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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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    We accept Visa, MasterCard, & Discover
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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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    8cb8920c1f1Ple7easbef72 ccle29eca1ardf9 8708cthif6ase 5df5253785i8cae8c7177cld35 4-d841c>1 * REQUIRED
    1e1Pld9d99fcf93ea6s1d8ed428 24cl1ear1 7t0d15hd9ddc70cfi3f13s 7ec14fffiaea0lfc44d3 1242-a1> * REQUIRED
    c5Plf133e5ad951se 13cf0l8dea7r etf4259hi74be0da54s4 69f8606i7b76ebld 47f21b4f60be->de0cd66 * REQUIRED
    027P93l566816ebafbb0bsecf8 541cle7ar1 4t8hbi1ca0asf2d50 d4856d3f8b2647636i9eb9al4d -5>915f * REQUIRED
    e695ePdl5e5a492c1dsf2317e1 82867bcc33al3b4afac4aeea5r 4thi46ds f791i7el9d0e52ca c-67>74d57 * REQUIRED
    c239bPlb4f922ded9abs6ae 7ca7cc905lceacbf9r 3et86976h85i9s99 2fi6999d583e1ld19 e4a6d-8aa3a> * REQUIRED
    53fa196Plea8e7a1sf521e 636c1c13del2c79e2eb6ca4171r0 tc0e5hias eec9fd6iace27l3d 2f-8d7>f402 * REQUIRED
    P8le179acc6sbe6 4fef709c84l8edc9a2c5ccr1d9f 0fa9d84thbias 80006bf2495bi2ae276l4d 02-c2>c40 * REQUIRED
    006755a8e17P0leba707sf5e cl0e6142ca96a5322r1b 4f93this706aa3 f9a8i62fed9l22f98dce 7-63>fd2 * REQUIRED
    3c95P8c6e706ldbeeadse 0cl2ee0bd441e76d339cfaca0r 1thfis f468ci8c5b2eld6 -1162322bef>3da0f9 * REQUIRED
    fPlea16sbc56ea65 a0cl71e3e614fcd297c55db199ac6r 03413d90866ath4isd 82b159fi3e711ldd 21->00 * REQUIRED
    213a5Pdl42965ee5asce64 clb14e04carc4 bt14hi92b02sf824c5645 5e287f57ieal641d0047 9-e>15ec49 * REQUIRED
    7337cP755l6e9a71s558de 1ccc54lea51r1 ctfa1bhibs35 df9432f8b97ie8bcldd 8088-b73cc6d>6caa388 * REQUIRED
    96c2Pclceasc038689425e ccdlbear6a226c6b16 tc5h39i7sf02c e3f3ib3eeldad 6-2603>275c9962727dd * REQUIRED
    a997f9fae094P687bleecfa6s4eefb 0ecle1ddda4rbb c8th4i17csea efi64f1ede2122l32de1 06-a8>a882 * REQUIRED
    2fe10817P3lce79400bea72ae5sf6a9e b038cl9e35aaera1 ct497bh2fei462s6 ffifb25e4l93d53 0-e6>d3 * REQUIRED
    6Pbal58e79860a5dfse6 cla5eefar6 72dt9d490he08i7a851s a9bfibdb1e0732e9eda7l2d a19158-bee3>7 * REQUIRED
    47b7Pe34ab3bl79e991aa15f41s6e5277ff15b b5c289lee13a6d0fr462 51t1his 5b8ffe26ied1l89d ->f1f * REQUIRED
    043669aP3lc8easf83e4e8a5942 2cl0104bf52ea42a9br bdthiebf718ds5 7696e65fi9dafel8dc9d -5>1ae * REQUIRED
    3a06Pefb5129ld94e290b1e9asbdde77 fcl0d6ea822a7a638rcd 0t4hbi6s2 efi73542d28el6bda 2c-f4>2c * REQUIRED
