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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $725.00
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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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    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.


    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.

    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.

    * 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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    22263Pal3314a2801ae696aas88de1e56 4clea0a2r08 tab56hi6s f76408b1176aield5d 2-97c8b23133>53 * REQUIRED
    ad462Plebd45dase653 11e7c8lad5e41ea20r284 t3398dcf2603d5hf16fisd3 f8f0df069159i6eld16 -8>3 * REQUIRED
    54cP1072l3ee29a7s6e 8047cle82900a62rb 5tb38dfhfisa feei5e3683332ld43d ea114-4b950302>c3278 * REQUIRED
    5d08bbadd32P90976l42e1as3e9d39 68fc888l7dear6 c4ba775dthe3bi93f7s 76f6ia0443el3531d3 ->212 * REQUIRED
    be9Pleasb28873e9 cd148cebl2e1c5a1206b905r te077h4365ib6s191b bfi46efd4ld754f3 e5->3b53015f * REQUIRED
    454P4lb7ed7d92e9eaasae4ed 6f3c1l3438e1ar1 td6h23a5i6s6960 b9bd81f1bffi155b3eldb 304->fd651 * REQUIRED
    b06aP9b3f9l83baa1ec900ase c18l249fec4eaac0b70r6 5f1904a8cth95i20s9 f0i646elfd 46->2cff3982 * REQUIRED
    b3Pldcf2638e89a7ab4s7eb985e0 193clfeb93ar thcif9c6d94sa4c39 bcf3iel3a33167b82d7 0a6a-37db> * REQUIRED
    261ed18f0eP1l97f9eaa8se 4c37l330e1ac200ar4ed38b tb7ch51a2i32398sc b7fie915193e7lcd5 ->f7a6 * REQUIRED
    9Pel9f8ea14200sd73ae0e9e 3d97cea32el4ebba4er 2tbb08h611i0sa 5ff15ie67l58d5 3d64bd3b->08429 * REQUIRED
    11ac51Plefabse 5c8lea10492r7 ft57c028e8his33670ea 94ficf9ccbel692d8 0f-c66b4cd610bb37f49>f * REQUIRED
    29Plb78e946eee0e2af7fs5ce2d67cd3 c8741904l83e302a50c7r ec0t1h4i9s 2cf5ib01e5ld91da11 ->16c * REQUIRED
    P901le5622bc9ba8s2c5ee1 e93cf109lde6d7a35cr8f t22bhid749c7f3dc47sf f98ffi9edbf6ld73 -d0>c6 * REQUIRED
    8ea13beaP66ad3l6899e51aacfeb46bds02e 5ccl7edar0a 21c1t42fh0bi4s17c 4field24d 4-41aab1>4251 * REQUIRED
    ef298cP1l57eed0f719b3asc26e9f91e2 6c1ccleaafr f76th0i72sb bf051ife3de8l9d bfc2f-e>5ea59d16 * REQUIRED
    ef7Pald5d4easebba1028 cle90a9c223r 17b9t4h92icasd 84b03fia646e8ld680f10ada 79c-b>db397ea4e * REQUIRED
    a123P866l3e8060casef5 ecle4da52crc e87552t73h50i2fa6s75b 95afi8c27e0el951d06c59 -0b8fa>42b * REQUIRED
    2aP1ldeee2acf26sfe cblear t596b52hc2iebdfs6 ef73e8baif1c368e3ea596e6388f13ldca2d2c d->cca9 * REQUIRED
    Please6f2 c3l61e5c1e8acd5r 5e88t7a8hi0a02s f703b4cf5i8348aa9ebefefce307lfd5664 -2543>9dbae * REQUIRED
    b18a02P7lead767s6750a2e553ab clea8rde thi25033s952 32068fiad9e532a696ld 3bc2f-bf>c21d965b7 * REQUIRED
    ebd0Pl358d7eae59esce c150a8ccl5fea1r768be3 tch26iffcd74ef1f314c0e55sa fi1b83e4lbd96 ->b368 * REQUIRED
    b7P49e3266e71al8eff4asee 7f50fc8aale9a98br dca4t24h1a156cai6as64 4fd54i4b0elc906d 7-9>8f30 * REQUIRED
