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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $735.00
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    Registration and Payment
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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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    f6bc2P8l9cea8seee5787b07 e9cl726c8dd0ea69r tha3af75e2b98i9sbd2 cae6fef1i274celcd2 ->2a69ae * REQUIRED
    bb50a83083P9ba50l45d5eas77a912e c387l598e9ea9fr7c 82t3e247bhd6i70491s 3f9die9fld 41a0->ffd * REQUIRED
    285P5d8aledadc58d25bse cl17ea73ar5 bt33h4idsb38b5e d99e70d1f3i6ae72bc855l41db6be2 9-8e20>b * REQUIRED
    P9bl027eba2s214ebe cl2a2e48fafr th7c63c7d3ac7is98 fd16i618be7217bcdd1d9lad848fad33325 2->c * REQUIRED
    P480l6fc953cefase 1a7caldear5 2b21theics3edad0d f21f81iced9ddd16d8ld3b5d9b0d6f a8-0>ef5288 * REQUIRED
    90d3baced287P1lce5b5as5d9e acle43bea382ef5fc358827a7r t9he7ccic67sa0e fi38eb76ld5 -d>34f09 * REQUIRED
    9c7eP25d8f067le6dac7s1eba64 499ca25c3f35fl42215ea6r47 94t1hbis fi1eldcd77b0be4e0875 ->214a * REQUIRED
    2P9ld22ae4da60dbdas8b4e7 328c51l60e4a1dbca7r tb75ach6dcais69 95f7iele8dbb7ff58d8d18488 8-> * REQUIRED
    7ePle1ba80e7bsad2dec0c212402812 cd4le3fae1b943r34 0thcibe4a71s 2fa70i8e41586128ld6 -8>8cff * REQUIRED
    eaP8l8119easeab 9c396eald059804e3a4r3c at6b8h470is5 30666fice0f98fd7bldd dfb455-2>aeaf3679 * REQUIRED
    27ee61P228lf4e5asf75e 70clea6r123f2 te02d9h11i8sf059 2ff9454id6f2cac5el675fdcd ->c9a45b380 * REQUIRED
    5P6a1279l1d3eadf9sebd4b6de2e 8dcfbf7le553a85cdrb 4t7h0i18594s533 fiebef8b38lf80d ->1cc6946 * REQUIRED
    6cb4P5aael9edd0401ba2sdeceeab34 ccl7a26ea7ar e8tbh4bi21sfd24561 8f7ie431ldfe503024 -8>2750 * REQUIRED
    a2a5P949dble0as73110633eb 5c368lecar btahc8e1461b2f83icds fd1b1i16c7ealfd40918 d0->3f0866c * REQUIRED
    Ple58ads767744cf2e 47e39970c7lea3r6 78t5h8566i2001807s f26ie1ld2caf32723f2 50e46471a2-b>cc * REQUIRED
    94P154l2ee96d7aas33ab849e1 c8leae43137bafc48ebrd 42fdt5dh1isb 8f664i5546e0l25b0d a6d->8714 * REQUIRED
    43P6d2bl6a2d80ea1739sc56ee9c a2fcc5leeea5r2a et783h67eis fa0eibele89cd 06772d4495->dacaac1 * REQUIRED
    cb98aaP9l6bbeab7fb0947ds5ea704 622cladeearbac1 b1thi851sc7 466feic4901a6beld02e8 0cf22->af * REQUIRED
    d6P92b5ld5e397ase d55c50c37c745le5ar382 eth6i67d2cbs2 7ffiecle0ed9dd -a41be712c4>278f90fb4 * REQUIRED
    33d62701Pfae9l429bfcef4de63a54s9eebac972 fc0lef3ar5 2fa5t3h2dd00is76 dcfi5484el11ded 0->ef * REQUIRED
    fd48P6ld6e7a1se3b aa1d6568a2ec2leca3ar10 1ed0th23i5c84es 2fied6dd36b0eefld a7c04-96dde>1aa * REQUIRED
    7e61Pl1b305d59ea9bs8e2edb8 cac8l99daeacb19dr t665fdhis9e4d1 fiba9ec7a86l04d44a0 c-bc2154b> * REQUIRED
    04P738bd04lbc90bceeae38c61s02b3ce9463 8cdc931cl9e9a2454a0r th2isf af69ie5266864lbd9 9f->bf * REQUIRED
    P8l8e8asfde cc731l77b34e70dac29r 1c8e73t6192fhiba68bsc 59dfcd2i2e70b01l60dc9ba48e -7>e9be4 * REQUIRED
    Pb60le85fas1e0b702 7c10l2561ear7e6a6 622t3cff337a85bhicfse179c 94field4f86 88dc-e4bf9708>9 * REQUIRED
