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  • Goalie Indoor Travel Program (with Uniform)
    Fee: $290.00
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    Registration and Payment
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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. 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.
     
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    49c83efa9Pl0eaf2asa02dae 4cla6fe9afd7f2fr8a fd61t0hi319ase38 4fie6dlc3e6d f7-a>786c187caf9 * REQUIRED
    23P63leaseee ca1a1ael4ea411c6r38cb6e 07ft156hifcd13s f5c9i4e1fa35a7la9d5d6f76b0a2bd84 2->f * REQUIRED
    2fP9bl46acaa1ea23s0ce2 59e6c9477760b7dd0df6lf22c59e99aa5r1f 8thi8es bfd0eie7ald 7028df6->d * REQUIRED
    b82eaPlc94ea9df9s59ce cbl0ea151eea17r4b4 t08e9hddeis2766a 010f5263577i37e88l1278dd 68c-f>8 * REQUIRED
    65151aP24dlead58sfae1 e7cld6fbe4ad0002r6 5th9i868sf3 1f71i0b06f6472f2el5d7 5a-12bb15>08b28 * REQUIRED
    fa6cP7e8deelc1eas4e 66cc9594le09da3a1ra bt404h14isaf46 fa464f381i19e8le8d3392e5 4d1->97500 * REQUIRED
    fPc550df20l7ease7dc ccflbef4a8b1e8bbreeb 9at7a980ha7ids2 fi687e68ldcbd65fa -922e>24577c903 * REQUIRED
    aP97dl8eb3deaafa5fsd1a46e fca688l1eda625e551e527b365rd5 t5h2aisc 86f57bcif1eclf916347d -d> * REQUIRED
    eed2685P1ca59leaa42cfds8016ad1ec3e3bbfb cld9ea99rf0 thics6 5f0fi233el3d8659a -b>9844fcbf53 * REQUIRED
    3P4898b6fe2leae1s2d9e c8ela8fear2 7tf69f57ba110bd6cbd7fh11i84sc f0i0e9albcadbe77 1-d9>5138 * REQUIRED
    3P41bleba9b48se clc0dea0re a9b5e12t28hd51f6b63b4is1b9d8876c7458 fi03ed1ld0cbe65d37 6->570f * REQUIRED
    aP088fld8eas60e 4cl4e650674e45f2bea7a429e83r07b39 be6t64942603heis02406d 2e5fi98ed9bl9d -> * REQUIRED
    6aPelfe20e3981a62aafs415e62 c0lear1 efth0i772f03fs0e d0866f5id5317e54486lfd -085b>4cd9cbbb * REQUIRED
    bb5P513a5le29beab3see60047e9 c17d2claded7car 7t3his614846b30 f4ac0ield -2aafe>c2920e4b0dfb * REQUIRED
    aPdla99243ed2d36asea 462cedf27l22e85acrf4da924b1f7 866a7t37dh8isa b3fi7ef2b44dl598db6 ->d5 * REQUIRED
    00296cP73ea589leceasee63 acl2f621dd06ce827b81228ar 50te9hia0s efd4ibael1bad4a36 3-c>4acb25 * REQUIRED
    97c69Pa5lb10ae700a6sb33307fe5a29 cecd8l25ea8r1b 9th6i41cd4s95 35a6f73ie4el4cddaf 9->917381 * REQUIRED
    P85l0ecad08s3069634e7fd 48dclfee3afr 1fa1ta9a479dhccias1b 84fi1891e82l0ebddb9db8 6d-67>317 * REQUIRED
    0Pb836e7clb608ec5a1ce1as6dde 9c78a473l4e2a1c8r2 37t1hi964s7f13 fiabeb30ld9d2a 285-1b>11afe * REQUIRED