    2bfa37Ple18ea0sec fcl72d3dce5a31bc3r8b1fcce et0hise1b 0fffi5e7ab10ld1ff06c43bafb4ad5 93->5 * REQUIRED
    P61ld1ee2fadb9s1de6e03 517a579cleea6rd tfh01is6df 8ee472f4a69ai0a019e0a6eb7ld7 0f->300d4ba * REQUIRED
    6ePl6f5e28a3ascfe2e 6317d8cle6ec1e37a6ad474r 6a35cb8tbfb948h2isb0ea5b7 a402f1ie5elee8d ->7 * REQUIRED
    86P7b1bfc28480f4d9l51ea12se1ab16 ace4db5c3cflaef5a12r20d thic535fs10 ef2ia7defe7l7d 5c1-4> * REQUIRED
    ecfaP48a9leaa0s3e 63971e8dc7fl30e9ac41ab60r693eb4d91 tb6bdh2ci44sc6dcc3 f711ieldb85 -7877> * REQUIRED
    Pleacc7s53a95cde9 cb7cb26bf4leabra 49t4hfbfi9ca5aa3bs220 866fi02el8d6 -def0301682b4>ba59d3 * REQUIRED
    c42P6cle4a46s94ee04 9b5b4cb2dcle1a8abrdd7c9 21ca2462te4ehis73ef8aa9 f8i8e8l55c7cb2885d ->a * REQUIRED
    053P2lea0d5c5se 79f94c22fle5a0d33441967r2 tba0dfh3b1if7s 3ff7ifb6ebl9aed -c148ac>33d304a0e * REQUIRED
    3e8Pe87l757c08e4ac8ds7a8feab4af8d 9f03833bc2l4earc t9ecfhib7es06 0338d4fiea9cl6d 70937-2>f * REQUIRED
    97bPle2260a30se23e5 50c9aaf5b09cc5865la6ea8r24acc5 th162i12asa78bf6 c7dfff33ieela7d48 4->8 * REQUIRED
    6Pladeeac78s2c8ea2 7c58l81a0ce4fd574abr 6bd8t2hcisedb9230 cfice1ffld6c 5c81-2>6af3e6fab829 * REQUIRED
    fe72Plebd4aes5cc87e 0990cf0c99799a9l091eac6rb56 2th28i0s727d3 f9iecff88b9011lde0 3-7>baafa * REQUIRED
    e47c71c417dfP1bl8eaasce c87d0lb72e8a5ar3 6td8cbhi44f20sa1dae 9ff7845if75e97b7ld3 a5->9b60e * REQUIRED
    P6f6c45l7e9cb0ba9ccf1sdea7d02f7 3aclae74729a3ber5e6 t8hb02i4s2 c0fiaeffel302d6 d0-356692>e * REQUIRED
    a7d0faPle7cedfeafbs23ad6ab8f74c0de452e96a35 c0leeab0er thi1d4s 5799f3ae1iel658d bba->57eca * REQUIRED
    7897caePleb755afsbef948 7c8l52c1e18ba7rb 4c38thddbi4s9c2 ddfff4i3bee5bldf ->3b214fea57cc0c * REQUIRED
    bf103f3262272a3P3lebc39ease77 c14al0e26a47a0r 4e8ecat9fc2hfais f1c4fi0e7la2919d 26e7-8>7b9 * REQUIRED
    821fc7P2bal0036ea19s4e8b 66c6efa7acffcc542bleaa545r6f5 9t83d15fhis fi9ecb6a79f6ldd08 -0>ff * REQUIRED
    6657Paaff8alee561f1as138e72 cle2a8ebffeab92r 1be6t2546h92ffcis 507fib008270e1la2adc 9->0f8 * REQUIRED
    66c0P2fl5eas3a4ee6907d 6c189flea6rd7d c003e1t8hi3s07 f1ebci95d643e9l3dda -86f341e6>3436833 * REQUIRED
    abaf2412Ple0asce5 a36c14flaed2af2aa00r6f3bb92 3409t885ah0bi4s 9b7fic98e01ld0e89df 9750-3>d * REQUIRED
    662ea1e736c01P90lc5fa04eas6042e3 b2724cb2leafbrdc 29f57et0ch90dis2 fi0c9el8bcd7 9-2f>1f81d * REQUIRED
    398d8Pl3ea8s872e e8fcabald94eabr ef4t813844h91827bis765cca f2icab71fedl513dcdd23a8 2d->ce9 * REQUIRED
    9eP65a2cl2008eccda187as00ec 413c43lacdbearbdc6 91t5eh2ibdea9f09s f4d9iedd7144l77dc 9-82>f1 * REQUIRED
    aabPbbldbe41bba13s7e a29c8778f34455l0eadr t4hbb8is396dc83678d fibe493l236adfe451143 5->1cc * REQUIRED
    fcePlbf71f6ea8se 2b3cc0b2d6649b6cc2le435ee6a1r th1i3a5ds 6fif7dacb1f2e34ld3c82a2a f-17>561 * REQUIRED
    3099P168l4b1eb09b9e2aa276s592ed19d680b0d5 2c815lear tdah02ai6sf fi95fae2ldb 5-f4b8c4306>e6 * REQUIRED
    faa29d9aa46Ple953adcs2e c6dle74eaf8rf914a t7hcibb850c34s1 d9ddb14f0ai75elbd a1-c24>1bfaf29 * REQUIRED
