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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $725.00
  • middleclass~spray
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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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    254f0Pdle34ea5edas3618e1 4cb171le6b9aa8drf1a8 8t1b5a34hf23i4s6fe fi0el86d3 f-097c>47dca8f0 * REQUIRED
    e5P39d1bf1l22fea129f69cbcf4ecse0 8cc4cle7cba16bdr627 bthic474e033s9 fc5ie22cb9cebae7ld ->a * REQUIRED
    P7le80b9eaa1sa5e 22cc487a9c6l13ee3adf033f5re6f6 dc9t3hcisfa63705 32f8dfaie4led8f e06-f88>4 * REQUIRED
    5f55Pa7d9la5b8ea69b5fse6e4ae clef82ar89 dctb9a12hi42s8dd bfi3eel85d 21-7f7080dd>36ab01a269 * REQUIRED
    febaP0l9bb05ef6a6se d6f3c612l3eeecd88c4a2fr65b5 dt9bhisf4 f07fi455ecle06d -9d0dd>a5700538b * REQUIRED
    9d47e5Plf3easae c0l223e8afare21 5420fef5ftf9h344i4s66d4 7654fibfe9ee2le2f3d7 d->328d46ff10 * REQUIRED
    cbPlec843as19e 7cd1albe35995aad57af9r951 3ed13t7h1fi6s7a 5df77i650bf6aece3l40d5 f6-3>a45a7 * REQUIRED
    011e28d6P3c2ffel2eas0728eefef8fbe cl3e1e01far67 f6thic2c0esbc 2b7b4ff04ceice3ld7 -9bc4>90d * REQUIRED
    de0d7Pleas32e0 2bc6la7e5a5645efar2d186386f853 4th7948ic00036s 061dfi2elbb60d 7-d8>a0c034a3 * REQUIRED
    3ad3P32l7e41a6809sef57 fb6c4lea298re 20tbh99c3f5is9 af482i5cf1f2ebeal8ed 01-9b07a09>38da52 * REQUIRED
    0291e8614291Pblf1cea3s85609e4 7767cbledae4r bt51h422fi1b4sb b084c5dedfi1eld ff76344-6>360d * REQUIRED
    f207Pa6leas3b8ef bc2d98dd2leeeb6ar1 t5hi802c7d5fbe7cs df0ic7e1ld5 440-790e3>01de2e0c549bb9 * REQUIRED
    2ceP0l0e5aa12fs08fc174bfe dec8087f9aleca70r65 6th33is9f605463 4d60ef07e1e6i3e85lad a198-a> * REQUIRED
    46c1P6lc26eeae38ab5s52ee2535210 ec5cedc7eebl3a1be9arc7 96thi49s0 fcf9ceieel9b8d 0d-1>1403c * REQUIRED
    3948P9c4l049eca2s2fec0 c9l8fa3eab9742r7116827c thfdb85is8be 22fi0e3le3a00d7e -ee854e>51aac * REQUIRED
    d88P1al9074e7adc1se6f80 c6e45e821fc4ladd67eaar218 353bthida21s c923b5fafa616diebla51d -d>7 * REQUIRED
    Pld3e6a8s3ee cclf7425e026a5eb6254c48ar2b b92f11th7is46 f61i5ealad053f c01161c9-d2>a7062a12 * REQUIRED
    d9ace0Pfe7l90efasfe02d cl9ea4e305r1 1d33a9t678hieefbsba24387c 096f7dife54debf2a3l9fcd 1-0> * REQUIRED
    P4c3cle3660d0615a067547bsf5e8 c2fa6c4727cl5c6b8c6eab98arf1f2 th7i2s fi990e15l0d7 e-f5>ba88 * REQUIRED
    67dca263b11fPc05le4baas19bbe7 ce700c10le7f4ar326891 9t6bhis0 fc80ief3lcd4e2a5 34-7>6bc9b06 * REQUIRED