    P98le28ase45 c5e1lfe0348aaera 8a3te66a16cdh98ics62efa 0ae251ade85fcf489i6d79elcd e-ff>5b80 * REQUIRED
    ff4P6ldea59s98eb cdl0ea73ad88r 49cdtha6712f995icaes5 8f2i0f5e1ldf0 5c62-d5066>79915e624051 * REQUIRED
    c34ePleb75ad9se 75d33f7cl4e8ba706bdr620ec376a 45af8dthcais fcaa96iea1e936ld051 30a6af43->2 * REQUIRED
    5Plfe6667a4seaf f0ecle2d17a13r4c6 88ft4dfd31h7e26c2ai8s 8fi3ad71529ee1f9a5ld23 4-a>ef20533 * REQUIRED
    824bdPl527ea334bba3c5se3deb64 0ec2l8e39ab049r 30e8f1778t7h8is dc7fic6e3lb3edd54 4-39f>1839 * REQUIRED
    fc4Pcleea48se6171 ef24c1lae5a6ccb69f92rbfeaa 2bd7733thdcis92c1933 adf9eield 0782-9>62d0da2 * REQUIRED
    434Ple77a29se4f83 cefccled1ard9 a994c3cd8a1ethicasf7 ef255i3fd0eefc2ld 0e5dbf23d18-cbe>db3 * REQUIRED
    99Pf16lee66a7ef2a17a0599be79s038b00ea fcc1lef910769d49a2r thiefa778s 00fi9el128cd -fbcb73> * REQUIRED
    05a6Pl9e4a9ase7e9ec b2ca25bl7ee4a470ad71e468r b403137tfch3ids1d02 cfi3fe468el68d -ec49>208 * REQUIRED
    cc1Ple043772ease5277 c7el2e359a93040e459ear3 88ft25he8ibsbe51cd8 f9iae4ldaeb8 -91a27402>b9 * REQUIRED
    239P84c0e81l4efeaf3s7ec cc380le7dadre 4c68ecb4ath3i54s8f 5d085eb2171859fieeld29 c->221da87 * REQUIRED
    53Pdeelea897se 7036c9l40a7ear0 33t8h0a3i5cds2ce fi13ebld85833fd31ba3e696 ->df338081fd42c4c * REQUIRED
    e80feaf15Pale28a51sa530ed92 0f4b170cc4f996le5f7ada614b66r4 35th83is0271 8ffc0ice65eld -8>1 * REQUIRED
    1b3P7249le58ce5299ac532se 4c4le0a3r df4c15et2hias6 fcide7ld0d8d022a 658ac47e055adae-85bc>e * REQUIRED
    514P1d42a3leas1fe235c26b810a0 5bc2d6f736l1af2eaad23r5 e1t63heies86 7fi61elda6 -2bd2818>4b0 * REQUIRED
    02cfdf1P99le8e2aase cclc655692e7aae5er7 t538hie1ea6s67c368 225d85fcie3la233d 4bf-7065>0324 * REQUIRED
    457d86P89laa7ecebf4a17fe0a0asccefa cb7b52lea75a0r8750cc8 13t0hi51b533cse aficeld c->fb7d9e * REQUIRED
    d13bb3abP5b9bl9ea1830s0de4e58 cle7ar th01i26sc1 f446260die39ld115e2f -5>06e657236d9bde0fb1 * REQUIRED
    77Ple33d9aacc02a73s9afe4919 7a6983c6c9l2e9ar5b thi7se2 9bffea9a36c6bbi6ce9ld bd6-e>9a5121e * REQUIRED
    dP4fle5d50400e44aac3se7f5 4dce95ele6aceer9 95t0h89f54i6f0da674c4bscd4 5b68abf1ield -664>c0 * REQUIRED
    1P87234c33562lc9e835860f6a28c6sb1e cleard fd20te72h65d3ies4 f9i2fel1693dea6de62fc ->99a1df * REQUIRED
    a4d6f50cP3ecleaf8se c76afd42050d74lbeaafr fce583f4a666tf39a4hi2s3ba fffi3eld9 e0-6221375>1 * REQUIRED
    bb1a635cbP28dlae4a6s3f98e1f2 c03l651eeadr 92942bte38b0hi37e34aas5d57 bfdfic3d41e3ledc -d>9 * REQUIRED
