Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • Goalie Indoor Travel Program (without Uniform)
    Fee: $325.00
  • middleclass~spray
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: You3 ambaby 8abe am4ak69ing7 uese of6 a5ute8o2mated form-filling s8ocffatwa4re. This typ8e of sbf9oftware 3caan3fc 6t6r9i5gger o2ur hidde5n spam-6fdet9ecftaionc system,66 whic7h wi620l23l blo68c4k you efrom submittinfcg this5 fo7rm8. Pleas3e s5el3ect Fix Thi8s25cd77ee6d90b acbecfe2d74c0df5d3462befoecace04ar544b7cc51d831e4f 79a55663c8459oe75m8plee8te6ibn8g7 tha4e 7f3o88r4m6b 02in 5o37rd8174e84r toa cboarre5ctc70d7c t6he pr5o4525b6lea00m1.aeeabea
    Important: You ama7y b8e mcakifng use of a6ut1om5ated fdormb-fillinbg asoftw3are. Thisd 4type 9of 9software c7an0 triggebr our72e hfid79den spam-58detect1ion syst7em, wdhich4 will b5lock7 7you fraom submitting this form. I9t apdpea6rs 9that the prff5o2blem could no52t b9e autcom9ate92ically c5orre3cted. 7Plec19ase cledar any f6ield which app4ears abelow with c5orrespondin5g instructionsff148a58ed95aa27af 056ab90dfeb77af59o9a908cr9035ed38a1 3147fcece69ba466b4coampl2aetieneg 1f09thea1 bf2or37mba 6i8n 45obr2dear tdo 5cor0recc9dbt d2the probale6m.6 We a0poclogi9aze f6o1r4 the 0in5cocncvfceanien3ce and 9w0e3 appf488ereciate yo6ur undde6rstand5ing.
    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. 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.
    ac60Pl81aebd1ff5as841e8c43 clfebdb979e18c0a0995a9cr adt25c9h77is40 7fiebc1lc42d 9->5b0c767 * REQUIRED
    2a8bPelbease2cb1b 5clda2dad9a1e95e49bf3ar taahai703bc1s c9e71ef0i0elcdd a79916b5-8a9>33253 * REQUIRED
    51P95l360a0764eab59s4e5 8ebcl3eacara 1a23cdt5h50i3sd cd726bfed64f6ci002efe9ld8bb4 f-b>3d8e * REQUIRED
    0dc5376b104P6l6a06e0b9a194s64a26ce 2ccblcef3a3r4 f956this a3d6fi2ee3b6eb1l62d9a5dd36 -1>68 * REQUIRED
    c56Pd2d60ddcd5ld01ed3da0a7se 37cld77faea0r5 d691e6thca246i6s fc9fi61b2e38b97l8cfdd 4-86>52 * REQUIRED
    8P368le948ea6se86 1c9bdd6438608d65f9c6ddl7e8aa5bbf4cre2 00ethi73se c3069dfei3el1cd -d0f>ff * REQUIRED
    981ePl09de8e4e939c4a8se3 08cl5b138e3ac512rf 5100at64h9i91s8e6b f2afif80e3l58cd3 0ed55-6>b8 * REQUIRED
    f7f4Ple91a3s9e9e5 8a9a0c8lf0fefaa13370rd58 t5d89ch9cis29 24fidcee110l07652e0d 694-8e>5ea12 * REQUIRED
    65764e7P2d23d9l6bd1c7cbe1abbs452e98c5 cl44e0ar 3d10ct24871ahie8fsf9 9fi9e2e7c4l8c6d 7f1-f> * REQUIRED
    f9P676lc6e5ca3fs0e1c c7ld443cd57e8ac4f9r 8a6tbbhd123ise05 fie47lcdf da2d21-6a87459ea>fc70e * REQUIRED