    3fPlbeadse2b 49fcl6806e566aa3c9r7af 1t5bd40d3c796hiesd 3f1ie01l466d8aa 13230d88-39db9abc>9 * REQUIRED
    5fae8Plffeas7e1999e2a clcce47a7ra t0hifs1 5f072i4aba5ebfea33dl1fed33c9 dad-fc74>fd2fc863c0 * REQUIRED
    a9bPl43e52271asedd5f 8053c70eb7ecbl792dc905beab2rc 2dthi4s2d1 c61f86738ice39efdld5e 8-fe>6 * REQUIRED
    55bdPa1l3eeaa046835scfe1 ab3cl4ba4efa618d0rb th7fi35s fic5295a6bee7lfcaea8d7 b173a1b-7>6e6 * REQUIRED
    5ce0a1P862lc3ab4deacac609c3413cdeadsdc14de cl70e85car688a3a2 tddehci0acs efielcd05d 6-e>7e * REQUIRED
    4Pl2298b5ebfad8f5c86s3a3fcd2c0eb 9d66027cdlecar52 t4h5ie8c71d22s f9i117e2le52d9 2f-d6>f654 * REQUIRED
    ePl759eascbed a9cal248deaaf19adr9 05eta73dh70e690i57s9 80f8846i7c2ebblbc4e3d03 87c-311>06e * REQUIRED
    6edb102db86Pleaca4se93 c958lea5bdra06427 fta1140hibs 164f26c795415d473ic743eflcda a-0>e750 * REQUIRED
    b7b77e4f9a9abd83P8l27b00f2easc2e7 ecle6aare 1436578t8h84aa88ais323 fi345e3l2d8 -92d>672593 * REQUIRED
    0P2f350elcb3424554eead0bse e50bc0c011l7846e6ac2r cth88ai9s cfi6efbl0d fac1889-3ac8d34>90bf * REQUIRED
    39a15f27cbP6f26d7l4bfe8ase9e9d cle221ce54aear759841 t1h5iffb1s e3961fc33a4ield1532 1-b>8bd * REQUIRED
    e4Pa7af4fl2ea8b7se9 19fd7cclea3r 145fc5adb4de3735t79cfh2b5d9i21s95 1f0ie3l6d83 4-fd5>8d6c8 * REQUIRED
    7Plea3a1cs1e1b0c7 16e2cc1633lbe62a4cd9r5 4bbbdt34cc2bhis82 f8137i0ec934cl98b7d 6-94>f117f5 * REQUIRED
    88Pdb5l87eadcda5b65ese30a f3dbee3cflee2410adr06b 3dtbh082cisc f70ei9d452e6l2bd54 f5e9bd->d * REQUIRED
    845f34Plad4d2e9a1131seb cc6ld6f6ear65018 0t2cc5chc4is1 470fa9055d2i0e33l08d500e907 3a->d5b * REQUIRED
    6f9f588ePf0l9eeas1d2e1bb2d c9c82leaa0drde89b14249 ctfhi7a9s7f4 fb6ei8eld3d19 09e-797f>f43e * REQUIRED
    9efbf7P6afda1bleafd3s1dbb899203e1e6 3971c810el873341deac1r569 thi7b7035es 7f8ie7eef0ld 2-> * REQUIRED
    27Pd6leb71a5se f9b1cedlecda29r t6c3dh0f39iaaa959eba6s 01d3f55500b16e9225fc40i9el648d9 -4e> * REQUIRED
    05Pbe1c7fl8ea0s24ede70a7b1af0484 9clafe6ar 7t25a3hfb9d2ifs f613b4ie6699lc7dfc513 e9-19e>80 * REQUIRED
    001P54le5a28seaea71 2cl73a30e508a6abaab5ccr693 betfh9isa 33f4eaf6eie6434lc64758d305 68-8>b * REQUIRED
    19e8fPleafse996e5 41cl185ec08ar95abaa7 bb38d79th46e41is efi7ec3594d05a2el4d2 c43ab15-e8>ad * REQUIRED
    269d022Pfl3e5das5e550ed57 a9846c3ebelf25eaer 7t0h0a3aise36 96ffbci8eld1 d-86cd9be8a>9a20d9 * REQUIRED
    6b81aaPc6c60bd2clee87ase c1blbe2d81912e6efb6a3r6759 0ecdthis9fa c3fiea8ldd3 97a16->22f9f87 * REQUIRED
