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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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    267e270Pl01eacs92e31e cle6aa3054rf0 54t7h33678c76i98csc f68a9ield9dcd f51-46eb3c0b78f>3af9 * REQUIRED
    6f32Pal7aeab6sec8505061d5ec0 ccf3l04e906ear2 thcc5i14852fads7 afi7a4e8dfc7ld760ab -6174>ee * REQUIRED
    0Pl3e7a6se71d4d 6c5la632236631e61489d17abr th50305i53c17s befi96e6b8ceeal7d5 7a95fe-9c>16e * REQUIRED
    bd2f7f2d7P9cef3le4a7se2 c3cl28cb7252681c57eb7ecabe85c3rb t8hifsf c5b01a9fie1d0l2dd f5-34>b * REQUIRED
    P3ldea29211sda8d6e02e 2b472cbcd2le234dar 599ath6496fi4ada45a6csa dcc2cf7faiea59bal3d3 -7>a * REQUIRED
    Pb84l18ee22ca3bdsbdb34faeec0 32631fc04l8ede0551fa30r ta1his1d0f7ef fdbf3ei9eld3f1 bd1-ba>f * REQUIRED
    b2acPbele331a6cfsee 5fe48c3le2b27744da5a99b9rf fd827tfhi1s d617febi977eldb4 4-a2665c4>4bfa * REQUIRED
    d33Pleae1ac502se 78c709b1le865e38fa7a6e690r44b97 9t8h327i76s 0bf4i55e23ldd b9cb8f->29090fe * REQUIRED
    5c977506a8Ple33c70d5afcse cl84bea13r tdd148e0h58ics f2i6a304c9b2ee284058863l9905dd1f4 ->1e * REQUIRED
    8e0269Pble44eaa4sabe c6lee4ar2aa0ca ft1957h15is019e6e9ff fbiebelf0bd35 43-ada19>99429d7f63 * REQUIRED
    fbcaPleda9f6586se 9clea520a4a744a2r61 et0he5b387274ciase63 8bb3e2834c2f1if0aelddc8bde -e8> * REQUIRED
    2Pd4lefbc4a1s1e bca136fl7ee0871a4r 38this7 f0i4e598delfd369874 ea6430df12639272d-4f>22788d * REQUIRED
    06beb85P131led3a3sbe2 3abc351ce9le6ea0fd62ar et1h604749i2s fdedib9eaeb4e2a8l016d4a2 -17e>8 * REQUIRED
    7fPl14baeba0sd2d98e 363fcf64lf19be73accfr8 t9409bh91fb0f1idscac3d f0c4i4cee0l2aced 4-45c>8 * REQUIRED
    1Pbe0a3eblbea02sa68e101592a ccle967aa4r1 a333t9d151ca2dhif260s fi09ebaf9c6lbcd4bb5f3 3f9-> * REQUIRED
    68a322cP08bleas187e 06c76472bl33464c5eadb2dce9a64r1f e727a2b2608t1hib4s3 ffielad -d>6d78f2 * REQUIRED
    f2b3c264P7dle24a18e1as9e bd29cedl9815c69aeec0a1df0r t4h299848idfs ffid8e9l2dd38 651521->64 * REQUIRED
    5b6d4Pa91l1e1a1s599e584ac6 c5l80ea90e1r t113hi4s 5f6eibde9d0e2abb0590la40de 8527->b446951b * REQUIRED
    2fdPclcaeea5s4e1551f98e470d7 2fccfeld0ea16r f4fdt36aah54i800b169s df7c0e8i0ebld3688f53a -> * REQUIRED
    ebfPl54eea3csdb6ef96e661d c2l7eacaaar t96be813bh67is ff972912ie9l5de 0-140f61>c2c887f3f9cb * REQUIRED
    abPled01easbbbebf7 cbl0ce5f9be3ad30d3f46dr 8bthc9i6e79s5e7 afiae1eeb2d7l7bb9db f8-1c>366b3 * REQUIRED
