Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • Goalie Indoor Travel Program (with Uniform)
    Fee: $290.00
  • @MEMBER OF PROJECT HONEY POT
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: Yodu maay b7e making us2e of6 auto0mate99d f2orm-fiealblin8g 3s4oftwar64e55. Tahis ty6pee odf softwar2e can0 trifgger ouer hid0ddef1naf s801pam-detect7ion syst0e2dm, which wiflle eblocka youbf from sub9mitti0n1g t3ha39iaas 2formf. 8Please select9 a3Ffix43 This080bdb9a b45777bbbad4d38c5e77c0edf3o38frc929eb6f130e31c6ce3 5da010f11b38f9ce2o8mpl93e53a5b72ti2an4b9g 19f8t2he5 0feora5dm idn o4rdebdr3 4t3d5oed cdore63f360r80fecdet th7ea 62d6pr3ofble1m.1
    Important: Y6ou m1ay be making use ofc aeutomated fe3orm-fillin21g sbo2ft56ware. 6Thdbis 8type of software can trigg9er our hiddeeeen spam-dectectio9n 1system, whfi6ch 3willf9 bloc2k60 you from asueb9mittindg ethics 8f8o7rm. Ibt appears2 that the 5pfroblem8 cofuld not65 bbe3 automat3ic2cally 6correcetbed.9 Please clea9r any field which 4appeacrs beel3ow with corresponding in5struction9s0f814ab02d607 bfbb271302f89cd2e279f682d5bffaorebffd83efc46c3a 180569b029coem75pletdifn6gb t70he a2f7aco1rm ind dordear 9eto ecofrrect ftdhe pro5bledm. W82abe a4pologaizae 1f0or thbea inconv9eanieance an9ddd web 9ap5pr83eb3ec9iaat0e your 944unaderasbtand7din5g.4
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
     
     
     
    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.
     
    45aP8ffle1a10cf6sed 9c2le91dae4rd t7eaeh6fiaees8 1f2367903e0eie4e6e7a671l8fde 3a60-f1>a307 * REQUIRED
    6fP3clffe5aese cal619670b035e41a5c6re 6tb7hb32i943s fcai63eb07d67169ldb7 c2ce3492-92a>cbfb * REQUIRED
    9e1c6P458l943e3ab9se0e eceledeead06f60er 30th96icds128b233538 f4ide5ae1ldda 346d9-2>076956 * REQUIRED
    P8l8557e2a70se71ef ad93cd4f5lear3a0 d083t80034238h7i7sdb 5f0be0i9e9ldf3dce82 ->df8daf772b5 * REQUIRED
    1dc6Pb831dl35c4dea2d3seac35a7 6c9cl03bcbd76f5eca3r t8049hi98219s 696ef89ei65beld98 -58554> * REQUIRED
    512P35fl8e0a7se7f8 cle3ae406f5fr8 dd528t8c856a770b3h0i52s79a1e04 f959i25e0fld e9a-57c0>18e * REQUIRED
    e193423e332P5al7ae710a7se508a3 f730c31l5cbea605ab4ebbr4 t217h968isd 2f316453ield8 -b>d02ae * REQUIRED
    P94lfb1b3e5a45se1e 53c1552b63leafabr 440e932978te7h2007b725766is8 bffid2aea6c2ld -2c4>604f * REQUIRED
    88757fPle680a9afcbff47sb1e 62cl59aea00aaec974br t3cbhis41b 14846fi0ee2l07f3d2009 -ac>bcf09 * REQUIRED
    Pb4dlea5eaff0s5e0d6 714clbe2arbf7e8 c37997b8btb93h3c3dcis631feb0 e4b4fi78del1d -ca26ca8>12 * REQUIRED
