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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $650.00
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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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    c9294Plea7s46e138 9cefd79ladc4be9caeeara3 8d954f0ctheaies9 fdai6eldd4 a7-94953e92f045>fbf2 * REQUIRED
    935edaeP2a8l3ea10fsa61e cc7l243de02baeaa57cr99 4e0eth7is f4cdie1fld32 03-07cc8290d7f>a7f83 * REQUIRED
    4fPe1631dl62268bf660e9aseaa2bb2dea1 clear9ada6fb6 2fe96dteh1bib1fsd 18f0341i83e4ld -5>5352 * REQUIRED
    81df2391P6le6asaefb57 dcleadba4aear5 4tf48e3823d7hd8397dd5ci8cebas f6b1if142eld6 e-ae>1ac9 * REQUIRED
    ae3712dP39l403ed3a7bse58 c5c3lce56faf4re2 th38a20di8s 777caf4fb9cbb1ie5l26ad f08345-0>88bb * REQUIRED
    dPle699afsed656c 17dd7c6cl77ear72d fff8t3h871cfa33i885f491d34bes0dff3 ccfb8fdie7ld460 -8>1 * REQUIRED
    b3P8leee9ea6d0s5ae1 cbl3eabb67cf7467e8dar36 tc6h28fi9s26892a ff1f84a63ca4id8a1cee9ld ->3ff * REQUIRED
    1d1124776c73ca2P75572l9eas52cecea c26e0lc6d923e8ar69359 6athedfi136s9 fi3e87lb88d d998->78 * REQUIRED
    fd32P4l6e8ac7b5s52b1e0e55d 72de379c91e1cla85684e3ar dadthc59dis 2f879di7fdeecdlaed6ba -3>e * REQUIRED
    af5f21f5P7l03ce2ac0978seb504 clear th27fib34s 07fidcbf5941elc1065d1c539 2-98b0231c8dba64>9 * REQUIRED
    9bd61P7eele047ea71dc6aa0seb3017006 6c686faf3lear7 t7hbi7cc7saa e0fi611b4eld6 40a79d97a-5>8 * REQUIRED
    d7014f8eP9l4549ceas0a1fe c9eeleddab9r 94bt8h356if4esf aac7f74aae1f1e549d7iaelaad 47-c>40a2 * REQUIRED
    c93845P97fl1fe9a096627b4ec27s30be aa857cl9fea8r6 19t0cbfch271a7is efdi5b8febl9d3d c-70>f0c * REQUIRED
    fcdb552Pd3a5lb9dce9aeea2se c0l06e8e1fbcd337a7ra9de345 77td9hics2a fcd58iee34lad 1f54-b270> * REQUIRED
    c046P539le992296a0se 5c58b46b1795leab8ra6 e11aebctb49hi3fscc 5fie06l3d 70-feef>77fff0ec83c * REQUIRED
    a9faa4Pf1bab8l4e63cfa5daff35s8e cl047ea6r 1b545th53ifs5008 f57f8i27e4dl95e1c385f8dae -b>4d * REQUIRED
    f99f04Pl96ed0e03bab59dse e0accd009a8dlbace6a2r1 6604dthis 7fbi9cae2a05ld6 2a-5256>1edbc3c4 * REQUIRED
    04c55e6f536daPl21e0c94a1s16ee 012cfle0fa7ea2b94897a68b7ra teh8ias ffi5ae54ld5 3-a8d>a3ca31 * REQUIRED
    c0P6lbe556dc6a015see cclf38eara bta38dh8d8isd07c4 a235fci1elb105ebdd 297->06fcc5ab19a64ab7 * REQUIRED
