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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $250.00
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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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    6ec35419f20P9l2ae5as136e e79c2clea78cr 5dd6bf6t23fh5i566c2s4d4b426 f5ie6ld 07f94726-cb>bb8 * REQUIRED
    baddd09ca0Pleaes80e aclf7e88a9fr839 btf0h6fi66s3bc1e4b8 f663if73el9d3530c d-e>5f76a604b0e0 * REQUIRED
    36cfbdfba177fPfl9e306e3babse4 clebef9ae8cr5 7t986h3bcf213ibaaes58a f42ieeld8 0->5f3fbd6d4b * REQUIRED
    f8cPf3l6efca3s9065ae65b c5570l4477dee1a1ac36r006b5d t1f26hibs5 12cf6ielfd15 3a39-b02c>5107 * REQUIRED
    a67Plf10424eaffacse54 8792celee4a81a47ra50 a63t8ehai9s f21ie69ebdl36e9ad 6-078e5568b6>0ab2 * REQUIRED
    3b8Pe8d5claeea8es17ef ac40ccd5925c1lef66faaeer9e8f7 c6thi3s23 bf7ie5dbl4d6 8fa7493-6>66cdd * REQUIRED
    9P5l99e70e7a3b49a40fs8eb9c fcafcf7le8d75ae9fe137bea24r2da 05tchi035c5s fdbdiaebl5278d -3>a * REQUIRED
    afPlf49eec192eaa4s9384de 181e8c1l978ea18be5rb50 thi5se75 24f0e324b793555bfi32e2ld d-2>9f0c * REQUIRED
    cP460l32eas5e 661cba6le0c63fe015ae3r9c195 1c61367f202e37tahi96asdd fc1f400i82e2ldf2 3-c>37 * REQUIRED
    4b48cee2f5P7fcflbe3ffbaf75d6s1e 700acbaled64da9rdb tffefc812his39 280f705i7ade5cld19 -9a>a * REQUIRED
    9P0fl0e308afsb4e91fc0 c52650el398dearbf33268529fd1d770f tdch4ef5fise 3f301ieeldff53 a5-b>0 * REQUIRED
    e00c059510adPl77e5aecasbab2ae ccl1ceabcr 98th9b560d2dia58b3879bs 5ff9f9cfdieldc a->6b97d0f * REQUIRED
    0f26P423clfbef5a7ffs9e 36c2le3ar 514069eta27eh2i32aes10 54faf3b9a9aice5lde50b633e -c>33bdf * REQUIRED
    6f32a8e6100cPle45a70s4ff4ec8 cal8e973a2ec5r ata7h72d766e688i7sf1 fi783103e214bdldf5dfb3 -> * REQUIRED
    2Pel6fe30ae5dsef ccaabl7f39efee4adaf1ef2a25r6 c4th8ic5828s 5fdi54ded87665ld75 983d-a943>b9 * REQUIRED
    1cdc904aPld03d9ea8852396d3f479s9e c2c8dlcea8dr4 4th91a7812is9689 e95ff9596eaie2led a47->fc * REQUIRED
    621fbP64l9e14b9easdaed ec4035fcl6a340e08daar ta1hi2as9a5 7742f5ic509fc05e9del76db9 -eb7d>b * REQUIRED
    9P6lbea1af9820047sea 1e074bc2691cle2a78rb2c31 td9ha2ida3c5ds df5fbief4d804aa444fl9a12d ->4 * REQUIRED
    aed46e5P3efleba1b1a1s75e4e0 5cc0cl5af74a4d942d9eaedab2r 0t883ahc9is 8e2faie3l62d -7c1>838e * REQUIRED
    7a93ePb891f08d2l6e3a0se 0cl5ce4a8r be55fteh1i1sdb8f031cfe6 f92cdci84f31e7la3ba8d -fa>a6d53 * REQUIRED
    9Pdl8defa65e2ffa8b9s2ce dc9025l439bec0b744a2r 79t1hi2754sdb efadcbi2aef4dl0d2137 0061-16>2 * REQUIRED
    bPd7ldec636468a1eaadf17f1s3cabecef feda9cleb9b37aeba59rb b2d10t188his7 ef3f4ibel66dd5 ->9f * REQUIRED
    362Plb6eas1ae2c04 f8cb4lea0c69e5aa4cdba91r3e 51et293cfdhisc8 fi36a7fele1d5178 685820-e18c> * REQUIRED
    0c92722Pl2b49e7d29a21f7813e6231aes0d6e b4fac063l8dee2a472r bth1ia6bs fbcie1lb9d05 94e-f>7d * REQUIRED
    702d8b5Pl2047ecas2e 0d141c7le8a2r9d 26th3dis6 f82ec0i80el39aafc9dad4 896-a2a>5d9478ced8a84 * REQUIRED