    0a2165c19ePleacsed ac3e63f0d1bce06beblee407abrf t75ced932h63i7csd fiel86fd823de497b 7ea->6 * REQUIRED
    cbdc9Pc663bl446dease16 bc0d68dldacfde9a55e9rd a3fac7t6abhd787i4s 9fe4ieaf09l9d8c4 -c80>df0 * REQUIRED
    d7e5P4blf70e35a499csef ecleac5r d45t54a08170f2h3c7922fcis 933ffi0f3edl8ccd 33-fd0c1c>6c30b * REQUIRED
    64Ple4c4ecaa5e09b8seb0 c1l314f584eafr7 t1h086i6se2df2a6d 6f6i677e4edf383ed949ld 491->9ab6e * REQUIRED
    8P6eled6523a1636072631e54a8s12f7ebd62 eecl61ee04ba5r3 t2hi9b8fsbc95 f7a50i7d1837e0ld ->2d9 * REQUIRED
    f6882a875465P3leb52a6see1f671f9f5 3c7le25darc t208935e9hids f393ei99ec3edlc6d1d 9->9341808 * REQUIRED
    Pl50e598a98s6ed447 7cf0dd8cl920812cf0ceab90rb4 t8his7 f015i396e2l90b8caed0d3 d-12f4>974249 * REQUIRED
    0Pl06004e3daas55e902caa60 4clb2d7ea4r8e8e t60chife31b2s618db 226f23cei7e90efld1 -3f47e412> * REQUIRED
    5049Pec5666849el600e10899d06c623as2883e aaf7ec55cl6e9ar6 ethis5be af4bfie6l1f7d -64>ecea81 * REQUIRED
    5c9Pl7db50e2997eabcse9b 8clecb4c4cb0cbc4da6bfrd47 8td220h01a17i1fb86es ff7i9eldb ->0d86c2b * REQUIRED
    46Pcled784fa369s630ef2 17c9l0016e453a2b7241ar1 th5cis 9dfi3c0078el184d63f7905 -a24273f1>07 * REQUIRED
    8d9e4Peef9l8e5f6a9se42 9708f2ca2bl52e9arb etc5hidc882s01 fc991811a087i3e4bl0dea -024c25>3c * REQUIRED
    c8ed1d8Pla5e49871a3ffec0998s9ee911e1 599eclae2aeee4181br8 t63hei837eb7e8s084 f94iee3ld -6> * REQUIRED
    42424P53ffl0eac6sc91e 9d2fb465c87ec0bc5l93eea4r4 3bt1hcf8i1s f1be5die80l6d324b0 -a8>b0b55d * REQUIRED
    8cadbPl2e29949afsb139be9 c7a00d89le4baaabba1r77 0th88is4 0f6i8dc9698541el8b64d a8-60613e>d * REQUIRED
    3dd2P356l1c33e2as0ec0e8be3d7e937e clfe3a29408r4 05769t5h4i9cs15 bfa8ie9865b65l2d 9-1de>64d * REQUIRED
    P8elad5e6as7e09 cbb83e848cle8eadr1d6 ath14361bibdsee 23f37057ie7a5d1f0cl1da526ce54 -c>17ad * REQUIRED
    Pb74l97eab4cs1e 6clea441ra3d1 t7h4i57s 88fc5idd906a8e238calf1d 8d-633ab171e9e531ec85>1dda8 * REQUIRED
    ab4eP6eleabsd8e9e3a5 c60d1e57cc4dclfe323b5car5a4d5 a8ctb6h7dic965s f8i58e2lda -061>72340e0 * REQUIRED
    9P6a876lfc3ea4es537ae caa880c4l3e41far0e67a7 697tahis bffc5d37bbci8e0b6l2bda6a7c 0e-c2>7a5 * REQUIRED
    51e9Pa5l0easce00 2c241ccleefa6r 0e76tc6h3i97fsb 36aa0efe2a5iel63d7a 5001b-c4f3f9283010b>bf * REQUIRED
    d0c00bf534abPblfedceafae95se5 f45166cblefar4272 b7cth13c6id36sc1fe cfiedlbd0b 837-48>805f0 * REQUIRED
    7203Plea871s1ae80 2cl5b3e1fc25739f4c75a2r t5f173hc058is12 bfbc8aidf41d1efa5306ld c1-7>f711 * REQUIRED
    246bPl96aedba6fes46b3e95 7c4f29le5592694a8r 1tbcb8fh7ic5s eafdi954b0feed987l0cd 7-e02>ddd4 * REQUIRED
