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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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    9fPc8l2e82b09ae3s546e baf5b0clf594e7672eae39r ca6d05t0hi08s 7f2109b4ie254f7lf7a135d976 ->8 * REQUIRED
    cac118P7ld4fc0a2836ease cbdlea2c8a27ra dbbbbt6a5h94a924i6dsddb f9i73b7eecelc9d ->6960d59dd * REQUIRED
    8eP18dcle79aee2a9d49s9e5d9 fcel559eaar 1b9t461eh7b6i4s9 bcf659c92ie9dl29c7800d 6b-ce>1d207 * REQUIRED
    e68c00P7lefa0bf7s98ae33d c91cle5a8cca0r931a5145 4c0t5h1faf7i793d8s 84fe2die015l70f54d c-b> * REQUIRED
    bP9l5eb1aasb6ee42 ec4l0cd6ea8fr0da71 2tah0eis77a7449 2b73fdia16eldfb398fe520a3a1ef -180>a6 * REQUIRED
    46aP50l6bea3c464293s17e9 5f166bec84lce52befaa6rad th5ccddb4i2sa0a6bd fi370ele52d3 0cf-3>f1 * REQUIRED
    Pl4e6a7c237s3ee 4ec0le6800b1bar tchb19i7adsefdfb 560e3f85879f5fe6abc4626eiee6lbb25a3d ->31 * REQUIRED
    f8b7ba5ebc4Pd89l79eaasebd bb6cc46lfe52cfbe28aaar9 bdat34h8dfi64sf9 45fa8ieldaec62278 -f>f0 * REQUIRED
    7cP89f0ed48lce8a43566e8fs06ee 78fcc83525lae38ade2579222r tehi6s 5311fie3l40eaf455d 15a0-8> * REQUIRED
    8f5P9l59db99b277eaa48se 54b1f9cl5eb00e8faeafr ctf5857acef0hib2d745s 2a3bf0ie0519l5d d-7>61 * REQUIRED
    bf9Plecasd1ce fc43e985fcel805dae00arb70 3ebcth5i8d5sf f2e2dda33ie1l5017ed3db 5d3a87->58a17 * REQUIRED
    c7eP88leea4aea12ase 57ff29c7la4ecaba0adrf9d7 ebdthis 4c57fi200d67ce38e9lc6cd b416cf3-4>ed5 * REQUIRED
    96Pc2l50cfe34cfd3ba8s5174ed cl675927bfce6b85a8c1e7red95 tch7cis656 38fi0d7el0d b-2a30c>e7b * REQUIRED
    5eb8fffP1l1ce0accs01e 2dc8cdlbea7fr9 90d11t035hei33s fff48ci76el5a6b7d43 2094eace5d3-6c>0f * REQUIRED
    1576e862784P467e81090lcfb2e7a3esc420e 9c57dlea81rb7a t1ffabc2hias f1ield 062976dc790->7604 * REQUIRED
    b2bc8e0P74cl0be649f510as5f4b8d73e3 dbc6c2ledb9a1479r3de 60b7b46th9d1is field0c -0a>f4ff014 * REQUIRED
    07df5Ple0baaasefe 7ec1lb819441cc40fearf36ed0 t0h1fifes c0fi80e19lcde419e 2-796416>2ad1321e * REQUIRED
    b1f278c2Pl9ce2a7se cal533ed1ar tc93acd46hf2ffbisc9 f61i23a6de8d430e3ldbc55ba 3-d>071263178 * REQUIRED
    a1cb3ed7P36e8880le3a2se8ab cle6ar tf2f5efb1h5e591ifs4 f37a05e45e0id8e94bl10d -b93e49>42ade * REQUIRED
    f33ed40Plde840680ba1ba1s91e8629 4cea988e7928cl6ear9f td46h34bi3s f088i5e65fld c-37414a>8b6 * REQUIRED
    493347Ple1a0a4ds67fc197ed03 972c185l5ear 7ta1hb7is7 543b44d1f9c3d9ifa9ela31bdc2a d-4e>a4a2 * REQUIRED