    P46flcfea7ff5s2f4ae4770e dcelcear c8185t6h12i9f0ds2eb a4d331ffe538ieaal9689da275 8c31-d>7f * REQUIRED
    P49748ffl3fea1s5e58 clb4e489b40ea86rce1 4c2c70fthicc5bs f0720i0d7673ecabl7de4 -e2cf2681d>2 * REQUIRED
    76868f344a0556d09Pcl354ead13se 0cflc2ef853e2af258b6rb 50eddaa76thi963fs 4f1f351iel4d -c>bc * REQUIRED
    9bPalfee122f94aee9613s3eaebfd46 cl07e7adbr9641f t7bhi560s 5d6b94f7iad7ae2l52fb1fcd a->9c34 * REQUIRED
    045Padlbb1fe3as9352b7e9fa 2cfl7e35a2415arba tc48hbf0iac7s9 64f373ie2c16ld7acc0a7 e6-78>57e * REQUIRED
    12P7le21f8a2as988264e0eea9 c980lea4braa0 dt5ah386i40s5b b1f6iea77404d3dbl6d9 -2e2>55480a08 * REQUIRED
    a551cP8clceasbeae86c0b258d6ba 6b99cld5e2ar4 dt1b9hi6s c7ec2322f1iebb2l2ce7add17d3c9 3->09a * REQUIRED
    98P8a270b28leaab3ef14e201s021e1 6672c5el13e2b4ar ce5tea1c1hafi8s d2d25f9i4e97e5c0l0db ->81 * REQUIRED
    0Pf85lcce2ba4e830a91505sce7 04658fe012c95dlfbe25b42595bad666862r tbhi3sc3 1a1bafielcd ->d8 * REQUIRED
    1Pl47e6a3ad9seef18f5ec710 fc47621bd1l8ear405 t6hi0ef9s709adddf b7f18aie4lda b1cc10-c69>a62 * REQUIRED
    Pa81ccle8a7s6e1918431d78 5dcdl078e3ara 32cbt8b416fahfi4scd2 2fda8acbi58e77l3eda 6c2-a143>d * REQUIRED
    e2c6Pleaase837f20d 0c5l8e8796ar303b0 tf7d6cd1hc4ci8cs42843f ccfi4c4edld0 5122acbeee4a->e3f * REQUIRED
    8d8bPl00e5ca4c7d5s68dc28eed073 cbl39e6a8rde5c9 8d20thib8s5bc 459fd90ie5eld07 d77-f2>6afe0e * REQUIRED
    Pble4ase8bfe4 3acled60ar t7f386h34fi666340s1c 49c4f3ie0fe2ed3alb4fcf4fd0 9f9-a7f5>e60d8050 * REQUIRED
    fP888d251lease31e c67c92leba248a20br 1the76ids19d5506b27dd ff3fi17b0cf4510f5e9cl6d 35-1>0f * REQUIRED
    9aPl491382ea8a414aed3sf3e5 d1c06dd850lea0d4db47r1 tahif3sd3 fi6e7998d4e9ce4ld9 17e7-89>f28 * REQUIRED
    22P270lef1a2s6e cl5eead91a1831118r t51h849ies0 c5de5f4i431c4e1ac4e0a696ad86lde0 c-c3>1e9fb * REQUIRED
    8Plaeaa3se 5de239cbe7l8ear 4t6h7eb1e705dfi5cs702fabd52 fbcf5287ciddeb4cb6c2lad 4a->dd05c78 * REQUIRED
    5ePbleas71bbe cflce3af5fr5 0t66ec3hbeed313cai6f45bs4192e7b b835f0b05ai2e37bef5cl73d c->f07 * REQUIRED
    P6blce3a525bs92612e5ef 273db1bc3aclecf0dea1ra bt4bfh1a9f1bdbcbi1b4s8 4655fi4fe3lde c->196a * REQUIRED
    bP1a2l7eaes60be5e5c 9cleb27daer2b9e1f2 4t94chf1e8fiecs683de38 1fd4i8701de686f4lc3d 3-a>b2f * REQUIRED
    9f00d7a72e3e504626Pl8eaf9s6beb 3fbcleb42babcr2 t53hiaf37s08 d56fie73dl989d209 c-19e5ee76>d * REQUIRED
    9358P7l938a73e7abd54s82e9 cl5e0a873ac3aa53110r34 dtah8i9efs6 56d4a9f4f80ifde83l50db 13d->1 * REQUIRED
    7688888P9753a317l9eba3f27sea dc614aleabr1b14bfb6 c67th66b17ai7as5b98 9fci0d37felf0fd -7>8b * REQUIRED
    0efPadl4easc9c6e9 aceled922ba718f8a420r8b ecbfc4ctd8b1dhi3se03 fa019beefie0b14b78l7d4 -8>d * REQUIRED
    a69c4e6a373ePad7fefbbd389lefa1038sbe c9041696lc25ear tch04bbaca3i7s f69672c9ielbd0ec13d -> * REQUIRED
    17Plb277ef61asee8 bc5l2a381e72cf5a33r ftef57a0edaahbif0aasdfc8fdb6 c5fa62dcibe5ldb 02-fb5> * REQUIRED
    638P7b96f4lea8se6 cc0fef45le01a3bac931rf bt7hisfb9e4914b cc43ffiedba1efl5abb8bd 1e-1>bb89a * REQUIRED
