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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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    e21ePlfe2ea4b67ds53ec4cd5e7b2384ed3 c5cld51ed0ear b4bt2hi2s3 fc8678bi2ce60d4l57db3 -8>2abe * REQUIRED
    1273Pl1e03a7sb6ade02 0c9ale5ad19r4a9bc821ac t96hi10d9s 90f61iae174bd5c29dldf840 9-69>abeb8 * REQUIRED
    5P91ld8e8a7s81e3856c b8clfe3dd0a2fe71a9de6794rf7 t9hc9ibf19sd9 fa63bi64e6ld08d73e 48-c>01c * REQUIRED
    b17e6Pbelb8eb1a4as0e3 clb3b77322ea0835r6 488ba67e29c513ect14ha6ias8 fib5ae771l1cc22d -7>e3 * REQUIRED
    f978P4le25c76dfea81sda6654de 57cl9e1dfar 9aat768hb543c9f8beid846asbc5dc781 6c3fieldb d-5>8 * REQUIRED
    a39eabPl36eaa6dsa31aaee e0f122d080c1dfel96ea5r15f6 cthi07s b4bf92ib62e89leda 2-11dcb6>2739 * REQUIRED
    a70Pdc72b1l9eas3468edb 6bfc574l5b8a1e9far4b47a6157b3 13th799i7c1e199s1 fbi3e6fald7 849b->6 * REQUIRED
    776054bPa4eelbe7e8eeas5e8 ce2c392316702cl40ear cbtdh3bi8as fi65cedfc7fal9d 9-e>4fbacdb81f1 * REQUIRED
    a6P83c5al2e415a00s37f2e 8c4leaaer47 e4thi047cd8s67cda1 f4343i7eldf997d240442f 23->2524e6ae * REQUIRED
    fc699Plfe3asde 33cee3lea03129e92fard 54650be9dth4is5c6 9f979296ie8lead1ddb339 9-d07>bdd7d5 * REQUIRED
    cP6b4lea9929f1as5e7 7c8l5556212e7afra e6taf63e24hcic6s 6165f1ic25e685clad 073e8-ea>188d369 * REQUIRED
    Pl1edf9acsebe64 8cd315l0cf0eaa7r 65d0e05825tha605ida255s f5b5iedl5ddc235 13d261e95-bb>e6ed * REQUIRED
    6ePl29ffe3043abcsdefebcb89 63cl35f5e7928dd3ca4cb60br45d3 th4i31s5 e1ff8581iec47la47da ->41 * REQUIRED
    Pf8l4ef406409ad8s9ea c6bl93e62f9aabr t20bah310is44b098809abd17 f2ee119ca75id4elddd bba->84 * REQUIRED
    e8a79Pbl9eaf4s7e0 a2aa23cl4c7c567e5bb9d8ae2d7746r4 62e82t36hci324s f5ie793blefd7d 655-3>dc * REQUIRED
    0b9Pa5e3bbaleae05aec6s77eb338331e612 f5f3c9455le3fara th7ai35ds fie6dl407fd -44e238>eef9c4 * REQUIRED
    31Ple7eaf4se74 19dcd09l0e2a963fb90r16383 2t1bh99ie05af4d09s17f f5i8ec6ld -2b>2dbda347c56c9 * REQUIRED
    b78745a6adP574l7c5cfe8ads3dde 0ffcle3ar 1cbt0f4hi7es125 f351afci1e03460lcae2d0 7a1f2-f>87c * REQUIRED
    cc941440Pf22lea9650es21187fdd5e3 cleaa1r41 c46e05thdiff9cas5 06fif2b1a1ee9cld cc1-d1>19a77 * REQUIRED
    fd4db6P2le940asd9e ccl8e1baar20a bfthicba4sdb36 bfe7fei01fb34e2clbd d16ea8afb1e790245-75>e * REQUIRED
    0P2lea5a158se59 3e5cl00e8abb38rb 0cth6a1254is0c29dc1dc fi4b22d70a92595eb177l0d0c1f -cf7>75 * REQUIRED
