Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $650.00
  • middleclass~spray
    @MEMBER OF PROJECT HONEY POT
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: Y9ou may be mdea2king use oef aubto0mated fo1r3m-fill4ing software. Tc6e4his tfype00a of software8 5c757an triggerd ourb hi5ddecn5 sepam1-d7etection s4yf0fstem,e wh82ich w779i7l5l b7lock you f6ro9m9a s36ubmittina053gc this2 form. Pleasd5e5 se8lect Fixf Thiasf47e0581599 bf62353262ec32ef9bof2ar1e16a996a8d032c9e99 d5e7ba69b43ab5a75f38complebtin88ag646 bta0hefe 8ff9orm 6i17n ord96er44d t55o3 cf7odr5recc2361bdc83823t t1hab8e90 cp41r9491o6bleeb88mcb.
    Important: aYou m4ay be making use of auto83mated0 fordm-fil8ling software0. T4hd6is 3tyepe of fsoftwarec can btrigger odur h9i9dde070n spa8m5-detec3tion systfem, which will blo7ck4 3youed froam sdubm1i0tt0ing fth28is form. It appears that the prob5ble1m coufld not b13e automa5tically 6c0orr9eected. 7Plfeasfe clear any field wehich 2appe8af8r5s b1elow 6with correspond9icng instructionse62e577de1b08 c3c77f99b43a13de73b76e4876ffo9443aer8ec5eac 4990487fe49e3115c53oampletin3g 1tfh6e aform 7in or4de2r 3t4bo c553o7br4re4ac1td th0e6 7p86raobl7e0m. Wef a6po0log37ize fodr the in0c4onv9eni6ence 56andde we9 ap47pre3acb93iate5 yodur58 1undersftaanding38.
     
    We accept Visa, MasterCard, & Discover
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
    (Please enter the following details exactly as they appear on your billing statement.)
     
     
     
     
    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. 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.
     
    2Pl9e25e9a00se 2ac949l29eeare92 86fbbte205bhbisf90b cfebfi12e9dae7l5a969dd31 e68b4d3a-2e8> * REQUIRED
    536b0Pleaf9s2e4 c05el6d6d7790beb2d3ff39af7dcb2e5c2b3a0rb1 fecthacis0 fei2el2d0a3b -8>8c1f8 * REQUIRED
    b85dP74la8eeada44se0 3dd14b69c49le4b32abar 24fc0bf30e8tafhi97cs 95af9bi5e0ldb0e -52>74f49c * REQUIRED
    919373Pcc9l40be4e218b764a9seb cdcd1alfe6cfaa5c32dr2 t4hc69cdei8cs efbi7e89alc112d657f6 ->7 * REQUIRED
    b41c07P410d254flease 25fdc28cel791e1abr473 t7hd6dieb9s414 ee2fe1i4ea9f223be9ld83 c3e-248>a * REQUIRED
    9ePf202elee197daseeb ac6l9a5ec2af3ar6ec5dc60d b09th98771i0s4a9 cf23ief7ld -7a0c67>318f0084 * REQUIRED
    0dedP2lb6e1fada8fse0c2b90 c7dl40e86ae38r 75a9adf7263thi4ae4s 3fdc7eie850f1l80bd88 086->63a * REQUIRED
    70cb0668Pl11f142e32a001s1e0 cfd7ale098a60e0rb t1hbc06i5s fb000dieadc43le081d5043 6e-a941>1 * REQUIRED
    fee3P5lee4e4ca2dc267se 907f8clbeb2ebd45734ea4r 16td811c2hicsafaf fi6e254616l6d09 fe-df>60a * REQUIRED