    2d75Pf5l50e4a8s7e12 a3c1ld2bde4ar tah4ei947s22 fie1lb4a913ac5d60 219eb-d3>f9261fc8942a9530 * REQUIRED
    790e4Pl0dc5eac6f3fdsf4e cc12a3aalea4r 16d9ad2fbtehisc fi6ce062e1e7lde57f c->057793e45f51c5 * REQUIRED
    P3b74cl8e30c3fa9s6ee7a0c 504bc470d047lead4ar4 t77dhbdfi6ecs 47b843f2c374ife5bl7d -bf7>4851 * REQUIRED
    4bP07623leada1sec24e88 affe64b20cdl88eafeac76r e58dathi1s7507 3f09iedb235c8led681280f -d>9 * REQUIRED
    db7Pl9ea5seeaf2d5 bc2d9ccl56252e13a2d75e29rf6f d46t38hi3s fcfaffi328eaee49l398d 860c-6>d9a * REQUIRED
    43ac5593ca0dP6fl17e6a47s6b82e 87abcld30dae8ara0 2at2hbisd 384f7ie6ldc4d12 b41a7-a>7f47e751 * REQUIRED
    bP0502leabbs63ebc2f cbcbl6391b1d1e6a37rd0b10 0dt66hi84sc4ea4e47ed79e feid74e7ld 13a7->8e51 * REQUIRED
    cP322e1la5ea9bse1 cele2a69514ab0dr4 at28dhi6e04s0 66bf2bi3f6fa8496be9lfbd f3-125>715b727a0 * REQUIRED
    7c7Pe25b6lfeas2e511 30c1l0bbeba1r7 c62at1h466bfcb46484i706s 5bdfib2a9ee6aldef6 7ed70-95>d5 * REQUIRED
    2aP1l439eaase66 9cle2aa8r0 3cteh0d7d3f001f9aai7d9e4297sf 40286df6i3e32cel9bd 3-61>6da4cf48 * REQUIRED
    994Pl4ea8743e8s8efae2f f6ccf5385caf2c1le6d9691a45a50r85 tf78h3is3c 3fi3a9el4c02d3 c-4b>4c5 * REQUIRED
    2P3ld6ea0sde70adf9fb 8a443cecc2067c251flear a0thd3dis323bd01 fcb2c0eie006l7da 6-7d>730783b * REQUIRED
    b04f38Pble6370ase8 67ac8cdcdel6eb2a1182d0r 0th3i2s bac0bfea0i4572df89e6lcdd 63e5-a6c>cbe00 * REQUIRED
    44b9Pl9105f8cf046eba3as68bcde celea2b7rff3605aa b253tfhcbias0b a3f8d701f4id3eld1 35d-1eb>4 * REQUIRED
    1e6P3b7le9fc700aa0d5392ese07e3 7774fclearbfe8ce2a 0t4hi4sf128fe8 12fcb4i4eb0ld271 d5-bf>53 * REQUIRED
    091806c07fPlea8049s58461e9 cld5d5ea9c9rc 5this22 4fi98cf7ce9703l6bd7d959 -c1a>cf0b8c27725c * REQUIRED
    a5864P3770leaadsaf013ef 06271f3f506c6lea687r98 th9ida37s f380ieb758l67ed 9e1->e0eceb4b2938 * REQUIRED
    be235Pl0ef065afd588afs0e1 0c6f990le1da6r25b3c 2thdis99 f8f7i2ecld88d a->b3742aeadc5df8654d * REQUIRED
    80P69l8de3a815s72e4 clf67ea5r652c 0eb189t2hi72as3 f758ci572ea731c72e3ld1d ->eee8f36fb8aaa9 * REQUIRED
    2630048dPle3ee8ba1982c95as225e ac8aclf30e6be12ar tf3793his9 f552247ie9cbfl4e0cbd 2-b44>40a * REQUIRED
    63fPlea4sce5417cf ac7l85a0ead8ea9br7 3te3cd0fehaisf 9fai40c9eelf8d786d637 9c-ea>49fc03853b * REQUIRED
    20Pc0ae0c9adl0e7a2s0ee10 34c7le2904a8rab8af3754 thisef bb1fi22eb91l457dd77d1d -4>1f22fccc5 * REQUIRED
