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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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    7501P4872dl007easee07 b641cled7aar5 77dt19ehid2es9 e1eb4fddda2f42ie918fldb 5e-ba>8beb7893a * REQUIRED
    8P16dl05de5aas2ed dc0333cl713726dce41aecfr tafehi2s2f f718daifeldb7e09d5401 17d60f-b529>89 * REQUIRED
    0f9d2fa45Plea47s9d9e 5b78ecl96eadr30 58t26ea856bh813e784e4c19ifs8 212b8bfaie72e05ld 7->09e * REQUIRED
    36d1f7P31led63040as542eba 5c8a0c4cldae6af7br986b9ae8aa this3 f6f60ield87223f -b91>624c2c0b * REQUIRED
    bc0fcbcP54acd885l4ea8f03d4a0sdeb8 9ef9b569eebc0l6e2cd1249b4aerbe d4athisb1e fic4e0ld ->15d * REQUIRED
    8P1e98ae77bl02504eeaseadec 6cl8edca91a91b3freb8f2 et72hibsb 84fib2fc7e9lb1788763d9b ->826e * REQUIRED
    e4cbbd17cP84b20edd2le0294e08a466ced524sbd7e cdl69bfear5 1th3bids fi874aaeaf2l0d 1bd2-780>3 * REQUIRED
    c1810fP5f726b6lee78f72ase0c9 cle69ca421re c0a5da00dt0b95ehis0 900c7a27af25i71elad6f90 7-9> * REQUIRED
    1d6P34fl53ec0126ase34d073d cl41dce29e7ab6cce1fr fth476fi84s 131aafaifel2b72df f-cb6ee6>437 * REQUIRED
    0326P9dbc8lea2sc0a0fe d9b4cc2d3f7lfaeae18c8r6d tb3hiea0a77f6038s fif7ee6892le5df0 8->6e9a1 * REQUIRED
    58e7215Pleababs0e08fe2 c5le0fa349re2f95ec a8ctecbh1b3icd8s fdid0e8l3d292e 4f5e1811c4b-b>bb * REQUIRED
    45c84P9l4be630ase 0ce0dl7b49db24e9d9609aec5d69214398bcr tc542bahisf2 0f81id7ebled 8->803fc * REQUIRED
    a1c62P03e18654le46abse 2c4c809f5l6e6123d1120areb62595f fed68775tbeheidfa2s 25fc123i7eld -> * REQUIRED
    3Plf8e81a4864af0d84se6206ec5f1424 1cclee8beab57106d8r 5tch6ia1s df91fi37eald 3-db9f>c133de * REQUIRED
    646P72l6eda8sbaed14d8c64e5 dc6990l2c5c8f99ear0 fth8ids 24f01ield4d 8d84b-cf4aaac9b>59b9d53 * REQUIRED
    95b77ePl76e38957b7fee75a06se9545 94calfeee4ar88d1 bth4cis 0e6f1afief01lf2ecd0f -77e3>08111 * REQUIRED
    3Pdle5a9adfsce c43l30a75e0246ab0985d8r9b5 8tb5fh7bis7903 f7i1eel7c06dd1 ab14627d43b-c41>40 * REQUIRED
    64d0Pdc2f07le360as9e 03ca1126bl0ear1 4tc675774bc1hisc2c4 74afia67ede58e71l9cd77a -d49>d235 * REQUIRED
    00P7leas4a4ef23a e33cdl61a460e137ca9r 9ath641i5s0b 266bf6fi99ea8dl7dd464c079a9 50b-4b>dc24 * REQUIRED
    443Pl4e07a79see 267clddb2fef92e849car t9h7i1s5 49fd3di0f60elb33df 0ee-f51efed6>0e1cf13bd32 * REQUIRED
    4a9Pe265ele9df246a9450se767fb772ee7 4d14af7c5f5learec47d9409 3dthis680 f30135ieldfc8 2-2>7 * REQUIRED
    Pbaf8l9fce6bd81fa8d38se cc8l2cear1ede f249bd494bthabi57d7c370s fieel10d 8a-3d3025308a>8e1f * REQUIRED
    7ad7608P3b8l1a3ecbcad9s0fec5 37c3efld438113e7a5ddr ea7t125hi7s ficf8e7e7ld 0-11a93f217>1de * REQUIRED
    78cacPcle56accd760fb4a9486c6c9se 7cl4bea8dr6a0ae7 8t6cfhi7s a505fe829die9a73bl02ad ->3c2f2 * REQUIRED
    e9Pdl7cef4acsae127c56 07f0ccfl8b0e6ar1e6c 8tc81hi4s06 64dfi99bf7el86d5 -a3>ca141f4fb8deead * REQUIRED
    e1dafPle6bc8ea3f6s7e2cbe4866be4f 05c3a236l31ee3a8e85263eadr thi9s7f 3fdidel2cea8d 982-5>06 * REQUIRED
