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  • Goalie Indoor Travel Program (with Uniform)
    Fee: $365.00
  • 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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    Player Information:
    Emergency Contact Information:
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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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    e3c65e5d0ePl0a6ease02c 8aca1lebabdr181 40d56dtb8387c405hf37if67s 5fbe6c35711fi1efld115e -> * REQUIRED
    20683d3560P95l9c98cde11bease cfa28lebfdar962f4aa18 t7h8ei5b2sa7 7aefc2i2e02bld2a 4-9>cd7a5 * REQUIRED
    dP42102ble525eas461e8 83ca74l9991earf a5fbth2fi92s2 1b0d7fib833ed12f6l6ded137 -a1a9e>c262d * REQUIRED
    05edfPalea91s2820ed 5clc36002e542ccae79c400ae0r eth1b23ias2c6 fei6aea360l1c49d193 -7e619>1 * REQUIRED
    983a498Pl6e0cadf1asefe9fe9b2a13401 clearfb cc3et63h99547d462edci8s59b ff0d5iel2d9f -0e>c1d * REQUIRED
    Pcfl04e7as1eea c88l9eaa5287r6df5ba 1277beb30th8ia6s 666fff0i3e49ld 4ef4578-a5d972e53>c044f * REQUIRED
    6e9fb4c2cf5224a0Pb81e850l3ea9a4se5 20clae1eabr92 a7dcd8t727h87ia78sa2 fi66e2l75d ->fb79b37 * REQUIRED
    P5ble4as038febf 3a9c5le0146494a4886af3ddr 76148f2037ct512h3i7se 223096c95fi3e2ld f4-a8>36e * REQUIRED
    833771faPl2e1513285d2ase0 c8l095e2ar6aa 4b3d3t140a3ee3hd0c7a65is 246e31fci37celc9d9 -39b9> * REQUIRED
    2bf4Pd7lb66be9ea0se6 dfc7le4fbbedbceb74d037d5ar88c 1e94bctd3e4hic8s 4f27979ice1eldad -059> * REQUIRED
    0P40ea1l32e6ce1ae46sd874e0bf5f 72ac6d1cl599aear6 2t56df3eac5hci49b4s6a fi04e3096l1d ->8fd6 * REQUIRED
    ab3P47eblea5sdae6b5 edcal35d4aebare834 9tfh62a5ai1cs1 3e32ac486a720d8fie8e93l25afd99 ->6ea * REQUIRED
    028Pd0e3le6a6cs1a4161b6c8e3 40acl4e6ab1r280a 02t50ehis dd73ea254c1fe3d9fafeie0l5d2d192 -9> * REQUIRED
    96aPl3d8c5ef5eafse85a44 c880l3c4272e3arb t61926ed1c5hi13s0d26 34f0e0icc33bel1d5f -cd2f>a8e * REQUIRED
    51cP2lbe1ab0s0220d58ce0a 7d57c5f7lefaar8 80t4fh5af1i7sc3f af7390d7c4i84ecld073 42->625e954 * REQUIRED
    2227Pal3eas1de6e64e2f7 651cdld416eaa1510dr 69t0979ac650bh32eis 75fadi99d9cfefled17144 ->fb * REQUIRED
    dP28bl25747d087f3e1ae038se5f c00lc4eba4fr177 t5ea7ehi7s9 2188f24b07i2e6ld -65a28156b>9dc98 * REQUIRED
    1033d4629P3l4178ee7abs4cae0f b0495cle6ar at1h0i02a45as9216f8 3fdb97i271a7el6231dd 8c2f-1>e * REQUIRED
    539b07a1Ple1aase38fa56 1e5ac7c9l1cear t6chid7sa a7f6f7b7c8ieebla0d 067-0b9d7de3be>0e63afc9 * REQUIRED
    9c3bd6Pl1e5aa2d966s443f4e f8c3lee6e2e5a194rc8 tef25fdd275hbi13s7 ffia17elcdbcee4 b1-9>d76c * REQUIRED
    6a76Pled8f6a567se clde3eda267ar425 5tc32811798072h5ecisa aff52643i7ecfl6b82d c3->43a8eaede * REQUIRED
    36e0cP4leas839e d6d69cbfa3clde2ar9 de6cc87ca6t444h3isd0 e5582cffdie9clf52cad24e1 0e0-3>79d * REQUIRED