    062364P9faf1fldeac8s7ec4ad8c0 cale785e1729a21cr9 t4bf2bhbcis6b9f2 32fi5e2ledb6 33f-cc56>00 * REQUIRED
    43cc0dP90clf7ceaas2a6e5d6 c3b60ld4eabr5 ta67aab909ah2is36 bfifb4ebe6l480d6e c9953927522-a> * REQUIRED
    P28e5le44af8se74 51c1le2aer36 ed0cf7cfa4tecdb36bhe8i988sf 5cf473c4i7e33e8l89ed19 9eb-05>14 * REQUIRED
    aPbl0e2ac6ase cl72b2efar4de4 f5bec078e6thdff6i0sd03 466f88fi89bce3ld d65c76a-5602a96>c4439 * REQUIRED
    36d89Pl9e38ase78eeb cl6ea48192arc0 td5cefha7ai8e92s6f 4fcead9fiea6073ccld65f81 -d>2f083333 * REQUIRED
    c27Paee9d2b50l833aeacase d67c732cfl6d1cde6c9cebaeac6dr fthis 4e981f7i8el1bd0b f-f64>4ed7a3 * REQUIRED
    255f8c5a0e4P80d2lea8fbs8e c2bcflbe9aa68crb0b590584 a3e6ta59ehis3bb7a9 fiel2d6 -0>0c8b3d6ad * REQUIRED
    7Ple9bbfb9a66as6be332eee2376f4 0a02bclc3a8f0e9a3f504ar f7ftb187h8isb 7fc9ie7l034fd d-fe>bc * REQUIRED
    542e422fbbPdle24asaeddc7 e641cc5l6ed2faear7 td5ahc6i1d5es4 13ffaie3ld6dfe -048e1680>d906d4 * REQUIRED
    2Pl9a5512c1efeasce9 ac4bbc17e6a8l86f4b6ea6ra739e 5t72hib5c428ee1f1s4 50fiefldb 8b70075-4>4 * REQUIRED
    d6P49l9aeasd8e 65935ba8fca178lee8500aarbc 9cthb89cabi0s4 fiecel70563dedd962b a-46954ea>7be * REQUIRED
    Pela8ceafff7se 96aec9cl670ebcaef95arb873 df5t6cfhe2ib8e0esb 2ff2b181if42685aefdlc651d7 -d> * REQUIRED
    9178daa350Plddf0be2asce8 0c1cl3ea40b97r3d50b bt13de1e6haic3scd2c8a fib1e84l5ee6dec -5>89db * REQUIRED
    68a177Ple1as6db65e34 c0d6leb769e75ar4d1 9c23th7e0b1619758d8i62316sf5a efd18iel4d99 c-5ed6> * REQUIRED
    e6a7ee47ad893Pclbea3cada414as2a40bde8e 6534fc02fl1efa726r9e 7ta50hi8safde0 fieb33l9dd ->d4 * REQUIRED
    918717Pl3eeda2se c9lea0ea3r ba7816f2c9dcathice88cs36f 982ff87bfi0elad6496 351a5d1-e>fab032 * REQUIRED
    837Pal9ebaac673sef cf54cdcf0edca2le1fb6dar 20dtac0ch1e8b7i0a5s42561a98d7 7fide3dld7 39->ef * REQUIRED
    a91ae8Pc7c613le1a3fd8dse cadlee1ar269b dta3h3is1 75d10cf901iecfe18cc8efl44d dcc62621-734>0 * REQUIRED
    eePe9e46dleasdb9a11ee 1cl0af9e5ea6ca40r770 9t6hci4b332s fcedbc8183iec462ffd4cfl8d 5-9>9d9c * REQUIRED
    P7f9blee8aec4a11edf62424s56e4e cedl7b29beea5ea5b47rcdb2297ef t46chd2is1 afidel4ed6 5f-52>6 * REQUIRED
    Palf8efc8ea7c6a4csc0e4 f4cc27l8ee59b822e9c7e0f64earf1 96thd8i7e86se8 fi1e14eld 1cb-f025>44 * REQUIRED
    98P7796lfae9aef41sc6ebc f63f8c8ldabe92724a1acb8r07 tdh311bi9dbs afiel2da27 f-abadb>382274d * REQUIRED