    5e3Pl7cede4c16a5s9e6 cl7ec8a6r th920e76i621s1 fbe17e01i768e2e8df53l39d82400ebd02 ->73d88eb * REQUIRED
    f7f069171bdd4ab38Ple9eas0e fc8lef238ar6d dt4d79ha44cids8 fie5l0dbc 465a-7ccd>84d194bc91303 * REQUIRED
    Pla7e10d1a485esd148dcf1d4efae c1c2f5l67cbe15f4a0cceer5e67 7tdh18dbis64 bfiedlfeda ->d135c7 * REQUIRED
    c6390b23P8fle8dcaf1sdde66 3cfle4721ar 1thi2b8ads8e94d4 95f1i6ae3f3lde3d c633fef5->2b45a125 * REQUIRED
    949c8cP00l8ease84e2 70cl5ede97ar0 1b840t7f1h8i884337de74sa7f6 ffidelb0413dad0edb ->c1a9881 * REQUIRED
    Pe3leaefs870def c14b59264l6f479eafra8 6t3ch124e95dis d68d2f56iel31d278 a486efc18c46-61e1b> * REQUIRED
    56caP85lease3f cc6fdf6clc80de4fda5ber9 37080c3th3i07286scb 1f9ie1l10d0f5 4f35-b4>563b98250 * REQUIRED
    af37Pa1l29ea1s8e ccl64e467625aar tabbfeh0i8bs9ca fb0c3i49elfa656fdd8 f335a7730-18>d290ecec * REQUIRED
    d5Pl5e94e924b5fa1se 40c4600fc0ele3b3c43e0bd169aer 877t4hdaiffs feid5e050a896e3dld5 d4d5-a> * REQUIRED
    9ea5fPdflbe156aese4e5 8789ec4led8ee5a7r td503e88h5365aeise6ccc 4a9f7i2a42eldb966 ->6bd0826 * REQUIRED
    3f8dPle7af487926d119s2ef4b611551 5c6l97fec81a2er37ecfb618e282c th20is4 0fieelda 56831->5df * REQUIRED
    a7b82f87c068d94a3642bP5l94efabe8s753e81 c6le86844e1a974cfr thi2f4s 2f58fi2ce4l1ad f-ac08>6 * REQUIRED
    9ff2b2a3b9daPad77ldea0e8se4d1cdce0e94 2c9l25e4ab474r3 thi9efs65 9fi4b82fae8c6l8cd -d1e>787 * REQUIRED
    1P2bbdlde9a9s4ee c31bl9eeaarf1bab6f5 158f85917e9bt0c4hc1is79b 9c359bfaie233780cl23db d-a>c * REQUIRED
    8b3dP4l9eafa29s2dbd9a00e cle44ea041e0crf03b 7t7h5i5064s3893 afi66ae41e362ld9ce17 3-c>309e9 * REQUIRED
    6a73dP1l5bea86fease47 fe0cl3ef7a91debr t7d82hda41i46dfsde9 f39fe9iaf59381eea1cl320d0 6->de * REQUIRED
    c421809P0d9efdfl845e0c47a9d6s495ae8049ff cl76efe413b51a79ar79 50thid8s6 fei3el1006d -db>16 * REQUIRED
    c22Pb2996l8d990easd31eb41e0e8 clbe1aba19ara7b 962a9ftd3hic2s2f1 f5aa1i3elb7eda 7e5->9cf90f * REQUIRED
    56Pc6e1l0d848c0bea2ase 2c2cdlea8rab8673bd afb3t2h83ids8ee066 d5cfiel1d46 1ff3d-f835b2>c9fe * REQUIRED
    faPl1702ea231a3da95s0e 584c077l9ea3dr0a6f 0c204t61hise72704 9fi231e80la27d41d6 72b->e41ebb * REQUIRED
    ePce36aleaedse49ca906a052 cle56ee8b4a72r88b6d 568ae5a5t762e32hbdi0se63fa f5idael3d f-6>94f * REQUIRED