    Pbalea5se 02faedbcle2c7a571c26ar0 7t0bcb7c6ea7888h4isba8095d7 ficcec5lbd08e7 2b87f94-71b>1 * REQUIRED
    985P2071l4ecc71as6e6 9c83ef71ec730ccfl6be93a06af4r t8hias1 8d8fieel5c6dc198 4132-b6>9fbf86 * REQUIRED
    Pl139e02bff7a49d4se0 ebcl8a85e0arb4 1thics 1fe00ai90e9e58b1eldc e74c8291-e>2f7100ac925282a * REQUIRED
    bfPl4ea5s23a9e 9407cfle9eaa194cr d97thfis04 54f95d84i897e78l8ad678422edf4d3bd5bee6f 36-d4> * REQUIRED
    18P394a4ledeabs36fef 5cf4l434ear5d t2755ha2id4563s 50d54dfi9e7ledefd95bda28 -e6d9132>72b6a * REQUIRED
    9P920l24e9aas29ebbc c6l4e95afa94d1rd0c4c4071 th5i585scf d5fabic5edlacad46 00d6b-b5>ddbcf18 * REQUIRED
    P0ec5b87c9lf80dbe87a1s6e5101845 cdel22a9d224409ead8f773r9f 28at6h767b2ais5f 692bficeld ->a * REQUIRED
    14Pbl53e811a6s9ccbbe6 efc5ac004866cdl0eba1r18c 055this bfeie9bl08d5 9575aeff47c13e5b3-4>d0 * REQUIRED
    60078d24117f1024Pfd9lef6ase8 598c197a8lbeeb8a38816er fb010adt79h666is3bc1 f19ielcd9 a-0e>1 * REQUIRED
    d458P43l5ee8aa0097sa33c20de0 c6ble7aa8rd tchdaeisf8d9d 7cfffdi71bfel70d3b5db9 631a-f86>a12 * REQUIRED
    Pl1beda41e0e7d5a0s285e864 aade06c5le428aaadr7 f5d10dt7ha6i15s fie15cle115fd b2c89f-eb5d>32 * REQUIRED
    P6d260l1a057aa6e6beeas5fe4e01 c1dalear028ba tc1h27075389i19sef4 f8iee0l2d75e 55b0b5-e9>eff * REQUIRED
    947164P9dl00ada79440b4ad2eeaseea9e e0cl6e05a1r99e 4thias4dab dc74f27ebfaa0i71ce131l8d9f -> * REQUIRED
    8d4P35lea0s11b39e69363 clde5bab6rba15d6b5 taf5ee476habdei0abs6a86 ffe0i4f2el1d cd1c-0>618e * REQUIRED
    dcb9a119Pl11easac62e51e 08bcld9ea9ebc0a859cfr2f98401 this e85f3bie2a5e9ldd 582->717e1aa5f7 * REQUIRED
    84c2Pledc6a631ae1sa59e 6081c3leaa541rfc5 t00h2778a3b5i15s 569fi8576f61e2e0ld55 a->7da26b38 * REQUIRED
    4d0fb3Pcle36a6604se c916f11l9e3ae249rec691 te8abf0cddddabc33h465ei20s fi6el0d -5b1860>03ff * REQUIRED
    0P9l8e1150352fa4s9e celdde7a3a3dr 0514ft8hdafi2682s0 1efie053l798aeed6aee41 -aa43>f3c032a7 * REQUIRED
    0f0e974aae0P8395ele5ecaa92531ea49s36e 7c229leaa39r1 fthic4589s626e 5fieldb 6ec-c>79c862c3d * REQUIRED
    P6l6ebf5ba839scc3e0f5dcbeb f171d7fc2l30e6a06re2 699a9bth1i8s 5f21i0a5e9l4bf138da8d0 0-4>2f * REQUIRED
    47bf73765ed26P8le5eacas27e36d ccldeaa5a8bbfre5 88559d7t1hafiees 57717efibee53787l6d 7-ecd> * REQUIRED
    9eP4l0e635a614s4d1bd6eb7 cc3ab8bal0513earcf7b3 th7f5i9s 960f1i2c1e8ld 54f->76f75e4d540126c * REQUIRED
    82P9le6d7a927b54sdbde45cf 9ccele3c0d386acre t7a34ehibs fib82132f37e4a9eald0 -72>ee77645398 * REQUIRED
    921f82P3leabs86eed7f02c acl8e989aadfrd5 t6dhei287050e2cae9dd290das df626497fi8ea5ldf 6a-a> * REQUIRED