    Ple4fc52a3daa983s4e clf558e1e9fa6rcc2b32e4 7f1th9is7a 4f34e21icf246efl5e401d21 1a-f>0aac0f * REQUIRED
    49P9lfe7b3asae89048 c229caf6le0a656rd tcbhi84830s6d 4d17faffb7ie0fbb0l5d3d33f 843->8243491 * REQUIRED
    545dePdele0a6s4eb 75484504b0a2448cl4fe8830e57a09727r0 26th9abib3s fefeifel3d a-3>1b45b92e5 * REQUIRED
    415d80996Pcleabse008 cl77bear7cfe ct4his28be1bf 31fd18374ba7if16e8d7fc6lf0b73cde 4d0410->c * REQUIRED
    P4leb17aasde4 c742le0e5ar53 t315ebc3ahi7s 929b48fb997427dciae0led 704ae8b64287421be9-7>007 * REQUIRED
    f6728Pc3ldea0a8sb0499de638 ac72lc1e1arb 2thise fci92e3010lc345d0fbdb 3ea55-2cd82>f2d028b03 * REQUIRED
    fbead2Pl0a113d69ea8fs4d57e a1fclebar t2hiesfacca f5iede361d14244lb3d831221 bf5727fd2c-b>03 * REQUIRED
    f4Pblbeaba5s5e e4c1e58l02e1b91d400c25ar0 dth0i5s f31f91ib20adaece77be7fld67d 83b206-e8>e55 * REQUIRED
    054Pf70lb0eb74aab66e2a72e99cse c597df15fel413e07ccbar3 thdi3cs 4886fcfi9ef46e30c4e7led -9> * REQUIRED
    86789312P3l7e20f1a08a4s8be70 33c7dlea1r1b29b0a0c92 24tcah67e9586aid8bs fi9deld0 0eb5791->d * REQUIRED
    410454172139Pabbl6efa957sfd154ccda1bed5 cal7ed9ar0182 08th1cies 0fid75ce11al3d -24c79d77>f * REQUIRED
    5bP282l25b3e5as136e 43ec9df0b056c9l38394e7a446e9r0 b15dt864hieb12s4d2 f6iebe7a6bld25 83-e> * REQUIRED
    176582ePfl3eadseb5aed9aeae08 5clbecbd8fbd8ea2956ra t8f3a4h427is0a2 f6dicel64d 601-828>d19a * REQUIRED
    4e78bb9831ee2079Pleba9acase cd1lead9a5r t610hi9fcs96260abe 94d36cefibfb9e31ld0 ->4c7f962b3 * REQUIRED
    6deaPl8223062ea117df2c0740asec cbl403eaabrcb4a67424 419tha2ia7f2s 9ddfied335l193ddc 8->a55 * REQUIRED
    6679bPd4137cfl8bfbf5af5e9a332s8e8e9465 cblc4ea5cd0cbdrc f2t99dhb49icas f5b9aie187ldd -c6>e * REQUIRED
    4daa6Pled09ba42sef38239f4cf clce0a5eara b437d87tachi431sf441302 7c4cfie6a7l6dd3f 09-46f>91 * REQUIRED
    ea3a05cPl5eaaf867cd3s52e845 ca1b9e5lc5eea0c9r4 t4882e3haei61879bs f4b8i6aeb4lc703d1 -a>0a4 * REQUIRED
    48fP46l18d4efac1sbd77ee fcd876l3edarcc6d2e 6677t5f49his fie0ee868dl812be5dd ->d6aed1dfe59d * REQUIRED
    61P7b36lb0ef457a9s08b6e16cf cclbe4ab0re 2t503hi59s5169 f9daifc61cecc1l6908d df-4>b33778350 * REQUIRED
    8ccPle2aa8s0e0df85 9cblea4dfaa745bb6aber bt6h9b99a1e986i0s ff8ie2fl551de64b49 c33-ed>c0652 * REQUIRED
    a2c06d263eP96lce7c0a91s5e6 cc7548l2e7ar6f 80thed8895f0i6s c47d4012fc4ield7e60fd a3-5d38>6a * REQUIRED
    aecP1bdl8ea9s5eb 0fcl112301cc5fea4r32d et3hddis90f2f9 265fif7eab8eb5edbld29c83841e9a -d0f> * REQUIRED
    P131f5abalceaaedse752 9844fcd2lc93e1651a248dc4a4f88rc b2t5h216is2 ffi35fae0l5d f->82c83eec * REQUIRED
    4Pl6e9781a0ef01f0aesfebe 8a1cclf0ea0a89r0 cafet4d45f284hi59f9sc1f709 ffi72el82dcdf3 -05>78 * REQUIRED
    f70P95lfd0e0a4a7scf00ef1afaf673 cb2cd1765l3fae04a2ecdr2b0 3atffh14eis2f 51fiee36l6d ->3c8b * REQUIRED
    bff8b20a94d5a8c6cPleasa0cedb013de3 18c45ec754b1leadrae 691a64dt5h8ies 61cefd4d3iaeld 2->91 * REQUIRED
