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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $250.00
  • middleclass~spraymiddleclass~spray
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    Registration and Payment
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    Player Information:
    Emergency Contact Information:
    Payment Information:


    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. 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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    34a94Pleac924s8905eb899 01cl6b79e6a8a73r 2ethe0ai8sec02 6fbef5499c8i6440ebd7l6f3a61d 2e->0 * REQUIRED
    82f91Pf412bdlea6s6e 09bc187cflcaea614ecr3 t99516h3di9s 1731f24cb018158id3delf64de6 -c1>248 * REQUIRED
    3745Pcb9l1efa3637s38ee4f6 c3c30l5e55b6a2cc3fr t34fh7isd faf3ie4ld8 320-4f>2b533138f88e87b0 * REQUIRED
    Pel04eaa8sa6fee 46bcl8cede5e37e2146e9ar13eb 0d39td35dehcd0bis 5f4di22ebe57dld8079 c5-b>3b1 * REQUIRED
    274177Pl499214ae2b366ase2 8989bec275l6e2ar663f tdbe368c8fh5f2486i6a4212s70 6fbi5e9ld ->954 * REQUIRED
    12P7leas96ec62 6cc5cbc4f4e78061l454e2af64e5aar7 756t6eh06ciccs 9f3i8cbealcd1 18c6cb1-e3>9f * REQUIRED
    Ple1b9a038595bdds2504fbb5582ef9 ec54c400l6ea679ar47e thc5is53 ef3269903ia940eald5 6be-86>f * REQUIRED
    bPcfl97f28a0a19ef70ab9s99e c5c36b7aleb9a8r1 17ca8e9c5dthi749s 14fba2bdbiecla6d6e44 b7-0>c5 * REQUIRED
    454P14fa16e5c40116891elea7a8c48esfbb27e3 c230l7ea2c94r5 t1hf5c23isc0 1dfd1fi0eld2 ->268e42 * REQUIRED
    af312Ple7bf18a8ef49sfed0f2b4 8bc4lbe79ard684 fthai4s 353540fi6664bb8fea35lcdfc5 6-fb>a6f85 * REQUIRED
    1d8bPlbde4a855ds4e cal4ce110dbbar9 tch37fi435s1b6 b00fib740a83ea87lead2b2a 655b21-b>cc7363 * REQUIRED
    dPl4eabb1d90c0se3d0d fc11daa92e7l694e9776443fac6r0 5t830305dhise3 cfee31ifdaecld dc6d-8>7d * REQUIRED
    P3l747854e56b19ase1ccb165d 2cla2e1a76r c4t3ae124hi65s ef9fie210c60e1e203lbedcd5b012 7-c>da * REQUIRED
    e1P4b542097cadl5e95d3fabc9f44sff67cec7 9cl4112e028a0caacr1679 8thibs2 6fi16e9ldf 5852b-7>1 * REQUIRED
    2Ple99aa7se45b63 7clda9e672ae36e7a0fc6r 2t381hi111s6 5cdfdb5ie63c6l983ddd ->36b83a68c684d8 * REQUIRED
    c5ePe1902ldeee175a0s5e55622 495c998l9010b4e40ar4c599f2e1 02t4chifs4 46efie7cel7627d ->19f2 * REQUIRED
    Palbea1af96sc794e39206 cl56d8ff8e5288a91r6 2tc5b55096b4591haidas71e01 f7ieel57ee21894d c-> * REQUIRED
    195P94516f2l8ed8dac50ese5 c41dc51ba37l0beb359ader 81da94t7h1fais d2f4i99ebblcd ->b14c1b264 * REQUIRED
    e51118fPle9220adse4 ce89049l7eaf7er 83th5d616is 5f1i2eal698df2f75c43 eb9ee702238b->afc668d * REQUIRED
    e6fb6Plea6s6de3 cldea1erc9 ct59fa61h30i39es 4ef32ecb7i71eaealc104bd938baba a1d-5>3324a9e27 * REQUIRED
    53f53e49646395fP65d05lf38ce5a844cse1 c13lc6e1952a10rf825 athi811443sca0 2fid8e9ld c-74aa>d * REQUIRED
    P0l12061easa4e dc3l526c498e7eae13r bthis4 c36fee8bi36eeld2953f7d6d2cb0d1d01 1-169b57>1c63d * REQUIRED
    5dPl6e8a20se65 3238cdl3afea1arad234e9 etdh5i46bs6 1411fib12a88eb681elb7a0aba9dc 855-f4>3d4 * REQUIRED
    84435b3cP1bb6l7e4dfae6328dase cl247edda9crdd4 03t8hic2s 3fc493b65ie4l61c0414d -403a8fa>c0e * REQUIRED