    edfb1Pa8le50a69b578se9e c5a9blear1232da 294383201ed4a957th6c2is 70adef5aie48l0d 8271cb-bf> * REQUIRED
    b19Pcl36e2da15sbec8b0b cf9l7289b0ee3ar06255d850d7d a51thib158s 2cf6i076e9lda 4b9798-ec7>c1 * REQUIRED
    06P8b680b647l68e2247ase8c 1cfbl662eacaae719r6 6cethiac4s98abb c1f767ibel3bb4dd84 6ad->7b5d * REQUIRED
    1Pl6be6a14a5s4be d2aeecle1ard14cd t9ebafhf2f1i7s c7eefa80172i8a89fce1ldd964586 e->f0fccd97 * REQUIRED
    fPl68691e12fca1sd582e 196cdle8a6ar74 bf5t44c8hi38s0c125d00dfb b4f82i3bff9e7ld a-483f6b4>45 * REQUIRED
    392Pl415eeased628ca cfl8ab793ear1ae8da1c458 a2tfhibb26s fiel253b0d4d8229 60-2797a>05677664 * REQUIRED
    21eeaae3Ple932e79ea7762fc0s998de4 c9dlee7a4br t794hi2bs2 fi9479ec2l56d6de6fc140fe ae-fb7>8 * REQUIRED
    8b7e6Paa4796afl7e1as0ceede c97lea1f8r thdidsd521777419e38b 5c4fdaf1i1eb8f6e7d0ld 7-0086>33 * REQUIRED
    Pdl3ea49c108s646e5b 1c936l8ea9ac438brf5830b this8 f25i1b59ee8alc45d 72ea3b-334>8c919d79500 * REQUIRED
    4P371l91ea3cd5s2e0 cl21501beb14caf415e5ar2 t3deh421eiaab00s64f fb27ib3df05e0l6df1a 6-4915> * REQUIRED
    P6l6ea010s44d4a9e c327a0l9aea2c5a713re 5et3hdis40f 3c6ffd6i00eda0lcd44 e692b0e884-b>b8b0e2 * REQUIRED
    08aP65c0le0a01s97d74e e36cl5ear6d 8tb3hbe850ia61s87b8ddea ef7iaee17lc5bdd4 e9578f5f1-f1>cd * REQUIRED
    63e5bbP1351l0bee1ca5a2s60d6f608e 2c3415f74lfdde6ab65r9 9tbhe6is cfi112651a28eldbe3a0 -1>bc * REQUIRED
    3249677f1deP4le76as191e1c4d663 d6fc64ledar6d0 117t743f770chi40s4 506f7iel7df2 ->0ba9721a39 * REQUIRED
    7Pbl2b1ccceafs1e95ec ecl21567ear 76a4c7eaa5a5t54d31eef2hi3s 5817fe19i3d26b0edld 50-38>ce67 * REQUIRED
    64ddPlea6b443523ab1se dcl6e1a5631r05780 c0th190eib81f8c8s 6f1i8f9e40087l1e9ca136d2 3d-d5>c * REQUIRED
    P58l5a2eeaes1ef c996le3e459e4a6912aa0r9 8efthdis296 f0847c6a2ai91e1l5f668d2 6fe1140b4->a2e * REQUIRED
    1eP850e9eleas2f004d9fceb acledca12r tcb0h948c91c499i6bs f9di91ebde863l9ddb6708f f695-b>7b1 * REQUIRED
    6f5Ple57fa8964e09213a8sf5e692d8 cl2e63ar7ac95f e74th0i6s7ab5079 b6f97iel4d03d29 df08a4->64 * REQUIRED
    cb1f93549eP8f7le917a4saecc dc5le6a3acr 34bt85ch54fe49is83 f3i2elbbdefc267109ea e1->4c77a36 * REQUIRED
    20b839P5le76bas0e71 c08lcee9a1r7 eatc7f88c273dh4di5sc dafidddf81abde4lc4d4a 3f4-a1c5d>9cbd * REQUIRED
    P5l6dce8asedc bc4b9cc56e8l88edea0f201ae9d254rf7dcb1844f0 4t19b8645fa97h4eise 8fie75ld e->a * REQUIRED
    e27P1a556el6d63e467ascb6e eeccfflf1e692644a9149rc 121t59chd78fai0fc975fs f1cie0fal5dd f->6 * REQUIRED