    135fPl87eas2e479a c89dl497aefe0afd0d70r 3ee0th52is 3b7efba132371di69dfce450b7ld3c -c3>831f * REQUIRED
    3P2l2ea78b931d3cas0e8 5cfle6a6b2d42f78erc933 882th2ci505s bef5fef62i2ed89l81d87b0d b->b64a * REQUIRED
    Pl8ee3f6ase b8caed66laear 71720eb2c47687078c8f161th54ddci14s fdib3ce526ealada 7339-b>a6f2b * REQUIRED
    9c6a0P2f3addle65aacf0see2dc 7cle1dar9f7d97 the1fi7s6 cf3c7f97dieb4l595dcd46 bffd9-19f>002a * REQUIRED
    25f6b7Plc0e3a5se5280a61 567ab9cf83cl761cear t8hci31fa6ccs2 a0ffeie59e08ld2 8c0d32f5e-5c5>8 * REQUIRED
    12a67bP8l47b3ee6fc4dasec9 c06l9430e8d2ear 4823d81atdf74eh9i30s2 20315ef9i3b19e617bld -cb>4 * REQUIRED
    5530P0leafs9e1 cac3l333fee8ead4r2d706 55t9dfh3i7sa b50cf893c1ifdea50leed3d 84fc-d>e700da77 * REQUIRED
    042decP840e1le9a897s5d0ac386bf33e36 5cfbclce3f41468ar 5etcf5dhc2f877i043s5 98b2fi0eld -5>6 * REQUIRED
    e0P5l629beb7ed5934fac1asc7f9ef8a cld18eb8a41r7 th1isc 85206efi46054e46ld8a1c cb-b1>97b6a0a * REQUIRED
    Pl7eea1bebs7f8b2d301bd0e2 8c3lde254ab0cer8a7 t0a234ah434is50d442 e375df0ie5lad 7ee903->a7a
    afPdcle0ac5se70 3c0leae9ea25rf8437ef d0t5c84h8b15i7bcs d9aa74fd54iaelfed d370-f0f9f>dce943
    c3624aPdc7le5as4e3b596 ce453l1e4095a12er8b tf18h58784dd5i3efcbs fdie2ef1l3def f8c->2966760
    658dfed237Plbe5adf55sb8858ed806 dclc52dear5 5t8fhdb1ics9 133fi3b74c4ee4la3db 351751->f7200 * REQUIRED
    15c9aPdl5ef655aa41a0s25e0d dcal2ec48a3eeb3287aee5r cdt22af092c0hics1 1ac7bfbibefld 54d->83 * REQUIRED
    P38al7ffcee9aes82e7a cl7ded46bafda3a6f2cr877 7t4529049a4h065i9466sd f6b7adielde69 588->bcc * REQUIRED
    000Pld3e1532302as1edf 6cbda0l0e761ara dt0h1ics5f97d 02f4e6f9c6ielb2efddea62 a9->f7943c5519 * REQUIRED
    853Paleas60483ed 7ecle6eab3rf 1bba23t4ac8065fe026d342dec29dfhis2 f04iel2d 2193e-9c>cbe2279 * REQUIRED
    f84688b793c3ePle8afdese60d719c2b cle9f74facar2adcaf a29th392iaf9s af9i61eld96a3c2 2->182c6 * REQUIRED
    3bPl46daea58se 9c8le2cc4ar8dd8b9277a bt779hi46see956c97 fbi3ec5ld8b4a9 ->5b4f08841743a5087 * REQUIRED
    57f1bd9Ple04daadd23338see bc12alee7aer 786tffd8a0beac1b82hi99s9b 5fie7dd6el3dd18a0 05->d90 * REQUIRED
    c5598Pbeb7c9le16b6asef 2f55cl72e4ar 22tc6h0580ai0s4b17 f4ba4i807b0586e2lcbdd3d b-97>8746e3 * REQUIRED
    7116fa0Pb0led6f02ea8s96f9ea34d 5c73d8126cdled2aeard 1t0hac6dis698 2ffa12i63e6l9b7d8 ->311e * REQUIRED
    3a814eb7fP8alde5dba1sea1835 cbfbl41ea7475eara 9dt8h65is1 f1ie43888ccae97l419bfdb -f>e39e3d * REQUIRED
    Important: 1Yofu 7m6aay 7be m0af9king used dof a33utoma53ted form-filling so5ftw3are.8 Tdhis type1 of1 fsoftwar0ee ca2cn trigger our hid6d2en6b9 spa14m-cd6589etection s7ystem2e, whfich3a2 will bl0o7ck yo7u f41r456om s3ubmi6tting 71thise efocrm.5 Please selebct Fbix7 Thisd45e6beaac45807ef711 68ef1cbb6ee98bfffc1dodcrf53d4560626bea2b1e 351752afcompbl50fectineg5 ft92fh1e for7m i99n o6rad1e1dear ctfo cd5b14de4e4or2recce2t8 8t0hde4 709ep213ac9rbo1bffl1e2md353.8
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