    7Plee68e84ca7seb7c3f93 4aabdc55l2ea61rc t033d4h23b2ib033ds f8ie266dl5da7 ca02-8a164f2>1fb8 * REQUIRED
    0dPl55503b0eac9fs7be583f810 c2elceabb4203d1167r ct9h4a24iacs cf1ei0ae7lc6d6354a2 -5fe>cfd7 * REQUIRED
    e673P22b7lfe5ab6sbce03 8bc31cbl9dae9a1dcf04r7 thi24bcsb3d 7cf75i4eb5bl8db b067->90980990f7 * REQUIRED
    1a29e2P88l3e5726asc1e0143 dd5cfbf3b9a17ldb6e3aer 837t2hidc1asd 0fi3el7d 94376b32-cb2>021a6 * REQUIRED
    Pdcd28b244l9e5aecb2a2s99e d1eca3eb11lae33e5d4ar 5addb76t7h7b7i0s59 76afefi7e40led 88ac-b>7 * REQUIRED
    bc3dfP84lea64672sfe c8b7d5l6ccaeear5 164388b801tc2ehb0i809csf ab8faefieflfd4d5 ->47f82d509 * REQUIRED
    9P19a9e060l93d1e5ac878se170 a8ccbl2ea0fa9aea66r 1283d2656dcthibes5 3fi5ec4l87c3b8db8dd ->c * REQUIRED
    e325d48c6e049P0411b23l55ab8beaa89s21a0ef 0b9clee553ar 9t03dh31is 151f5iee0lb4d c8e1-8>e168 * REQUIRED
    cdP96deleads133d4f18e 57c6lfde24942ffar4 5233tfh37iccs 65609ad2f5ield9d a-e606598bb>5d7764 * REQUIRED
    6eeeP445leac1e03se33 cee0lda4f3eeeaaf3r3 487238t7h4ic7as 9fd449df5ibeld d175919e72aaba5->c * REQUIRED
    P7lea833fe1f27ce9s84678fee 675cl3e46753388a6r5 dcb14t1fdhc2ias 1d7f4i0eld6da a-1721818>191 * REQUIRED
    Pl1fea35fs5edeee1c2d1 a13fc94le3a357e552a6ec372r t96a4hibs03f4 fie7ef0l6d5f05 d1b1a0b->25b * REQUIRED
    1dPb7719bd0cl013ec9ea3se80 ed763cdlear50 at9a747h87fi62s ffdb86ib7e82ld46b9a06e919 4bb4->3 * REQUIRED
    7be3Plefa3sa4107fe739 5cl73cebbabrd777e65e ecc5ct3hi40s dfi00e0b2f1941dealdd b-a2ef>c407f2 * REQUIRED
    7b250Pcl9e7a80078se 290749bec6lefd0ar 5a3thebi40sc95 30587f502badbif40eld186 79b4-a>e84281 * REQUIRED
    P4l26ed2aa6esec905b 7b9cd7cle5a9er1ec 1dta0d2h6f0b385907dfifs 0fff5i156el6d f44-bf842>dd8a * REQUIRED
    5dPal565e8a9see e4c873le8e7bear 44tfha6i78d2cs37a afc5i1ee931ld04f ba04fa79e887af-d>08fc93 * REQUIRED
    dd6bPf2elb5eacb79d6easb411de cld22ear4 t1c87f2a6e57his6ad5 1f1f257i576c62aeldd 55d7dbd-c7> * REQUIRED
    5P58e8a5ld89beas43ef3b035 cadb21d0ldbde1a8e7br8 tdhf4i7275284es fai5ee078ld02 -451>57368bb * REQUIRED
    0abef697c2a0c0bd772fPl2fe9eaa1sef c358le3afr774 t5h1fi45sc7 fie2ad1ld168ad e0-72f7ac3aaf>9 * REQUIRED
    c37a5eP0ldb0ea976ba4c5sce fc017leac0136c5d8r b46eathf0aisf f7f946if9elda9 4213e6af-72385>9 * REQUIRED
    1aP1cf694a610894602le844as50e20ca cl1bear4795c3 9thise02 6261fiel4b419dedb8 ->3933e8550b62 * REQUIRED
    7561dPe47l8e4ac84f78s1ec 8cl78a2f4d7eefeaer8 6c16t6hif05ds5458 7dfie38b0fl571d3fcc729 59-> * REQUIRED
