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  • Indoor Goalie Training Program
    Fee: $100.00
  • middleclass~spray
    @MEMBER OF PROJECT HONEY POT
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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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    f8e04Pfl78a17e9a17ef352se0c7f 6d573c033f4lea9r t260b62bh3ice2b53s ff3i1elbd5 e->6f444e6dbe * REQUIRED
    840fP0f3leae8s8697e c96898l01eacr e516dat31467ehe7ia11339saf43f8 3fdbfiae06la3ad9bc958 2-> * REQUIRED
    cb25Pc8b4a3l0be5dab68s9ee ac03leaef3e4ear 3tfbh8b94b26bc9cf26i1es edadfiel5c3d0f -20e>ad8b * REQUIRED
    097e0fP0fal0e5ase9c 58c9le6a55re 20t6568fh3a476cebi6a2328s2 fai5eb2l4daa0a2e 93e-4>4783bdb * REQUIRED
    02Pel874bae1a67fse1d1ad cled122e2bar5 data1dhi92sf6a 0ffbe6ideef775lc06d554bb3 9c03c->7020 * REQUIRED
    8fPaleebca1se295ea6 7c5l42b04ead7r4 t0604h7cies 0aaf0i53ccbe61l78bb0e1d1b82 6-2a570778>983 * REQUIRED
    dff27P9e91e9l5e5fa30s11e3df9 18f21f956cl9e022a16a6rea thi4288sa6f 392c5fi3eld 28a9ed-c>82a * REQUIRED
    83392e3Plea3c8s3ad082cea 0a2c4l1ea2ar3e d4bt42hci4db8das0 9303110fcbi22e8cclf7c2d8e af-d>c * REQUIRED
    f38P781l4bec9ddaa3sd7e c0dl9e82da121r671 2tbhid6bsa 3f25i22efld78 5e1b930918-a1>87884b6ba3 * REQUIRED
    542dP7e37lef072ca8fsf5d83ee951 c4albe12acr950 t9ah8e63isd 5509640f8136ic847elfcd81 ->e3b54 * REQUIRED
    3ca0b1cac3P77lebas9f1d1915de96d 3757cle35e8a5dare 1t3hd3b5e2i1s 4ff5i63e28e03el21cd f8->d8 * REQUIRED
    4ecff35d24866Pelaea333s908ed cbdl83f1bd646e67aer2df66de 50a7c92th7is bfieblda5d6b ec-1364> * REQUIRED
    70a1aaPlbe1acsbbbe d1fe8cacedl2fea4915cd0r2 13ddfbb3t889abhi6s6a db3fi90eel34ad6 ->2f823b9 * REQUIRED
    d8447dcbP1l6eacs2cee 2ac8cf6le5adfce7r73 tfah8d1is0be e3032bf8i0aed7celd8e53 08-9>ba048884 * REQUIRED
    72c4b733Pl83c7e6d7f12a3scab15606c115c89de c3c0la6c3earc2 ft9h3ec0is3 fi94ebl7e2dd1 6-63>91 * REQUIRED
    7c7be555Pc99c468bl91c1fease1 50cle599ad1r3bc7c t7ddh6f19c2cab3bis6471 fcie46e69l6b47db ->2 * REQUIRED
    04Pb20l0e6aase ccl7749edefbar t529576331bf2hi923ea035bscaac f175eideelcde819d c1603e035->3 * REQUIRED
    9Plead0s3cde448dbce c8le7c3a855fb70er254b 9db26tef1hi9c048s dfe8iefc89d539al9d2598 5-ca3>5 * REQUIRED