    5P1a79cl88ea1sed9 acbb0dcelabce4ea2r3 36c4t1de36dbhis17d0f2601 0field b-c7060ee4>21fc0309a * REQUIRED
    a840a04Pl0e7823asebc8fd 8cle6c1a2r244d6 t97he04bd3aeci549s9 f5ie0a0eledacd3 -f86>ae90e554f * REQUIRED
    5f918fPleff56asa046de89c6e 1ac68cl5181e7d3c953662ab2dr thbi6sead9 bffie3c8lb5d 884bd-99>82 * REQUIRED
    5896e04665Pbl76ea2051531f94sade0f d99c0l5ba8defdar0dcb thfis7 fi1cc11e8l383d -e>38c76e8cab * REQUIRED
    e1Pl9ease 95ce1d481fdc073eb4dd0b06le506aba603r0114c0 tah9i23es1b f2ai0e93906l9d6 -b>cc758e * REQUIRED
    98620380e94Pe8le7a70sed9 d7dce1249laec839c0arc b6t0hisd8 f831bfi6ebel8088bf715142d4 5e8->4 * REQUIRED
    2c13032Pf9c4ee562le5ease cl12e4ee3a5rc 1t75hbaf33d54i14dbcds d4325ff82i2e253fl0d1 4-8a>1d9 * REQUIRED
    7d54d3bbda10P55leaa1se10 c72cle7ea19r1f941c tdh070896e2i0f9b71f899sf fdeieldd -68269>329df * REQUIRED
    c0Pl9e6f9ad4se79e fc46a2l2ebdd4a6rad50 te6efhis6e19 75b27d8f126bi0fed1873l51d8a1b3d -3>1bb * REQUIRED
    0f029adbc3Pl46e4d6da517as02e1829 c8e52f3c0ldbeaeeafr this0871 fi3a9e9e9al7d1 263-5>ecdb568 * REQUIRED
    eb69P75eleas64ce1d 0ac41c84le6043a4c0rc c8efbcdt7hdi4s37db 331fieala9416ab3016d39a604 6->b * REQUIRED
    Pbac0992lfe9e8ase56 5c5lc8ef92a6r2242 3a4084bthie07s2c a73f6c2ic8elfcd3b16b971a9f 5ce->b3b * REQUIRED
    86c10b2P1743le8a9s846e2520 dfcle7c3fa8r1 03ef8et7ecfhif19362s5e f00764i67ec4ld84f 2-8f2>e0 * REQUIRED
    bPlfe8a3s7ec 0cl0227ea924a2f8dcrd0 1a588c7t65fha547ibscbfb829 fiea4l6694278d6 1-4856817c>4 * REQUIRED
    42c3cP7l1eaa7se ccf7a2l0e36aaf923903ar1 t4fb95b566f21hi1s5440 f2aide24lfcd6d 2d-7d9bf>50d3 * REQUIRED
    54f28P5f1lea6db61sc45ebbd6d 993bcca1l34eefb5ar 25bthe1is0deb73d2 c09f0i7eec0015ld 934-9>b0 * REQUIRED
    fb28a3c6d651192fbaP7al2ecd4a27s8e63412 2d0c1leac383r 44393tedhis6 fb549bie8lfd 7-bb577>09b * REQUIRED
    dPf737d6862369le20849dascee6d73b ccf4f4fble3a2fr3bd 64t946hic616116s 6bfiba3d16feld 0-dc>a * REQUIRED
    a1P8043l9aee27c0aac18c2844f7fse62d edcleadr 87dt1h08c688ibs f2adi5beacl5dd d28c-257b99>431 * REQUIRED
    71fb0eP1b44aleab87se25c3 67c07fflf5ce6a145r9d0 dbt2he399di67s21f cbbf9b4025a9ibeld 2fa->ec
    * REQUIRED
    e1Pl6b39eac6seb0e0 clb96fe955dabr 8715864bt26aa85h8c0i64s7dcb dfb4ie9e3defflfd4d6 -a>3ca04
    * REQUIRED
    685dP3l369e9ba6ase7b7e6 e9174a2fc3lear 940t1e4h9e2is838 b1e0543f39i04eclfd9199ba b->4ecc8c