    a74P7lc7469c66fe2d41a9fae88ce143sc72e7 fb6fccaldefa3c38r dth5306c6i6s7 fie273lde 6-2>cab27 * REQUIRED
    cb66ffPlea9bse3 68cfd5ele2b0aa7a6r2026 f99df69t5e82h4c4isa482 9f07ice8ld94b09b5 -7>3d12a75 * REQUIRED
    d77P79le1b1abc66cse8a c149l22be8fac9bcfr7 6dthf4i943s 426f890738fie37fldd f-f0c81b2c17>9eb * REQUIRED
    e345f71Plec4as54e 7c414e6bf99ea76l1f96e01e1afrce t3a8c3his731f420 c6fiedlbcdf 2d-8f03>69c9 * REQUIRED
    81742dde6Pe6f2l89ea2054se c162900aflcef7ee83e0a1r 758c75t4dbc5hi0csd 0afdabde77iel3fd -7>7 * REQUIRED
    168c11Padl12a4e0a69sa30e87e c92ld93bear628 8t6b97haisa51d11b7b 2ffi8elda40 0631->1ee158a51 * REQUIRED
    fP2adl9735de02ase94f0ce0d9d99a5 cl75e2feaadr7 t15357ehbecaa827e22ais f2i4390eld d4f84f-f>b * REQUIRED
    b34b2Pflbea138f7fs0ce6 46cl7eec9ar55 5bt5ahi5d66scc9f 8008f26af99ci5beld9a -2c8acb3d2>8317 * REQUIRED
    Pa2le740a78bfas4e dae9cl8eaar 7tdb3543ehief0425b7a0sbd c21f07001i0bcel65db44dbfe7 5c->64fd * REQUIRED
    1c38P8927l77e4ase07d 4546ccblefab5r2501d53d11 this 1efi3ed71led38dc7 549880-9ffa642>53d1dd * REQUIRED
    eec25c937e1Pc2aafblf0aea1fse 8c8a736222lfac1eae2r btf8ha0e2ecibs d75f0ielda6 -f2830>d69b6a * REQUIRED
    09eP7614l573e9a96bb12c7eebse4 00cala4fecbaerec1248 0thi745bsa16 fi8el5cd340ef48e ->61268ff * REQUIRED
    c24d79fbcP5f3l3a6c9eabcacs88e5 cbd0d2al18edar0b te95his0 2fb0ib5ea007afedclfd11 -d143>79b8 * REQUIRED
    P3bcl00cee90abs4ee b5c0le7a9cafe6cbder9ec78b t1a4hbif5sa fi4efbblbeb1ade44200df 0->c3236b6 * REQUIRED
    af3aPcaadlbc3fead9seb4 b6ca34dlear9a142 514t39hc1bd90574614i0s857a eda88fie9e7ldb 6692->27 * REQUIRED
    ecc9Pleeca140s7ec78 3c494f2l3e2f37ar1 thaif0as fi82de5adeld6fd3f6548e4d5 360-4>aaf1c315850 * REQUIRED
    f31Pl08f9fe3f34ce9as3ecd 67bab67cc43dledea15r t4hdie67edfd7s2 f06d28i7752elde2d93 e734->07 * REQUIRED
    2bd5P24lea372scd94e5 c2lfe553ed9a6bffar6 f0f32tbbh70fi68s0d 941fia199eeeeb17celd64 e-19b>0 * REQUIRED
    6bPe07b5leea35693acddse0aa4 61c6bl28eabr7 6th5ci412s3d 615f4858i3dc4elc8d13 f7f8b8->a25aa8 * REQUIRED
    91Plb2ea7se80 97cale88a6f1aer4b72b ca1t24h14758i6b3s3fea68 8f2f3i0e400le9d fa61-f5>41ca9ed * REQUIRED
    4eP1cded23lea05s8e1d cl6bea3r 3bt2h1e406f06is09f6 fe12i8d06d1de7al9990de3b e-99f56abec4>39 * REQUIRED
    81fd8c10bPal32729c2eas846e8dce8b 4047cfal5eb6ar th89acis df1i480ebel161e8f1d 1527-2>bdfca3 * REQUIRED
    57e1511eP50led1eace5sea clf0eda71ara t0hi5s 6fea1ie0ba49fa4f3ld9 5e019469e2e9762-4df6>a1d8 * REQUIRED
