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  • Goalie Indoor Travel Program (with Uniform)
    Fee: $365.00
  • middleclass~spraymiddleclass~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:
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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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    46d5039b34Ple4b39eas934e6a cdla8a060ear cd1th5is2de0 0fe99fiebld acf2-32affa>b3fbd52ab9775 * REQUIRED
    b05Pl7257e3feabse c3cl5f3fe1fca6r cbte3a74706ch296i4es5597f 124d3f3idb7c70cel0d b->e1c1f49 * REQUIRED
    7Pdb7l9dccb47e7867aseb13 cd6f2e5ble82e41a82f7r07 23et1ha4i1s e79c8f429i15elbd -785e>e95fe2 * REQUIRED
    73e2046Pbed594c05bl4eda9c5758s239e9 83ec8f67lbde1acr 12d9dft6h1i3dfcs 6f98fiefalad -0>9575 * REQUIRED
    536dc74e479ePe329ale16base cl0eaar8d2 5f9tb6h3i0e5s f39eife2e5e6el51b8cd1b3c -72>2bf46106d * REQUIRED
    Pel1a2645eb1c7ase93a2 6cl4e446c96a5db3a6872re the76i07567se64c fi1b1321bce8lbdb -1c>1d3cf9 * REQUIRED
    5f9P8lc4aeasae2 9cal57e2a9rfa9d t49990b0f21115d8286hi61se8 8bf8ebi3ee9ba6416l7ad844c9 -9>0 * REQUIRED
    877cb54dbbP404l76ease51e cl5a80992bdef6c48a7r c5t6h46is1b f648i32bbe2fc73ld0b d019-ce>04a6 * REQUIRED
    ePl5024a4deca0e6741s34de8 6f61661ccfl4a74e06bc3a504r62 athi19ac2s07 70fedfb3di7e6lfd ->a6b * REQUIRED
    aPle7abs149eee7e8 clfead4arde277d tde6e37dh27isfca8 ecefi4ec6led554138c0bda2703088 d->a7c2 * REQUIRED
    bb049c667bP65clb1f0de5ab9se383 c3dl83be5afrb c7tc2his814a d24fie01c821ldb3d600d23 -7>3d37a * REQUIRED
    01P8a19l1eb1113da7370d4sea6 clca3e26d614a4r3 4tchd311is 6df065i4ed64329dld5b 43d-8>5a55370 * REQUIRED
    Pl24cedcfa1s86ebba393b 139cele2c8a2re0bfc9 7tae6hif0sa5c fifec1deldcb151 -180c9d>04e481714 * REQUIRED
    Pl2e4a67s7f5ee84e e7b3cal4fe2a53r 1dfcthis9f fi6eel9bad64208 697-275c449983ac0cb771>f0dc6d * REQUIRED
    ecefP5lease6e 3c1703d901l78e5a8cc64251r 4b6th4i63bfesb456031b5a0d1e 4c7fbidee6l4d -0d>dd3f * REQUIRED
    f5Pbeaaf44a0dle28ase8 f0bab7bc6le9ar tbh4b996322is284c6 7a2fbie19lddd368 7-7976>7dba43a9d3 * REQUIRED
    117Plbe1be632210as538e8d 06dc55l5216ae8ac8819rfe 0c2t8hia4s1e9ca bcc2f1e0aic8e9el89dd e-a> * REQUIRED
    93b2a3373c7f97eP0ele2cc550bc4aease45aa97 cl47764e0daafr the983a69eies2 3ffiel2ed411a16 ->b * REQUIRED
    cP7lea9sec 7bdfc73l18ef71b2aa4fr6 tdh37i2sc0c8b 086171d1fc8ef3di5e6e018lfdd 40d-7b664e59>7 * REQUIRED
    d533212c0P6l7a4aea7a2sc62d91bb13e23 efc9le72ar0dacc 3tahifs fda2if12el85b32c1da b-29>0098c * REQUIRED
    6P5da2fc494l64514ease 02ac5l23bbe7aarb3 t8hifdes9cc 8f102iacc3ed36f3e842l0bdb144 0-5>e2b5c * REQUIRED
    ecPc707l11e4a9f1e791s583ec f3cl5174ear atahi85s f2i78efd3eb4e2f5ld68da60e0da0e33 -185744>4 * REQUIRED
    3Ple06bbfa833se5feed1e1b43 438cl51eaafe69r7 t92cb1fac27h34ise 32fb5afabdecie0cfc93ld ->998 * REQUIRED
    7516c187e17P282bbfle00ba8bda55s8ee7 5c2l5e587ar8d 78t36h3a8i976bbefd0s7b f1di8e26al4c4d -> * REQUIRED
    P807f2l32e1a5s2e c05leeaarf77a ct11ah1ib4c519c60sa cfie856c92cael4dba7e32c6f 8-f7cca>96b05 * REQUIRED
