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  • Goalie Indoor Travel Program (without Uniform)
    Fee: $325.00
  • 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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    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.
     
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    a746Ple85ea4s4fcef97b557 cbebldeae1r193 th81i1esd 5fi99e742061l9aff2ddb1c09a f-f>1df5ece4f * REQUIRED
    c0bP030b4eldebf2c4a8s4b6789ee4 94cle11a7fer 0t0hf4def3cdi87s 19ef1dbiefdb0l1d ef400686->bd * REQUIRED
    db54eP4l2eas9e4 f9c7l7bea8d7r 5tch0112i0s46 fi9e1ee154ld3de 8be62866eda0b3f4e-a49cdc>1c5aa * REQUIRED
    68b9fe6b2c3Pl7e97c60fas2fe5e5 c5la3e23ca42a66b4a9rae th2is1 f33fi20ed80afledb308423c4 3->a * REQUIRED
    98Pl1e65e5e939f7as1a8eb3e1 da7923268cclea37dr tch0f19a23d5is b78dfd4ielf94c678d8 16c-b4>8b * REQUIRED
    3669bPl05e2base6e4cb45e 3f6c81ccl007de4ar86a6c te4hb27fc0b41ci22c4s fdieldd915 a1fef-5>fa9 * REQUIRED
    b14Pcl6eca2s4e3d1b6e98 b7cle1aa7dr f9fth1di560s 032bd1ff694be84ieba3371bla09d8ed babc-3a2> * REQUIRED
    P2f0l00196f7cbe5810ab3s307e3750 clbdfbea1a9brb 6ffth6d53ei8ad9d8fs 5cf2i94edlcd3 -61451>a7 * REQUIRED
    204190d97206Pl0f5aafd918ef7a19se ffcdcc2lfc2aeacr4 t1h08difs6c2ab bf0iecld1f66f4f 26->8db7 * REQUIRED
    3bf71P6927aleac8s78e 259c5alee9a72br8a 920t212h547i3d2cs f7i65a30e0241c1bdl6d 9-59e5>60a69 * REQUIRED
    Pabl1e0as5e745e28 c0c823l1eaad5rc td15h725bd9i0b2cf6f1a2asf8b4 4236b66fiel1dd6 bd58ab->676 * REQUIRED
    bd2aP91lce8a55b54s56cef 550122fcfdflce5a9r 3ath7i89es 8b6ddffi1e67307717lcc5d2aa289 ->4d7f * REQUIRED
    a806b866P19leec82cas6e88c5 e50clce9edar tbh8i1s2 9f751cdibecdd3d17la2d3754d7ce878 d-de9b>5 * REQUIRED
    31ac0d6c764fP6db413lceas45ee cfacl2c721e07e0da1dr tb7haie9es f9e1c4aiee3la9fd 8a->c2c8ef61 * REQUIRED
    e9d3cPb43ld33ea30975ds600ea12 1ccf1lc91earb679a cc48etdhi25bse4329428a fid3085el75a1df ->9 * REQUIRED
    5cePbl83beace7fs0e0ef dc147b9b015cl03b5b52e3feb1a852eb3rf dth8is3 99f30b5ielc8d555cd5 ->d4 * REQUIRED
    c9f5fcPdlf3c63edasb6d10e2 2ccd48leba7ara 866tb9e2hebb8is f9a1ci45cel1c459a26d7b8 967-8>0b2 * REQUIRED
    22Ple46ba56be10f6s3741e526d 7d90clc58fe9b369ar1 at37f7h08i5bs f0ie4ef3el7cd1df76 b7-8b>e4c * REQUIRED
    694ecbPf27e25lea093b5se 4c4l8f781a31eeab34ca77r t48hi7se98048d75 f0icb04a4e8ldd2 0514->279 * REQUIRED
    0a332262Pl056af0340e1afsee794d 3c5leea6297r t90hfi2esde97 82e2cfiefe564e16l6d9c0fdf ->dafd * REQUIRED
    P8lea260b10as8ec e3036f9f18b0e0clbdae42abr092f 9tfheis95 4a94f4ad66aed8ie7bb9l7db4 76-ac7> * REQUIRED
    62cd4cfa1a0c7ee349e09Pl9ebad1s30e c6l99debfar548d47e 7d0at346h4feise f7c7i0eld768 e->f4a39 * REQUIRED
    9494fd2808035d1d85Pb6el1e7cacad00sed89 da07a7eccl9dea2fr ct2h4iees df3iede52l8df ->322e780 * REQUIRED