    * REQUIRED
    dfd9Pl2e0cc5ads1e303 acelb648bb5dab23ce2aa03e0fr6 e0t3b81b3h78d4i627se 5fdi0c6aelb2bd1 7-> * REQUIRED
    df9da7c21eP5b34512le7ease cd700l68ce45aar90 th6f453is27c8fe13 1fi1ffe441l7da 750-03>e420f7 * REQUIRED
    d4P9le23f28593as1fe451 c468le4128cbfda12b3f4are8 3t3hi4sd 2982e9af2i27feldd74dbf55 1a3-d>6 * REQUIRED
    b0P6fe9lea44se c7766b7dl21defbe1aae1a61e9r 1516thi42sdb89f7847b217d 068f09b8iaeflbd 46->3f * REQUIRED
    43d9Pble48f9a3bs01ccb23ef40 7e2e47c96lefe6a1ae617fera 4e84t28abh0062i8s f3i5el4d b->e945d8 * REQUIRED
    1Pa64l0e0e98a200a3sed3 64e50c14lceaar aetf7hc473a00ci78cfa1se fid27e656l987d2 356407a6->30 * REQUIRED
    9c037Pa81l4ease 71aca8lbed9aacar796 bdftec4cd0a03hi5a4239esa61 a5f428i32e57l82d 4-0e>de1f7 * REQUIRED
    3f842251dPfc7l5e333077ca6ad3s19e bclcear thdbeis9b9cf244c f424878i36c1909e1ld7 6b858->2622 * REQUIRED
    2156Pl08eaes5ee455 18cb97alc6e08d2abea15d0re3 tde95h3f2is3d1b20 f11icae31ld0c23 134-c>4219 * REQUIRED
    69b24fa4202Pl2e2a1as13e3c baf4eclbefarfb 1th935iscc7fcc096d97b8 f0aiefebd486lf51d7 2-9>279 * REQUIRED
    29Pl61ef9a6s7b2e cc54l27ca16be947a0a5r9b1 9thbbi15131c11s2 1fi524581e74l3d18d2 ->cbeb40d07 * REQUIRED
    Important: Y7o5u7 ma5y4a bbe making 04use of automated df8ob70rm-5fi4bll1cing softwar6dae. This86 taay1pe of software 8ca7nd tr9idgger our h6ifdden 0spam0-dcete8ctioan 8909s2y1steam, which will blocka you 3from sbufbmitting1 thfis form2. Ple4as4e s0ecle3ct Fi5x89 Thisc347e232c1dbe879b81c72056 b0e1df5b4o7784061a93d4carb1e1bca235 a1eada3a30071dcomdb2pele39bf3505ctin1g t2024h0e d83fo996rm3 i5n2a 4o3rde5rb tb85o cf7bdorre7c06t2f cthafd38e pfar4o5bbbl88bemce8.
    Important: Yo6u maf4y be making use of automatecfd fofrfm-filling49 sof3t6ware1c. This t93ype of softweare 6can 5t2rigger our hidden 7sc8pam-detec4tcdi0o7n21 syste6m, 8which 9will fblock 8you from subamitting this dfe2orm. 3It apcp8earafs 4tha4td the problem8 could no0t be automatically corrected. 14Pleac4se clear any f9ielda which 4ap2pear7s abofvee with corres68pondi2ng instructdion9s50d341 197b89d19c37aedf108345o32rf79da1e5fb4de687cf7f3 9d2130efa7992e310df5fcomp9leat1ing the 23fo6rm6 fidfn order to correc2t the pfrob4lecm. e6We apologize fo7r the2a ai58fd2nco0nv0892enb6i5en4ce 0424andc8 8we8 4a4peprecidatb9ee your 1unders5taabn0di3n2436g.2
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