    6c0P6le1a9sedb1ae69 cfl921fe1c08a3fa472d74dr62166 t2074ff0hais5dd82 620fi2ce1fl51c0d ->6ff * REQUIRED
    0Pled043ae602fada94541se886 accfl7e9a1r3afd7be 02t9bhb4cdfb9is0cc0ed 8bfi3eld50 d1-2a931>8 * REQUIRED
    4d2292f68e5P9bla1aade493a0333se ca62838al6e5f98fe2dadr 4ct8h8i3498s ffc9d3f8ibe3a3l88d 5-> * REQUIRED
    fdf4caaPela4ea484a76s0ae420ea9d5fc 3daclfe8d4ab0r8e45 th7ei7cs f0ie80l17f1d1f38 f-b2>0d1d7 * REQUIRED
    be34P2lced6aa7as1ea10 21c7l0ea25r4 73et1bhi7b92s d0c722257f85fdaielfdd79 -2f083>b264d89c7b * REQUIRED
    fe2P4d2l03dea3sc1d7be 55e4c18309237de7le1a2r0 250802e765b8cb22t6hi7s 1f2i14c73el6acd 61-1> * REQUIRED
    5Plac8e15as1e859e69 0fb7c55594l5868e66bcar0 t8hi8c35851bs7 86fi510efc56l5d434f5d68 9-f2f>6 * REQUIRED
    9cP89ale59a7s0e3b4 54cl72ea482rf 1t7a42h0i5473ac3s4 ff4bi4belaf3654d 2ba-17fdb577c>b9644b5 * REQUIRED
    82c630d2aPl7eeas9ec6b99cc3 7fcle00ar4b37d efth95i5e9cbd4s ficbebdbld8f175 d39a97862-3>53fd * REQUIRED
    31P882d1c310lb113e52ecbf0ba408dcse40e8 cl7d1ef2ea95e1007r0 8t0hies1842 5df80aideldd dd->6f * REQUIRED
    7P7d0f8leba751sebe bc4labb4e2eaer2 9f9t22hi0s61 fiea0e4b5e1ld7 1dadf37-6870013>5e7eeb95837 * REQUIRED
    ad0f64fP8leaase436d8 f51ebc9f39l250eear2 t6e20fah0a4i8e91fc4d088s3 587cf656efbdi47eld c-4> * REQUIRED
    dP58281l83f3deacac1e542se4f4 d9clebar 886tdh114i4sd 07f0dff4i33f9e85d9lc1511a75f3ed5 ->c37 * REQUIRED
    e7d03e2ba25Pe8le9absef91e 5e0123clebaa3r t8h57a2f58745415ccia4352f779s8 56f51ield 3-d3>c55 * REQUIRED
    7fec0fPc02290le7as05e9 3c9leaer8 2ct5c3h2bc1455f6b931i74bsf c609f62c89411ia59e7d3ld1c5 ->c * REQUIRED
    8fbP07d71070aleda14se9 c12070le8earc01 t45h9i45s7 07e4c4a3edca6dfi487el1bd54 f0b-f4521>6b4 * REQUIRED
    40Pcle3adc89sc07e194 dcd436066b2f1cced0dlbe46a4cr0 tehisb9 9fi881a91e6l04bd6f -2b900202ce> * REQUIRED
    a39Pf728lead4bsec3e 8b6c0777le44d6a8f0c74er5 4d89t5adb80863hifs 51bf9fi3ec75l5d c1b704-d>b * REQUIRED
    014P2l2aed92d1a72318sbe26e950 eaclce4401d9691a9ar 6thi6d16sbf2 1fiel63cb7d1 ff8-2d0>574f03 * REQUIRED
    6cadPl95e5a0sb0ef3 4cl8d86d4ec0a67a7b9ra d9td7h952a921ci221s cf5eiec9l82a9d0 -8d29b4c954f> * REQUIRED
    0817b06ee20Pf4leea9se0dee fclc8ce6ca95fr1f 17tcfc9h669is7 02b3fae0b2799ie72848ld2a 0a-b>6e * REQUIRED
    3107554fPl8e3845c7ad2s7d1be c2c1lcear5f70b3 bf4b455t82h553ai4552a7s f5i0eld5d 0-1b672244>4 * REQUIRED