    37bP1efa58cf4alde4a7f21saef3 cdfa5le5a8r4 c8thi8sc 628f398fiea7886el976d7a03 5aa141-b>4634 * REQUIRED
    Pf0297elfcb09ae7eb4acsd5de3c6 88cdecl3e2f0aaaecre et2his96905 baa8a0a8f042ieeab4cldd -b84> * REQUIRED
    3496P2al82ecfcadf59aese acc5b1le8ar thai4sd4b5c06f31aac af57ei353ec3a173el05581cdd 3b-e>72 * REQUIRED
    517f4P2l412b4d0ease f08abdfcl7a95637aeaa8r tf15b6d0hi0a1db950s6 2fidelcd08 -35>8c9c485d841 * REQUIRED
    c34e91P584le31d8e06fabc2se 4fec1d6leb30048ar 7fbt7e9ebhi7s f53di5f5edfeldd2 394-f>7e68101e * REQUIRED
    b8d20f57b83Pl2e9a8a3s5de440 clefa889a4944er t7hia7ees7dcaff 299feiel192edd7351b -004a7>483 * REQUIRED
    4dPf4blb3d5e1ad32bs9f67e a9fc6ec748dl1eare18b f8967t110dh7d71i11875sc f41ic57e0b8ldf ->66b * REQUIRED
    edPlde020437aseb102 4cc6c1e6leea1rf tahid8sf1 a9df6a726fie62e1l8f7993e6d4 67f624ab7-620>0d * REQUIRED
    22fPlea27s034e1361 c9fl94b64e3ae61729aar05 2d8t9h8b548faa894ibs f502ide70fl8d08 5->8562a56 * REQUIRED
    aec08Pleb5393e6ad6se10 cel68a4e3a1cr35d t5h2687iefas47 89fc7f647f1ia42e112l403db7 ->44719d * REQUIRED
    c7Pfledas48e58681 45bcacl61e6a7ca8539321r 4thisf25 b47fc0i6b3c80475ael0d fc9f80c7-4>a903a8 * REQUIRED
    98a2P7le94a51f0se e114c8lbbe450a000r5c9f0 t8a05h4ia08ds3bdb524aca 902f2iee5l027d3d9 a->cdc * REQUIRED
    fPl266aeaes22ed73 c9ff3fl84673ea1ar4 cct3hc197i3s191251c3 fiee3cdl4019d -6b8>f062251724da6 * REQUIRED
    86a19Plea7572ecs65934e a7c4le96947e030fa006r85 3th2c30i692s01321 797b0fe2ibe5dl2d ->ad3d54 * REQUIRED
    39c170P9l198e790a27011se57b0f 63a61cl9eae63rf 5a6thi7sc071a3ea6 5aff818abieeb73l3d6 7-35>1 * REQUIRED
    52e0caf98P26d6lead7s4fde cldea09rd 8f101t8ha5i8s9 bc5dace8fif53ffaef8a5bld2dc99b e-7>96954 * REQUIRED
    adPl03e8aabfs922e00 bc7be2cal9b2fc14cafceaac51608a75cre th518f7id2s 2fieb0b5l05cdd4c5 1-2> * REQUIRED
    0P892814l0edaf9dcse63a3 c0l402e378fe5aa1fre4 thies8c6 f812ebie116c3l8d26d5d6 ->8ed1acdb0db * REQUIRED
    0P2lf5ecbae9dse0f clea4a9b7ear t8a3hdcf171i6d5a676f0s4c1d 1b63fa5dedf8f3i8el0d750 1-1a>15e * REQUIRED
    3cbd6599P5le7dasa7e116 cd3cfld7d3be5arb 57t39h0cf8i478sa 2fc5c3iae2bld 70-e3f5a6>26bd6da8b * REQUIRED
    0fae95647Pl72ea2c712sf0e65e4 cl0be5ddd9bd1668d951a76cr6628 tc6hbis09 ad5fi0f8de2l9cd13 ->2 * REQUIRED
    309f9f1251Pl5e933a2771se ac7l2b8ea73r 1t726dhic6d8d08f9se1bc4d 3fic0ee0b12fc5ld d3ba2->41b * REQUIRED
    49941eePf31lbea27e6a8803s141ef 4c0l20e4ar dtac6hecd8i1sb6 f8die76bl7dc1d 9-ef062>488ee78e2 * REQUIRED
    Pe32617lea06sc2ee 8c98cfc59l9784ed93ar14305 7t1bh4ib7s91fbcf5 ef224d04ide37281l42de345 -c> * REQUIRED
    5Pl99eas7a9ee316322 c52cle57ar bd6tafb4h8i25e596a9f4s3ed3 f3354f218i91b44dee88dcl2fd9 ->fc * REQUIRED
    1Ple1aa368a3aa2a2fffeafas6db81e64 c8lear thdb9i2bs 1cf4a7i39cea9696a38fblfbd 55c808c6->0fa * REQUIRED
    5e7aP2l1eca81a29ee1se7 cleb807a3fd328r te5ha1e1ef70ei6bddsd38f99 a2ef06ie199led6dd639 8-7> * REQUIRED