    5ac6bPa753e3lebads8322fae5399 5cdleba969r4f62e ft25abh9eb556is 3f9cie9ald1974 56-ef5255a>7 * REQUIRED
    e912c8Pblec3be6bc22aese2966 2cle1b7ef069aa88c020r thie7sdb 9d7c3a1afiee8el024de5c 3f-0d>c4 * REQUIRED
    daP6a31le0feaf5s1347eb36fe41 74cblfeea6ar52 ft8ah69if9ec877s faide1lc12fda79db4ab0d 2-8>49 * REQUIRED
    P3l8efaas51ecb 0851c2l2cec756abce6rb f06thd0is 9f8i6de6l17dc27f23bfd69 -a3>d95a9e3975e414a * REQUIRED
    d5a670Pl9e289b44a8s47e8 fcl2beac343r7 aft4bfeeah136bafids b8d97fie66l64035cad -60>30583a9d * REQUIRED
    83bfb4c67184fPl79e93a7b2377see 14c2leabfbr 7t6dcechi0s c744fdc46605i2634e49bl8d689b9f0 ->9 * REQUIRED
    9c8d955fbPle2494a67s40cfe 8ac43b27fl6eaf15r53 th5508a523736b07i6s4f3 6f6fi7e9l60d 4a-c>b59 * REQUIRED
    a22bb1ePab8le8a5sfbe2 cd8f9dlfebara1 cdcetec0e0bh3ids a805f0fi2cf2feldad2 27-ce>3d37586c63 * REQUIRED
    7764dPdleba776s73ea a80cf74le9bea37r cth9bec5b1is9adab2d fi44eld1b6bc d7fad31569534-999>54 * REQUIRED
    64P6d43313l1fb6easde927 69e2ddc9lfce43ae18643ard4 tf6h8241i94ads fie9adl4bd3452d 8f8-a>169 * REQUIRED
    3d725P3le1as12eb 1cl320aeecbea14eer2 e59tc34his0 ef24effiaa5b9eec435899f7183319lf0d2d ->f0 * REQUIRED
    9d38P0l8d37e797e83a5s1e 88c3bb28l5cecb04faar3 38b07762th6i6s22 bf7c137id199el86e389d d9->9 * REQUIRED
    fP4lce37a2s8f9ce0ce173b1800 cleb2a1937r2f 7ba07178bt4hi3as714987 fb73ielbd -0240bb606f13>b * REQUIRED
    9P8a19bdle6a5a9scee6f59410 7f1claee6da7r4 1a91tcdh351e30ia4se3 d65d3ffi01be7lbd6e624b2 ->1 * REQUIRED
    Pf6l4f4837f2ce95eba2fse2 7bb5c3lf5eafr27cc1697fd7d2c4 t480efhei9d5s fi0ade5bbl1d -993a>d02 * REQUIRED
    57995b1P7l6904e6fease bf84fc92ele2017ar 119e9c99t7h0is551c f2ica6eldb68 846146eef2->44376b * REQUIRED
    3098a5d1eePl95aeas3bdce2a07c5 0c88l2ef301abrb d6d5f5t9e20h2icc9sd c41efi1ael3dcd 739-1d31> * REQUIRED
    5b42d5ePc7alef84ccaad6960es3776eed f7e00c3lc916b8e0aer8 5t9hi2sc26 eafib102edld e-5>dc6bfb * REQUIRED
    4b663bf18P45lcfeeafaaff0as968e6 99cele5baa5fr t1hi86sdbe6072ffc 3fi6ebf819el5d2386 a6-d>94 * REQUIRED
    80Pleacad3e4se aaec5ac6723cl0953cfeaa6cc33r t68b90fh0e0is0b7 fb86ib0a7e5ld293 24d71-3>66b0 * REQUIRED
    e2e7de0f8fPl1ee0e0a31seb3cd40e fc3fd15le3afr146 cdd948t9hies3cd a98af3ie7ld582 87-a5>5a6bb
    * REQUIRED
    3P3ble9a4ee8087b1sbe 08clc28dec8b3aa35f32cr 9tceh540bias33 0f72286iebfe3lbd 48->6878cf4294
    * REQUIRED