    ce5b76ea9Pefl04c9a249f06e3af9a9asced5 cbl5665e6ae95r tbh9d51i8s0 f310f0d5aaei7ce5led8 ->b2 * REQUIRED
    ba7956cfPf37le1as7ea c32blee5fd6f08afr b899e3319thisab5 cff43e6ie9ebe537840ld401 5a5->6355 * REQUIRED
    4297Pf213d9lceas4cc26dec9 cle57a175b2e53r3 bc834btdhid8fs f9af1id4566dbeld0 4-979a8d>d5ff5 * REQUIRED
    2Pleca7a5a9s0ffcafe 121c6d6dl29eea5338241r3f28 ffth34i5c8f3s ebfi86fd2e3ld8da -61>1ea4d7b8 * REQUIRED
    ec7P492elbb55e1af1eadse 97cled456e3arb35da tfdh46iafasd bfaib0e5fld5 -a733acd>b063e99b4859 * REQUIRED
    cPlcf8e08a6d869sed clecaeeab1farf 27thidsa7 4f785f5i6e4049l5f2c6edafbf -d8>171d622ab47c780 * REQUIRED
    29a97Ple28adfs021e e6c32l29ce9acdr t6f2b1eh5i12bc0d688c3s f3ie0efl41932c33e53dc81e56 ->725 * REQUIRED
    1fP5fd3f12le8aadsae 7cce62866b53le4acrd73 772de24d5642t4hcb4e24i1s913c7 bfi30f5elcbbd -4>b * REQUIRED
    8Pa2le4e9e4a2e5se36 ec2leab20br5 t1a5h4b36i20s c134ffece5b5cc3difd848de9ld1d4 3a5c3a->6c7e * REQUIRED
    894ePl3deaca8as5d1ed7 c1038celca0e2a695r9fc tfeh7i6d94s6eea 954f0bf9fi523d5el8c64d 41a->ea * REQUIRED
    af14296P7ldeas953ee c457l274fb25eba23a2r622 972tha733673i7s e162d16f5i4eflc80716ad d-e>365 * REQUIRED
    P7f89bc5ladeb8a00see3cc942ce e1ac4le11a9br7a t8ehi1sc27002ac4 67d908ffa995ei3e5ldc 8b6->c5 * REQUIRED
    911Pldee838absee46c clear 54ft82hi3490c1543s7ca6941d ficfe82l94d2a11 4b15b2->d589144ec65b4 * REQUIRED
    fc5818Ple9af07s653e0bacd 718575c4lcc5d1ear7 51380td97bd6fhac4is846 a7c84fa20iaeffld 33->24 * REQUIRED
    Pel08ea97c5sbe2da83 0c0lea2r ebf7d9648e5c860te47baa14hi170s9 ffie8493l8c08d98 4-e>39be87a7 * REQUIRED
    58Plb0e965d0914cfcba1sb956e6a1fd 35c6la75e458a197r t4hi30e81se fbi60e4b2c97cc1fl2d ->67d69 * REQUIRED
    d9Pc36leas8363e549bd2 371cl0caee3abdd8r737 d6fthc1i0bfs87 f350i539eal3b4f0d -044bd2>c0980a * REQUIRED
    4cd71a6Pl4be4392ase cbcl9e07ab9ba8e1r75f 95t64f075h84idb9fb4b8cfe3960s 6542dfbiel6d0 -7>a9 * REQUIRED
    aPd14l70c22ef9adab9s1eb 6d8ecclb9ebar 25d7812tdhc3i1s6 fi3delf86d0d -130c266f27b>5cb5aef51 * REQUIRED
    0fedea42P6l6e73a9b86s6e 9ea0d1f0cl58e78aa08bf69r8 3t71h47i2e5cs72c 1dfibb43abea5b7lfd2 5-> * REQUIRED
    Pd6le4c1fase76 c7ecb1680lear25 tb32hb22eis 13263f5c7de6c02d1ci3el7d b40-5d18>db70cdfe7043f * REQUIRED
    5cPlc0eeacesf73415bc5e4c72 c5l07efear61aebe8bdd 1595tchi4a27dc3s f38c4f0bieb22ld8 031c->a2 * REQUIRED