    1bPlfec54a02s9ec a9acabcal1507fe62ar9 95th39iff51bs11c fi7e5a832451lcd9 -2a8ee676f>406014e * REQUIRED
    e117Pleacsee33cc c6bcf8d9bc4c2d5l96e85ab8erd61 dtc21h05i0s03f49c14 fiebl9d3 8-1666ebee>cfd * REQUIRED
    27636655eb6P4ale1a81a1dc7sec 3bc5c04lce09ea28a9r t50ehias67d7 0f6ie4dled 7ac80-6f228d>9cec * REQUIRED
    b529Pcle90caafce16a259sad2ed9ad7613 85c7dbf8cc34c54lear tbhibs61605a 984ddffi5cc2eld0 5->6 * REQUIRED
    b18d2Ple3ea8as607ef377 6e1cl0e05e7a43425r 828bethfias f8i08168ed9a0laf090d1b81 fdd65-a46f> * REQUIRED
    Pl8eafa3as9e6e ccefe7ble460caa9r553e 0b6224td237his a8fb8c59i730e4a2453ld2dd4e3a8d232 ->29 * REQUIRED
    97d63b1cPl6ea44ase 6c0773323lc6aee35713c6a3r959a7 a5t5e42hi48s1 8d0fb48i01ee2ed4ld 5-75>db * REQUIRED
    bfaPleas8e fd737ec5cale263aa4r96e e1t2eh6dbedi86s81319c2fa7b 291fi302e4l5e17d 6d86->1ebd70 * REQUIRED
    Ple8f6ca60sbe7 accbealec0e1ar td9h5isd55a5f2 46237df2d5c26789iefafd6cf5l139c2cecdc17 d0e-> * REQUIRED
    P2a0l0db6d0e05ase 5a0ccle8aa265fr29 t4bh6is4e200b 898f7654affi377e3932bld5 c-4>ddddc55b44d * REQUIRED
    6299b859Pbl3ec8bd1add3653dd5cs7e9 1clae761edbea5r eth1573i0es3 64520122f4ia9ealddc24 a-1d> * REQUIRED
    53bP62l0bb4ed75434a34se3e4222b5 cle2aebrd ftbhics89 19bf6eibde2ea1ld f-0>ad29d372083737b83 * REQUIRED
    d9b69e34a9P3c574lcbease31d29 f8c79lc78defdar t2ah8a4eaia9445s3eaa f5aie6c19ld a820->883e01 * REQUIRED
    f221d28e0fcPdlea4ese51756a fc73clee301a20f881b6cr5c 3at5hf01i002scacb f4ideld9 -6e4>9161d9 * REQUIRED
    50Pd8cl8ee2das4e1bed868 2c407c82la66e4d0b5ead0273er41 a0t7ha6140is7 ffi8a45e2ldd081 97->8b * REQUIRED
    08ef6f546515d31Pe6lea64b8f8bacfbea50se3 6b7cbcflear8253c30 this f49i4eeafl2501de bcb9-a0>2 * REQUIRED
    dd9Pbaa4le15d2a68s13fe1cb 5cld2eafr2e6 c4a17t20d0e22hci0s46d 5af277fdi9c1ec2dbl0d 9->d8673 * REQUIRED
    52dc04Ple1ad5se7eb4748 4816c9le27eda0fr t48h87d7di44s89f6 f5i074bc9a9e3l9a7d 32a->5d112f92 * REQUIRED
    1f7f380Peal1e0a4se c7lfeb6c3ab6f1c5r3cc2 d4th8is a0fd9d715e9fi7f3fel7d1a43d 6df58-004>716f * REQUIRED
    ffc39905cPl2262758e0a1sd24e 9clea4erb3c8f 858bfe7th7fbie1752s fa01cbbic3elbd4 -3fa6ad4>8f8 * REQUIRED
    227dPb4fld9eca973see7835 eff96c1lear etf93c4a32h163i8sfae f5f11fiedflbd477e af5c-212>51992 * REQUIRED
    bP173le698f5a77e4seea 6ecl1ead9a7r 7t0h9i5eab80sa19df38ef 892c29b0f5ie3cl8d 75->f063cbf6d6 * REQUIRED
    cc94496c26a9Plefcba455as6de35bc2 ceclcfe080aa6r 0fd82thb1bi4s28 fiedaf2lf09d e3c86377e-0>5 * REQUIRED
    10605354fPle33a3se1f5e01 dbac6cl178eafref e3690td6a2ddh94ia58s11 83ada8fiel570c80564dd -8> * REQUIRED
    8cP56fc74l3ad9e90ab1s9b1eab23 7d59ce4ldb0004ebara c42tb8hfifds9 6586f6ie1ldcb94b f67f0->07 * REQUIRED
    e9aPece3b8le1a74s89e886191 c43lea07ree3 th869702i5ef50d8s e330bfc06ie9dl72710d 48-1b>6385e * REQUIRED
    deP57leasecf9ce50 cl2923ae9fbef2aara94bc 741b2e4ftc6hafib6s1 25ff1i4be5l98ad54bf -95>08c88 * REQUIRED
    d7d80e4feP9b67l0327e319c630b3a56dcase5d cbl3efar dth43is19 00fif8ael084d46c9c33 4e-67>517d * REQUIRED
    d72d91a29Pld7b5eab52b98s26fe173 cl62ea9er 2t7b8b3bf6heca1i6s f1i9ede302ld52b95ab89 b->7c7a * REQUIRED