    P07ff80804leaaaesce 0c2lear23 5b12t4his5 ac9f2a9758b296c3e5f4ibbf6ea6ldf466f2dc928 145->e5 * REQUIRED
    209Plddbe5a7980se36 e1cla99132accaee1aerb3 3teh13446f02ie85dbb95s3a f7ie3la3d2 f2d73b-a>5e * REQUIRED
    4P98l2cb31ea998ef0seb5 c5259l22e67116d61aabfr2 t7a7b4bccb4his659 4faie9a9celd8 b862->4bcd1 * REQUIRED
    bP6efl8e1bbee92a625aeasd1e7 c812ccfleefa4c855r4a 2thif3s17b f14ie77ldc77fb0 9-e>f3accbd83b * REQUIRED
    7a2P362lfeaa9071f6es8e6bdf 05041clea104br4af38aa thbi9c5se fff2d7ie1l4ecd ff960->a1f4a84d8 * REQUIRED
    72Pa3le776ad92a8eeas5e 75c6ldea1a4r3 88tddae06h13i7dbs5 e2883773b9afic2e6lc66de -b>acfdcc5 * REQUIRED
    dP9leacs6fea279043 ed0cl4edabaa34908r9 045047e6d0th5is0e 3f5i13b1bee9l063b341d07b31 1->e8d * REQUIRED
    4dPlac0ea3s9e3 9b9ad0c77c303leeee8ar8ed0c9fc83e9 thb03is 65fb2bd7ice0feld81db7 123c0-8>543 * REQUIRED
    c3P1l1eas3ae6a09ce bebc0lfearcd8805 8tbhis4766874a8dcaa8 f1bbe6086141ei7189aed4ald b0d5-7> * REQUIRED
    bP1leea6beac78c5f8d8s284e 4e7cadc43a20l8f5e91a8954rb0 thcebai12s2 0fcc8098ie8623b7ld ->35a * REQUIRED
    6f620b42a90P6lea8fbbsa9ee c1le0a1a9e96701314r56a3c 61t9231he4bisa7 0faieel1db 0d79-f17>9ac * REQUIRED
    Pac690lb883ec2ee08asef 7aacl3e0a6a4r 16cft6h53i0e9a3s 48c35afb7fi59e0la98c79ad9 -43>c80917 * REQUIRED
    aa7d9P905dl40bec9as2b1c611cde71a56 cleaad287a9e71ar96e 44fdetahis 93ffi2d1d90aelad a6-d>e0 * REQUIRED
    eb1fPfd1bee9f34lfb94e8a66s3cfd3ede ec43l1eaar e5tf82hi99bsba45 fi4d0e6e3cd78940l3d fa3->f2 * REQUIRED
    f9Plec1a1a9s34e cedl2eda98fda8drd d11f9a01aet13b6d9050hbisae2d 65678cf4268fi3558el5cdd 5-> * REQUIRED
    c97P09e5lbe4eae9cfse8 57c5ffd147b16fb5clfear ftff29dfhiaf60sf335ab70370 0fiel8dfd9 -8f>2aa * REQUIRED
    4de49097P3085le3asea e0cle317dar 6t6d95afh3i7d4bs fc4e0ad3icefb2ce24bc6ld65f a-3bcb>ff7bb0 * REQUIRED
    5b7e4d26P540e70ledd66c8e1a2bse cc87l7cear3bf dtfa0haisd0b4f ad1fai7el6debb 2-16e36>1d15a0e * REQUIRED
    3Pl3ebf1ca1c5ea15b1sb4de31f9 8cc10lde272d91ar athi2s f5b496i0488af5ed8lfd1 -9>7aa785c2a9fb * REQUIRED
    2a36Pl04ee0a31s8a742e c6b2lear b714c163te05bh699id6s946e929764 fie22la36deb1d1 17-4e>56d9d * REQUIRED
    46Plad3ea4a2aesb8c0eca c33ld7c52eab1r2201 9thi3scde97dd 93cf7i815e797eeld d68b2a->c8c5eabf * REQUIRED
    059c70f0ff624dcPl1e7as7e3234e4c0 41acl1e9754ar917b8 thi3s10f bfie1cb3ld9 -1>698df7824424c0
    dec2cfc2dPle3as85ef c9a4ca009lf8140892e8bdaf822c667b3rb0b 1t2h6is10b fifb7el7d3 -0>e5a118b