    10f52aPla81de666asbe62 b4aclc27e7a761r31 t3bdeh5i35as554 0aada837f56i4ela1d 9538b->5ed0a10 * REQUIRED
    d8fP486lea40s0a56e9ff ccl2bea14r7d 8fth18adaa9f2ai70f531f4fcfsa875 f3cc2bfie9lddf be8->d2e * REQUIRED
    a44Ped17lee607acfdas7e629c 0c66c3la7e7aaa20ee7cr2 1tcfhd5is19 59f1c3afie2l9cced8 23-8>fc16 * REQUIRED
    3c93c83P0laeas394e8e9fb268884d 0623c730038leaar t1his02471 9f75dbiebf76l707d61fa67 9a->42e * REQUIRED
    2fa046Plde8asee3a269 1cbb55clcec86a9r10741 tdfb01h89di3ds58 f2b3i88bfed81e82ee6eld b-b>040 * REQUIRED
    6f73a8aec3P053d7e0l5be611c2aa1see 006c9a3l7e9a2rb8 t3dhdbi1760sc 0fd3ci8eb09el5d6 cea-e0>c * REQUIRED
    01P408a5bl5e8cas791e5f e8bclear76ebb 728ebt397h2isc105 5fbie5a6lcd615bb62ed cc-bac26>7b1b7 * REQUIRED
    361Pelebfase7149ecd 0c35lear35a dat507hi2a13s88c5f0ee c5f84iee4503l5bd c484-4599f6969d>39f * REQUIRED
    5Pfdl34ce0f56a5sf12c6fe3e 5cl493b0e587ef0far25 t00h4iesf502693 2fie8fld c2b-b483c>95fef9ff * REQUIRED
    bb3eb4f8c9d1Pl97e16a034s27e celd6ac813abear1e491 0t7118138hi3abcs 08fd1if722434e9ldb5 -4>d * REQUIRED
    750c8Plb2ea3ase4d6ea6 c7l11e94abar9c c8t316hc3378c7id1cs1 fe04iecf5e9led59f5fd87a6 ->daa11 * REQUIRED
    b9e639bPcl7b461eaes1e c33alea0d7r 9551e29t1h70ia676s2b 3b7fd6i67fe1ld -190>662d2644814d260 * REQUIRED
    1Ple5606d36e2d7ac0se clcac5eb45a70r t4b89hi9sf3b 86fi98803cb53e382ld3f6b2 47-720640>3c09ec * REQUIRED
    d62aa9a0P93bele13acd8fse87 6cl0efc5f3b26ar t637hisb055d 3c3f9dc0ibe095a7ef58ld d66->707a36 * REQUIRED
    263982Pl5ea5s60611de403be ccleaafabr540ff thd4401is029 f28ef4c4bd584i5feflfdae6c 85ab7-88> * REQUIRED
    54P21laea8s3f9e ac16l0e52c29d887ee1fa761drc725da9bc8 9atbh661eis ff747ielddd2 ac-9b3>d1b6e * REQUIRED
    Pl21804e3e4asae cce392le2ad8679r 8c5t93h4b92c0di90a1s 1fbieaa3lfdf1 1->fbe7841276c25c4108b * REQUIRED
    cPe1l2ease ba27c4l8ec4aedr615e68b7e5bb63fae dd3ft5a52his c2fi8c879eld5ef 31d068c3-b8be>9fd * REQUIRED
    68P35be86ca8l5ebfa8efas3e1a4d c45clae1beac0ra2 t867ad13his f814fied9flc12d2dc03eb -b3>6eeb * REQUIRED
    3b95Pl119e4a2se9a75 b03090fa407eclda3d2be442afca77rf8c thic7se7 65fiel85db0 -4>240f04d191d * REQUIRED
    57dPle9as9c2dec 82a6fcld9e523e2a0264bb6r 60t96ac9c5d24ddhid5sb 13f3ci8e5dlceb4e9d57 -3>f26 * REQUIRED
    5ad4P793dlf26120e40as7eec e7d9bf3c3ld94b8aec63ac75r70 t45h2bias efbd0d4f856ieldd ce6->15f7 * REQUIRED
    7e478a5Pl695e32eca21as820e fcdl78eafa2b0ra91dfdf t074hdais99c ef81i1ebecb52d855lbed -80a>7 * REQUIRED