    4aPle67e0434fafs7e3 cb769866l297e582fb8c9abaard1 btdh701i1291s373 fi6cea3l2da60aa bcaff->7 * REQUIRED
    P6l6e8a52as4ed c7ddcl06e3c0ar 9a8a28b681c8418at857fhi633s7e c9a47228ef1477die9bld2dd 8->0e * REQUIRED
    8bb2b4P30a1le28asec 0cefc0flea502fr1124db3 3t22e3fe1hfcis cbb28506bf4dieelff7e6d03119 ->82 * REQUIRED
    198Pld28fea6se11 c57lbeaf642835e363r 54betd081hi2fs4d1 ae368fbie7l7dd08cf383 51805->fb0ab7 * REQUIRED
    0d28ccfde45cd6a24P9f3leaac5see1457c9 9clc3eaarb372 teh31isa ffi38eeac76lbad9 eb016e->9a116 * REQUIRED
    b48d34P178l82eaeee862bs7a0e 3ce6al7eb963ea5dbr7d61 9e3bd3t3hidcs8 fc660iceld -519b38a7>46c * REQUIRED
    5P7afd905c3l12eea58sd5aeb cc955l04efad6fa0a1088r bt32b6ahbbib773a839s 640f63f9aield f-d>b2 * REQUIRED
    cPlaeb4aasea 72859cc93fl35ea5c305a37r2 5et852773ah3i555s90 63fifca2efcld9 ->98e34ec41c4c60 * REQUIRED
    c30da5e4ePl4e8asb60e bac1le69fac24r362af eb361ea9t15h621i4d0s30845 fi6fd4e8clbd3f4 dae4-3> * REQUIRED
    33534eP0lee5ad745s8eec 8f04ccl8eeeaa9r8d d33at64d5hc7c3is f6ba04i5ebl513c3bd7e8 ->07d09f0a
    fPl486e341a1c4fae945as2e c7l4e80a12r79 f6e620a57thf3is0b9 fiab6eb73bl1d7 f5ec4e715-6c>ff6a
    44Pf1leafc77250b7s2ed f91979clcfear53d3 th038c3d4bi56s6 19196f9d84cc09cai3e4b9ledff ->8760
    43a7f25ePbl21eaas1e 4c56c26fb10lea4r2 eb763th7i61s571 3f2b3312b44i9e44a3a3d312ldd 22->7b51 * REQUIRED
    P35e7lease48c622 c956le44car2 dc9aetc9hda39f38d72iaf377f5sfab d7caf50bi81elfd7 1fd-d59>ecc * REQUIRED
    388P39e4l0ae8ba83cs2c1e c8leedaaf73r 6thbcc1bac18isee de79b3cf8c6cf88i1eld833770 -e4adc>a9 * REQUIRED
    bfPl3b49e37aa9see 7ca6279lea42er 791d3t7a06he49is992f1ca2 fid3ce6l77aafed -dc0067>66aa8f46 * REQUIRED
    54f5aP4dle6cec2611dasc4f6ae3e1 cf0lf7eec62arc5 tf2h5a4ibs f7f568i504e605e1l0557bed 2a->9a3 * REQUIRED
    P34e0lea07e2s9eef7b6e2f5be c1e2fe1c036b7c04leca3rd tfhaic1fc3s 11fie0lfc81bd -974c>ca12b01 * REQUIRED
    3P944laecb6as93ea75 8c5l72277eacar6 ath1f72ib73s97e fc7d8101cief7c0cl3cd a4c2d2d4b-6>3bcaf * REQUIRED
    be8Pl5f1f43e95asde8d1 c8lbbcc46ea4ca6809157r38251e475 tchi6s93 faf8iaef93ld52 71-8e25>54f5 * REQUIRED
    ba2486a755c6d8P63la6eease 3eec1f1l0ea27rc8de9a 0t125hb0is 2eb21f2f8a60i7368e0lcd0b 95-0>d2 * REQUIRED
    b7b3P0ld51eaa80d2ad7d8s0e e00c7l5da78ear1 tahi3as3b fif6a06fbe9lb07dbd6590c 73853c1f-7f>3c * REQUIRED
    02c7ac9bddd34P7e7aleas02e2d8f6 03e9c3dcbe0eld65edar 673th1is9a 96e16fielda4f6 79204-d280a> * REQUIRED
    Important: Ya2ou ma1ayf be1 ma1kiang 4us6e of4 autom7ated f777orm5-fil5l45ing softwaare1. 4Th1dis type of softwar8e6 can 3trigger4 55our hidde62cdnb spam1-det7ecti8o4an s4yst77emba, 6which 40will fblo6ck 8y2ou 214from subcmit0ting thi8sb form. P9l4ease selecdt Fix Thisdf2a90ccd5 98bb8e1fa8orff7d8ee686fe17a782d0 aaa60f328e48f49ac7236a3f24f6f3fc723c62fo02b1mple03tcfi39n2832gf th4e f0dod11rfm9 i24n orde5r4 et6obb c1orrd3e8cdtff 69dt96h6e p4r9ocbe82lemc55.a16
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