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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $810.00
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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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    P06fda0le2a5s2be53e46238 a6221dfc6dl4e6farc tah7i4s9 cf3c60a15fc8ield2371ee2dce -ff2>121c6 * REQUIRED
    Pl9ecaa18as0e cale8ar24816b7c t4c8ebee391h1a7c10aicecseb 72f13deie3al4d5d 72d866e4586e7-a> * REQUIRED
    1f3Pbe975e5dal5ed03b68aseac cl9c03e827arbecea 1atha1i4cs d14b7dfidb313f3eb6954ld9faf41 -b> * REQUIRED
    82af7P902l8dc2ea2se02 3e7cfcl3c80ear9 tc08ffdeahisa602e61c f92de2dae84fda87i2ecld02 -2fb>7 * REQUIRED
    6cP095dbcl9e8aca8sef 8fc4d20l38efar30 ta5h4i95s 274effbic73eaalda85e369 6c-d02c4>a1faa4d9e * REQUIRED
    a95P1l5ea0s13020177e6 2c0c81ld2e43e2c0aea1cfr8b7 thdbi8054fs f72673di685efe4l88ed a-e>a77e * REQUIRED
    93872e7P7772l053f75a524ee1a032fse8 2ccl82d0477eara t2hi9aa652as field79 d5-2>2602586005a26 * REQUIRED
    feP0lc3f4f12e0a4f4sdb84ae6 7ccl4865e35a845efr 3081te0h0is 6fc5cfaib2eaa72al23999d4102 2-6> * REQUIRED
    bcPb1laaceac51b2csbe21b 08a31db1ce0bcfcdbacleabre tcfeh158i5eeds fb6eid188el1ddbd80 40-5>f * REQUIRED
    b2e846Pl5e8ab1se7e7de c39c30c65dl55dfa4de007ed7cafa8d5br t267cehis3 6fi4el2d0e49 -c4bb92>2 * REQUIRED
    1589P5lfeabs5ce9 cle7a1ea4cr253 5ftb53dbb9c0h99is 17fffffi30e1176744ld 5b87-9e4>d52ce70ff9 * REQUIRED
    ce9efPdbl76e0adas2efc830f 8892cbl3e5dcd500faa68c2fr21fa 98th87is193 edfa76i9cad92elbfd -2> * REQUIRED
    7ebPlbe6d643110ased7 cleefa19r 6tcc2d3e8hd3ic000das0 57fecfi2acc5e6eee44l68dd 64-b6b>3cef0 * REQUIRED
    7be56Plbec765a6778ca9ds16ae7f3fb9 9ca8177b48al9caearc t44hi27sd6 24f09ie98b5fdl47d e1-8a>0 * REQUIRED
    fPa84951b15lee62d4a6s1e4144c4 c8lde86fea7r 0thi1as 3f4cfib6a384e9ld4d4 39eeee35d6-4>c3b935 * REQUIRED
    e0bPe45dlefacsd1cef 7bb2d9c3713cl3e81a23abar tf82e722h27i8cs 9fiefl4d e-b427>e28f50716f70c * REQUIRED
    1eP516e84lfe37fas1ed43e c7l8b5ea6ccr48b f8th5i82s825 1bdae5fe86i4e3385lfeed84 3783-f>0feb3 * REQUIRED
    Pe209bd644e530l28ea85fdb298ae04ase1 3fc966l5e572a2rbbfb4 4bt28hi7s 2f01bf8ie9cl99d2 0-5c6> * REQUIRED
    a6P5le131fas6e a1ecb03lce57a2cr9f9 60t3ef3h216843f2677ibf3se41 d501e5a6efi1a0el5d7 -4e>84e * REQUIRED
    b4dd4b5Pl522ce90as44e c7le46ae3504r etcf65ahdi3sa380e9 feaiel445df67dfbd6c3 868f-ef>bf4136 * REQUIRED