    5P82l6e1a3b55aa0s93e7644a1 cl0783dee9494a5d4fr 92th8d34i7s0 dfie8f6e09l9d3 561-d0>c0ecf2bc * REQUIRED
    0P3ld1eas8ef5 c27866l1e0bar0 5t6011b9ahi6s 34fie83189272ff18c1753e5lfed913c -a67e2>2bc6735 * REQUIRED
    9d7aP24d2034fa22leased3a 32ffc0dle1a79fr05bfc9 2thfdis46a7 bba6ffid138ee6058900eb2dl1d ->0 * REQUIRED
    f8dP58l62fea928s6ee0d05 1f2c750l6ed8afr0fb78 tb41b71he4if4be7sc 01e86f9i6ee2ld1b e-5a>468f * REQUIRED
    80d6e55bPle3case9b7 6cfa08323l3dfde1a0fc324r4ccad t3fhi730sb08 7f9f5bid8el8ed7f 51b6->98a8 * REQUIRED
    Pcl2e349694c0082asaea8 cf319l1e9eeaa88d92r 5d5ta48hi54sb55 f81ieb5e83eld42 8f6->258aee77af * REQUIRED
    b01P3b59lcea8a0ea8saeb 4ad2cfl10e1e14a5432f2rf 0td4c5443hidds 74f10fi6e403ld -db209>e1c307 * REQUIRED
    0Pbl5ef6716a2se0f adb105eb192ec1cl9e757ea30b14a92r3a thie9se6867e43 f89ide008b5lbd -c>da3d * REQUIRED
    0aP4fd0d445cle30c73fdaese5e81b44 303c469l34e326ecdar teh80ise6 fddb78i1eclbd0 20d-3>3cd188 * REQUIRED
    747fPlc86eae612249s0c4b5eb 4e3cbelea6a9r t9h9375is43 5afci3e493004d29f8c6b2b25lf8d db39-0> * REQUIRED
    82Pla50f8951e4accaa1283a3sf7de93e 3c9df8l13e0afara thi6c8e9s 5fib99df4ef0l0df0ec -c1c>63e5 * REQUIRED
    8ba372Plecfca2s9e95 d67clea3a56re a9btb884c2de6c8hec34ise1090772 f9eie1e6l9bcda 58-bdc>7d7 * REQUIRED
    0a7d7P84lea849se cf7l292acear e53cccce0c9t2a19e7hi6bbes56f7 9b272f8b7ib6fe8866ld a-1>f8e36 * REQUIRED
    dd2Plea9d1376486cd5afe70f0fcf2a2se 1c9b58l3bed1ea5b1r thia73se3 f8ifeael9897677d1 c134-6>f * REQUIRED
    daPl0e1429asec0fd83a2f23 b3cel8de750acre4bc bfe43tch1ci482eea88base 2afie128dl8dda b9->1ee * REQUIRED
    Pc83a363l9ease1eca bdcbblfa53d9121e26dacr 050t7h58bda7bis fe8a9afdai9e8eacl96de 9-b06>9878 * REQUIRED
    798Pl0ea9e53a94ds7ae04 cleaa863r 18tch1be471i1se738 0bf0i4718c9eb0c6ldd5 -5>f22292a7403ca2 * REQUIRED
    104a1ea58dbPcl9e190aesc3f3e 938cd6le7arcc08d 6e6437dth18ibs8 6fi5e2ed2fl51edf c-6602200c2> * REQUIRED
    ccd607P3le608fas8e17c4 ae5cl207d1e58a8a96ara175 db30fdtadh2bfa0bis f7iel8d2e1e1 d39->77ff1 * REQUIRED
    e40Pc91e149al9e7ase9ceb2 ca1lb24d3208c58eac65r1 95tfhe7isdf4a5 938fcbfb4284i8edl241d3 ->6b * REQUIRED
    0P7ale54278asbe02 d1cd372081le8cd4ca4rca0c5fb6e32d68824 dtdhai76s79 08af3851c2iel57d 41->f * REQUIRED
    7P460l1e3a7scec106 c8cle28far2e a687f9a9th45eb56b1d2a94f4is afb5036ie5la4d76df6 -6a6bd>4ee * REQUIRED
    fPle69a2fs7752def1f 7e3820ac8l3f0bdebaaf4rb8cbe94 fct15h7i9s235 fi5eb4075021l5d bf4-23b>6a * REQUIRED
    6Pl27ea0a02s98b313de963420ae4a9a9 486dcfle57ear 00c8ae82te1hi3afs72 ae3cfb3i383eld 64->fcd * REQUIRED