    369Pba084le4a2s56e5ab 151a6ca86caccl853deac300er tdhi3s032 2136b6fi9a0aad0ed77ld -38d0>78d * REQUIRED
    3Pd3l720fease114d 5cle2deb8c82ca55er 6039ctcefhibfs44 7fia5fedf6afd1e4ld8658 5299ff3-c039> * REQUIRED
    fP4lcaea7bd318s84e1fc 180c9ld5e8ca2a5rbc5a1794 ethdbc5is103873a5 e9efi82c0edlbbdf4 ->bede1 * REQUIRED
    6b2052016fPl94dd4ee8dasdee040 c6le7d022a8r2c20d2d thai0657s fi52ee2la9d0 ca-cf437>332d9935 * REQUIRED
    6b97a7f26d61a13e48Plefasfe19135 37ac48931bbble2d5f66carffa535 f29thi7s fie458l9ced 6->a3bb * REQUIRED
    9328e7040cPl1ecea2see 1ce014l0e55f7ar7b1 56a4f643f5c294a8d2t1de2hi4s0 f2faie26l4dd f39->11 * REQUIRED
    P785ffle5aeb9s042e12e 16c6dle156fca0dr6f fdtcaf32cfdhi3d04s faie97e749e57ela5d34c43 -427>c * REQUIRED
    98dPf5dl328ease 1dfc71f3dbl14ee6earcc0 71c1390thisbe8e3d f6dia79bd5eclbcbad55 83f4d2-c>a21 * REQUIRED
    1aP62l299e81ascf9e c2leaf03r0 bt393133hi9sd9a5c ae0b757f72ia3076592fe4f4ldbf19621 8b-3>ed8 * REQUIRED
    P8bfble2ef30eca07se1c64b clbbe30dca8r95 343t44e6d2ch0d8i763bs 7ae0620f21ie133l2a7d2071 ->5 * REQUIRED
    Plde9as3e658dd16 c6a832bbc5bl4eb8a5r t7h0i8s f96i16f99acce4l58c3de3b18b4277 30-d00b10>5987 * REQUIRED
    2P84lee5d6b6c5a4s7e7 4ccl82efea1a1bd5d87bara5852 this68e2b f2b098f28i8eac7cl3d c-a48>548d6 * REQUIRED
    56P32ab5lea6s054e0 cel0fdeb144477ard38 6deth135ed5id0d6a83es4bc 9fi43ae5l71d e4d-520bf>d33 * REQUIRED
    9d912Ple3a8bese f9fce759lcbf0e58eabfbr9 t7hi020a9sc6 fie57e3ld36 4de3ff6967-a1581f3cf7c>01 * REQUIRED
    Pd1l685e0d6c6cadd4cs8e81e9 50dec3l8e87a8b42673r6 t5h06i4d7s44d f0i86e4l5d9dab3 -2>6574ed89 * REQUIRED
    7P07689f6la7eeb4ba4b89s40ba4e dcl49575efe2ar31 17751th359fis41d3 393d51abfie7ld cf0e-a>192 * REQUIRED
    2P9laeasb5b1ceb 097cl6ceadfb4rd694 ta017h5859is 8f95ib00729ef25ald1c74d4d 914e24-55>280da7 * REQUIRED
    46f4Pf854l5ebcf448as6fe 1cl7beaa89f4ffcc3e7r 8fbthi55adsd fai36b7ad3e9a4d64ldd885c 4474-4> * REQUIRED
    Pl91c3eea8se0 7c0d3c8lbce6e8a21715b933r3 d0t72ehi9f6aeac773s2 c9ffie3l77dfd2ab2 919bb->530 * REQUIRED
    a6Plddcb87e564eabs0ceb181 c90lefb96ae91rd505ff4d bbt57b4a2hisecb f396diee6c80ebcld878 dd-> * REQUIRED
    01aP09l2aaeada7s4ae244 67497clfc3e80a01car9b75724 tah72427db1c97i27s6 fibec46ld8aa d149->d * REQUIRED
    3dc43d16ccb9P6ea8el5b0efa99esed bcled150a79r 81t8h440eei7ds 0fi2e595l1d2 ec0c2f-a8d>a57eb7 * REQUIRED