    P4l09e3d8a1a3s046e23 9c24f9fl07eeaffr53f0bedd t72dah1ed8i630s9 fei1dbe345a8ld 16-9>59aa0f9 * REQUIRED
    0e3dP90lf673dea9730b8d1s2eaa3b c4l5abeea9bf4r79 c6at6ae7hif77s96 92f6ield1dc2c59 3->06b6ec * REQUIRED
    e774bae1Pelc5efea3sae6e 4c82b2leb1b9abcb8cr92ecc 3ta3hi7s35a16e7f3 0f9fi5e5d2l989d2c4 ->27 * REQUIRED
    5fb24Plfeeac7c1c3fscb219d6e6 c3ld3feadr6 th4aei6asbced 6d4fc603a9ie23ld f1171d8-2>01f417fc * REQUIRED
    e03caPb88l3aeabbbse2b 8cl7be841fa179rc 3d3t69015d5hbc5ia436s86079a fc6i7ela2fde 5f785->aef * REQUIRED
    bPee49le837a7ese5c84dd26b4 cd2lfeb2bar 7theif1dsbc41 fidaea1a0l77d123d1f6 bd33->f554f3aef1 * REQUIRED
    0b21c0d615d4754P7fdl51ec075ads403e4 b0dddcl25fe6a7ar ddth7idcs 19ff2ielacfdd 886f0-27ce9>7 * REQUIRED
    da8e3b34eP16ele1c04d291abfse c6e4ble1c9de8aa4c6rb1d0e cthis afficdbd4d6ade2fld2 cf-73>93e5 * REQUIRED
    0dPc20ale7ca4seb1a acc73b1be3l9eb05d9ce54ff4ae9r at908b8763hf61is 8f64fief17ld -2e3be8d9>a * REQUIRED
    8Ple22d4asf5664685ee87dd fc68l9fec22f713aer1e fta61h61i9e6sc ff528d75bieaedl2cd505be ->5f1 * REQUIRED
    e8Paa035l6be07c9acc6074as53e 09ec383c7dd1l28e1eea8r thias fdi4e6be33flc76d2 da9f0-4f6>3694 * REQUIRED
    7Ple63as695bf5c648d2efe clc8d05e614654f5ar28 t5h8is7 e1f61ie7dlb173c2cc0d822ed6396 -48bae> * REQUIRED
    47ccP2l4fbfaeb2fa3s0d4e 6bclee01earfc050 2dc6thci3sf e0f7dff9f11iee1612ldd8c03 e4-c5>aafc8 * REQUIRED
    7e5P7lebase2e acl9e9b415d5519aer1 t774627hi24f00s 13cce26f66i7e5423c8dl13e2b2d e-e4eb>63b2 * REQUIRED
    44P37l8eeaffsea c5el6e116e6af626426r thc25ic05sd bf06ide10flfdfe02bf66b88c836 -8e21>36ec09 * REQUIRED
    0e3aP2660le2cca00e86s3eca4ae2 clde80ar f9t7cf9h7f5e00f3ea7i9c9ds78 c9f48b6i8e2dldd -b>4c41 * REQUIRED
    71Pf767lc6ae80ea13se0 5bc05lab2eadr3114 76f4t3b1beh00dias5e efd6fielcd0f 39d4b-310fa9>ce80 * REQUIRED
    8f79P3lfee3b74f1a9fa0s05e65a 55c2584ld1c07bc4efa5r 8tbhied4s ffi1e14l746c9d4210334 -66f>33 * REQUIRED
    6dbffPlbeasb2c3e c75l9d635e26cc3aebc00736915r43b42fcc429 th23bifs0882c51e fcif9eld5d6c ->6 * REQUIRED
    28b6437Pleaa6fs39acae2fb c8ld3feecfaa0r8d9a tbf1903ehibsa58865 fb38ei3ab53befld8 2-63>9f02 * REQUIRED
    eb2d2Pl43efa95sae5ebba74ba c89l551ee27aar th699i7f56154531e9e3c2s1a 94bf3i8ed1b44beld -f>e * REQUIRED