    2d6P7l74739b163eaec5sd30e7f91b312d 15cbl8eeaca5r 52ea71ath064is8 fc9ief79c86ld8d -b9d3661> * REQUIRED
    eP57dl6eas61aae c8l6e03adc1f1c36ar 2dth3i3567175s9 6f962c0db6e649iecel96df 6d5ca-19ca9>dc8 * REQUIRED
    a2364P54le8asfe7ee22a245643 f3cfl10ear4 c5ct62h10fd3i1870182scc 64f1a6eaai218eldc0 ->743f5 * REQUIRED
    0Pblbe306d1abbasa09e8 cdcl65eac72cd22067r1 dthisd 7f4bcci081baeb4d0d01f146ld96 752->578680 * REQUIRED
    9e40d275ebd13b9P8l1f997dacea4s9e9e 4ca6cf61le3aa2r5fae50 8t23eh303id55s8 581fi6e65cldc ->c * REQUIRED
    cb09e6Pcafcb5leab89s31ae8f 953cl052ea1e99er0e 4436athaid0s8 e0bf880i46f8b7e3398l7db6 f-1>a * REQUIRED
    fd509ca78Plefad4979sea7 67cle2aer 874cte5h8ie8a35as4 bb3c9f23eae0ie1l8df ca-8c842b6>e4ec36 * REQUIRED
    34d6fdPleeaeecsef5125 bc1b1a553l34a2fea7rcf1a th55eai69s 969e4c8ded139fiafe919ald ->5b201f * REQUIRED
    70Pel20064dde63easab1e7 7ebc9leae137fr5d928f71318c ftdhefisf1 ff7ai6e2adl95340d 3e-47a>bb4 * REQUIRED
    f58b4d8Pl9656fe2e7ase80791 cbl2166eard 0767fd6670t9h8is f241604i2elb816d ff11c9c->b43119a9 * REQUIRED
    dPe046lbea6bs371de59c 8cl0eabaa36d8rb th8fise604 bac79bef4ibedld2f36a392eca -b7b>225f95c71 * REQUIRED
    Pdl835ee4a7sae8 bc4dcee8ale0ff1ad2fac8995dfaa0c9ffr etah81da8ic5bs 0f3bi1e28ele8d ->a11bd4 * REQUIRED
    dccP0525leacfs12e3 cb6leb7a5a4c3ad15130ar0 t4eh70f0ie81fd49401sd df554ieebld7e2d 1-ea65>59 * REQUIRED
    97eP57fl425fdefdeadfs7ee c666al176e7a6dr3e1 ec2t4he4didcs 3fie70ld709894bc f46a65-b>54032b * REQUIRED
    5P4f1a637leae8a539963bs1ef6e cde36441c82ddl154e1ardf ath9i2s3 67bfi8440ea2la80d5d8 ->af567 * REQUIRED
    db1Pl9e8f90a88c0se8672 1clbd8e2ad673r 64b7t6hbis77 22f620ie6eac8cea12l44ad -bca1923>c2fa4e * REQUIRED
    ecc1Ple9as74e1a cl1922e6a8e3a4a2r44877bb6 50thbec6i103f9s f5ie2fd986l5bdaadb b9-606f>37512 * REQUIRED
    5f90d87Pca20l2f3efas21e5cb b2d80ed0034ec7lea03c62r4 dthfeisf dc9fd4ia8dec10l04cd -d9>996fa * REQUIRED
    7fd9b23Ple82acbe7a0511c1sa2ced 1clea6br1f334 td8h9is192d bfb11b6i28a9ec6e816bl55b53ffd a-> * REQUIRED
    643c1Pl127eac598788864d57810eeae1866bse c3lefa1699rca tah7i0sc fi4a90ec0ab122e7lead7 1fc-> * REQUIRED
    c22c4Pleaaease 2c890blf785f5d0e9e1are t53c0a944dhic589bs28 fid1ce55clda75c6f9 66ebbe9-09>8 * REQUIRED
    2P2831c88lfe3a3726s8b4e628 9c97ble1a6d14e8d43r et2bh4iase d2a10b06cff3e3i831e368ld 20d8-e> * REQUIRED
    d6cfPlea83a5fc9824se33 clef3ar5fee254 t69hbi4sf432 f2i7ea8afed37aa38lde8 50466-ef>49c410f7 * REQUIRED
    01Pl98aea73se 2cecaal1be39afr52a e3dtd832fbdhia0s6083387 4fef6a21i3ae5ebddeea2fld c1-17d1> * REQUIRED
