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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $735.00
  • 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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    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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    3eP1e7486437e8alceb6as7be3e 5cf5fle5ar051 c1t9h8i99s fiaelf4e6347dce9dceaf483d2 8e15->159d * REQUIRED
    6816abPl5eeae38s6e4 ecl65ec0bc72809ad5dr 1th6isbd 17b6956f2i7b1a3c54ed8l0a4bed720 a-f1>b69 * REQUIRED
    ccc6P51l48eb92caaa2e4597fs4ea 2802d1cle5fa7r 5ted3f353ehicsd54d2fd 0f585dif3e71ldbb -11>c2 * REQUIRED
    ec4Pce5059l8e6fafsa4ea 6b4a72db82b71cleafr6930 6b52cda4th8is2 11f4ib9e8la74d -25>f6ac9dff4 * REQUIRED
    f52747c1P3l022e5c5c2241aecs73e0d976fe0 260c7lc6d82ecar ethc6eis efic627c674e486328ld8 ->7a * REQUIRED
    5bPfflf992ce7112as8ebee50 3aclbea826r 1t6844hfcdis5 7e8f16d43i8ele510d -6d0e>a10db45830d42 * REQUIRED
    8a3bfPlae56a951s6bbe5c35ca dcd7l06fear9e t09hbicsf 10f729f2ic4eldc7ccf96 3913a8cf6-2>c41f0 * REQUIRED
    87fPd8l46daee6686a3es88e 9caefc77clbefac4ar 81t3eh24i5bbs17248 f1f3ie6db7e8l5d95aae0 968-> * REQUIRED
    P66blee1b4as90e 17c0e3lear1e44 1tf4h73i5sf17518dc 1debf6b5598afc34eie73249ldd5b 3-f>f2c61b * REQUIRED
    7339P46dcle4aba7ea1d4fa24s90e6 8cb5led5a2r3a0 tdefh8389isbda 55b86f5iel0ebdb7 4b39-6>0c755 * REQUIRED
    9c9dPl9260ef0aeas6e6ad89 d0731c9l9e0a9r68 66c5cth509ae10f0is 13194ficcce2l6d c-5>780ecae71 * REQUIRED
    ccae5P1e81cl95e6ae3sb79e9 7245c33lacec37f61d9aca13r70 tfh9928is5a 8fi131bel2dcae8254 ->9ca * REQUIRED
    5e352906Pl0ease2a ecbb96b8lcea8rd a0d2e5fth3c6ef07607fis861daa4 71fi65d4e0ld3a 583d->d0b55 * REQUIRED
    1eP938883le7b9facs909e 2cblceab4r1 5this3680c6 5c85fbiel990c19ae4d8e5937a5db 2-1>3d4ad834f * REQUIRED
    3P4b32cclea59dcadse2a5b240 a28cl67e138084a6br00 7ct35h0ei3cs c3f19ie9548l7d 3-c>a95a829942 * REQUIRED
    166bada40e9ee42f4Plbeaa22a998se c97l8ceafe678r0d 2706t80h1bis cc92fci5e901ld5f ->2cd1d19c8 * REQUIRED
    f5d67P46lefa83s4d9f965ef d05c0leb8633ar10795f6b tae6dhi6s f9640i85e77l83b4d 83-a0bb>2cc705 * REQUIRED
    936bd563f82P6lee7ase6e 5c2f1l1eb71cbefaca1r thi1ebcs14 3185cafb58da70i6ebl7dd2 6->171e21e2 * REQUIRED
    63d897613eP4fl995ea2s2e 1c8fccdflfee1aaere4 ft68h4db9i2a4a30fc97s7933 6fcield7 f99-a09>d89 * REQUIRED
    07b9b713692Pl03e4c97a7b6604dsec 245c22l5d33ede9ac7r5a ath20isdd f4e6dfecie7fe2ledc72 -8c>6 * REQUIRED