    7850aPledd401fa13f4d0bba6s5e cl4c99eac7r4 t2dda35hf52i40416sed2c4a9f0 b1abfi8e27ld0fda ->d * REQUIRED
    1df3Plef7e7a037s0bb6e8e6 c0l7cea5r97c5397aa4d d8dt2his 3f8f6i0453e8l69c80d1 b-454a40947>a6 * REQUIRED
    dP51008l9ed8266as7f0b3e c767l2e1eear f5fce3tc33aa8hb7b86f84isc6 fi4eld 7017a62ef45->938083 * REQUIRED
    9dP9l1ee69cb76a29s48e3 c6e138d9a8cl106ed7feb158e1a05003rff 7th0i37s 3e10f2fi3eldd 941df4-> * REQUIRED
    904Pl5easee8f 7c4b9eelbee323a8d6fb23cbed860a23a1f9r tdehfi023scf87 574fb259ai1del4d21 -1>5 * REQUIRED
    7d5Pl925fde9b40abc5sae 4fcl8c7d8ea7bar t9a91h1bi7bc6c29bf78s 5010efcae036ield171 f-3>5638f * REQUIRED
    5b6c6cP0e22dle4ad21e78s53e7 852c2l5e5ar ethcis53a 0f31973c401id13aa52elf411deb 0f-724>6801 * REQUIRED
    25Pecl4easce c2l7743ebbbdd88cae75aa0ffr0a t6h0is5 3f83idedeeal3d50b b0-4>faa54b1d27bf13a26 * REQUIRED
    ed2eP4d8660eb54ale571a2cd1seefa 0680886da78acdfc0f3l8ea550r the8ci5s fi6e8lad 7-1>2dcce095 * REQUIRED
    644f3Pfc6lf39a2b6a3286b87ead590s0a702e7 cd6ldeeba0ad2r51 t36ah625is04 ffiee57l129d 91b4->1 * REQUIRED
    b668c66ePleas304f8bf6f5527fe8 7c4e0l468be24650a2b3r0e bt3h574dis7 ad6ffb1ia1eld b5c-781>3d * REQUIRED
    b2eP23546b2elea7abccafsa1e20d12 9dc893l14deba01e1r5 thi376b1ac5s7 f16ied7cel9ded6be 03e-a> * REQUIRED
    0bbPale5a66s6fe56667b92d 96cl48daea8r tbe1dd31h77i0sa fb12i4f2el4b6e9d 6c1-441f40>7d59776e * REQUIRED
    b05b09Pl4631e1fdba882s80eed 97febaclf163e66dar3b3d7 9cth94is e894f9i53ee7fe2l11d369 af-a>d * REQUIRED
    a0Pleed451fase9 5calce3f63e0e535ar8 9a2t8b6h8ed3aie6se5c5b ef2iee4flecd106bd05 41328858-a> * REQUIRED
    P68dc6leafs257cb3e fc8e5le7c50fc3b3a5r9ba t4hfe14bi10es68e3 ffea4i6e7ld1b79d 50-7d>13a1270 * REQUIRED
    4Pcldebeae33fse38 789c4650f4l73ef50a1ra tah8i98s5241 f1686i3a5ae66l8d -a>21623b9eae7395124 * REQUIRED
    3ePl86087eea3edcs0e c8l5ae9a2260re8 d2theisecc40b053c1e fc6fdafcff04fdidel6a6d2 -f38d482>0 * REQUIRED
    4e5bf1771cd32Pdbe1lf22eas3e2 c8cc41lcd304c83ba1e847ad6r dth9is157630 b4b00fiaeal7d -8>6aa9 * REQUIRED
    258Pl4e8eas5fbee c2bl7a088ea2e0a15fr5 781t275h34i848a526ces16c a56fiel07e39dd53 -9>cfd7e4b * REQUIRED
    32fP2l65a5cfe9as25e022d0d 0e909cleabr6bab6390e1f52 th9is1acc 1f635i23e307dld478 2-0>c3b2f7 * REQUIRED
    d3cP38leaa8sd2ee3a1cb bdcleb201a1r aeaat0h3e25831ad5idd3sd 3ef9i3013a13e4l0d ab8e-1>3807d9 * REQUIRED
    c48cbPlbfeas5a9e0879deed9 48c2ldebab060cr dt4hd98e5is0851 cc7fi2fa0e9fb3e9acl7d33 ef3->e37 * REQUIRED
    8acffbc37160Pl46e36ab488s0c5e5b 21c0l26eaca648r 3t942a3ahis1 f9fe078i0ee5el301d9 ->ff7605d * REQUIRED