    047Pfl3eee6as5e9d1367 d20c0fl3eac71r 483tc4h9659fie51cs9 cf435ib20e2l930d63 c70a90-c87>3fa * REQUIRED
    6f18eP450lb8ef5a43cs82c5be cac0l6a0e7are t121hfifsc06307b6 2c4fc1idel34d5a30d58 -dc4>ad595 * REQUIRED
    b6P95l6ea0sf3c0e1 4f1a3cl44e1e5ar 89c6704thd2db0is d4fiefc6b1l2d0d9 c9218a7b-4d58d256>d3c6 * REQUIRED
    ebc0P297669ac7lea39537se5b12 9cfl1b71e36a03r1b ee4at73hi64ds df8i5394814e9d6ld 921f93f4->f * REQUIRED
    393331bbe3P6le8b57a19078c0s6bbeb78 05a65clea0rc4cbff et2063hbib9s59 ff4be1i4e6ld b964->957
    * REQUIRED
    5Pele697daf4061cc0668s9e03 18acdlcear9ccd11b1 e6t19hi67959aseb1c4 a8fic1elc5f1fb660bed0 ->
    * REQUIRED
    17aa8fccbd81Plc9e15daesa7e a2cale956a1r 28t1hci4s65b8bbe eedb4ff793bcd659f5d3cai4edlcd 7->
    * REQUIRED
    d804d5Pdlc3eabse15 c33ebe140al06e5a5c749aeac74frb81 d5thibs 8175fi9c56eld18f9 4->37088829a * REQUIRED
    72Pblea1831scee 6cle7ea5ra2df fd8t4hi8s 576f4b993i728100e8fl2d9e0c4f4 c6-d4a>e8c3c96827a03 * REQUIRED
    6fc18aP3lea50a184407d889s3bfef c5fl4d051a9a5ea61ar 7thi45s321 ec2fifde7ld8f4a47 -578>f217b * REQUIRED
    64716de1bPclbe5a5a8sde c64lecea74r65762d9a dtf01hi1a2cs 5e87fd91ie9ld5 cf12511->2e5a6d175b * REQUIRED
    P50l6fecae47s4332be 4fclc2871a19e7a6ab1f3rdca 02th0is8 df0ia3947fel18df 0f4f-c>12b5dedbb28 * REQUIRED
    fd8P43d92f880l69e6a520dab02s35d0e c949l33ea4eacr 8cd2thi066dsc6 f8ic02147d9e0l4dadc522 ->0 * REQUIRED
    06dfP5lee3a6f480se1 acl6e9a6b3ce2rf7 2c58tb48e7hfb80i0s3 d8f3i09546e10l69dd665 8-435277c9> * REQUIRED
    c97P2lee3a36758s3e 6c3d0ldde6farf 55d6t0013c7hbb896ib8s f48e63ei2137ee3fcld10a 2d1->271c3a * REQUIRED
    3Pd34e49646le91ee9a3281sc71848e c02l3eafra1679 fthicesc95 fie7464l87f1b756d0e36ae75 ->d407 * REQUIRED
    2d0Pl121c12eac78ase98 eeclae40131ad2a22f87dr5568 tc00161edb5his 9f684i8ffe73flb4ff3d b-a>9 * REQUIRED
    21847dd43fb9P78l7ecd1asce fda4fec151le5a8r8 5t0eahda0fi559s3d fic9ebld4 -56>c1e74700ed4655 * REQUIRED
    Important: Y7ou3 maby be ma0kinbg uc5se o0f 5au1tomated form6-4fillfing so8ftw0areb. The9is t4ype of so7fbtwar3e4 can9 2t0r5ciegger o0uf66r hi0dd0ee78ne2 spam-detection sysbtem0, 7wh9i8ch0 wfaicllf blbock y4o7u7 from submietati9ng7 this fofrm. Please2 seele9ct 7Fi9x This9487aa7fba 9ddb2614f4e02f448ea7c6ebf6d03f285fe2oce62214raf1855de93d7 b002cobmpletbifngc7 89t560237h4e9 3e55f2orm i86fnab ord3cear to 2ccf9e63bo4rr4defbbe4ecta 4the p0r4811b1obe7lem.b4c6f2a
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