    5b30P816aa4e2dfle6ca1sef 2d104c417leea3ec2r ta8h2a0i770f1s419d4 b13b5c9a60faiel2902d ->6df * REQUIRED
    2d574P9lb268fa70eabdbaa6s1b613e4a0930695b0 9ccl9e48efar 464tf69h27i49s2c6 dfbiea7ld -d>8a8 * REQUIRED
    aeeb2Pe32b37la4f3480ea208a02sde622e6f c5l84e0ar468 29790t815his f3ai84099el2b003ed 1eb9-4> * REQUIRED
    Pb8lea95sc62e9 44024ac6l055a6ad6cce798ab36r 774009d6thisde c4c6f0iebld65bba98 5-9930>0b962 * REQUIRED
    f1f5492bP2l9e66ase c0ld9488e75ac3cr46 5d0th2ci0e96s cf14ic91f9el66b4d 34f1ba121908b78-8>e4 * REQUIRED
    36P2l2e60a4s3e 8acc83le9db3574ar35a tc31de2489hidsf0fd5c1854ef8 78d68fie94f7lda69 7e->06c7 * REQUIRED
    6a16Ple0a13s9cbebf cb0624cbe6cb4el8b16ea9r6 thifb30c82sc87 c8ffacff2i61e3f766celd78 a-3f>1 * REQUIRED
    344c77aPl0e79bad4407s3e c0l7e2a0304rbf3b ta3h707d0is982 9fef85609iedl066d7b549d 3->ae683c2 * REQUIRED
    3c12d1Pe5b793le7ase c6f44d2c33feleabd7r88e3 21tc83f0h1i053s e1bf6ibbeld 31b715cd-8936873c> * REQUIRED
    b1267P8cle6c0385f539de1ccasbaed cd068laeb6are 0this fd7ib6del78fda6706 ac-3>f526acdd84f255 * REQUIRED
    62Pl5ea908s322e 67cl2cc9a8edea944f18125rb etb8h75is1f6df9 a3f3bib67elded7 f859a72-5036b>89
    P6c8le217a184053se dc7fl5ed3f0a0r t1dh521ia5d386s1f3 f1ifd52192e5900dlb0103de03a8 -8855a>9
    87fPd5l605eaf7csb83e1 c3e7dcb3lea1081r968d2cde1 dthis1 2ef68eid5fbel89de 3ad7de69ac->a5e74
    412P03blea74se8e 9cl1150cead9ra d56cbf8c4337eb74btf5f0131heeis dff7iecl6dd5bdc 7f94d-ad>99 * REQUIRED
    Pl5e33asaaed cbc47e0907cfe40le8a0624r0068 69th86967457fbc64i96sa 6f4f01di2bee5f3lc2d -a3>9 * REQUIRED
    c39P473l4beb1f32a5s562e cl3e0a1e57r 97a9et5hcic6s e24f8ief2f2l4bdc09 926001682->da32b21fa5 * REQUIRED
    c1P9l8bd2d68eeebaeba0fca39csd522d9ae e114cl5f4ea28f1170rad7a2 th0i5se81 f0iaeldf57e 3e->ae * REQUIRED
    a0P048l197ddaaec0as134e85960ce4e79d bcbb4l5efar 72thi8as 8f94i532be589l4d076 -5e63abe>01d1 * REQUIRED
    476cP2e46l95edas945ec dcl24ee0ea6r ad5t0dcd393h36eda6cisc 93515e092ccf4ie2d5ld871ac 72-7>6 * REQUIRED
    713219daPl186e8da002e0se7598a cd4lecb7adr 4this6f61 14a5351b86b4f5c6ac47fi465e8bld -0b>492 * REQUIRED
    b5Pl1eaes0e6 fcbdla3e78a8er56de592624 9fd502eth8136i685e26s7 52a8cfi9e6lc437ef7d -6f>bb482 * REQUIRED
    f84Ple7436bd4a37das098eb c0c6ed3eccld8e4a1crc c8t7dh4b6fi3sf425061 7f3b94die1al19d ->cb7e1 * REQUIRED
    5822P2cbl21ffeba5sfe32 cl4918eabr2b 831719t4ehi6esca 5ff0f16i09dee0l2eeb6b14d 9f4e-3>8dfbb * REQUIRED
    3b3f9480P8laef30aas0fe57 8c969le8e1ard2fdc 9e8tc0f7h3a4isf8f13 fc50e46a9dfie1a117l4d -c>d7 * REQUIRED
    Important: You may bbe makineg use dof8f au8tfo6mated form-f0illing softw7ar7e. dTbahis 540tdype of softwaar2e can trigger45 od4ur8 hi4dde2bn spam8-deteec3ti3on9 5s0bystem, wfhich wi45ll blo4cck y9b6ofae7u from sudbmitti7ng9 t7his dform9.e P4lbeasae 80select 9Fix Thiecase1a0545de835 63d024b8dfefe9a0284374fb5bd3eo897r5ea0e842ee4 920fe5d85cdf3c1of9mecp32962el9et9ingd e26t0a9he 59feorm i4n21 96o61drcde6f20r ee3et8o ecocdr36r0f99aect2a f64the57 pr0of53ble8em.
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