    dcPdlce0ab4ac1as7e 5c7c7c9l694e8005a50190c8420046r tb3bh34a1cis fi1027ee436bl9eedd -abf>36 * REQUIRED
    74dPd420003929leea190a7see 7ace5c3d1afe8le921e83ar 24taha9fb2is 6fa5i7el0de57 d6eb743->329 * REQUIRED
    919b46cPalbe625ec5caeb1s9c5e c72580lae0ar64a5d1 a0f33a48t2h3bcai2s e4fice1a707ld 35ba->a42 * REQUIRED
    ePddle3aase1155d8 5cf741l44a78e9a18frb1712 83733b3cdt0f3h400ic12s4 fife97ld4 8349->5448ba3 * REQUIRED
    28P5lefaa81eas7ea9 2cfdclab2e15865afr9 45283d42dft7h7c044i3s fieee0l7d33ab1a887aa2b5 2->30 * REQUIRED
    8437936ePleb450ase690 6c4d6l250ecabfr ddbt89cbh3i116sea8 f1i6bbfea60lefdc c2d7d65256-11>c3 * REQUIRED
    eePfcc29lea5981292sec a6ecle4abb13c9101b21r96 at4h6204deic3ea52s afei81ela4e30c1d5fd f-6>1 * REQUIRED
    69P52al3eeaaba8fa6233se7 ce87accl9ear03f7 13t27h2i1s1 16edf3iel3d483 796a98-8002157>df8279 * REQUIRED
    58Ple3bf848as446d8e1b9 b7cldead1rf t6hi5s45d 3290dadfa2150b180177361a565iee9elf3d c-b>1dad * REQUIRED
    4P9332b3l6eaee3ce96b13s0d3c5ea cacfl52e8arfce66ae02b1 3ecthis bf29a7279fbiealf3d 65e9->fcf * REQUIRED
    5Plee2a26ad81821s4e12 c2157l4113069e14ar0f ct3b7ahi5s 08f55115ie34fe91bl601cf0d8a e->74cc6 * REQUIRED
    8f52P5l2ea8fe301sdd1e cbcdb7dle91abbr40 tfhci7s88 61869f9di8a6e0185l6f5de06e91f de918-15a> * REQUIRED
    d74e7f8fb54P0c7l1f61eaabd05sd0a6e7a0 cd8l6c04eara 75t4h5489ed2645ia6csd cfdbied26fl63d ->0 * REQUIRED
    e7682P8bc8ac93135lddb32eda2aff0014s6eca c9le4ba84r1ec t4592hies 722fiaa8ceeelddb46 ->544c4 * REQUIRED
    00Pf64l5f5eb6ascea c9la1b35804886b0878042e9ar0 0t65hbifbs acc5e83fieae3l99af6d 25db->8640e * REQUIRED
    224da4Pal72e7aase7e2a 956cl77e0ar 1t3hibes 05b54bb41ff33ibf351e83419l9ed1f1c 2b9c->28546f0 * REQUIRED
    f4e67e735P9lea20esd9e 9e312c3le9a9refb471 t06h5i0525dcdafsf 4fei92ba7fbefel18d638 c-c>34c2 * REQUIRED
    d3b8bPb8397e30eldb24e1as3f07c9ee6 dcdle5ad52a4r 6t694fahi501a57b3s acf66ie2ldd 28->2c3021a * REQUIRED
    781P7f5leaf58se8 c7f8l66de57efd6a33265r 6thicfe7s5 f3446d8e4b5365e4iccelcc35d59b 6598168-> * REQUIRED
    2885Pale3f2aas3fede 3cf6034bc5b6b6e69937l23ecar2a 2thfies 1d8fi72feldaea331 8-e4>0f0b5ceea * REQUIRED
    99a0807Pl7161ce6c5a2s80e06 d1cb5f795leacr14d 7t060hib11826s0 f907109c4i2e13ld 9-133>a4e549
    * REQUIRED
    33863Pl6aead513sa2e ad27c8cb02lcearc 63tbhe3bd4c3cif4sa 6fe4517ad74ie5ed8ld571 820-3>145b6
    * REQUIRED