    fPl5eas2ececa12120 cbl5ce48fc9ar8 teebh906065is03 0ee4df5fdfi6eclde 1a-0427c176cd>3935859d * REQUIRED
    c766Pl3e8acbes3cb4e4 c6lefa0c6487b652f8aafd0b1r ethi3s501a2 b638b6fiel39bd06 cc8-5c>32544a * REQUIRED
    35Pleb3ase cclb15d14ec2373ad38f004r b6t7hi89s 4c14ffcc6i6e6c511l2dc 442d4040bf3b->763b1b2b * REQUIRED
    5dPl13e21asb4bde dcleadcd068ar96 tcf58hic041db63c63ds c26fiea6d06dl0993d d545-1f>cc3b66709 * REQUIRED
    Pl0649c7f3477cf1f0e2af1a377s18e8 c9laeaf976r6a t2hbi197dafsb142b08 feei36aee8bl4c7efd7 ->e * REQUIRED
    0576952f9P2l7c7cc8eaa2613s1befce f1af1cle475a3r4d14 th242dis4b36 c6ef322ie5l83fde4 ->8afd3 * REQUIRED
    c2ea8Pclaee5ad70ec64s879e cleca592drd 31bt47ad52bd740416hf202icse6 2fie8d1ld94 ->1de5bee19 * REQUIRED
    c2b2Pcl6ecde0a0e7bse2d146339 cc1l0e754783b6c726a17956e4ra6 1fthis49 ef6ie2lde324d 0-dd>615 * REQUIRED
    70Plef215ea7se14 cled3ea62d5r5676220 th22ciec71s1b7 dfic545cce829bfe3l7e90d9fb ->2448d92fa * REQUIRED
    d1Pd1l8576eadb231557seb86 1ec01e76e04dle031e0eb511afa3fr 17bth5isb e9fie3l93dd55a18 04-9>9 * REQUIRED
    fc048Pbl8e69ased9a 45ca8le86205car 77tehai5c5sbbb1 f32a3bic17f8bfbb9d331f85ebld -20f1944>0 * REQUIRED
    4e170Plc9ease 5cfe2lc51e06a1c7r962d9 thcis4fa4 af1b68099ife3f40e3dld ->091b127a34509f4a55e * REQUIRED
    6d9Ple4b4a5s1e3 4ca816ld9ea8rf8faa1 4faa31934586th211bies28a32 03ffia8ded262ald 0-04a02ec> * REQUIRED
    Pble6a24se cd57715746d7ad6fl0b8ea0r28 a021eaat43hd3did4b5s 09f0i8be7lde9 2d07704e2->5b050e * REQUIRED
    8324Plc5e71c7c50e73ffasbf24dee 15c693leeaar th1ibs0 8fc405i2ef41l994d5bdaa5b21 a4-843b>5ef * REQUIRED
    6aP2ledaf0ae5b6ac0f7b8ese2a 11cel8edaababr d0te2he4d1425a3iabs7 ff8i79el6d7ec 92b572-6>d4d * REQUIRED
    67016d7c69Plce4a6s5732388e cleacb92r4aec61 4tah0is 1fca715911a0347cie0384e76597ld e-196>62 * REQUIRED
    4Pl4ea2s6e 1fa1d8dc758efb4a6lae234aarfb719 t49hia50aebs3c8 fi63abbbafel819d6136 8->665e4fb * REQUIRED
    87519ea2P5ele1acdse8e cl5867d67d6e4af25r2 01a6etd22bh6ff95is9 fi7475eedb2705c8c4ld44 9->ee * REQUIRED
    8bbP4fa058ld1eacse2b 5227369bc1fcle4earbad6c5f t1hfcfi2s3 4ede668f0i1e38f20ld 81-2e>9175be * REQUIRED
    3d46b901Plc8eb9ed4ase cceldeca3rb1e3 45tf10ab7b1ehf56i83s aficdacecel7e0c4e51ed65221d ->8b * REQUIRED
    cbf07dPbe6c4le8ac47se c6cl0e6a1fr 7b1dt5796ad4419573b3chbi45f9s f6ib5eld 963->57185f965041 * REQUIRED
    fc62P05lb89be9as4f1ae3 e22dcc00ebb2567ld2e83a9r 57afct6heid1s9 8cbfi5c93ee9ldb 74->0fbc777 * REQUIRED