    5758f3fb6cPla1a1ea86a4s9a4a8d69e1 a9cle7ar93eb2236 3th13is3 64ee0fieef9l82ad ->339e132f8f5 * REQUIRED
    17e1b63Pca781l7764cea54se4e5c1 c27f2aelb19e9a8fr9 8th1551ias05 fieebld -c11ddb>af4b08dccd5 * REQUIRED
    dbdec6d9Pl7e7f45af60asc4e 84cleaar3be3d17 ectfah58ics262eab7a d6c12893f2i9eld2 5e526-bb>40 * REQUIRED
    14d7848P0le94caas0eae 6cfle6eaadrb6 5t9411h0i4634c95bs fi6el34d4553c b1c19032a6045-956>dd5 * REQUIRED
    Ple85b6cabdacsb4e212 cl31e7a7c28rff 42ftehisdbe9 59bcf5ec6idbe7bl3dfe12d 6ac5783966->c70d7 * REQUIRED
    772308P3409fa38elce1asc7e cclea6r05caa2c1a1 3bd2ta6h495ifs a4fi8817d546db3e7l98d2 d9-0d>d8 * REQUIRED
    03fPab9b3le673285ab304se9a3 c2lc59efcbda98bf67r 6t0hi2ec3s8 efi5e40ld -071b39df70e>5f52835 * REQUIRED
    63P2fdl41ee31b423fa5ase6a78 ae2cd33559cl12e05arce dt23h1i5403bsc556 f2i2f1ebe262e7ld ->856 * REQUIRED
    dca40b29eP21f899l6ea999363sf2e57 2c431329ladea6crf c09t2h2cbid35s70 f6bie5f26lcd 2e-e16>6b * REQUIRED
    50a81Pleaa2s8e64921b 0dc7l6e7acbar 58b2atb0284964hi8s4 0fffi89a1e1ld bfff710b-d>701563ef36 * REQUIRED
    92Pa9l4e10d21aesee 1acl13de8a97a962d1f7122r9a59fc7 tchi1sc6e9634 37f9iel916d9 a59d-0c>6d9c * REQUIRED
    f6fP4cdl88a7d30ee2a4sdef6 cl65efea6r0628 act7chd9ids1ea b35fab978d8a7i0e37l24f6d6950 ->387 * REQUIRED
    554809ePl6205e4a4es8edee c0lee99a5br 4c1cbtahc0eis4399030dc76ee16 bfi7e6l0e2d 8-1f3>a2ef29 * REQUIRED
    9a86bdbcd772Pb21cff9l1e1a5b75sa7aea9e10738 cle56a4rf5 tc4b395hi8sd5 9bff7icecl3d3 -ade6>9c * REQUIRED
    b8c3dP15lbe9ab8s6bbec c1flea7r eet5hbdiead028d42bee6s42923 b25f5a228f7ic173eald b-6>65d14f * REQUIRED
    2fa8886db9a44P025lee252a0b7a0se5 cle0afr2e 82df6t9bd0hisd 4ff4ff999ie8l8d -f8f>be842858927 * REQUIRED
    09fPe82bl69458dce12eas3be60b68c38 cdlbeae1ar t7f7h3ia7f4s cfi733a3bel1e1df83f7807 e->277bf * REQUIRED
    7888edd3bP3l9eaa15s9ee 2d75423f4c1fc20l633e63accr 8t9d5h9d9i876s0f072 efieadl3dd -1c1>0986 * REQUIRED
    a6e3d108Pdl2ea2ds2de 58ce91295ablcb2eab71r3 tbhis3dd 8b599fie5dle7deed9a7c67 1->2b7ceeb18d * REQUIRED
    4c345P20a7le4fa4b5a433esd13e9e 7cb0b315820lf0ae9eear5c b1thcaif584s f38i1ba2elda9 1e5a->c0 * REQUIRED
    eb0Plcec1a6fs268e 0a3d3cleaaarcf td67778h8i09s ac0f2eie902220aa43lc3cd605 -510bd2>3df44a33 * REQUIRED
    0658P2l1e0ea7d9f9se1eccb3d59e c58a0leaar8a1f t283fch2i25s faee7ie9fld -e21036>fed8072ad339 * REQUIRED
    P2dd1e3lfacfe7261caf6sa6e0 17cble35dac96cr ectf4fa9hifs4 fi982eb40ld8732 59031d3->fe1521b1 * REQUIRED
    P5fl278dea79se ae53cl10eabr t0b6ad4h27ic6128c86964d77es3f f9i1a3cd1cec838f4l5dbaf586e9 -0> * REQUIRED
