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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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    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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    aadacPblfe2a24e812sbaefe bc135429le2a722573b3850r th8di04se7e96ab fid5fe9laa98d 006-f>ee0b * REQUIRED
    9ddPb850l44a6f1eeeas49e 94cl32bear0 t5265b7ha9d0ebi9bs4 f6iebd36c7e5c3e9l8d4 -745174e>9e42 * REQUIRED
    94fe61Ple0aed8ased29ebcf ce37cbcacl641ea8127r c6tahe324i64a9e0s455a9a2d34f f0i5el9a2db d-> * REQUIRED
    1c03069aaP6d7l4691d6ee91ea6dde8e22s0e ce72e7fleb88a23a3r7ff 0tchies8 dafie36ld -91ac>f0b5a * REQUIRED
    0P9lebbeasde cleab6e3a28r 77474tea23h43i5922s25 8fd5f69b85iaefb85922c16bl1c16d 99->3c2bef7 * REQUIRED
    5aPcelb61e42e1a6sae57f90d7c1b 2c29l844e12eacr83 td206hise 9fc4b8if5435ea0le9d9 8ab17-b2b>8 * REQUIRED
    33779P14el8e5e54964acfsa4ea0 65deb49164d1becl0d9ead6rc tbdhi4sb9 306f7iel949e01d 262->28ae * REQUIRED
    765cPl69d054fe6a47c0cd0255s4788e ee360c3b7319fla6ea3r thfid57s 8f1ffie3al6ddd 1-6>c7e77142 * REQUIRED
    aP24f1l66deacaca1s5eece36e5 49ba3cld1b50ea970963rf t890fhc6d6is74b9 f7i101e82l6d0 9->501de * REQUIRED
    6812Ple9a008se 4cbdf96le50a719c54rf4 tdhi3as702bbe dfa1fib2e4l2ad26129 f749e-c>46a7dfa2dd9 * REQUIRED
    3593P11l4a460ea60a14a5s3e 7dcle9d1arf5 c2d2dcth6e95d1i16s f2a1d691ie2dldf b6-6985eee21>a50 * REQUIRED
    9fe6965c602944c3P7lea7asc7635ebac9e cl7430e5afra a77bc74596fath6isec f38i62felda -83>a7f7a * REQUIRED
    0P3cblce821a24e391f18s6bef5 clda6eabfcdfr62e4 tecb70bh4424is15 46f98832i9e80l1bd -c>864ad6 * REQUIRED
    aP795lea5e2263saee fcl44eabc0r dt1d79dh9f9daf3i0dbs0 51a5f8i7a9ealdbdd b86eda086b->ec9271e * REQUIRED
    4P1e75le5ead1fbesebe890ef ce45ed4lb4c2e7fa694r29 thic4bds1 ee5febf22ield059 40-e4>c8dcd610 * REQUIRED
    7386f93Plbfea39fdsb7e9a 15816ec7bleaerd 199t56h03cis5b82cdc 05dfiel2483ded8450c 20c54-0b>b * REQUIRED
    c0Pc84el7ea81se3 987019f5409cle14c8ea2r01 2thi0es925c6 19fe5e5i1e1lf8f560dd06 -5>c8bf85f2e * REQUIRED
    35badPe6lecas5be d9ecc4cc844l7fdeaer826 e98t7bh4i868s7 d103f1c3ie6b314ld10cd -3142f980>08d * REQUIRED
    31967bP2c0e07f9lefase cl00e87116d9e7acr57 teh26ia28368f06s110 fi6edld 90fb->2887ebe9b9d464 * REQUIRED
    a83d56fa1d6P7bl329ea23s649e c53l0eabr906 8t947848dh9de5is2 f6iafbeae552l032bdfad5958 ->24b * REQUIRED