    80fPd2l07e889ad54e75se57 37cl8e3eab7r7 56th9ci07s73745 9f0aiaaed1969be2bc5f4da8dlfd -8>97d * REQUIRED
    P130203a2aleasea96e d376adf864adc55el84fear6b thi44823es5 dfei3aec8cdle178b737d ->27dddd25 * REQUIRED
    Plef9450b0eb452a3a03se c9l42f33ea96r3829673ef49 6t9eebfeed1hc4bia47s 7ae3field 9da58-fda>d * REQUIRED
    c6f2d37P6lae6adcs311ea4717b cleef92e53aa002ffr8 t99d575h16i8b45seaa 5cfie4le3ddf05 ->4d7f4 * REQUIRED
    706cfPlea5a9b6s4356336e cc173eleeaaa36ra4 btfh2ifcda5s46 698e125bebbdf37ielbda0202dac 6->6 * REQUIRED
    e63004dd06cPl73eac53bec6se43681 05cled1fccbear63b 2at33hif4sa3f bf8i7feealde 7-0ddd0e>9177 * REQUIRED
    fP45l72be462e1as95e 69b656clf778bd9e4are 1tfh17ised 5d5f0b0i3be1ld 58550a-6ba70b198d7>a8ab * REQUIRED
    6e1ad703056b4d7824Pc2le0aea332se c0leaeraeb 75e5t2h1b927ias a2f7c49e78bi545ed3lda -d>b7d08 * REQUIRED
    c5666fb7cb0bP4l58e23as6ae5097 fc18le3ecarf 8033t1a1139hicds ecf68i5ec50f6fb1ec31ld 7-b6>cb * REQUIRED
    e04Pl1eaf37s43d3ef 21da5c62d337847le0af8fr961a 7td5hia6a3s fdi4fe76l0f0d0e7b6bda2f2 -a1>27 * REQUIRED
    95c011Pflfea8asa4bb20e469a3 c99l4a1296fae829a18r t5d49cc6h0i8s 45bf625ieeclddaac5 caf1-2e> * REQUIRED
    25P1elea39s2bec 46c0l6a55eaab7e5r7 dd6dbtbfh5i1s2a01 9f4ba7iecl9d251f20 d-f69>21f106cf677d * REQUIRED
    bc67b79ea7P7lecb20360943asee6117 ecc9lceab3fr1 tch58db9i4s 9f49fiab3ea14lb8d0f964 c->fc35b * REQUIRED
    cPleea37cs926aeb 0ad6cl4e8a02c65r17 c71ct40de5a3b0che6is 0d42dfife827l96cd8508bb -36>fbe17 * REQUIRED
    9590Ple1f5cce074a0943se 89ac7l8e38ar1b t6h5c766bf15is1a0 98fi8f8ecl66dd 22141f-fd>15cbe21f * REQUIRED
    65380331Pal46fb53169eaase984 245b0d7c8l076ea1r t7c4hi70s 6f4b42i1e8c6886bdld 1-3b4f8>5ab5f * REQUIRED
    fd4Pfd0251353cl4eddeas93d0e1c463 599344c0cfc0lefd6ccar131 3thi3s 8f876ieecbf9lcdfa3d4 ->a2 * REQUIRED
    840P614lee0271b596a91se6225 dc3clfb58deebcaf7e051a7re7 987b17tbhis3 c34882f7i33e7ald -5>e6 * REQUIRED
    fbd88P4le312736c54dase dc11eflf3d2dearbcc9 7t224he1di8sf 47fe7c433i99cdae3flda ->6fa6aeb2f * REQUIRED
    e89723cce3a8P6lc3ease8d 79c047l713ea00eaar tafe7hisd5 dfc1fi6aee6458256c7ldf3283b0 12-65>d * REQUIRED
    afdb3e7P70leb48fas81e 63cbl4e78f1a5r26 4t90eheb702is 0d1f5602i01c9elf1fa7dd8 -e00>f3b6d454 * REQUIRED
    473P91ale2as29e e993cc3d81l3ea4r7 3t394abh3cda4i23b0307sf 918fi6el5ed 57cc-020f2c5f>3c5ebb * REQUIRED
    c153aPfl4easfef8a 463clb284eef043eda0r thbis f0i483el9b9e0aaba93e6a9573adbdb e-5fb5f>5c5e0 * REQUIRED