    381279cP57al9dea0503csec cleard3 ct20ba67dbhc5ffiddsf9 3fie7al864162d342 f85ce-9e64922dd6> * REQUIRED
    6c6Pf687ldea2a14se4d70 2c559l2294b0e6a5bc94r 9ea504e51tc52his f9icebda3ad23lc6fdc 4-7d7>fb * REQUIRED
    68cde2c27Pa5l658e65d5460f9ea6a1aa1829s603e 8bc446a44l5edadra 0th87ci2s f40iee6cl85d2e4 ->7 * REQUIRED
    3a5fdePl59ea99e7a70sea cb7a402cl76e7aa3dr61 06thfis28499 5f5f1icc7e0l7c63dd7 -5296>71556f6 * REQUIRED
    Pl6572ea087s2e6688f 5cl44723e311a79r86abdf t6h48iabfs f834335abe11idelaa4f4c3d 409-82301>8 * REQUIRED
    3ece5Pelfeaese 4fdec40ele86cd34aae287r8 513146bbthb2dcis 4f1475ie9l5d9 416c99f-ced>26d9830 * REQUIRED
    30P1l59e04eda4bseb2c a4c6bc4l4217e46c453arb 5taehf1e3282i2cfs3dbe f4i5e9d94e6l90d088 b-89> * REQUIRED
    71P8l30eease4bc ac21142lc199ae86aa8e5536f7frdad 54thi817abce5sde75f fi2854be9l2edf9 ->0854 * REQUIRED
    4edP493ldeea42as9f52beb948 9efc90le53719a07bcr34 cthefb93is f0ieeldd 796ca3ffd776-c0>95189 * REQUIRED
    cdP3bl8e2b5adse53e 7cclea9r6 9b3521tf20heb9f2cis69b8 722230f04e5918ad217i1c2dfbe6ld a-eb>f * REQUIRED
    P6l2e6eabs5cbec5fe bcf6ld27b00424badebara8 07b5t49dhi73s 8fdb34ielcfa0f7da87f42ed35e ->8d2
    Palc8eeaaes6d0e c4d6c982b893a5dlea938r24 9459th88di9s9441 1f130a40i53e1dldec 0-8>218cbdbe5
    b40f46Ple6853e483059a2s874c3a75fafbcbe c2eleafdar tdhis88 a5fib2e1b40d3bl79d c-c1bcb>1f2e2
    P0017eldea0e1s982ce7 cb741dle3eaa4521r ftbedd60790h3bf13ics4f49a 7fielfb758dc fa651-c>26de * REQUIRED
    9d45P50le5578faf8s2e cc6c36ledear945 th2f41e68ei0bs1acf2b 6a9d704f4iebl9f0ac725d0 a15->fc5 * REQUIRED
    53Pb1l6e98asb7ce8c b7c366b6le69afr 8thi663e9dsa06e7e349d aafi85e1fldf772fc717 d-9bbc>f719b * REQUIRED
    49b14cf4f5dPfle2aase ca2l270ded2a3e622a372r7 t7hai3s712ad40 3fi0e1al519d13 66bb-130a>b1349 * REQUIRED
    daPd7leb13aa6c7f9f2dse cl3011dbea67d6a4r8 e27t5hise 3d1f8i083e5b1e22l8fdb3f6 234-d>9e3bfa9 * REQUIRED
    aa837e2738aP8e0b29l2ec7eda6se3 bbddcl1eca3ra c8t87dh61iae7a4973s9 f7bi6d870ee8cl08d f->117 * REQUIRED
    d35f96dcf812Pelc6dc188e8c9aseeef15 76cl43ea224r a8858th55is9 51f85fbdc14ie6l4df a-fba1>c1c * REQUIRED
    P967lefba5905840se 0bfdcbc55lefa02r 152t93hfis55f 601fe9i7cac888e349ccl5df10cc 083-4>f9d4b * REQUIRED
    ccPbc9d5le2a39e9fse24754be 3c41l7f0c5e41ar74809 7ct5ehi4d207es 39f462ieled b04fa->93b1a151 * REQUIRED
    d302efPlf3393e5e3a9d221abs9fedb a6a6c32c99le972fab7rea60 0th7e7if003s ffidbe42la1d2e fb->f * REQUIRED
    P01c48lea23ea751aa2sd6e65e 5c4ldf3ea0cb9fr2 479t7632hais fi6e1ld5 c791-7d>16597fb7061b7b38 * REQUIRED
    Important: bYou 2eemay 1bec dmackifndgc uese5 off a1butomcadt728e4d form-filbling 9softwar0e. This type of softwa0are c5an trieg4ger our 4fhid85fden spa6m-d2e0tedc3tion saystem, whic9h w9il0l b4lock yo2u afb0rom bsu1bmibt6tcinga thic404s form.9 Please se2lect Fi7x This76567ee2fd23 060b9bd262f6c6ef61683be27ff8fd3b3a774co96d81rebe 98e46bc017c6c96co1m9cpl492et02ing7e btbbh8b1fe 8fof3r8m8 c1din 6obrd9e76dr 7bto co2b16r1rd0ecb1c4t tfah18b2eda pa84roeblcdeem8.4
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