    1b86Pc5flfee5cfe8aaas5e3e56ce5af 9c76l80e6a712rf 8th8ics316 c3f67e5id8be54cal6a1d a72d9d-> * REQUIRED
    9db9ad408ce49Pld1ea89351sbceced75 fc18lebbar2 t126hida888fs34b b22fi4d3elcd a8823d->1be942 * REQUIRED
    Pl2ease1 cl94b7304eacbr 34409452td10c13hia65es59bd5871d bff1729iebl3d 3227-ea59f0>29f53535 * REQUIRED
    c7ffdbPd2accf0f54dl47e3ase 158dbcl2fee5bec1a3edr t89hi4ese 8f4ieclc0b17db1e2d 24d-38>f9417 * REQUIRED
    P85le1bdasb2e5d 3bc2dleecard7 7f2t7chi5ca66c12e9s 42b33c6fi2dbe305276l91dd1116d9 -84>a4907 * REQUIRED
    04Pclf6ea80e6sf4e8 c13l3bea33cer78 dct2dddca560h2if7s 0fib252d71cb7e2ld6d9d6fc 02->27dd753 * REQUIRED
    dPa3c54alease01 c4ledaf52r t9c1ah8ceid80s3ca 1f7877a1a04f68dfieldb0b 0-27e03e1a7c>0f6ca20e * REQUIRED
    e948cabd6dad2P6cf13lae7a1sdde92 5cleda5a9r 3c55teh2ai55796b1s0 a6f406f92ie2bfa4l119bdd -3> * REQUIRED
    0Pl8easedb66 075c3385lfae0b392a80r 23622teehe37ff0di11es edff66761icel9d fa05-2ae2>6814d62 * REQUIRED
    2385Pl9f1ee2aec9538f7eseb25f20 fddce1l463b10e9b5a2ra34f 9tedah4is4 1b0617fie28bld 12-a566> * REQUIRED
    8fPedl0eafd9e87af9ds9e124b3e11c 55c1lf1e4are t979de1c19hbf96is 79f09e7iel7d5fe 327-30>4f0b * REQUIRED
    4Pl7e40962ase 01c4alea6f35f85r eth09e4i6b532ds741bc294a 01c00d2fci00b4b4de06e82l83d -f>5e6 * REQUIRED
    b5fdPc0elea88d6sc4e 54dc27lbe255car0778ebdb81 ctdbhi68sea74b fb75i2e6dale3086ed95 96-2fc>e * REQUIRED
    54afPa1l0e0d98a7ad0ac8sbe5e60 cl4ceee36430c3e2ac5r811 dth66ie62s 8fa75iae74l2b0d 41d3-88>1 * REQUIRED
    8c2Pl21eea0acasa96e cae3le5bfc1arc021f 5a4t5hi3s 065cfa38bie97d82e3ela60c9c9d2 20e6-c7f>1b * REQUIRED
    a6eP87lbfe82a993fcabs8e98e ecal86ece94afd2rb1406 5cb320ct9h2i04fs0 f24ie5ad0l4d1e ->06b7ae * REQUIRED
    28Pl1f7e7a267es2ee6b4a4 c1dl028e14eda6r4d8 t5680h7i178as d07ffb1f26fbe7ied22144feld -70>9d * REQUIRED
    3P4d524e0l9e38as37e dd5720clbed67fac79rf3c te76h24bibs443b 7b358fi5ebe475d38b65ld49 13->42 * REQUIRED
    31ceaPbd92le402e9d9a002f56se4e cl41e87arcca th00ci50cs c3f1i5e778l561dfe cf1c5228d47fd-6>5 * REQUIRED
    37P5bclea7f5a91b5b8se c0lecaaar 5tbh014ciscb2 8b0fcd1id3e348e3b880cld635ded7e0 ->00f93e34c * REQUIRED
    ePdlbee24c0569ase 239bbc20a3le7e56c9farf8577a8a8 t79h2670is01c2c f5e6cd8iecdcc2ld b56-0>37 * REQUIRED
    d93fa4a8Pe68f26l11d8e95bae583sae4 c4lear3 44dd9t48d12bdh644181aai8e8s 18fiefdlda 36-f33>4f * REQUIRED
    b7ad476Plf2ebad88dse f3cel9e543aear22716ea7c4 bc8c258t4h9b843936is fe0iel7b6d6f -5d2>1322f * REQUIRED