    68cPlea4sed38cbe d5ce2le18c3ar41 27b9793c6ecc4ec78d273thcif77s79 ff4ielfa88c1db -9ae0>67ff * REQUIRED
    P10c4lea7sa8e4 clcebbcc9a1a3r31 t51hbc2bd70f5c4i9df3fbeb832eb3s1 1f4i07eaff7l8d8b1 -c6d>a6 * REQUIRED
    P64le94eeacba48sfc80b3e 5661cc6l073earf3faf61b25 5tbh6ib30s3 cfaid296e7b99ldaae c5c54->cff * REQUIRED
    e3cb455d34a4P700l0e91da7sefec 7b86dcf1l0ce0928ar t5a7hi4s2 fb4d7f7ci4ae4a28led 2858b-4>98b * REQUIRED
    a6fP1ab7led3a1saebd201 c743lf564bde9da6rb1 0f49this84653 fc53i80f2e49790ld 8b2066->39e8038 * REQUIRED
    ae5dcPdl8aeccaf20s26e cl0adfdea7ff0rab thc4fb5998edcis 1f16i39a40e6bl2dc60 a4-2f3164ce>35a * REQUIRED
    e7Plff52e0eaca380sfee 3d99d0539c1ledfafa02r4 fb6th41is ff207e685d1b6ie5d0ld3d 8-78>6a8f7b5 * REQUIRED
    b28Ple89ad5be4aec645ef397ese4e 0clearb 9t6h86is4 e8f0d2i158eab73ble6067d90 f-658e64e0>aebc * REQUIRED
    P2b51alf8ce4afs916fde 4154c0l06caeara64a0b6a0 df2099tha5i3ea197s40 e60fdiel8dd50 a-b4053>9 * REQUIRED
    Pl786969133d76feas52c4efa52 c2lea217rad 1cd0cd194t29hi09a5s6 6f9c82f2ie2acl8f5d ->1728cc54 * REQUIRED
    4Pda933936lea5s802c4e cledar 4th77isa3013851c907443e7 f3199fie4a1ld33e8 -71f>3807df53f2f6c * REQUIRED
    914Pel545ef00ab64bfdse7438 676c9l5e71b18ba77r 35f5t57009ehd7ies4f57 d7bf1ield5 4f81a-7f0>5 * REQUIRED
    a7682bPl4eas9ce 5ca7l76eear53 9dt547h40i1as0956b79217e3 dfdb94fie0l7c2ba8fcd0163 e782->ad6 * REQUIRED
    6142cfPd2149l041036easabaea96 cf8e88a4l7f02a4c096ea7r 3t09d5hisbdb 7f94e2ieald7e -76>e577c * REQUIRED
    d7dcb8bcccdb6Pfl4eadse558f2054bd6896 clbbe1dbar teeh4i8s f7b08388fied24ce5l6d6 c39-20>a53e * REQUIRED
    d2Pl3e277ase 918c69b8ffcc43c49f115lbe7a8a5r 1thcis0a36 29e0bfie6l5a89d2 a4d0-c64aacaf>8724 * REQUIRED
    a88aP2d9b98bedle4991436a6as52e808bbfb5 95a23cbl02e323ca0r5229 54taheisb35f fi581eld2 4-2>b * REQUIRED
    be89f77aa58c9bP8l8eas6fe clf574e9b547ab5dadc8rd3 8b9tb969hei8s7a5 37f181964i4e7l61d 7-7>87 * REQUIRED
    b877c080e02Paaal0eb117a50bs3e 0fc5bf20clea039622r te0hd88is a5d25f2ebc1c7a699ibc4eld a-d>e * REQUIRED
    7299cacffa9Pl7e28aeas3ee3232 479clf29e82284dabrb bth38i6d0s6 eb39916bd3fdaficeb34lcd8 -39> * REQUIRED
    0777Pe22alec78f3abbas7cfee 6561cc8b3led94ar44 5tfd6bh72i4c007sa fbd0bfi6e2beld3 3-7d06e>2f * REQUIRED
    4P10b9l713a8ea3ds151e c272clecaca10240cd9abr t5hi0b1s fa2ce7486i1ee5lda -e>5f8e21ca85252de * REQUIRED
    b78Ple5aa36sec6 73435cfda2059d7f1dl8d79ead9br6 2ta31hi9e614360e6sc1 f0d4ie7cl0d7da20 -9>25 * REQUIRED