    147beP7clea27c0se49 8f6cl9e9a69e42fca53rad0e18c4 726a9a9t5h6disdd f1i79e40l2d6 3-934be>083 * REQUIRED
    acc6Pblb918e61aabbs7e9 7clf43397e69cb9care bb84this87 c4d269e86f7ff2ei631e28adc9ld 12c->88 * REQUIRED
    bddb2P420le8764abb4se eef86ac2fael70e8e0ed2ba0r 7bdthci37s0c8812b713602 2fi5efel5d 6-2>524 * REQUIRED
    8aec8a80785d3a00fc92Pl04370ea904sacec3cb0 2b7ccle27ar c8ca9th51is fie2le3da3d ->f95fe6f9d4 * REQUIRED
    363212178Pd792ble5ase bcl665eab1ar32 a99thib72cs73 ed9536f7bd2e57a5ai5e05el5708d6 8552-6>6 * REQUIRED
    ac2b179P5l9e2e6a02641s2e a1a94clc7de5bar05 t581ab0h8is2a4 64ffie9a5ccld 0-6a3a2e1>1dfb9199 * REQUIRED
    087e23aP9l69ea3bsee8f7527e cl3cefe8arf155 78638t3hc168d3dis f0i8cef2ad6f94labdf 1-21e>aec5 * REQUIRED
    1P6b9le93ea4se9f0bea0 da7c1ce8la7ecce3bar tf8eh9bf4is f65fi61c9aae195b4885ld c91f4f73fb->5 * REQUIRED
    bPle2cea2cse 3bccfble2d0d80ab7744ffd6b68a1r e7bt811dh7i61se fcide9cef7f76fd41bl1bcd -c8>88 * REQUIRED
    bPl8e2a2ce176394473a000dsedefe cl64a3c881de32a4aare504 deetehd8ais 13d84fdi6eld 71d-c>9c3e * REQUIRED
    8e3P29l6106de0783a2s8a988443ed269 0cb89leac11r7 f7be2d0tah8bi58s08d 57f2i0a4efld4 57b-8>7e * REQUIRED
    96a8P8207leasc4fc47e0 clee8beard317 ea189fc2a33eth283i0d1es 2f72if6e83144ld22194b1d0 -2a>c * REQUIRED
    1a96173ad9P8lf144edf251e3aas44b20aae1 cl5c3dear ft6dc8a8b83his feficeed4cl2d6adc 63f68b->9 * REQUIRED
    9e2Plce6acse7ef545246 93651cl28be1d62949eaa50e1a7r625 8afbtehifs262e2 afi9eld29 700-2f0>c3 * REQUIRED
    31Plea304715fse9ddef2 c8004l355e557a3dbf2fr44 thi74s137e efic7e70a41elddd ebf7454-5>1c6ad3 * REQUIRED
    e23e01Pd4718lebf2354e7eab5se bc376d611d74dcleard 6dt5hie66ds71d23 37824fiel17d89 6-e78>6bf * REQUIRED
    P8cl6ebab7se740 3cl1eef2a6e498cr3291 524t6h5f374548fis4 ef8bcie61lda3acd15b20 d-d0d4b3>e48 * REQUIRED
    3Plecc11e6dea16s119e c06l8efda5br0 bth147065dc1i0s 2fd352ield61766b96a5da -8c>c0e375d82146 * REQUIRED
    0d43edbb66P42lbb2c9479eas3e77 clb78ea4r45f 6651e1tb0hi36e5s38f c82fifel5c53ed0c b69d-f8>ac * REQUIRED
    8e9a16f1Pe984l35ea4d1ae88sed c6cl1e16arb3 tabh360is f4iele351ae8c805cad69 4->b967e82eb7af7 * REQUIRED
    bPc20lee6as1b9eb a7f14c21573ld93e924fef9a6d2r th0i6sbe 18c7fi3ce95l1404593647509527d ->025 * REQUIRED
    510dP7l7eba7s256e053c c5al03e4244d912ar3 thibds6 dd6cef59ie44bb5le2a3145c3d 04-c2>a4d2d5b2 * REQUIRED
    a0aPldea60afs7be6 67d40c3l1a3eeeadr327a153def51 61bca4this2 8fiae396la0d 23->01c841085e422 * REQUIRED
    fP640lae98aas5def6cf 2caleafrec5b9e th6ecfaf5f984ifcs 6af6ibc9740ae22b5b2db82ldf8c 83-94>d * REQUIRED