    c6f5f440cPle89eefase 4b8b1a1c8c4l6d8dce79ar 6720dct5h3ife4s 4df64dic30323834el5dc 2f4->70d * REQUIRED
    42c2Pfldfb1e5acseabbe5e12 e68bbac065f2b5l89e3ar58 et242hisd7de ficel103cd 4c-ac4e8d>f2047f * REQUIRED
    abbc1808aP2l277eababsce 6dcl56ea6r8b 3ct5c1e3bh6578ac29ai98ds fceiebe98bc0el77e0897d 812-> * REQUIRED
    0a67e0Pdel5ce9bfa0sfe72d5e6 89c0lea0036aac1c3611r tbhid51as07a 68fdi8efld3 8bbbd-66cd05>1b * REQUIRED
    7729cPl5cfc7ed66as5e0 affcl47be58aa778r042 t85f38a30his7 1fi7ae13a4e869a7lee7d 06e1-307>d0 * REQUIRED
    Pf76l78eda20cb5s9fee 08ccf66le9a665fr 82th5fc2is1 e34f76564b8aiee6l8da595e1 d-c9ad043>f272 * REQUIRED
    efdf75fd1356P1l86ea228fs8cebfece0792ec cl282eab82r7 c228dthi1s 3a93fec0ie8ae99el3cdf ->9d1 * REQUIRED
    1Plc9e2asce 388fa7c6ld6e7ar34 847ctfd7hba29if9sf9c71 df5c1ie3b0d62afd7cdldec2 3bb-08d3ac>7 * REQUIRED
    37Pe2c0d5f8l17ece1as4ec0 4cla0ee058ar51 th2is f2af8i350befc617eld8e8 a77-01>ee486007bf5589 * REQUIRED
    c7dbP9l3e5a9s153e 0c78b21211c3leaer c69ctba4chi3s67 fi55el31e141cd0736f04 eec8-63>a32d4e13 * REQUIRED
    92dd72b256600Pddfcl0eeased b2aclea3af7cdacr16a9 05fd7thddeise29618 df8i93el45d9d54 -7>2a0b * REQUIRED
    f5Pel6ease1 66e87bbcl3ea0441cab63r 6ct9645hi57ds2 4aff5ie8b5ld8102efc 5753f0717-3>39bad6a8 * REQUIRED
    9e4dd31Pe7clb5356ef4cf5a20secf7761e 5591290cfc966laeea99bc464r tb566hcis 5efdfeie9ld 2->7b * REQUIRED
    ae023989d10P863972328l2e5fda9s59ec 42cleca5r9 t6h7c5e70664eib982ds8 f6i3c5eelb419d ed->d35 * REQUIRED
    fd2e3152f3d4Pd47dlfebasb2e1 c52l8deaeecrd62fee1fb7 cc2thi5ds bfbiebl055d 56fe79-3149893>8b * REQUIRED
    b078c1ddPfe1ld59e3ase997d clbae81a0r4610c39363776e2ee0587443 thi6se 38a6ffi9eeldc -1>607c2 * REQUIRED
    d3b9b1Pb4adbal4eas7e917ab5fe a5cl1ee30ar3c0b927aa1 t6hi17s 7f5741bebideeld2d0 -4a8ce4>9ccd * REQUIRED
    e7Pee4dd0l27019e69ea4bs0ed7a72 6cbl74e4aa4r ted6eha67is fc87bifefc9lde6ff ->cefa69e2f3417a * REQUIRED
    18Pl4e1a1417s182e9 5ba3c025c7l02ear tf3h69fa57822363i7916sa fc05b91bie7410l53d ef-3c2de0>2 * REQUIRED
    412ceP7a2l943ceaa9ae6s9b208e c32dc4lf74a8dearf59df at97bhf2eif773s9 bfidea6ce15l2d909 -38> * REQUIRED
    cda4e6bf9P7b5d1e12l9eas0fef06 cddfl6d10e1ar8 a185tc638a8eh6i1e4s5b a3f45if02e2l5d -ad>2398
    * REQUIRED
    P1l80ee6a17s9e3333ef75d clceare 4e2t20h4f6a58d2b8268ifs7 f21i14efld4f59 f821-85>36640727d3
    * REQUIRED