    42fa06P4928l0ea0s9de06 4ccel05ede82c8ar6 c4t076he3i6a22s8ecee fi084e4fd067aa9ld 42-99bf>da
    * REQUIRED
    0P7dbele9asfe42621e7e1c97 28cle7efar t4hbis3 0ce451b78da0567630708f2icel7cdb5ba4 a60-bd>e1 * REQUIRED
    3cfPe370blffe151a4secec cl06e8a46rac1710 et51750019his862 5f0f39i1ce06ea8l0f8d5 ->d36a7bfe * REQUIRED
    dce9c6c0Ple0b8as1e67 aaca9ec48l6e7234ar0 07tchbi9s af46deiaeblede97 c29b6a339-7f>c2a29b286 * REQUIRED
    bPl41ce3e0aa417d25d1c3s363a9d7e24e5 21c7e6l7bea0r9 taabe90his45 7feie59cl5d0 ->4af66dde162 * REQUIRED
    32bPlea1sfdee2ce132e1513e cb8ce0a6fl5eearafc 25fcfthd31f5ibs2 a264fi83efb7bld 4-b424>4b181 * REQUIRED
    e0Pd4l8e1e94ac06sc91e79 cfac4cc9lb4eac29r77b 37b29ftfh896e137i36a7acs 2field4e2 6-726>b866 * REQUIRED
    a2a6P7l43easebb 50c0d5d5l00ceaabar4cf 0cbat6h5ic3s94caf556 f5f1c10ei47a8f8ed9ld -a>77ec134 * REQUIRED
    b0Pba50l53ea987se c3l32436aff05869eareb cte484h20fie7d7s02 ec5bfic5ea8dd1l9cab144d -51c>b6 * REQUIRED
    88c7b54e05P91le3b844ecacasa7e ced7lf1aadeabb568r4 55betc9hi32s0d7 fie231lfd d-d5>e0ea585b9 * REQUIRED
    00Pblfe5a72a36645ec8see 5fc5edfbalee9ebaer thif538297basb 0f2074if1ae6e2ldacefb1 6e-f8d>0e * REQUIRED
    c94a0d54ePl9eeas8e2f6 7c9dbal67c03088eb9ar98 86thce040f5i7ce3s0 f15afi2celd9ddadc -4>94408 * REQUIRED
    Important: You m4ay16 be em4ak9i5ng use 8of autob9m3a8te7d for4m-bfaillin9g s4ofbtware. Thise type 2cof so3fetwar50e can tr7igger our hidden spam-3detection s6ystfeemba, 7which62 will bl4ock5 yobu ffrom8 submeit1tin9g thisb7 2f4or3m. P8ble8ase 6csd9e2l3aectcb eFix fTh2is81dc1e7 8ab0e3e118b2d339bc7f1a5343o9r6e015 0bc00f26f9e3370d09a1c5b19a38fa461c01oa5efmpl92278bet69bc34ing8 dt34fhe 1fd704o5r82m in1 aorde3r atob0 ec0corr442e2c7fte thebb p48r72oblb0dfe3m.ed
    Important: You mayb be mda4kaiccng3 use aof automaete1d form-dfe3illin6g softwar3ee. This 2type of softwa2re can trigger ou9r hidden4 spaa7m-detecte4ion esysetem, which wi9l69l blo23c9k8 you bfrom submitting this f8orm. It appear5s t3h29eat the046 probl7em could ncot dbe au5atdomaticalaly3 corrected. Please 7c5lear an4y 3faieldc which appears8 aboc0ve with corbrespoanding ins5truc5tions277d35ad1686c 38b6c2a50b46ee30cff82561e17ac4088c5o39r6e147 473c8f9dc7cbbdc5o42mpleti2n6g the fod4rfm54f in o38rdee9r 8cto cor7r8ec3t768 thce p2ro5dblde83m.f W7e6c aepaol0ogizde fobr the cinconfv40enbie92ncce acnd3 we 79apeprecia77te5d9 cyo8ucr 3unde4rstand6ing.
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