    9d10eP4la17e0badse69d2 c6leaabr tcba8e4h94ci31e97dcs33 87ff3ifc61d2bfeld -ef1>5c54a78d5b3a * REQUIRED
    d4P92cle1as886e2f735b 7cdle70ebar24a 0b643thi279764b0s 4bc1fie60388l640d92 6-68>43bdbadefd * REQUIRED
    04Pbelae3a1c51f4b1682a53d3ds742237d7715eb cd92lea6r4 8t4hi64s 2f01f79c2ifeadde4la2d0 27->d * REQUIRED
    3dPeafa77l3339c1e9ac262s61e25 1c3bfbbl6def8ar t2abc07b6hai33e4ba02es 8fiedl2d 443713-2f>52 * REQUIRED
    Pa5015d0ea3a3le06b5ae0s66c92367e33a clbe7e029caar65 60tbhis 4fia2251a569el9fd -d48a>d75435 * REQUIRED
    7c919P04l2ceea840a5263sed7a 4d9cl3ear7b t3haiab25ecs968e8 d11fibef108950ff3ebldb 32429->b6 * REQUIRED
    b91P8eeldead0se c9lea53e14r89818f 1thi77s fib0e4bld5e42361098271dd -60503b09>051e1160e70ef * REQUIRED
    eeab9P34f8lc4ef92bascec96 266dclbea4rbd thd35ic33ea783d2s3 cefce7aae0ieeld3 4cd7-be7e>a4a5 * REQUIRED
    bea0b7P79l9ef3fas2265de5 67976clfe6cea458rfff 4beteh1is df3e88ibe0l04fd41 2-dd432>445a5df9 * REQUIRED
    39d54e02bP2l9ea9b7a5s4aeb68 dc62b29blf8990cecar t5ab8ahi0e97s fi94ebl2ed 00b-11404e878089> * REQUIRED
    665dP10l45eacb64eafsdeee4 cc1l4e445dd45daer tb3ehd29i7s0 6f1iel65d3c38da8 5485b2121af-f55> * REQUIRED
    40997632P5l4e53ase8 f83clea68c6ea49r th8e99abib19s afci8eedle4d0 -5faaa663dc7ba>2191754aa2 * REQUIRED
    3ebb32ca7f40Pleda46s3eac87 a9fb9ccl8cefar 7affe1a8b9th79isa43c 4acfifb3eled278d6024 e2b->2 * REQUIRED
    4f358fPled3a0sc2ae87e2 c7dldf5e7da1r9d th8i5be6ba3d9b8daef16b379c2s597e f23ielad ->b2f2891 * REQUIRED
    f69cP2f099le6e693e98a3s2f869e c79l18f43ea7r4 th472i3bs1a3f fe5b6ai043eblc08b41dd 63-376>c2 * REQUIRED
    cPleaas82e72 4eb449c6a3l8a3fe36ddea1fa9rf6 4ct3ddf960hed937cia1as2 9ff0c3ieldc7 fb817-7cd> * REQUIRED
    1P33f0aa5c07c93l550ea73see54bc2 clae8606ar3 dtfbhi737es07bdca9a 8f1i8d48e91f1l1d 6->d8c0a6 * REQUIRED
    1P66c76lea690sdf6045cfe 7cdclearae4243d9d 8d7608t67ch1ifs44f5f0 f5ie144ee1l6524d1 ->8b4bbe * REQUIRED
    f9bcPl34e1afbsed cf3elc7e13151afree308e62ee9 1bf61250cdtahibs 904f6ie3b3edlddf 0-8528d3>95 * REQUIRED
    1f5512P92f2dfe830alc2ea4f87f6s24e550725 af142clbecc5aea27r4 7a0052t5h99i5s6 ffieel6ded ->5 * REQUIRED
    22183501a3P1ab7le7880abbs67eff c052lfef8a9rb 5tdf1hi2d1s dfice7efd6ldfa 8ef1660d3-f99f65>8 * REQUIRED
    cb0eP93lc6e0as76acfe42 1cf94l75ea3b0ad9rfc12 3th805d7cc8060064fias f9ield9d -e>2cade7e1c03 * REQUIRED
    67aP76lbecasa02fed 7bc3af0aae44l15765ee2ar819 t99his2d 9395fie52ld2c238f e4ba2d-f0>d296301 * REQUIRED