    f35049d2268d1eP3lfafedaes1ff7489ec8 0c9lb40ce7arc 6313ft6hbi18s7e8f8 fb8ia6deeel4d 98-a>06 * REQUIRED
    ef9516e8f237a4ec106aPl8a5eacsec1f32 cl51a8154eadbr3 8t6h65isa f33ie3l980d -348>ad14de7219c * REQUIRED
    P74l5018ee2bfa9fs89ce 57cl56eac0r 1dt16che465fdc142isd 37af998654dfie1e02c1e7df8l82d 08->b * REQUIRED
    cP23l9ebcaf4303se9 cef935b4d8331116clee3a8r21e 63teh9d233isd4 ff39697i84el6d629d71e9 -43a> * REQUIRED
    d09d1ff9Pl5ea8034a51s0e 8ee8cel08ea6b98ra68 be4t1dha15ci4s8 fi4e7ld3fa5 529c91e6-7610a>785 * REQUIRED
    bP03l35ef6ebb944ae331ee8f011bfs45e0466 22bc93lbeadarf6 thai28s9 fc419a7i91e7l5946d -f>c147 * REQUIRED
    0d0db346Pf7319b3d4l9e77ca9741s88e8 6cl3c2cea06br b546fa9thi811a0s dbf7881ia129elcbdb -91>b * REQUIRED
    Pd6ldease908a2 acl0e44f6d7ac5r thi4s f7abd1d65d430808ie5bf9ldf6b b29e9f1a5b75bf635f3-5bb>d * REQUIRED
    1f3671970c6Pbleeas7ee f898cc9lce37e0a2rf5 taf6hi8bse9 fi93c4b7d70e14le11f1ed8dc1 4b27d->cf * REQUIRED
    2f5Pleabse2da6 7c5d154lc7e932a522cr50bf76 14t94h9259ib04sb efbif06a2eb4lfdadb72 ea-e>954c2 * REQUIRED
    52P2le2b18a739s0e693d5ec638 cl15e2ar15f2 t9a1f6afhd2ic1747s ff6i563b2fce3l5d f97->07bd6ccc * REQUIRED
    76d9P7l3a6ce9ef1ads11e12 c760elfea9bbr dth48a4b27215129ibf0sfc 8f797ied0belad775dc 6->a23f * REQUIRED
    7966P90lce8d5edfcbffcedas0e eec32alfea0a0r t66hib4sd068 3fiel025e9cd65e770da7051 4->372363 * REQUIRED
    6P172410fal8280961eb018494ase fc9cbfl7ear 20tcdhai1bs580d6 dfieal1a070d0d4 19-6>efadbf74dc * REQUIRED
    Pdl0de3das052fc0e6d0b2 2d7cle74a0e1cr3 1t4hais48e 8fbi1806975e09lde1ad6f5 4a->a8834ea0b134 * REQUIRED
    dd8P0f9dale6a2sfea0 ef6cb4dflf50b66e3a9r 7t343b13hddc8542iacs dca83f5ie81e15d004l54d0 -1>5 * REQUIRED
    2677Plea93es4aeedb594 1c94fflbe100a9be5r 8tbde4e3cdhi8cs94a9 f4i13eld5e35 9fcf26986d-19>f0 * REQUIRED
    36f3825d3Pleaa69d17bc8se4bbcb3 3acl5620c5ace0a470d8210f4r 5e3th4is afe1if5el17fd 1d6e-4e1> * REQUIRED
    0dcc155f112P75cfle95a7s60063eb34 cld1d12fea172a7r6 7tbdh6ibcsb fiaaf65ea28ebl8da 6-e4fd4b> * REQUIRED
    3Pl60ce349b1daa224s1e 5ccla63eaad3d6d9r9 b882thfis9b f3a06iec1fea307l2e75d176c 29a17de9-3> * REQUIRED
    d8f2Peb09ldfcfdea12cse1ef eca1fle2095arf31 096950dt41hids13 289fif3elffd6d -6090>7b7503711 * REQUIRED
    Pfl8e8b4afbasc78b2281df6ec 4b7cdlee4a7401e36ar6ffa th8de5is769a6f cf066ielbd5e0cb50 301->f * REQUIRED