    6faP3e767ff1848907l64e8e757as3e 40d58c3l7d1dce0ca4rbc4 th69fi495s2 4fb9ieda9fl9d81a ->a7ca * REQUIRED
    1a305d041P1c27374l7de88abcefse866 7883clea5r tdh8di4362s90b f09i7e095ldf e35eaa-f03bb1e0>f * REQUIRED
    e4P5333ba7le2ecaase2e 26c342e1bcl941d7e42aeaf03r 1feet1hai595eds7 e303cfi3106el389d c-e>5f * REQUIRED
    be5dcefP7laee38f1as8ef cc3l74e993318b211e9ee5ar 2aft07h14ei3sc02 c5f19i3ea9lcdbf832d ->2d4 * REQUIRED
    efb8P34l4ea1cf86d09039a162sfb3fde cac66129e9eal376ear549c3 ft11hi43bs 0fi62eaf0ldfe -0>15a * REQUIRED
    4Pb1c701dlfeefea7s6e8c7c1fc caf2ecl7dd18ear t56a4h09i18a193519c0s e3c3f42fieldb444 -57>08c * REQUIRED
    2Pfle1d0a24cadse22a 2c1ael7e7a08ar9ec96 t6ch1i33edes f4ie72a9led5fbc34f 3381-be736c>2cf2c6 * REQUIRED
    eP2le698c5as2bfee 7cc2b27a0leara4d dth9c0is2b40bee58 9fd39f3a7eife094eldd9b63 d8e69f5-a2>a * REQUIRED
    P8l4c5ebaasa1bbf2a7de549e 5c695leabr 82ta6hc1a2032is38fe0ff f6i30e3e80lf42884a11fd9 b432-> * REQUIRED
    60P3l9488fd3eabase 4290c8l2c0f1b3b604e85a97r ctche0b8d74cias 6c49fia12el1ecf25edb -c48cf>8 * REQUIRED
    6P0e7l9e9b648d4e555as7d17e84d c8lea1fr7 27eth39ifs7d2 ficaedeld8c3fcbe2f5cb 227-a>62e44c05 * REQUIRED
    2469Plebas0ee15 8cf53b7lb20cea68earbfd4dac6f1 1tbdce5h60i3s 0fieebeb6fc2fel3b6b3d c-4>42bd * REQUIRED
    f1Pl94e2036dasafbce2 481c91eb6670d71cf0ala1ear 92ff1t1efhf4c8isb ef9bielcbd7dffcf -51>cd82
    * REQUIRED
    ae7eaP43lb24ea2se edcled0a30052rad 5a1dath8bci2c70fe854s b65f284a3i9el35d2b a-75f>e8111447
    * REQUIRED
    936abe60Pblaea0c088se clea03rdc50 t32h5ise4d8 63abd1fcfc772255bi5el8dd7d e59-f>192ca9103d7
    * REQUIRED
    7bPdf5l5e841abs00eff clearcb 809f4t2eha7ics668bc 84294fbd0i3f5eceldc52cd808 87af81-3>c0006 * REQUIRED
    ed1P5lede64as2dbaeed0 bc8d8e137l234e6ecar ted40ab835h4033i6c63s029 8329ff5a4i2el7dab -fe2> * REQUIRED
    9e5b18Pc6fc9aal9eacsc3e cfca95afl1e5are et33f2h75ib93se4 ee77a82fi5d3elddf87acf ->4dcfb4c9 * REQUIRED
    efPle6a0se9 5cleb7aa50r bd12d67tbf4h8ib9sa e99b9e094fide6bl5038944d76eeb71381 9ad9cbd->146 * REQUIRED
    7677dPl9ffe09feasb8bc267357ae8 46c3881cl1ce6bdaffr 56th2i195bf56b9s fbie6d013l0d -1>b323e2 * REQUIRED
    1P7ala7e16b0bfbea81se311c3 a3ac7l024ecar 3eb88b95421b9tc33ehfis5376d9 64fi4142el7d0df7 -d> * REQUIRED
    66f45P00617l5f1eeas8d2ce2 c1l379ea2r t92beh9i804s2160 fb517cic4e77l1b238439d589 fd-e>6c3ed * REQUIRED
    eP1fld6d588f1ee332f4aesef5a5398 ce9a92705l5efa7e58r 8t23ahi71f3sa4d efie3acldb8a9 c9d-6d>2 * REQUIRED
    eP39l6ec4040ecf7aase71ae 63cl9ed32aa9r ft67bcf09ehi48sd2d78e2e64dd dae6b7fie5el0d 8->702f3 * REQUIRED
    d4Pe903leacs7e85ec70e d3cef6349c4d6adlc0ea6rd2437 t4c4300he46id5dcs8 f903ie4lab78d -a>402a * REQUIRED
    a03e12Ple0144c5a98sb02e7 59c7lb9f0ea61a3rc tbhi83fs1a999845 15efi5f2effel3ed81 e400->a060a * REQUIRED
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