    46ffPdl05be8a6s0aee 18c4f080lde81e50ddf3a02080r 5d8tbbfhi9s f5ife2d5ef592l7dca26c5 2-f>268 * REQUIRED
    fb7eecPd5ccdlecbafa2sc1630eab c970al8e20ar5 3this f18ec7775e46i43ead2el54d566 6713->99c08d * REQUIRED
    c1814cPcd43811dl1ecasd55cc298eadc30 ccl81aeeareb8da9a4 b3dth4if8bs 130a0f99iee8ld9855c ->d * REQUIRED
    6062d2Pld01b08ea9s3e7 c2l0adf3c410ear03f3 t7d97h02i35ds1a33 e62fieb3335602ld 7041d274->3aa * REQUIRED
    51Ple4adbs22ec694 b2b2c3cle4darc1397e16d78 bd5655854ebb8this 73fd05fd222c4ie50la662f3d -d> * REQUIRED
    e71884cP2le9eeeas639c7e3 13cc9cca2778leaer a59c11tbhi0b47s5 7f693023idef2l45ad e2-5fe>50fc * REQUIRED
    b4Pc4la76ee0as88e dcbldea8ra6 th30ais af3i157cfae084cbba9lbd66b31 09945-1e20ae03>01db32a8c * REQUIRED
    ee16ee459P6l87cb11de00a5asec 8cl4eddar 2th64is1be 48fbe432612a6ffib9dde1dlda0c 137f7-21f>d * REQUIRED
    06b0cPle7e5a595b5dse4 cdelc1d845e3d1e51ar ta6h09i825876s2f632 fie9l8edcb7 1-e72d9da54719d> * REQUIRED
    cebP32lfbefaeasefdb 53clee4a7b75ecrfc3 8t9h7i274s0 f24c23d6325585i0edld784d2f ->92d5b98cc3 * REQUIRED
    Pc3c5c1208leccdd3a38s67e cdl727beacrcb0e00 6thdc312is36 19fd12i9fele436d7d -44b6706a03fa>e * REQUIRED
    4385Ple2a670s25e10fbe 0c7cl9ce8d544a527eb13ba6r64 d57t27e22h77af7c14i7s7e1da feield1 -e>65 * REQUIRED
    P71l5be50a7090es9e3a 9ccd7lea4dr029 ftcfhb622bf5d4ias49a 2f1a705031ie340f8ldffbfb -fe>5bd1 * REQUIRED
    14319181Ple8as02eec2 cea706603ac086a73lec9aare5 09t5h840i61c9s a3fiec767e4ld0e92d12 ->b7bf * REQUIRED
    b1P4cale3e3da4see ecf32cle6aedbr1 29b6e8t031b8h9i6541b92s 63f0iel9d5a38fab65f 2d-0>2954f25 * REQUIRED
    10298fb0Ple88afsbaed c939l07208446390e6ac1fr3888039c 4eth525b857isccf 3944f12fi93eld -eef> * REQUIRED
    8b2P2da8l8e3ce35adsde7 666ca88falcc0fecaar bt75h4cies0 60fc0ffdield4 b76fe-0db4304cf>6d3ef * REQUIRED
    6d36Pla5eba582ba7e87sff82de 2023c064lc9e8a9r32 tbahifsdb0 1f0dbf5c1170i8e07lb9ed 62-627>58 * REQUIRED
    5549161Pl516eeas022e1aa7 a5fb9clae0c2ca5ar28 2tfh30bf6if7sa 68e1f5ie4e80l35d82 77efd9504-> * REQUIRED
    2cfP2f5l8314989eeas5735ec 8cbcleaa0r322d 8t4c7c4d73bhei39263s3a ef9ie7elfd 8ee3ebb->8b97b5 * REQUIRED
    1f51c20P6eedb2l8ce15afs3bee86b7d c535le0a6er 2c46b6th6f15cic6s5499d ffbi3feldd0 -99c6c64>a * REQUIRED
    4aP2c7l6eda6fcsd9e4 76558b3cl7ea2f3r8b8ae84f3 ac2th1ics afdfied1db8fl6eedd5c3b6c 1-d>2573b * REQUIRED
    7a56aPle573d1e9ecbase7 22ec6f18l7e8a3r 1f02bt49hfe80id7sad0e 4d7932ccf89ia44118eld 97-6>cf * REQUIRED