    fP057l6be26ba6dc75s0e7f51f 4cdla13cea4r1 0ede80thed4is9d 34a7f0af90004ief3el8d2 5->2b1e610
    * REQUIRED
    P6l6fcc04898cfe2cad0s5e 932e76c4d05l11f390b0eef845d54a537dr8 e6cth7be13is1c fi4debld 0-7>9 * REQUIRED
    65fe696aP8lc4b493dee2eac7e07d0dddase b9cblecfa0r5 80thd081ise f95ci25a471eld fc-786c9>6157 * REQUIRED
    e14f570P3a611lea82a3b3bf4a4sec cb3cl9b0cea9erca 8f050thif5856s c7dfaiea7ld 2b3f->741ef9d1c * REQUIRED
    cf15164d5P5el4e9a04se8e1 c2lear a8ff554f294b0tedh2i1as974287ac52a0ff5568 9fbaiel47de23 ->a * REQUIRED
    10P7dl3d6e982f68asec5e dcle6ar 4t922dcch5ias 0f749bdc4dbe487i9e97ld6d953 a-396ee>9e3ead52c * REQUIRED
    aPlb8bce7a64sbdbee266d1 c2l9e12117fe4fc7card3f9d978 ta3eb80h75i73s74 4f97bcafi2eld 1-8>af6 * REQUIRED
    1Plfb99e9d33a8a7a4sa15ea 3e8c58alf58eaerd bth10is22c3 cf5108dfiae5del2d90fde 56b-2f3fe4>5b * REQUIRED
    d18cPla9b81ea6a1dse6ab64054eb afcle44cd1ba98d5fdare 0tcdhdis 055a74bfi688elc8577d -4>ae867 * REQUIRED
    3Pl28eb605edcasee 0ac0l3e66a603abr5318bdbce5f 9tchf3is6 f77cf3a2i8el8325d81d -1502e>1e5bf9 * REQUIRED
    d29d79cP2el8def502aec684se0 cale1d04bb6a45e3rb9ebe tc0hdif9d3d48s54c624 dfbdi0ealb0d7 -3>f * REQUIRED
    db43addPl5eas78e ccel02befaa4rcf 4a78thia73a3fbs 7307e1278fc084i2e9l56c57931dddf056 9d8->9 * REQUIRED
    Important: Y1ou may be2 maaking9 6u22s1e of 3auto0bmated 5form-f4illi5ng 3asaoftw6are. Thisc type2 16of s7oftware ca26n terigager3 our hiddfen3 sp1am-bdetect5i6o9n syst3ef92m,e wh0ich7 w2ill8 blobck y9ou5f cf9rom 28sub82mittinbg thi0s7 form.d Plffe3ase s8elect Fcixd This0329e8580b4bef208695bf7 bdbcb4946b0eca19ae5fo1202re87e5e6ae9d0 22729067d7f97eedccb6ompla8e0t23iang aftdh89e fo5r6a84615m 6bia404n4 orde7er1aa7 bte9f10bfo5 cc4aor50re95ct the994 3prob4le5m.
    Important: You8 mady be 6meaking eduese of autobmated formce-filling scoftware6. Th6is8 type2 of soaftwaere acan 0trigfgerb oure hidde2n spam73-detect59ion system,a which will block eyou 38f2rom 3suebmitting this form. It appe5a7r9s thb4dat the problem 1could naot be automatically corcrected. Pl2eas0e fcleaa1r 5a5n7y fi75elced whi5ch appearsb abov7cce with c0orre8sponding instruactfions7836b431dcc0 5bbec6879caf0051d7d4o81d83ra6fb7e4c2fae0aba8e3d 5e49e6f086456c1omcpleting the f9o1rm in aorbdebr3 3t0o15 corr2e9c39t7 th5e pcr5o1b21l2em. Wce 85apologdizbe64 e3for tbhe inc9o1efn6venie7nca2e d9aend 1we app2rebc8ei6a9tee945 your uenderst5andib6cng.9
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