    9939c415bP0le60aesf962fe 125d7c0eblef49e872aar 89th8f4b4iase 96f08ie7ec57bl5d -5e771>59441 * REQUIRED
    e0701Pl68e57ase 2912d44clb7e54a574a0121r t8062hcfai1e964dcs e74f6aedield230 a278-c>031515b * REQUIRED
    653P07f8l5e1ebea2sb0ec 9dcc8l94696b5dea02782r 5tchf07c3is694 247f2i153e2b8e562ld 34-4>6a2e * REQUIRED
    9e5P37c13elaeba59ase4fed9 c6739ad7le7a17r93a32 th07eis7 8fa5i976dc7e71477blda49a5052 950-> * REQUIRED
    4aePl941ea85s7e216ca cl5ear 61f3d739a96te1h4e1i95s5 fi780b08d933e5e8l8d870 4e-c3>983e5b91a * REQUIRED
    03Pefeelea97sef c5f478lcbfea1d960r6255b466 0tdebch62411ias ecfi656c296e745l9d 2c->330413db * REQUIRED
    5Pfleaf9a3c178sea6 a51ccf5916la0fe33592a4a1743r363e fbt04bhabifs bfb60bcielde -5d99>8ef9d6 * REQUIRED
    1P5ba3le42a24caa8seaf7 6d4c4le86df6aafa6r 1t2h08i05s0f fiaec29l00d4a 6283131b253a->3ad9ced * REQUIRED
    daPalea1s94adefe cadl95d8ae4becbar t1eea4hifsd6c7075 47fie7f3l297dd2c8 ba2-31c4961e45bd7>2 * REQUIRED
    d495Pl5ee7ca3e5s8e66e clf7eacere4 dethaed769i36es62e0c8 fd36cf637ie61l252df fc4776-84>4f4f * REQUIRED
    70761fd8P74leasedc0f83 cl1f27803f2dc4ccad7ea77ard7 d8t2ehids fi0eecldd2cb91 4-4b3>ee2a8d98 * REQUIRED
    ac83fP2l0f055aa30e03968eacse c3f1l1a31ebc1393ar32 d8edeccdf00thie6s1 fdiael7fe61bd 00-3a>6 * REQUIRED
    dc99dPl5ebase 1c8leaard145 7482bt45h246i881c781es ffi90ae0a90be0b4l6f5f26d -d>8fecd54fcf17 * REQUIRED
    f8ea017P7le4e5a4d42acca1sebb 615clef85a8cad5r et9h2c6is877df2dab ffb1eiceld ea0->45595295e * REQUIRED
    0208P7dleasfae 6c2l2e0ea263rbd11e2e 6b1da8abth4031badis73 2efifb1793ae405led 5-3d6b725>a56 * REQUIRED
    cP7ba3bl22e44ea445e1a88s1eecd3 cle24a1924drd 40th1is8 5dfaff4eb2b0i9f0e58ld -459dda>830086 * REQUIRED
    09ed94eac46P5le385fea24se58 d1dfc7ecl47eea249r85 1t9ehi0bac6bbsb4 f9ied5e5bdl5da 5d->6a372 * REQUIRED
    df71P2be4949bldea8b30as0abe7e8082 2d1cl766e3e0ae6rd teh147i0sa2f09de 04360field369 3bb->a3 * REQUIRED
    6a1bb8fP1bleas2e ca382lc52e6f4acfr1c5 f41t254fa8h738057efib4b3d2s defaf9e5ieea13ld 1-0>706 * REQUIRED
    0b3cPbl71b9b4162e3a2d312s1e 84bba627bd358cl1efa68r9 12e2d9th0is 64fie6lbfd25317 f-1f5dc3d> * REQUIRED
    1009e1Pl3easd8e2879ef c1e9ladear 7dt7h903is26 ef652fbi03dc45c003e0ld4a33f6 -e8f>02c594bade * REQUIRED
    49306d7363P7dd2l3eda613se5 c2l2ef967a8re 4b5t7his3 acdfied6d13d56eb7a7830d0b3dl3dd ca-4>16 * REQUIRED
    aP5fleca64b67sec64 cd2c8leae0ar fatfhc5df72500i4sdf fc13271fie33cf1cl9275d9a6dbd6 ->71cfb5 * REQUIRED
    1dPl14b550ebeaas5e2a8 58cb4lbe47facr3de270 t41hcis0e3a9f87 74f2ie8l46dc 07e-28e>3d8011fc6b * REQUIRED
    2f19ePle89ca1s282e6 clear2f 3d517fba62fe5d0thc1e4eib7s 0f23a5a99ie6842e9l08d6c3658 -87>d2f * REQUIRED
    2cbb4Ple1afce9755117se83 bcccf86l6ecad4485r69 1th73426i1s9b2 f01b47fie1alf54d 19a-d4d>e83b * REQUIRED
    387P3f7298led35ea04a5a32fse9 c34c80le81e016dc4arbdeae t6h12disa4 5fb7ic4ele1d ->89189c34e6 * REQUIRED