    fd5eeP1l763ec953aab99520as4eebe83c c0l2e3e4aeabr836b 3t4ah6c8i4s2593 d8ffie1417eledb -a>ce * REQUIRED
    09Pel8ea9sd0e 4d967cl1e11ad88r 0t7570e792h7ci948b2s2e 3fa6a5fiae7ld9fc033d8ef fb31-59>0b4c * REQUIRED
    33e7b2Pl75b6690e0aasfe1f 87e46ecceleebar41fd80b55 9e58ft4h3isd4b 4f36if3eec1ldb 32811->0e0 * REQUIRED
    dd8abd53Pba75lfe7e6aesfccd4eacf4553 fb085c7c774e38leear 2et480hi54csc5657 fdiefdld72c ->c0 * REQUIRED
    e6eeePl03579c7eab26fs18ee 34cf06lfee761abe5r5a ta171f85his1b00c6 fa391i3bef7ld 1-f>6108202 * REQUIRED
    623e62P26c201l7dee5a6e6s9d1e clecf1a3b1ar35 3tc9eca645hie2ascf b9fc5i65e2el343ba8ac6d ->8a * REQUIRED
    1c09bf8f8Plfe81ddcas9e 2c50l8e45car5f593 dtc4hife9443s7ad1 f3id1aae8c38l76d14d -34>f30120f * REQUIRED
    8690Plb43eeas0e 87c0317lbebfe2a9br thf607e184db4fies 922cfcdi140ec1el57edde 73bd-60>e01171 * REQUIRED
    d3479baP3l2e9bfca6sa79e3 ff3456d85acl7e48a2r7690 3f401t5h4e70is7 44ff97iceb12a38f0540ld -> * REQUIRED
    61Pl0f8e1ased687e cle92ac0be8edar71f337 dth5is fe53df21e74509dia5d34el719bbe40d 2e-4a>b79e * REQUIRED
    a7ca818Pleab0b21b8a8see df9c8le96d705ea8d4cr 5521t7hdb0i6927s7 f3iadb7cd245e7bl5cd -3b>44b * REQUIRED
    0a8cd23fePd73e7bl4e0acse cle0ard2 ta4886d56h29aci15s034 fbi3fc49ee1l70bad1b7 -0cf0a9>10c91 * REQUIRED
    74655P3al1e33eas17e9bfd 087cblea7re th4a27bi3c78s4 fea3ifce34l0d e303d8d328550e56->e6d26ef * REQUIRED
    a8472a5b4d544229cdd3f61a3e4Ple0ase18 aacl4eabr5 0173tehais 529489961fie5f4lde d-6e>e084a37 * REQUIRED
    aa4d32cP177l5e915c5aa73s4e822 fdc7ble4are 5t6chei42s7c9a15f203 fi0de4l8de82 b-d963a66>ed3b * REQUIRED
    20ePldease c2d43ale0ar0be0 99tf7ff36f7hacb78434i63fc9d4359970243es c1afie1lddcc a-771a>339 * REQUIRED
    6af1aPa2al4easedba70 18ccle11b3a0a1r7 b6e6t13hia4e1s79 f54c4b6fiea567elbd41e7 c9-a5008>34e * REQUIRED
    0a83Pl5c82e5a6se 1a126cb2ce5l2aceeba4ra 55t0h6i7f1s86ca e7fic0aeed2ef558ld9fe3d5c 5b063-3> * REQUIRED
    c108Pl1eaf82e66c0as3e 42ef070a5c169l8ea131c2d5faar3db22 th5fi2s1da 360fieleefded -4e307>95 * REQUIRED
    3P107lc7e2a91s7a50ae13e54 cl4ea292r6 e549tchaise562 faa0086178i81a0eel6d30ed99 -69fcd>4641 * REQUIRED
    518714d5P7d87249c7l56e6asec 072f6c6cc2977l23be6a6a0r thisc735 f897ffie8b6746ae4ldc -a>ed25 * REQUIRED
    f68f0P40f0bbl1beddas9e7b6 e45c30dlcd5ee70ar8 ec48c62t0hics36 a0bfb17f6i4elcd c1a59-6310>b5 * REQUIRED
    f9ead42f1eP086la08f3eas8ae7c fc16d55leecad786a7ra41 c0a6this 3af13ei1ce9blf3bbdc 93ab-f6>a * REQUIRED
    94230Pl4eec4bd9a4csfa9f1e4ce 1c25leb2124ad2r t244h94460eis 23dbefi19ela5606d2 0-98bbf18>9a * REQUIRED
    ePl2fe2as1e0a cb569110l6f3eeafr7df26011394fb2 t459787hi2sd 605f4i3e89fbe65ld 06-e7a0d5f>78 * REQUIRED
    21Pe6d1fd0ad8l98ea1c6dse9 c1le40a481far 62thisad0b0 f0c6i6cbc72b6fced96820c6alcd 3f6efbb-> * REQUIRED
    32a8bbPl04beas6eb9c638 ccel406e481ba7rb288 5tf3hf4i6s87 eb9bfac0iel8838cd -9>c75d50034b44a * REQUIRED
    P4l0276f3e4aaese 8cle7a8d9177re 6t8hies a7c2f4081f27e0f1ie6dcb87cl4ff39dd78a6 9ee-d>409196 * REQUIRED
    98153Pa1l29fea81s5e129 clebd8a2520rd7e1b53f1e43a tf3b10dhiesb f256ci7e4b521l5dc09 -60>50c8 * REQUIRED