    75dc73Pd7ldeabde84se1 c89lea53ra6a9 t257d5dhci1as7d6ee2 f764e6ieldc4 f-7b53b>5734d4ec65f07 * REQUIRED
    afPl903619aea2dse 8cleba20531a763r5b 998th9fis f9a38a2fede3cibe49bald ec8ab6-a>e015282d1a1 * REQUIRED
    0dP2bl3de3asfeb828cbc59f c4e9b3le1dea1acr t0e2e2737h0ic77eseba 44f312ife12dl74d 1ac01-0f>9 * REQUIRED
    294431fe542Plec8fasc941e 82cf6lce4a6711f7ae38r9 tah920id497s870b80 bd9f177eiel1ed7a ->e822 * REQUIRED
    af4f6fPd0538le4aa2s3bc5e 27clc434a1e3bbda589f16f263r8 th165is295 bfice13b2f60eled 9->63aec * REQUIRED
    af99deae86fP7330dc1l149aea86659b6a06s2ef141 cl05323e5aac823r32 ff8thcif9se f5ie2lbd1 e->4c * REQUIRED
    80Pf0l72e4as4e5aba8590a8d 6c9lb5f3e9c3ddarf 5tbbc0h2i8sb1 55dfddidabb08be4alfdc -9c2>e1fae * REQUIRED
    29aP59leaf9983s3e 32bbcabe5c89fl5ead19a40rfe6df t5d1e050ehei3s afieldbc2766a b-9b>6e1bca1a * REQUIRED
    0e2f9ab649P2cl4ac792bbdeadse3 cal0f86eb20eca2r9f thdisd e194589fi080eelfd d241b9bc88-6>5c6 * REQUIRED
    b2Plc9a0ea02916se8 cfe159lde92da6ba09e8a3r655951153e atah16fed1is0562f fiee2la3776d0 -f>ef * REQUIRED
    1a117Ple05077facsed 22c973ed09f072e8lf8eab6r44f661a td21h77i4e08sf5b4c6 fie3dl7da9 -a4a1>a * REQUIRED
    P007709lecasffaeee c7c1alec0aecr8e0d6 t6bf3cd0e466hiads228 73efi615e16lad7 -869>fbd27918c1 * REQUIRED
    7a3cP38fe5l8e248af716c2s0401ae9e8377 c47l42ea5165r07 e879t063hi4s fie7l4db9 f518-4>42bcf20 * REQUIRED
    5P2f27lec19067a44c0s50bede1 65db78cle01ar6 80e2ate924f2h4b7fis af3ifelec6dd8cc7aa 2c5-6>dc * REQUIRED
    P464lc1fb69316eaa2bs1fee ec51f4l0e14aa3rc6 2t47h3ais 8f490cai56e8da4ld2 d-9e44bb4>e5133994 * REQUIRED
    db0d45e7Pfl6f4cde17ase06 cl02e74ar 4et0bc88f77ahiad7c7s71 fbd45ei25eede498lddd f163-e0>487 * REQUIRED
    216f7e617d2Plbbfef924eedas55ed cc8l9e6adcfr3e 5cth2f1b7c5dceics fieeee82af6l0dea9 -420>5bf * REQUIRED
    a7Pele7a91sa2193e27 327fcle64e9adc0d25er79 4t1272faahisb 5fe7i620d443dbfeb2bfl9d9fdb7 ->3c * REQUIRED
    2d9f3P73lcde7745aas2ea f3cfl69ea7412ard0c th5i37sd fbcd68bf8iae1l9d3c0caab b-7832f5476e>7c * REQUIRED
    5fcePleec5a0ba396seae 14387c02l5e8af5r7e 29b29ea9bct5hic74622s81716 93fde64iel777fad 8->fa * REQUIRED
    7bf2P4l6eb5ba9se433ec f469c8ce64lee75aarba89 t4h1id558fs c85fc1ai1beldb5587 7-3>4bc6ba5376 * REQUIRED
    d595810ddcP04l5972d78ebabs8d7e 4bc6aleac9fr5 tehc8bisbc 052f7f209die6faec8099d6cl2d -71f2> * REQUIRED
    P6l3215eac1bs4e7 c5844lffe771e161e8af33r60 th31ais3c 2b9c23f21ibb1f3fe3el0ad 069-c1>f36f98
    * REQUIRED
    8fee2d62Plea3841a43s8ebd ddfaacel30ee97c5arc t5h01i7c14fsec6 c28f4i030eld44 bd3e63d6-f8>02