    eb5229Plc89e6edas050ac0c85e 35315c5lb0c0446e882a1027ebr13 this 05fie9009ld56f15 a-bf85>c1d * REQUIRED
    1eabcb5P0al452220e7ase 7ce55ba7le0ar0 f7bftdach839ci8s9f5ee afe94if08elb3fa6d 50c-0>9bf5c3 * REQUIRED
    P78lbe2c34a4f26dsc994e cb9l5ed7a0d8r afth18300fi7s4 ca8ce8fc14i0eefal9aec246dd57863 0-1>be * REQUIRED
    e445P6525l4e825ca24ae49se0e c6a3lfed74eacr1 tcdch24b64is9d18d 05dfied17ad8ld bd5-de46>5c78 * REQUIRED
    696297da55dP6lee14a7500e8se0e54e8 76dcl5e10dafr5 4etef7c548eh0bis40 1f35iel3d 0e85db-37>b1 * REQUIRED
    d34Pl8d4efa4a38a76b1csf609e c7aflfdb678ea5415dr dathb0cbefi6f9aas f5i8e60eldf3 79a46-1>58f * REQUIRED
    Pf828l72e7ascfa5eb ffcbdle7b1767b39arf7ce5 97thcaei4es9 f1ice0ldb 4949b06a3-60d06>854e71de * REQUIRED
    a7cP8f0le9bas9e c90d07le6f0bar5 3thi6e19acf37eas4b01f 2f0i40d5e91le3cdde11c 855b9ab6-3>883 * REQUIRED
    d37bfecdP5l3bea4se20848937 7237cla1earf6fb87 ft9657heis40b3868d7f 84bfi0eal5d6 ->945d8b8b2 * REQUIRED
    af60Pbl3137b7ease 7cb1al8ce2eare 1cthis2c493 6d3fdc0edi2c61e8aa25355dlbd1 -13f24>9cd2cfa5f * REQUIRED
    911Ple5a80s06edaeea8 bc9l207e21850bce00db672ar td83h8i2asaa3c38 fb7f4986iefda19l3de -5>912 * REQUIRED
    90c6e41cP7184le6ea5a9sed8 cl84e6d1ar 51tfch7i9bb4b8s d8fb8bi3d916d5f1el6d0d91 6-98c1aae>04 * REQUIRED
    b6fP2ecl6d06aeeaefsde3cd 79cdl0ear7 990bf0741eaft8dh55b4i5s 5f27dd138ad4ieabbld5 b-770>388 * REQUIRED
    68704Pe67dbl5deas2e ac0b52048de6l7ear51cf dt803670hd87deis 73fdie493ld8f bdc0d6-faf3196>bf * REQUIRED
    a4b2ePl0c1e18b9e9d0b392a06dsedd 4860c92d69l9e2a501dr6 9bthf486d4a1i7s 3bfielb6d571ca -6c>a * REQUIRED
    b7P110c5l577ecfba64sade c7le0a7r98 a9fb9t20c1760hd6cis1 f3c4i8eldde99 e9f64cae->030b2d163a * REQUIRED
    3d04566Pcle3casaefd3 0346bcacleaa1r dt2hid9852s 9ffd1ec93d5cied3leadb3ee4 c1a-f30d7e5>6f14 * REQUIRED
    209647P78f20le67ea1acdacs49eb 70fc1lea7r2 43bd570t06hei9s278 fieeldc95c ->38829b25d4b1dbaa * REQUIRED
    d5fPlbdb91aea302f87s7de174c 9cl1ebda51r tahai5005s03 27e14f0bf8f8f18i3503ee2ld 0-7>b1235da * REQUIRED
    2c06Pc9f1dae8le8ea97fcf4s552e cle6a3ra52 0dat500814a4ahiee6s f24a4ia63elad4 ba100-2d8e60e> * REQUIRED
    5Pl1e90ase8c8aa c9fdbaleba95e3f1cr f2tec2d81h9e56i5s8d49452951 5f5ai1el3d7 d78-11>43e4d016
    * REQUIRED
    51e06e2deb3183a03c00Pl7340e5bea271se8d98f cl2ebde76abr5 t4chb0a75i53e45s 283fie7eld6 ac->d
    * REQUIRED