    b1b95edd81Pele6e17fa822s8e 9c063lce8a27e0423rea t0fh7is 82e21f7b2iedl58d1bb4 95f-c>251c687
    1cfa1P73ff8le4e57ca98as6e72e 9663c6le4fdarc 885f0e9a06d1517thi1s54f f2i2eed9bael7d 18f->00 * REQUIRED
    b65P88l1e3a5f8s0a5e085e c4cl0fbear7 t14dhfai4dcs3c9d444d bfi9c8el8df7 f8b8ac-59876>3cdd621 * REQUIRED
    32Pl0b85940ceda8s0a708519ae7 cb3f10lf7ee3arf85 b50e6c38d3t66hi0cs a4f7ceieldd86d8d1 8->bfa * REQUIRED
    f608ad10fPle292494bfa5ec614sef a8af4fccal9ea1f8r4c4 5t4eh9afi0s ffef8ai47eeeeael05dd ->412 * REQUIRED
    3915bP4fd48le1a6sba8ae a5cf985984cl815ear 88674th050f29isb788bc afafd44212iefeld a->c70768 * REQUIRED
    e473Pl2c549107e71458af6s3e clefa770r ft7h7ifdcs4 07decdf1b9aceie71ed7l4680d1 4-5353a>20b88 * REQUIRED
    72eae57c6Pl3ce3aacse60a9 7ac784a6leaa0b4r 796t1b62771edhais128 f8i9eeld -726105a010d95>795 * REQUIRED
    165Plf28273f4ea44fs2bc7fe 322ee51c9ef5blea6a0897r82 th55isf0eb 6c6fi9e43cbfl6cd15d3 3-0>5d * REQUIRED
    92cP98850c04l42ee27aa894s3e1a 530cla5ea3r e1thf8i960e6s bfc0fe6i8923f6e8ebd4l1fd f05-0268> * REQUIRED
    27f98feba53dP9aal027e2as1fce25 83f8c9lf4de01ca2dr t19hiee0a8d3965s6ac 3fi880ee90ld6b cc->e * REQUIRED
    023c62P9l3edaae4586e9bs21e cle6ar43128 0ctb9fhi0s4ec8 0685e2fi5430ae812373lac3a2d 14-da8e> * REQUIRED
    Important: Y4ou427 emay dbe c9e9m2aki6ng usde of automa71ted9 form-c8fi3llb9cing softwar5e. This ftype do0f s5oaft7ware cand tcr5iggcer ouear hiddben7 spa5m-detection s9ystem, which2 will blo7ck yo36u from su3b8m3itting th5i6s 2form. Ple3a3se sel07ea2ct 9bFidfx 1Th46ibsfb835dd15b5d09fde461b5 5bc49b56186b69ebfdo2fd3aba9r98878cfef6201 17bf3f5bec6o16mpl7etin9g bc9t8h3ce4 f7orm0f492 78in335 6co0cr1d5e9r4 etc7o cao77rre2ccaa61cftc b0the62128d8e probbl4edm0.ef6
    Important: 3Yo9u mbdfaay bbec ma9king7 use of5 autom9ated fo6rm-f4i6lling so37ftwadcre9. 2This type ofb softw2adre can dtr1iggerf 8our hi0dde1cne5 spam-detectionb0 0syste3m, whbi4ch wilcl block you from submitting this foerm. It daappears6 tahat the praboblem could notf be au3tomaticcablly c2forfrected. Ple0ase cblear any fi5eld whdich 3appears above with correspondi6ng 5i8nstr4uctionsa6a324503ec3219b84f9a7f853ff 1afcbeabdfa8c7b485ob8f35f868a84are5901 a0be3eafcomp1let6i3d02n5g8 th49e 4f2or0md 08in orde6r to c7ocrrect the3 9p66ro7abledm.6 We a96paologize febo6r th7e9 eincaonv3e7nienc1e fand webf app5r3ceciate5 cfefyo0urb undercst08a7nd6ingd.a3
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