    * REQUIRED
    7P1albe3ase643ca2 c853l935efarb bdth5idsaac4c 937af26ei27efa5l264932ed c-e8512>d89a6bf673b
    * REQUIRED
    4Pl672e0adse78e c43d1bld3eacr94884 6b7td8bhi0fcsbe50a 6ff7750i5cdc8e47fcecldc318 6-7e>4570 * REQUIRED
    b26774f7c24f18P03le4af11fdesb7e73 ccc3cle841a2rcd5 9t3h7ise4 cce40f0i275d884bel5d7 18d5->5 * REQUIRED
    dd3a8cP4c5a05a4050al1eea27d66s4e cc56l3f27af86eaaar thi913bs9 30fff2ide745l2d92b a62-ea3>a * REQUIRED
    3a6P0l5e9asfe4954b5 c2el81f7e1a3re3c ct1hid3se 2f28500f33f8i8b44bee7b8la5c80dccddcc -23>21 * REQUIRED
    67cPbe1dldeas0696ee2 ccl73be69ce08a688br2d dt6hiee5abbs2 28fdf09abd5i9el7fd9037d 9-945>5ca * REQUIRED
    acP0lea539sdee2 af25cfa47f5dceldeac9d0crc 28d4t2dch9i0s f2427c88bf52i827e3ld -9a7170d7>a49 * REQUIRED
    0b738d5b4P8lcadea52230sbe2e cc60l2b29bc4e0adr 1t1h2isdca90 e50fiedl9da0aee4f9 ec63-6>0f498 * REQUIRED
    afa09d6Pl6620ea1sed2b e1c9e91f7e82f9l55ea54r552 ateha29f885i519cs 55f1cb0ielbd f96-f>90b94 * REQUIRED
    1400ee5Pleaaa4e2sce c1b26afelef98a84r86 te96cb1hec60bab769aifsa10 afbfielf26d89f6181 ->d8f * REQUIRED
    0381856f2P0l6e4300a98s241082c406e 47cf3f6bc5l3e067afr t304h9i5ds f09acb5fica3ae5ld2 12-d>b * REQUIRED
    cP8lcfea5s8cde8ea78 cd19a2aba8le366a49rbd3 0eth97f54idbs6 94df6126i4eecclaaff4d 4cd6->6749 * REQUIRED
    Important: dYo5ub may beb 95ma9bk0aing4 1use of6 aautoma0t4ede form-fd5illdin3g so2ftwa3re. 1Thisd ctype 0of softwar5e8 can7 triegger our2 hiedededn7 sdpam-det5ec7tion system, wh5eicch 3wiel7l2 fblock5 yodub froam3 submitting05b 2thi65se f0orm. Please1 select Fix4 Th2is7d6ade88dc44918 06b20d054d9fa0cddaeb74aecadfdf6697f64o6rce1390c eb3af81d31c313efe7om2ple6t2bif9n12g271 tb7h85ae f0orm19 in9e ob4c3rd2ef8r2 4t5o7 bcocarrebcbft thee9 pb2c1ro0a5bl9ef5ce211cm.
    Important: Y2ou 4maya b7e making use of a2u9toma3ted formb-filling 49softcw3a8re4. This type of 8soft1war3e can trigg8der our hid0decn spabm-d1etecbtion syst1em, which 0will block0 you ferom0 6subdmitting th0is form.d8 It appears theat the problem co70ula65d 2not bec au9t3oam8atica6lly 5corrected. Please 1cle0far a8ny 4fieled whib8ch appeaars above witch correspon9dieng ins5tbructiobn2s424047292 f0a0dabef1f94f683fe3f4dad8focfre22e1 26be3f350f560131cc5f5fb3127com4plet3ing30 t5he fo0rm3 06in ord48er ato75 co2rre8ct7 athed pc5roblem. 8W6e apdol841fog1idaze0f 4fora t1dhe inconvenie5nce and0 w6e a4pprecia4te yo4fur uan08d3e042resb0ta23enedding6.f6
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: 12/2/19 at 4:46 AM EST
© Element Athletics Element Athletics