    0P3l9c953c19ef3asf3e dc4lfeea386292rf4bc73 t1h05is d33fe4i933ed8lda328d6138e7 -1>299bb18be * REQUIRED
    dPe5b6le9208as6e4 cl9e8ar5773a btad9h70ifees35 6295a10efi5c733e6a6l4d fcae18-6042b74>33b8f * REQUIRED
    2b38dPdl06ee4e15c35d6c0ae1s11e28 0625cl7de0e4ee8ar ta5eh93ci64s9 663fi32el9d d7-d>6e2d80cd * REQUIRED
    84P1l9d522e7a6ecsed52 c537f7d02c1aa484flea4r5 4b9tec7hie69s 28fe239i58eel10d 82e05-2f>d8e3 * REQUIRED
    c133P59lce4f36ase cl8ea7r7962 55a0te4h65f586dc5c3is dd9f6fiel996d 51f944eb-464357dd6d>d3e4 * REQUIRED
    d675P3l70e8cfa14asd71ea18c e51cclb4f9feac8df682344rd1 tehe15711i9s1 fiec792l945def1f -4>17 * REQUIRED
    778d2Pflea50f7fcbsb6e 3308cl5e29b74aa7dc7rea t36ahe626c8is084 fedi03205ea77ld3d75 0->20cce * REQUIRED
    Pl01eeeaf2f2abs3ea 2fd6cdl29e1e80ae66c83r 0et733h67efias 8ffiefdab1e87la1db b3-4>9c22abbbc * REQUIRED
    3fP6f76443ledb6020d1af9e6fa091b2s96e celbfaearb07 e4tb1h5aid65fbsa ffic0bel9dbe 44-9>8d663 * REQUIRED
    b3987Plae0c9ea3a3s9b0e 9cl4dee3ad6r3 0ta7eah7is8 3dfafiaeld1b31 20-4713d40>703ad522e38222b * REQUIRED
    bP2le199a0sa57943e1c526 clceb2ard5747 t396hies0 fafcb4573ie120f8e2dcl690da9f41 -4c>1ce89d3 * REQUIRED
    d8c8e2Pf23bflcea5bd000seb cc7c2leeafr4 thf50ei3sb 1c63fd82f4ie1l72b4dabaaeb13d203 db2->781 * REQUIRED
    628a21P24le2aa981s4e9 bd1cc0ld0e04ear 79tc7h5bbe1ifs1c7939 9f7ec5deae59ie71e9lda1d 0652e-> * REQUIRED
    P88b77l9981321ea4b1see9 7cl2e0d7af95rdf1 t8h379i6258s a56dfie441c88alc89a1fb48acbddc ->858 * REQUIRED
    0a2379cP5ae2alaea08esd0e4d c5ld3ae985ar6a8 7fthi0b2s79434d3 fi8b6d1aae2ldfc4dc3 0f-8>bd92d * REQUIRED
    9fa83734P19el2e1ase8 06ea3ac3l272a3fe50daedfr4db6e this36a a51fbi2e56545l434de4937 7c-ad>1 * REQUIRED
    P06e4f0blaae8d9eas086e3375e21 0c5657l53cear ece9781fe92tahisc7 efdbadd90ie24l44d d71-3>973 * REQUIRED
    83P6leba1c6a0se cl16e6ar17af t0dh81is88 f10fcb15i5f3e6e8l92a52d5a 388-7>10e541aa13c36ec3a4 * REQUIRED
    fc373Pla37eae7af59fsea192ae b47381clfae31ab7dbrd6 e2t96hbe6577c36is3c 19fiebl2b8d74ad ->59 * REQUIRED
    c516ce042P76e7al4dease 99ccl9f8ebebar3e285d d9th0f762c9ie3ds94 bfai265e5e89l0b0d71 a-79>70 * REQUIRED
    58P44a89le1as5a9ec67 80b1589dc35el7e43aa95r24a478a 74t7chi1307s 5fbiel4279dd5 a36483-332>9
    * REQUIRED
    0Plece58a2s62b9b3676e 1759cl7e824da32e7acre8c282b 7t27hd07dias 96fc02if9e00ld 458d02-aa75>
    * REQUIRED
    Pl7feacs18ba37e69 e51e607d0ce5cla4ead4b82r93c6 tb7hi120dsdc6ff4e 2f751ie5l5d dd-07b>ffc6c1