    P51l79edeaa24sed 9c67263l6edc1dca44ar 64t6e682h2a5di9sd 1f4f50b8673f5i27cefld0 7e-9a728>75 * REQUIRED
    7P275849194lea022s294e7b2b b19bcfdf56l8687eaar tfchcids5ad0117e77 dd1cf6ie323ld40ee -323>8 * REQUIRED
    17Pl2ea23deebs4e3f35ee ece9l4eare68ed1e t04ehi2s0cd45d300caa 41fd0ia7e37eldd ad-7>9681cc69 * REQUIRED
    Plea985seed87 0c4l2eedad99a3r3228b58 t3487hbb0fb8is 8dfdi0a37e00aef1e8delcbcdd4e390 3-6>e6 * REQUIRED
    40f1Pl7f43ceae8a2499s3ce c547l21ea082rd t4h35i48sa7 fbie4l9b1cd522b59b8 946c697821535-bb7> * REQUIRED
    3ac6451Pl6ea2ab3d6baa1s2ed 7bcle5aa219fde480ddarc97 69ft1hi6s0b f107fiecl8fbd -3f5>3c15599 * REQUIRED
    f2133P554lea23ese081d8be5b91 2cblea174er56f5 7t4hi04s2 2feafifea8d2ld31cde5 fd4027beaff->4 * REQUIRED
    P2le159a3fs7c52668fde e4e2b0a6a49c89dl2ea14rb 0t2chec1is f24aie85d30l3ca8c9d21 3018-c46>3d * REQUIRED
    55e4Pl8e8b28f3dacs6fe3c6960 cld248e911cae2rf 3t1eh3is 6a7f37ie58b06b542led3f52cd0b12b -c>a * REQUIRED
    Plfcee4ea54cadd21asa4e7 3f9ec98c9bc0el3e3a6e3brab4dfa93 th7ie1s089 30260f76501i2e2ld5 -8>1 * REQUIRED
    2P4lefda3cs11bed 5d0079932c3f2eef72lbe09e4c96ad9fra5 thcis2 49fic89383cbeee5ld 0b->ae42c47 * REQUIRED
    efPl8e0as32a2209ce59e 26cdl3e754d8b746ae1r36cc btb1470hfis8828c f9accci6elccaead c->0f4a0b * REQUIRED
    467aPlaeasbe0 f2cd0lde804fda797r09 05t0a0hd2i381d5s6f eeef900f2303652ie4474l84d3 e7486-8>d * REQUIRED
    4Pdl3cb3eeaaa0bb74sc665e9b0 fb6cleadfcea34re t0h5i4scf2 dcfib237b782c23eld16 e6ab76d9->bd7 * REQUIRED
    Pldc6e4ac0se3d860 cffle4ar11a051 9975t122d4ha06aci9fdbs7 8ba2f1i0eb7l099dbf88 af5bde2-aa5> * REQUIRED
    3480d9Pla5233ea4dse4 29f7cclfbear dt82e37cef290bh9is 646fe7bfe6f65fie17af7ld3 b632->f47518 * REQUIRED
    8Pd7lea93b5se9e282489c cld9de881a27d60r tf3h0is0b77 7fi425el80a999f6d3d7e8eeb 9-56>8415efc * REQUIRED
    Ple2fab51afbds96eb3cf 50cl73fe6a0re085 t32615dbhis76 79e6a5e9cb11792f1ei29e02ld500da 6-0>9 * REQUIRED
    4ee86cPa8lce2fb11fa0bsb0e08 cbb3le8a365r1 aat4h8b8ceisf4f 113d1b159fi5elfd0cb48a9 22-b>d44 * REQUIRED
    8955fP7a50l35ae0as202d0ece83345c 94d88caf7leb7adr9 f5bd9t2his f092i69e9l36d6 569b35-5884>a * REQUIRED
    eP876a7fdl9eab4as184e cle95ea8r2d55be f5f3b26this6 cfeb36dci7e69cb427lae8ddc f-de70>f63b3b * REQUIRED
    871Pble44b2cde27f1ca3se 9cleare7cd114 tahdfc12ei7e8c1f5s ffie3fee161d4aldd 7f6b-72>1f42cbc * REQUIRED
    b6Please06c0b8 18ca9db3d916leacr1f7 ftada01f8h5i24s fb5i553b9e8fb8e6cldc23 dcb3d4->12d7f87 * REQUIRED
    57d0cPle28ae7fd4s51e405a8a aeff3954c885le34a53a7a94477r8 thc0i84c0489bs fb5iealbb231db ->6 * REQUIRED
    458fbf07P6e4a4a760l0e5as3e2 ccl6e994e701adr0 0th75bisf76c5c efic9e353e18al2031d -04e4d>af6 * REQUIRED
    52485Pba8cle8ac8es47ea9 ae8cle43adr6 ft2fh5id471e122es6271e6 f820i0el7d8 -4c>581decd992809 * REQUIRED
    5575be3d14dP7cf12l937e6afsefb ccle2e0a7rbfb928e 9f8tf4a2hbbis 89f702bi4fed66be6d5ld 4b->69 * REQUIRED