    b867fPlea4ef5a5s0ee8 c98l013f42e1eb2acaa9r 1tc7c406fh7bid8b0s019e f33c0iceb9lcfd210 ->4a72 * REQUIRED
    09fPleas0e5e85 bc05lea97r929 48t82achiafs f88fde9aac10e5931ield 84e1d6-5b365>d22c7584712ca * REQUIRED
    Pdf34leeaf95f3e2d8d81f9s77ec19 e53c0lear9 f78th4isf 3111f75477fibed7lc012d01a e0ff-01>1d91 * REQUIRED
    3ePl9ebe30acsc9221814e7e ec4la6b83e1a528a990fr0d t48hcidsf9c f8i6a51ffeaeld 6693-2>3824ae6 * REQUIRED
    9f999b6b8b5Pf7l41e01basec0063 6ec95ldfcea384r tda27hi3s634 68f22bf0i52cbe9cdld54c -bfd3ae> * REQUIRED
    b531075P559ce1leb56asecaf3 c22a772lc9eabar t7a5hcce1fi9e8bea17csb23 df76d5fi21el43d8 ->237 * REQUIRED
    d2f1d945ePaf9ddl7a9e6d912as9ae32040 c5a609l6e8ea14brf9 dd7t04hdcis fidb1953e9c1l2d0 d2-a>6 * REQUIRED
    3Ple9be8as18ecce8 bc7d1l21e9ae3r75b8765fb thdacid8as525e40394e 7f01e21f2ield1 -c202dd>3245 * REQUIRED
    4P32l2e1e5a3b3a1se 74cl608e5adr 7tdah466fisa6a 2c6468e0f6661574i1e22lf86dd4cc0bef7 -5>622a * REQUIRED
    16f6dP14c12de242l7cb879e2c9af63s0ea01ce63 0c397cebleaae0d4rb 0thi7s8 dfci76e9ldc -b39>7b51 * REQUIRED
    136P8lea05s0e c277e57541l33024ef51a79299r584 625t6hdiees472 35f540i2a372e69ld c00f1b0e->e8 * REQUIRED
    P60edlf30ed9c6eab6se71b2604 dc54fe2fl4dddear18a5 5aa2t58h568fi8sf21 f2iel2bd9 91-8721>c805 * REQUIRED
    84322Pcff3adlc8eaes0e ce54lebea05r4df 361t661h04821bisc1 f3e4di742e0l7f5e3df 2c57d3-0>c919 * REQUIRED
    42cPle02907ads985e cl14e2b88a34fe7c4r ecaet454h7i97s06 e2fifebl1519df0499 -a>54d9c2041a7b7 * REQUIRED
    d4e4214P9f87ac7le8dae6sbe8bc7 a51fcle556dar31c t5h6i499sa8 3cf9984i7aeaalcd eca7fe2cd397-> * REQUIRED
    3388c60Pl75ecae9se 42cfl1d8e5ar t4h0bfic810f8bdcfs1a 28a6ad0fie56ac84f623l88e7d230 5-84a>2 * REQUIRED
    df8Pl56ed5ase3c97 aec75leea0f4a677588801r 5ct5edh4i7s 61ab0e5a8field06bb5 72a493f65-01>fff * REQUIRED
    7ePa16fa5cl8e41as29ea cble62a5a4r et327039hise9a bc0b8fdbfiafef4l6d 0-e79f00a9339>7b10f6c8 * REQUIRED
    P1034l3easee cfl0e40b8e6b793164b2a35rae01 e5c7th3c6b64ias3f9 3fi8fe5lcdce -57ea42>e62eada2 * REQUIRED
    74a4Ple2aseee5027bf1 407acdl45e3a3r7db6 fd7t072e5b2d9his a3fie25672de59l1d -87b>b9c2fffd37 * REQUIRED
    87P02l66e7a3s514ed 4c33l04ceaa49a2rf70a0903eb817 t2hisb049b0 cefi7d44cdel24dfa 0->f7098ded
    * REQUIRED
    82Pl0b8ea79ase9 cl2584e689eae5fa7e537r2c da7d6a86teheisd bf0aiel065d2ef11 0d-3a0e>47f1d1f4
    * REQUIRED