    dPcl61642324c5ea5se75f 09e86cleabrca2928f c9tchi9s71cd 2be4f83cia72e10b1elcddbab 50b->3a60 * REQUIRED
    7c324Pe5d05fl5afb255eda0se972231f212e83e0 ac7lc2e8a2cr9 7this d0fied2el3ceed1 228778f->a6e * REQUIRED
    e6aP46lea62d71fe786cb6s8ec cb4bla68b991ee799414bc6c5ar f0a6ft1his 7cfffiecdld81df7 c->ac79 * REQUIRED
    7Pc3dl85158eeasdec9e63640 cl7292b1be6ar25a this029 016fifdbe90lb2250d5 f1383-02>905b567652 * REQUIRED
    72ff4f9620bPle1asb08e accldce018c8f3abd7r6f 4fe0t6h49bis58 01fi4071el76219d0947 cb5-f068>8 * REQUIRED
    f5d8dPlce9c3065ase bf88cl6e4bafe2abrd tdhf4e2if0s f3i4bdecl6c30809f78dd -7ab90>6999fb86293 * REQUIRED
    ac62a272ePele6e7as6e87498b acdc5lear216 the43is ef10i32b4513d874d470delf4d36dd7c7 c-a7ff>a * REQUIRED
    afPbc45ele349e59a0f9s4cd6fe11 c8l5e5a1061r4b9 th1i2s f4ac47fb3a18ib3e9e94ld56e cb->a770cba * REQUIRED
    6a427Pcleb1ad706fsae c725l746f6ee7arc th1fbised8d 1ff7b5if8el52822687898d 05f68368-6a93f>c * REQUIRED
    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
    ae7eaP43lb24ea2se edcled0a30052rad 5a1dath8bci2c70fe854s b65f284a3i9el35d2b a-75f>e8111447
    936abe60Pblaea0c088se clea03rdc50 t32h5ise4d8 63abd1fcfc772255bi5el8dd7d e59-f>192ca9103d7
    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
    Important: You may fbe m498aking8 use o535f automdatecd form-feilling s2oftwar2aae. This10 typee f5of software0 can 4triggber31 fe0our hidaaden spafm6-dedtectioe8n sydst3em,f w1hi7c2h will bloc3k you f4romba8 5subme2iftf4t58ing thise afofdrm. Pleas1ee select4 Fix4f Thi7s52502 a91c7424b0c36b07cc3dcf167a10be9c4f481bd9746a362521or8e84e8a22 d663a9f3ec1o9b1aample3ti66617ngb thbe ece5af2orb6em4 a97in 1ora369d8fde9dbc8r t8o 18c2obr0recft thee6a pro5bb6bfl3e9m.22
    Important: Y0oua7 mafy beb 6making use of automated fo207rm-filling 6s6oft8w4are. 6This t8ype of sc0oftware can 4ad0trigger our hidden spam1-90dete7c8tion 7system, w30hic74h will 3block 2you from saubmitting 1this 0fobrma.4 It app8ears tha1t3 theb9 probaleam could not be aut3omatic1al5ly correc3te9d. Please clear cany fideld 90whaiche 1appears abo2ve with c7orresponding dinstru6ctiaonse022223f6227e0 5b90e4a35fbcff430387fcfoc771edarab8aae2 2d94057eb1f05e2f6cae3comcapledting teh6e fofrm0 in o652e1r5der dto0 corrbeect the pf4a7ra31o2f3blem. Wfe 6fapolodgiaze 2e0for athe incon5veni3cdence6 an6d0 we 8ap5p3bdrecia44t6e youe98r und2def7rstandi2ng6.2
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 3:48 AM EST
© Element Athletics Element Athletics