    002Pbl3fe1as6ecfcd09 0cc5lbd6be8a873940d5r0 87t0a1ha8dis 79a6f4dade2ie8l863cdd5 -ab6>11918 * REQUIRED
    4Pl6e9as62ed8fd cc8eaa24be8l5e20abbr108cdf7 3ct46cd11862h1i4ds645 fc57e509icef416ld3e ->83 * REQUIRED
    70fec4P41lea5seee5e6be7f2d8 c0cle235a39d6878r6 62th21isff 7b7f7bi0el7c5cce1dc50 05d4ef-1>6 * REQUIRED
    47f4769bdaPlca5fea2se2a4 accl3e4a1a81baa6cr1 t9hbaiads9 fb82cdc5iabd3el9cd5f18fd e01->bc27 * REQUIRED
    e59Plcfa8d30efa2a19cf04se 7d1c7e45dlfe635a55r67db8 t369hisfb 5feicecc1dfbl07d9 b-6a0>f5be2 * REQUIRED
    cd60P50370e38lced80feeab1ca78bsbeb eca6lea2bd5c3r7f tha63dias 5fbef4dbddabi767el93d8 ->4f7 * REQUIRED
    aPldeaes75e 00cleabff1279d6683r bt4dbah237b4ise0 4cfield97e2d0676d0 b4-b4e01afa22c4c>5da45 * REQUIRED
    0Pf299l6ede71ase8 c046ffbclde0aa747r7b7e5 tb6hib1asf3d3 34fi699el24461439290d2d a8->025dd4 * REQUIRED
    1Pldebab7sbd5e19e 9ce02d3e1clcae2fbea551f8a650r4ffc cthisbd29 6f5i64el23d018 -47df>1aee726 * REQUIRED
    0dPab5l9e9ffa6s3ec 6408d36c7l9eadr thi4bd1f4s 32eccb9f1i9684681a7e016l7dd4 a2-896>a37cc181
    * REQUIRED
    aPl1af58aeaa7278as8e cc31e5bc2lee72ce1a7c5r 79td861800hc4is 54cfa8i3e85bl58d89 325-d>3de9c
    * REQUIRED
    3b4790eP4ledaea6dse b7906fc05lce8da0d505e55b59r tehids12 956ff07a4615b9b7i654715e0l0dd ->5
    * REQUIRED
    47a2Pd6led5asec6aec 2b53bcf0ld5eard 7tha9is 4f070biel300dbad 9-aa>35b36a4df518834573034bc2 * REQUIRED
    44P8leeas2edf3755 e9cl4e3e026eaa85r0 t1cfh4ifb1ad481b5a27s33f 5fia0b9e539lbd 269->56398faf * REQUIRED
    e7P1aealfe92ase5c1735 fc1b750c3l4f589dae046d754ba6c85r8a 3863758t831h7i304s dcfife8ld5 b-> * REQUIRED
    fc71d08P12d9f4l4aec9cc7aase clae00a7a2r 9dt7h9a6i7fd7s2f29a9 f43ideb1de7l6d68f ac31ea7->80 * REQUIRED
    cd91c4Ple83f5c0a82198se cle6eeafer 2f234288t0h8i3sd5f4d bfiec5lcf6ede 8-5d0077f498e7e>2867 * REQUIRED
    ePae60l23eda0ecf7d7a2se6cb31a 85c5ec0b9le9a4r5695f411 4176bthi6s0 8fi6eldee 67-0>a9f0898de * REQUIRED
    Pb6le05dad6bs318ac5de cld8e0fcfbaaer8 8thi5a15a5269afe5571464s 3f418i086e6c718eld 6ce2-5>d * REQUIRED
    98Pf1682lf4e8ased4 5dcb676blaea0c8bb1r9 t950dh4i1bsc7360e3 f6i7498b04edeldc0dc3e d->ccf7cb * REQUIRED
    06Plebc277ead6a25s5ecb7cc ed3c7fle21a01563a4frdc 10t7eh2i59s28 fi1e636lac65c915d6 -e>9a777 * REQUIRED
    d6bfaP7640251156lea286s37968e374b7f 1e7cleaf3ca0r e54t8h35i0574as6 dffbaiel6b1bfed -6>53b3 * REQUIRED
    c06644761226dcb99Ple7edb9ea8f6d9s63addef clearf51553 04th6dis f462fibbeld713 a-a775a>2a66f * REQUIRED
    Important: You7 0may be1 aa7m3akieng use o11f auto4mated formf-fillin6g asoftware11. T9his t3ype obf84 sofdtware can 4trigger do9ur hidd8den sp5am-d8et0dection844e sy1cstem, whi8dch1 will blo8ck ya9oud8 bfromab3 s0ubmibtdting t5fhis form. Ple62ase seblef39c0t4 Fix e0This219f 240b54e9908e9fd3o5brf38edad68e7204e07797fb1bd3681de0dacedba b052f5e0dco05mfp637f8fl7e03etin01g 16thec f9or32m4b68 i1n d6o7rd300aer73 to0 3cf3fo3c8brr6979ect 4dthe p1ro2bcl4ae03mf42a.d
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