    e219ePa4ac2d7cf364d8l3626eba47e0907ascee dcd3al6ceaccrf t1007dac806hi8s 9f16idel3df c->4d8
    * REQUIRED
    82P6le93a91fa6cb41683sbae90d3a4f4 c371acl3e9ar2 thc1isb675e2 f4if4e061293dld 4b8d-583b7>f6 * REQUIRED
    cfada1248Pfl1c957eb5a1se97 a03fc42elbea730craaa 6edthdi5c3s dfacd9i9ae2e9eelda 392f-8c>70d * REQUIRED
    b7Pd35c4fle2a4b4a673b3c38548c3sea cdlfaaedea9caf829era75 thi03s003 fa5iccelb802d7c0b 5-8>0 * REQUIRED
    40fP6a0011dfa52le5e934abse764ee4 cle55a8r1e34948fd9 097e0tchccd5ib0sf fb86a9ci2e6ldb ->cbd * REQUIRED
    e8fPclbb2ea7saffea0d c972d79clbd374e886aa3rece 101t44001his673 14afi268e6el72daab -d8>e678 * REQUIRED
    d0P17le2371ase59e1e c3ecl4ea2a1067551ae15dr9 btf86hia63s45354 1380f1i4felddd35f2e -a>493d3 * REQUIRED
    9c3b9Pl2b6ee4ase0 7025clee17584aaf3a43r2 1th90i4sc3227 fc83dd9iebl3a478d81a044e -b1>cf8a22 * REQUIRED
    ePl5bea4659s5e8 cf209835e5553lea16rc 875t5h7is84 59fdcai34eael370335da1 16b363e5e-36>48855 * REQUIRED
    daPle2ase071 fe44cl94eabra2e3fb fcath0ai2sc f6b7b2biea216l889ad6 -2326>697f766a66c7086d081 * REQUIRED
    a82925d7P495l65dea3affas5e 4e6cld4fe268a2dr9978aaf t8fd816hi49esd13 59f58iebld06e f12c->89 * REQUIRED
    6d9e9d582Ple51ac5c3s4a50b036e8 cc3c5lear0 2dtc6h7dbe13i25s9e fai4eba815bld00 c29-79c382>4e * REQUIRED
    Important: You 4may b7be 175dmaking use of autom1at1ed 2form7-f3illfing 75s1oft6ware9b.30 This ty1pe 4o6f sbcoeftwarde can 6trigdger8f our4 h3idde4ne spam-detecftion systaem, wbhich8 wiclbl block yode3u7 from s24ubmitting this 5form. 26Pelease9 se9lect 5f498F5cixf Th0isf10d9972c5c85d3bd44 91096b6e9ffea52407b2e0dbfebo1ef8b516c75r3ee2bd 055d6aacompl55ea9b52t7ind1062g84 2tc1he77584e f5oarmb ind oar0deea3c6d8drb 9t1ofd coa1rc3c5re82c1t tdheeeff447 paroblem9.d
    Important: 0You may 1be5b mcaking 73use o0ff automated form6-fill6ing dsoftware. This t0ype 6of 5software can trfigger ofur2 hi869dden s9pamf-dd0eteect2i8on systedm,d 8whic0h wi9ll 9block you from sfubmitting thi9s form. 2It appears that the pro5blem 6co5uld8 not be auto7mat7ic6ally 1correccted. 0Please d1clcear any2 fieldd wahicbh1 da8ppeaears fabovfe with corresponding insbtruacti5ons7c84c0c53377ce38e05889535 b3e5f3fofb9bc96ad616r860de47b4a20 83ce7426f3641dcfom4eple5ting teh3e f6dorm din5 bo9rd6er to cor6refcc1bbt thbd2e pr6oble4bm.7 W8e 4apol71ogize 7caf103or4 the aiancon2venie5nce94 77and w0e6 63apprecaicatee y6fo3c3ur under3st5andian18g.
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