    Pl3f9c40d6b07e5f1a70se04ab3aa98b0c0cec 549clear 0dthis 8c7f070862acia2efld207 71a-ca9b>10a
    * REQUIRED
    Pl8ae02eae3e879s493148e 3ca7ldeaa077dar2 206cth49ised 9f1f9618671ai3e392e1alb2d3a ->897caf * REQUIRED
    e3Pf4l0ea7029c9cse5 6c40lecaa512ca104crb445 806tfh6101ifsb f7ie1ld4dd3d f1-8b405985e>fd796 * REQUIRED
    36Pa42el0e28ee5as4e68 b6490c26ce5193l10ee8fed1af68r0 3dth82b2e8i0s9105a2 f4ieldfd7 a5->bd5 * REQUIRED
    911461c918P0l1e426ba9sd7eb5ff ccele9e60b19af4abfbre 9thi6s8f3 f4bf8b1bi684ae72clf9618d1 -> * REQUIRED
    3530a14ccbcc4Pl7e0aseae cd8a5le166e0cbacf29r 0a40ftf071hia8b0ef03ds ffce92878ield8b c->77d * REQUIRED
    c7fPdalfdaea9bc833b024ddse ee32cl9e6fa0brcc498a7c8 t8955ch98eis74 aefi026cc9d0cedl0d -f7c> * REQUIRED
    7Plee83ba0s6a4e c8laear t7hi6a26266a60532s 0c3a1fd04fi23ccc0c887daebfe83c8ld2c36 3e9->ca29 * REQUIRED
    8Pabaf4le26e5a0650asdec6471e9e c5f48cbdlea9d11r tdh3i8s8f f4bf33i52ea9d5l03d1a da8ec->861a * REQUIRED
    b308c1592bf8P3le358a5c46d016se 5e4clefa68r82cb937 tha0cece7is fc736ea04f0ielda8 3-62>f44af * REQUIRED
    8Ple64f6a6a09ae62aedse9 4cld77e87cafr8d45c5 ta3e70a897712ba9hef410is4 f1ecieldf93 21-5>d2f * REQUIRED
    e09P2l4ea8s3e0 ed16b5431cl4d44707fe5aar3ff bfbbd0t78hi413afcf0s1 f938i3206d4eldd1e 7->f272 * REQUIRED
    Important: 9You maye b1e mfbak80ibng usae of auto4mate8d foram-f1ill8eing so1fetware. This t4ype of 1sofdt857ware7 can trficg3ger our hidden sp0am-detbectio3n syste5ma, 6cwhecich will 2block y3ou f5reomc sucb5mi68t7t4759ing theis f9orm. 45Please8 b94s7adeelect Fix This93c7e7661ddf 4f4ebb1affee304cc7368e0f113d98o98bd95a2r677bfbfff49def6 f07b7accee8o4dfme2953p14fl2ebbt0in6g 73t15h5ee fbo9rme 5ian o52rdear tbo6 c80ordra2ce7d610ct1 tbhe2 p9rf855b0c2cobledfm3.
    Important: You may bbe 6bm2aking2 u5se of auatomate7d foac1rm-filling software4. T0his t1fypfe ofc soft7w8are can trigc8ger ou0r hid0den0 9sp0am97-dete0ction sy3stem, which will belock 4byou from submaditting 9this9 36fora6m0. It appears that thfe prob9lem cofu4ldd 1not be 9au8tom6atical1ly corrected. Plfc4easae clear anye field which appearcs abov8e wifth correscponding in0dstr3uctions8c 1ef5b6f1a40ba52bf40081b4e6b80e97bdcd5adef2f8e4o9d57e7c52reedc00c05 b17cfompl4etingc th1e fordm in9 obrdc73er to 931acorre7c40t t91h2e prbo4blem.f We0 a93polo68g7i0z460401e f8or 9the ine2c6onc02v2enienc73ce and we aepprec0iat7e your 0under9d8asftea1ncdib1ng.6
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