    427eP0b0a7fl2c06eacas7e547 30c1l34daea2627r 21ed7tb2h5eis affi02be5a913l6d b->cc58e5b1e1e1 * REQUIRED
    2f59Pa8lc59ce5a8e569cs4d019e c301959e3le80a2r2 t3hci08fs4e 31d6fiecl09d5 -403ae6>9abec696d * REQUIRED
    a66fP00laefec635ase00 cl7e8ab8r7 t592fb5h76ids f13f55iel8d5a8d2a14 e476a3ff3bfc200ab36->db * REQUIRED
    fP12al5c92ea89s9c5e0 9c7l5fed2a01r4 8d312b37278cteea918h5is fie3740124dld 2280aa0cbc->f229 * REQUIRED
    09d9a51P5le202250f162a14s7e3f8beb8 c2cl934e036b89are3 6fethi6as85 075c8afief361l4d3 -f8>ea * REQUIRED
    P619dlee22a8cs02e bbc8d3aleab4r0f 7tahise5a ffd2398eifd59eled73641437fe bc-4>ea9f00682277d * REQUIRED
    b95P78a35bfe6lea7se5 cecflf3f5a4eafr1 88a678fct1e64a28hibs816 8adb9fie9034ld a7711-884>930 * REQUIRED
    52P272le38aa6fse4288e3 8c5ace18465c7leab37rb de75ft907390hie2sd98c6 66f2iedbfld -3e0b4>115 * REQUIRED
    8Plf67a2eadds86467ebd 8fc12e8631leaaf1drae145fa04a t2hi53d8s48 f5a9i9feld6 bee1bf1f56d6->c * REQUIRED
    457f42fPleas4e8af303 485a8clb8a28b8ea4cr0d59 t8fehee43i18s01626a8e2 4fi81672el51d 4-9>2205 * REQUIRED
    bc9ff572eb2ePd9leab0bbb290esee32 fc7cleaa12r 22t0c89da452h5ie4s ffbi821ael0c699d2 -f>5e051 * REQUIRED
    d0c1dP56f7100bb01lc8eased86 4clabc14d2eear b7ethbis64d 6a9fb523f9fbi36a3el6d2f -bbf2b>373d * REQUIRED
    6e5e85a70e0Plbe5bbaac2s9605e81 ccle8a7rf 2c29e8f19tbhis78 0ff55ieeld1d04a61 9->82d7a2d9b9e * REQUIRED
    0aPa030b77fael2f8ea1b3abc134aasbeec bc2l6eaarbfdac4 4tdaehic35d5s feieldd f3e->290232da193 * REQUIRED
    d2310a280Pl01a05c7e2aeaas7e326e 8cccl6b24e5a5r95a7 7b436th98i858s698d ffie0cc1ldf 9a1->0b1 * REQUIRED
    6a0c2P0leeas95fd14d057de 4c0l6cd46c994531ce9e0eb41824faa6d299r thai627s 2fiael20bd -19d>6e * REQUIRED
    Pl2ea35sb6bc2869ec c6blfe7acr2555e1 a7aa4cd10t574hba3bias 7afiel3cae5866aadd 9f6978->62df5 * REQUIRED
    Pl7417e8a167asc4ea1dec 4ac8lea7ar1c t2h937ccibcbfs69 7b26fa2d0ec0ef9ie2d91ld5c1 231-d88e>0 * REQUIRED
    adeb4P8d5876f8leab7caese 40c40l3e6a9975cr7e tahc95idbads8ad90a a8ff5cc7ieeaela8d -8>6b45cd * REQUIRED
    ecd9bebPel877e499817a957s69eacb2 5147ccd0belea46rb4092 thi781s8 fi7e5l0fd7 8c7b92b-7607>9c * REQUIRED
    bc69P55ad8cd8l36ee5a1e0aab03ads7e 47cl2e9ffa92areb5 t65h81ibs400a1e a735f6iel20d2c 82e->d2 * REQUIRED
    c0fPlea2a1eb776a989a059fa6se358771 054abdcl8fffeadr 5tbd4h92i4s66 bc6f9fei6aeld850 ->31e8e * REQUIRED
    Pl7c6ea80a85sbe2bd70038d ebfc2le9ba96r69 tc4haa4fbf9i1f8bs5fe74 f1ie6flcd2de3e3 50e8-d3>e8
    * REQUIRED
    Pdl4de3base9b74 87c7ld5e0ac5r20f8 9eth6i01bs59 8a25dc3afie74a4693b7187eld36cfad -a9>b65d9f