    04P755218188lea6ff3sfe 39a8c0el07ed5cae5rc4 97b18t91d4edhbei0sf d77f9eie9146lb41cdd5 -91>8 * REQUIRED
    d4d1e564Pl492350dcbeas74e8c 64clf53f4e6ab3f194ar t8a0h9ifc9s 8fi98a4e95l6d 8-c51805ba>1681 * REQUIRED
    2Pl7703deaa0se9 cec3l3efe20a93r th8iseb2224 f2b5icea8ld5f1d418f e806e43367af34-7f1>bea3763
    * REQUIRED
    846dba5e4c64bP8laee2acsae 5c657l491ebe011ed2a59r56 0cc3f58t3hi3s 0f5ie6lff5d8 d503-bf>b97c
    * REQUIRED
    ebP82587eele4f0c5as4eaecc22 9c46ec8bl74e22b0aer teh0bic7s 8b12f0aaic6de45ld42 67d291ab-8>6
    * REQUIRED
    1P4l6eafsdae f6cdfcff52c2l4ceada2aer6 8atf90b8388h13bf94i67c5sb af9e9i6el7d84450fa ->2c523 * REQUIRED
    9P2fleca1bsb361e3d6fc d5165f9fbc00lc9c62ea8dr t2b8hisbde 8f278eiele6d7dc5 2013-325830>6ad7 * REQUIRED
    883Pal7ea3s1033ea1bde4 8c0leeb8bc6d90ab4a81raba b0thi2s8f4fc4 05f397iee2l6fb36d8e4 -3>a80e * REQUIRED
    359bP0leaba47c448se5b0d 1cb04941le1ad6aa85r710 t911h66i8f8f4e0s3e8b75ce f91fiea0lfdee51 -> * REQUIRED
    40021f1P9le8e5basd8ea9b7e1e ddacle889a7fe2r30824b tehb0bis efie1l2d53 eae89-42c26bda0>1f46 * REQUIRED
    003395675e14eP4e4le3db32a3adsee4a a39c3c6l2e4ar4f8 dth92cf343i93s d2ff8ei234el3f2d4 1->a9a * REQUIRED
    aaPl04e4ca8as9de31b8 cdcl23e89a5c4r3 446a2c1d0fctba8h5i7542855s d91fie99ebf18dffld7 -0>b3d * REQUIRED
    40a22P47flc959ae1as3fbe 098c83cbcd97c2lbe62a78er5552d356254 thisf 9f3ieled9569cc 87d0ec1-> * REQUIRED
    P40ce83elea25ffcsfe c8l7248e8a2r1 t75ee1fh2i6s f8ia4fbe5ad4l12c7502a51a0ceda ef-6>5a41e4c8 * REQUIRED
    15b99809566P4ledasb3ee 773c5la1e3ard6cae87 66d5ebt46fh4c4i269eecfs fie6ld441639 ff1-2a>bc4 * REQUIRED
    018e8c4Pld397f5e102e5e4a1abs96908ebf 71cle99car1b 55tb198h349iabs 116f87f1ield d0->aca7f6d * REQUIRED
    Important: dYfou may be maki5cnga use off autobmated form1-filli1ng softw1abree. 584This4 type of 8s3o4f3tbwarea11 can t3rigger our hi7dden spam-detect1ion seystedfm, whicbhe6 w0ilbl bl7o5ck yoe9u afrf4om66a 5sub7mitc1tiang theies form.b b2Please4 seale5cta Fixe T10his31c3e521a554645 1b86678905e8e32e8fo3f315r910d3ec5e79ea499f8 1b3645742d431fd483com51p5f7letiang0bc 2ft5h8be fo1221drm aie1n ofr14d83003erd 5t85f4o 9c2corr4ecf867t6 the 05p4aerb7ob2l5e4c4m.88a
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