi51c3h 1will2 bclock yo0u from s3u7bmit2tin5g tfhis for1m. It ap9pears t4hbat the problem8 could43 not fbe afutomat64ically correcte36d. Ple7ase c8lear any5 field wh1ich dappears abobve withf correspo7nd9iendg i3n1st5ructions17fa1fe17166a62b 4b6de9675f46145o6495d22771549121679r3b5eca7cd1 fb67c6a23com84ple3ti5ddng264 the fform1 cin ordebr t2o 4cor5rec8t t20hef3 problem.9 bWe ae9fp0olo1gdize f577ore 1c2tfhe i0n3con7ven4dienece0a 14an8d29 aw6e app9reec80ia1te yoe1ur 9un3der6steadnding.
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