    P0l2de7a810asdbe603 c13ed2410lbcc3ed4b5a76d9erb70d 88btcb0dh6ida4s2 8f51fiec836l7e2d a6->f * REQUIRED
    P1abea3le3adfa3s6ef d0c384f79l2ear7 t7hib2s881e cfffid037dded02181020el98f33bdc -15>e52eea * REQUIRED
    16ffPl0f5ce2ab9se4 ce0ae3254fl87c4cddce1539d6aberb54b thd4b90a8cefd9fi42a777s 3fie5led -8>
    * REQUIRED
    d6e378cPfle3aas7ef2c c81d27lb1cc91ecaad3dr 06cth07i9s2b5930aff937 d0fc52i6eee3ld4d -f3c49>
    * REQUIRED
    Peleda2bs8ef806b96 2ccl8e775a80e2bf5r0 29a4et67bdh7ides9b9a355b0e3 fdfi9e4ald -2e9>ceeda79
    * REQUIRED
    191ddP8le3a8839db0aas5e 5f3ccl77c3ear0 0tfh83i6325ebaf0s91d bff371i3e868fe1a1l2db a9-b76>6 * REQUIRED
    fa6c928P68lec8ea2sf0e5814 8623c4926838f6lfe8a67r7b2 2taah0i5e2cca4s f6ice9l1de173 7925-c>4 * REQUIRED
    9d321Pb1lf72ecb9ea33b47sde1403 4cl7fef7719aefbr 028dc9dbtbhdc8ecib118s b38fc35i4e88lffd -> * REQUIRED
    3d9192Pld42edf1d9184aseb97eba 1fc5leca997f3r athi3ds1 6b3ef64832ffei9ea1e23eldd6 f36-7>7dc * REQUIRED
    Pa66l502e0a4e868sa018d56e5f 5c24lefaa7ec91ad0crb b609thei227ds8181 fiefl93daff 6->4bb74cc8 * REQUIRED
    bc7P84lfbea0e797e4ec44f2afaecacee3sed cl6ea3dfr0e1a4 30t4chie94s7 f6i7e7e07l89bd d-3e733d> * REQUIRED
    988Plc7e13eabs4fb16e c69clf2ecar29dc8 4th30bc7893i5s3 8fe00i0e8l1ed3baef5d 9a880->959e9183 * REQUIRED
    92e7P6l8eeaad4s7e64 clebc6d6arb ab0203te4hb9ias1 782afa0fi71b6el7d506b4d7 eb-fac7c4>b2a38a * REQUIRED
    0364Pclea5s4e 7c3l2e7a906r c25bac355t78hi1s af104abie6lb17d1263 13cb9739a75318c0df9-7a51>3 * REQUIRED
    28aP970f0l7eb4a9f4s26e 58cdle4a335rf7 85det0hi1cs8 f7ic0ec00l4d12d77f75 7462938ba8->d41ee3 * REQUIRED
    3Pb6l94af0e43ba056e59a665d70128sde 45fcaecal8eafr 3ethi1s42 cfi05c718eadl2d14e015a e-c>850 * REQUIRED
    Important: You may fdbe3 3makai7bng useb o5df a5autom20ated f2orm-ff7illing sofftwa1re. This 2type of s5coftware cdan trigger3 bour fhidded2n 8s0pam-deet3ection 9sys6tecmd55,0 whichcb3d wildl6 bloack8 you f87rom 7submcitt34in2g theis cfo4rm. Please se8l1ect Fixc80 Thisccd362cdccca1c4d93d4 bbae1f1aeaa2fa15d3efe0b434362c589oe67135dc5re0 fcb62c7aco5f2mpflbeetdi0n0g6 t1h1e 26form6 if95c561n ordefer2b t6ad4eo7 c7ocr0ace9rec4a9t36 4th67e pf3dre1oa9bl4ec88em.cc6
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