    af7829P13b2559lefa8s876e8 ccflea8c26re t1hfis62 74748f1iebl2df6 13c308aa9e633dd1c03-7>7366 * REQUIRED
    cba6Pbblfbeeaba7a2s0e4ebee048 cl28970e6ea6e7r t6ha2509f3is9ed 9dc15fb5iecb5l3d0 6d1->9b74e * REQUIRED
    67Pcle64ab9440806se36ea 214cl567ea0a6r8 e4t74h5ias0 fiecle04ea8777dd1b8 -3>71a46dbe57f9ded * REQUIRED
    c3404Pla0e5ab705d95s4c9e 7d04ece9cbd16433l5e5d9a284fefar aethi04s 19fd5ief3ld18d8f 7c101-> * REQUIRED
    P44e73le90ased8b 6d5e163ecl6ear4 d6aa715t54a6eehai173s 5c8a8f1i3eld 9ea7-7f8c>52f6c5daa169 * REQUIRED
    8dPelbae2bce5da7f12bas03032e c9c847lbe0a472354far e4thdifbc1s bf62afi286b5bb03eld 5-1e2>6d * REQUIRED
    P879lee7a80bs731e2e847d34 c4a7aa460le2a76frf3ae ce4fta76hd531be909ise 0fie88ldd61 -4>4024f * REQUIRED
    f3ePal4ecase 2clae0a5rebc7a624 ft313hc8d8ic2e803sfa1 faie090f400d51c8f89dld3 -ef33>02e0443 * REQUIRED
    0bc1991f779c23Pldea795s15a8d8be7c a33cl6ear76abb 3t3chis fab9i3fa9f4d2eld2df273 b82->b564a
    5Pb6l628be2fdba50ca4se cldfea7b59c1r9 74atfhis7bcb8 5f71i37ed975e6b1l8ed8 4ab->70a9601e7b1
    fP8ldeafse347a3e6 775e2246c366l4e2a23f209a03aa1r 49t3d88his8 adbf26642i33beld6d ce-f>3f434
    4a01aa8eP2563l6e694b0fd6a4se78c2 c01l102ed9edfara 22d0t3hi4692s 7fe19iec6lf5d 80-be>7f7aef * REQUIRED
    ba34cP90cl04abaeas5ed 0850cfaf8l3e3ac4ar7 61ft58aehis fi8b4800ea81efe7l7a62d0a c59c6b-df>1 * REQUIRED
    b90406fP91d7l7c7ecadedsee bfcl7e5a02rf95904ffd 58t31067his fibca687e3l1d -eb2a>4f6689d4133 * REQUIRED
    e0P3cc6l9e71a4732s5e5a cdcbbl2e8ca5r t45ac1hc2e2icb6saf5 bb0664c2b0f6afi9e5la3d7 49d->e032 * REQUIRED
    18b8857993Pcleas1e5 02ac1lear2c7 t28ffb2e6h47eidsaf 8fiaa954e8l614c2b49370d f->5ff9ebe66ae * REQUIRED
    29d3e4263aPa342l40e6a5s72c98603deb2f4 d2cbl5d3ear0335 4t5hedifse1 5ffielcd 98-6c1c>50fc443 * REQUIRED
    74dccPbb2lec4easbe1c01b9 5ce8lea806r bth7ic60s85b86 aafca8fidee1led9147 53-b>e2e203dda535f * REQUIRED
    5cP8le2fbas5e13e53 63fcc774l63ea2r de84tha8if64s45c 6c12f8f0did25e9c4ldb254da -d284>65a14c * REQUIRED
    67Pbaleefcdead06629s642eee3738 clear tch761ci1fcesbdcb3 c3f877ai63feld17d3a5 ea7->7b1362b4 * REQUIRED
    3P2d758fl0bbdeaf299sbe6 99da0a74clcc1c5ec66a3r thc90i73s 48fibe97l4191a54da97 70-861>807f3 * REQUIRED
    10b8Peleas1be ec2dl623e6a2ea19crd 9t40fhi5s0c27501984e72d12d f01e0i6el98df0876463 4-5>028c * REQUIRED
    Important: ea0You may2 bbe maki5ng use of automatced form2-fill3ieng saoftware. 8cfThis type of soft09wfarfe caen trig3ger our 5hidade7ne s4pa63m14-9detde2ction syest1e9m8, 4whicch bdwif6ll eblobbck 664dy6ou fbrodm submbie3ttibng thias6 7form5. Pdle0ase selecct Fix Thisd4807ee4bd214932 0c0ebde0abfb9o1c391a2frc99a23bf04c80df4c72e3f 350b456f3bc5f22c84od82addm38122b98p79l607et8if1bdf283dfng 0t7hea f3o6rcafm 3bin 4order t5co 6c2o27rcrecft th6e 03pr1o1blem2e5.
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