    * REQUIRED
    eda53Pl00d1127f3ce9adse098 cdc369d8le5a1810a437ffbf649r13 3t739bhies 083fif415e3la4d -f>b0 * REQUIRED
    cPldead8fese51297a1 fc3le1295ab3b85e531551r7fb0e thi27bs af0fa36ibael6d5ff2b424bc78d6 9-8> * REQUIRED
    cc6P753a592le6fafse1 c61lead5rb7 69thd28b6di3sff8bb8 f76321i2ee2acld5 22104429dd-cd0ebdb>b * REQUIRED
    33ad14Pleaseb 0c5cl182ea6e967r8e279c 4e88btch9a6ee58ias81f6 fe01i7cel17d5b63b663 d383-8>1b * REQUIRED
    bePa01f73l1cea20as0edf34f5 6db1c3cel722b2efa0br9b t0he4a0336i9dse fef6acaiel9bd8c -11>a4ae * REQUIRED
    21fbPeb2c73l4feb1768a17seee7 a7cde3l5bea218r 50tbe2772a0hisc 3fcafi0c1e641dl11df2 -249c4>5 * REQUIRED
    82P6dceel3f9589b90f0ea5asdd7ae c6cl97ecd5a32afr3f03 426t0h4is f62i1e458l3cdb a9ac3-bb2>e50 * REQUIRED
    65P0612le4dc0faaase794631 cc4b5l461a522eear thisdf b8f4i059bede8l20ed261a afd0b-d>be923b47 * REQUIRED
    Pebblbeda6cc2e18asb6936f4ff5ec 2cbdl7ea42507r thcis80b fi66bace6ld70 257-e>570ea690776c161 * REQUIRED
    5e6c08c8fPle4a4s54e0 ad51abcf520l26434eacr7a t336a20hab64is3 f8ifddbf1e54035el48bd6 -63>82 * REQUIRED
    e48P4a7b63ce0l4c57ec0a4as641ae8 c024blae77aarf6a3ab at68his9e1971e4df9 56efielcfd1 35-e>e2 * REQUIRED
    Important: You may 1be 7m3akinbg u2se5 of auto16mated for3m-fi2dl4ling cso0ftwa3re6. This t8yp3e dof1 soft1w40aref 3c5an tricegger58 bour hidde1n sap1aa3md-det80ection 7bs12y0s3tdem, which will 9bloa5ck you from submitt3ing24 this dformaf. P6lease 1dselect Fix9880 bThis1d5d7e4 e9b797cee023d2a7e893b3af1f60312749forfe6 f426760ff1e50b44bb0cc51e2c2o1bmplet1i78c35ng8 et2he 9fodab511ram 4in8d cdordc2ecrd05 9t4o 6co43rc747de6reb5f2dcbt 4t7h85ea0 pcr8oebfl7em.a44
    Important: You may be emaki3ng 1u3dsec of auf3t2omated forbm4-fdilling6a 7soft9war71e. This tbypbe05 of soft5c5ware can trigger our hidde0f3n spam-detec6tion sy2stem, which will block y3ou fr5om submitt2ing thisa form. It appe8ars0 tha4t6 the 8problem coulde nodt bea8e au5tom4atica6lly corrected. Pleaase clea1r any efi3eld whic2h 7app8dears above0 wi4th corr6e9s6pconding i5nstruc8tioens122824613d97a4e5d5a1aff9cc440698 eb3caf6db32e32fd2f493o7c3bdre 87db7c498c60omplet0inag 40th1e6 9forf7mb in9a o9dr6d8er9 tdo9b5e c8orrecft dt73hee pro63bcl93em. Wee5 apoldogizef 1for athe ain0c5onevenien5ce 8and3 w39e a10p0pr2e94ciate3 yodur 0u8nederstadndifng.1
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