    85P7e7le07aea3fbeefs1ea c7le0care th4cfi1386405s 32eb229fi197b7282cbceel9d90d 22f->d640e92 * REQUIRED
    a5Pl0ba38546e4a8sec cl11d4e1dcae1ab6870r 9c8thd9id2s f0e1i698ed2lb7d159881f0d9ba70 e3->556 * REQUIRED
    754Pdl225efb9a272f98ase89 c94cca379ele2arb thd609fd54d80isb5ff3 36b4dffiafeceld 7-f3f8>290 * REQUIRED
    c9Pd4laeeacsc46ee37 485dcac2l7f8e0b9a6a54ce0r96250 t4h3is 04f138i7e2e361l8bd9c -45387751>d * REQUIRED
    760ePl8eae5a9dc42as55eb cl96eda8920dr5e 0t3h0a575bi230s8 0fi68a8e818fa9lebade8d414d1 6->cd
    36356cP7l1e841f0dasef dclec1dee7a5fr 00eth5ie0e0sa2f 9f51i8e8a2c614eb3lbdd 787->9679a174f9
    74cdf3091P0bd437l2efea6ecsa4fe4 af82c6cl5aeabr3 th6d85i4c16794sbd886e fi41ea08a8lb1d5 3->3
    5aP4eea2leaese 5db99c0c80a7l90e2f5acb1r09476d5cd eth63iebs4 f90ide2cd4lfd8d b96732-d684>31 * REQUIRED
    P6b02f4le3f60ase419b 4cad57l3840e5522a5488ar55c ebdt2h32a4e5dffis fiel2fdac23 8dd81->3fb23 * REQUIRED
    d09Pfde7lcdeb6faaa7asf1e 5c1bl9earc0beb24b 36b7t9hcisb 1fie727l8d6f1d859877 2d319bd8-856>9 * REQUIRED
    0P88dle772ef8e602acd6s6fe32cd c1bf8l15dear39f fc2ft76h6ib1s 524bfd4f0ifc0el0d 506-e3>e136b * REQUIRED
    8Pfele9ca43s3e4 0a48befcl230fe4e1567baarc3f t4abhis4bd 5b8919fi5487cedb73l6d156 ba22d81-0> * REQUIRED
    e025acP2b84758el2e6abse83e9890 4c7l5e6d1d5a959cr ct0his fbie5ld31bdeb66e6d c46-153>2e7d765 * REQUIRED
    3bPdl9e7d0as6e7e 3cc0aldbb162b64fe5a5r5afb4555 d0teaadh285is f904970iedl63d99f4fc 3787-0>c * REQUIRED
    P30dl049cbdeb0aedsee1 8c0fcb9leac3ar1e50f 5t4faafh3bf6is5e0d 22f02178542bbi8e4l47d 3-6>6f5 * REQUIRED
    9a1fPaaflc7d06e627ab48918s6ed3b68b 31c4blea55r431e3c t5353his26 e42ffiee85l5ede5dc7 -09>15 * REQUIRED
    aabPe8l9d3eas54ad4367dd8ee629b9f366eaa c5l6ec11a0e4r 596at9hib4s74b5073 2cfidel1dfb -f>895 * REQUIRED
    736e316cP14leaa6se 2cfl66ea22r7 ct870293chis1b0 e1fde9f6icf4deblfd0 d-d3272f>1a58590b2ab50 * REQUIRED
    Important: Y7eou may 2be mak0inge use 0o5f 5ac8utoma1ted 3form-filling 9soft7waaarbe. Th73is type ocf sf9of3twfare cacn tcrcigagere o3urbb7 0hi1dden dspam-detebction sccy3s0teem6,c whichc will6 b5ldock1 you frodm subm5fittbd7ing this fo9r05fm. Plccease sea8lect Fix Thics34607949efb435c93a cbc0befdc4b86a36e8e290fe28d63odar51eb896bf53 3bc8ac3dco9eb95m92dea68c7pleb06t55idng02 5dthb39dd9cee f072o37acrm06 in orde99fr 1to985 a4coar3rectf 98the pcr86ofbdbl9e91m.
    Important: Youa may7 379b9e ma4kbing u0se obf automfacted form8-f1illing softwar1e. T6his type of software can trigger7 aoufr hidden spam-d7etec7tiond system1, which will block y0ou 4fro2m sfubmittindg th1i5s f0aordm. I33t dappears that the0 prc0oblem8 6coueld3 n0ot be abuetomaatically co7r3rected. 2Please 2clear any field whiache aappears afbove with c03co6rreds0p0ondi9ng instruction9s172 9baa8b58eddf962d57ede6do9crbaef8520a 1d6295a8c0c668baed793d18be3c2f4co9mple4batin7ge th8e fo1r5m 3in dorc7der et19o0c1 co3rra97ect cth1efa8 problem. 81We apolog4izfe for the7 inccobanveni0b49en6ce5 a2nd 8wee aapprebcdieaate5c7 you5r u5nd9er524s9tan0difng7.b
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