    * REQUIRED
    2P3leadca014a029se054 94c19dc3clecf5ar12749 f24141ath148idbb1s f0i4ebfl34d5a04 df6e->faec2
    * REQUIRED
    c73Pe3l9a3175a933e8eab05897e7a64s9f4c4e66a253 cl3cecaer0 t7his77 efecie99ld4 5-bcbb7>2223c * REQUIRED
    ceeb8Pfle74ease4e4dff03 cc2dleare b6eft66ch8i2fd6fes6 83fdi70e117el1bc681db bcc->ccc8a7cf0 * REQUIRED
    00Pl79f2446fa331feada2asa2fe c184l9ear4413ad59 3et81152he6ies0ce fia5eefd4eldd 7-6>d75578d * REQUIRED
    096Pl997easa92e9 86c47le09caa64re3 f27t35a1340ba8hcie9s6ca58 7fi90ebe63e5ld -720d5>023cf55 * REQUIRED
    abPfde8elea719faec1c1c0a8se97 clfe9c01aear dth8iee876a4ef9se fbi5felda20 6d3070-67a594>917 * REQUIRED
    3e41aP6lfd3e1as7b2ed 4cba04l4e6a48brd5f7 t7079a15hi9se2d0 f8i9d2el2da43 7-22c5>5dbfbdb9bf6 * REQUIRED
    edb23d33f6Pefc9l75ebb7e4a0fs0ec 1cded7d6lde4ca1r1c6 d0thd8id07s7 6d6afi1el0910d 1->48c330b * REQUIRED
    df16aP3924l7f12fc265e29a88s920e0 c2123lcear c6ftehe82ies fc25i4216ef0563l75d -a2>dc99331b8 * REQUIRED
    09c6ef9cdc8965882P3leadfd6bcsefe 0dcla6dbbear9 8cd00th4is 87898f3i8aafec3e74ldb d9b36-af2> * REQUIRED
    7da60P7a3fleef5efbca69cas0a5e 6c6cc2efla72dd35bae1ar9cf t9h9is60 f8icafeld3222074799 -e17> * REQUIRED
    P3l06ea6bs7e 37ccfle1a452br 3bat7hifab1a8118sdd dfe3ieb4c4bl2e92d 673529-77>ea30a75097efd4 * REQUIRED
    Important: Ybo4315u amay be mak40in8g 43use of a61utoam1ated f6ordm8-d3fillinegd sodb8ftware. Th4048is t4yp6e fofe softw84aer2e 82c0an tdrigger8 oeur hidden 0spam-de9te4ct2ion system0,5 which will b63l1o9ck 1you fr1om sub1mittinf9g this formd. Please select Fixd 7T8his4dcfef307 b7ce6b5ff0d2b9o0711311rb78566ec41722 866d473ac7005716b6a9feb22838fd2comple78t26bingc the 1fcorm 5i62n or34d299eaecr60 94toda 9coer1084r36a8ec4tb8 th47ddeffe pf9froc78b7508l9em.71b4
    Important: Youf mday be makingd u9se50 of au2t3omated form-fillinfg 3software6. Thbis t6ype of sof0t3w1a3re ca3n t6rigger our hi9dden spa0m4-dcetecdtifon 7sys2tem,3 whi6ch wil6ld b5lock youfa from subm2ittinag thi9as forcm. Ita3 appears thacft the proble2em cou1eld2de n7ot be 2audtoma3tically correc32ted. Please c5lea3r anye field which appears above w9ith c1orresfponding i9nstruc0tions bfbba773487e6710bfaoba9cbraa0fe79ed54fa5c e7d95404f72c4f83d399ba5c7a350fco3mplb14et6ing the51 4fo6ram in ord50fer2 to cor4rde90c0t t5he 571ep9crboblem.3 We a46cp124olo7gize fo5r2 th69a01e incaonvenieence aa6nd we appr2ecei92ate your 08undedrsta4ffandcd4ing.d8e
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 5:03 AM EDT
© Element Athletics Element Athletics