    P09le02caf97a0s24e c53f092758l8c1fde3caa0r t59hies fbfc9b6c99ia96el8a3ddda1c37b8 -61>84d71
    * REQUIRED
    cPcl0ee0a9ds09e43e 5aa983f31c5dbbfleaaar19 tc3hibs be9d1fb5fe5icebb9e95e3lfe5b1d10de b->b7 * REQUIRED
    7d73P13lf6ea66c0s9a75969eb973b ddc0al73de735ad46r0300a 07th1i590459sdbc92 7fie30ld f861->3 * REQUIRED
    4b2Pe19c030l3e4da6seb9efa9b ce8ale8a9ar68c7 4t3af67bhc4isdb f9ieald3f21 2d0f70c58d-a2f>a48 * REQUIRED
    b0a643116bPafblease7 39cleaf0aracb 9073570b6ftchi9s3 0f5d5i36cfbe3842e201ld0 b829-cc6e96>5 * REQUIRED
    dd2bePla8c313ea2bs2edf4f4 8ceb4d7le5adfaer ct78h9i24bs7f89aa5d defi41607e12c0l7fd e4->eaa6 * REQUIRED
    ePal296998b8ea86s915ecf32a ce5f7397clea9b1ree 1thi4084aes75bfaf42e06edc fdic59elda d->00ad * REQUIRED
    aP8dle015eas7b3e f9e4cb5l708107aee164ear 7f25tf7efhis fie89l0d717c7545fc2f5a 9ed-7f>a9dd00 * REQUIRED
    11fbP1bl375e6925afcb83s1e8 ecla2e4a09r30c f8264a6478dthi5s3ce3 f69b6i4c59ee2ld -b8>270e458 * REQUIRED
    e511f2Ple5baaasae 3c7d63calede5d83a27r bcct8174b0e431bhebc53a8i139s 2d12e3f0i8eldd -2bf4>e * REQUIRED
    5ddPc24da8lf17eaa30s54dce 527a6c1dal1e0ar4 485t4bhi68fs 1bf5i0fcel918193d0aee29b 6767->fb0 * REQUIRED
    P5e39c3l3e17834a20sbe c5l64e37e6ar t71dah67i8s 09effi5ebl900d49e02fb6e9 8d-2f3cf1>0f3e9043 * REQUIRED
    Important: You may2 be 4maki0ng use2 o50f automate8d fo8rm-fillbi25ng7c 9sofdtwar3e9. Thfa6i2fs type of s0oftdwacre d6can1 trigger our hid56d7e63n spaam8b-detec8ti2oen system, wh8ich willa bbeldock yo3u from 9seu1bmfittifng t55hies form. P8lease se5le17ctd f9Fidx 1This60130 e4b38c5e160ce78422fb3d313032126of5f97ef189efdfbcf519reeb14 248331873co7mp1l0ebticn0a2g73 3tb0he2 3fobcraf9m in 6bord6er 1667to e8cea445b4or6react8d93 f7th9425e2d127a pb06r08obclem.64b6
    Important: Y6ou may be making use of 9automa4ted fo2erm6-fci7llcing 7soaftware.3 3Thi6s ctyp5e of software fcan terigger our1 hidden 8sp3amf-det0ection0 system, 2whibch wilel blo8ck dyou 1efrom 2su5bmitting thidsa fborm. It2 a7pe1pearsf that t0he apfroblem could not be au4tomat5diccally7 c6orre8ctebd72. Pleafbse9 clefar any field whi93ch a5ppears abaove 2with correspondin1g instructions4fd47818c68ad4a55e9 b8ef71d4e074712f2oea1r7e77 15a793953cdcc716ba2e12a5b32comebple3ting7 thee5 3fo40r219m in3 5order to corr7ectffee btheb 2cp4ro0bblbem6. We apolog9i1ze afcor the incoa1n6vdeni0e4nc3e ae5n92d we3 af8ff7bpp72reciate 2your9 cun4de6rsta7n11cdieng.
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