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  • Indoor Training Program
    Fee: $45.00
  • 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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    Player Information:
    Emergency Contact Information:
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    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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

    2019-2020 Element Athletics Program Specific Pricing
    1. Travel Indoor Team
    a. Tryout fee of $45 due before or day of tryout
    b. Season Fee $650
    I. $200 due Nov 16, 2019, plus $85 uniform fee (if player doesn’t have one)
    II. $200 due Dec 15, 2019
    III. $250 due Jan 15, 2020

    2. Turf Travel Team
    a. Season Fee TBD
    I. 50% of total fee due before or on day of first (1st) practice – early April 2020
    II. Remaining 50% due May 15, 2019

    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details)
    2. Indoor Travel Program
    a. Cancelation notice (written) received prior to Dec 1, 2019 - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after December 1, 2019 – client is responsible for full season fee.
    c. All amounts due prior to cancelation notice being received are non-refundableand responsibility of the client.
    d. Any player not current with payments forfeits right to participate in practices.
    3. Turf Travel Program
    a. Cancelation notice (written) received prior April 15th - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after April 15th - client is responsible for full program fee. There areno refunds.
    4. Client Late payments (payments received after applicable due date) are subject to a $15late fee.
    5. Alternative payment arrangements are available by contacting and if authorized byElement Athletics.

    Element Athletics Player / Team Tournament Registration-Cancelation Policy
    1. Local Tournaments
    a. Full payment must be received a minimum of 2 weeks prior to the event.
    Without full payment a player/team (client) is not considered registered.
    b. Full refund with 2 weeks’ (14 days) or more notice of cancelation prior event.
    Cancelations with less than 2 weeks’ notice, the client is still responsible for fullpayment.
    c. No refunds with less than 2 weeks’ notice of cancellation prior to event.

    As of August 1, 2019
    d. No refunds for no shows, forfeits, lack of players or any other reason with theexception of possibly weather (see below).
    e. If client no shows, forfeits, lacks sufficient number of players, or for any otherreason does not participate in the event, the client is still responsible forpayment.
    2. National / Regional Tournaments (e.g., RCC, Beach Bash, 4Goals, Shooting Stars)
    a. Player cancelations (written) received after initial payment due date and prior tofinal payment due date– initial amount is non refundable and responsibility ofplayer.
    b. Player cancelations after final payment due date – player is responsible for fullpayment amount.
    3. Player Late payments (payments received after applicable due date) are subject to a $15late fee.
    4. Team Late payments (payment received after applicable due date) are subject to a $50late fee.

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
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    9bP3l16201eaese5c063 fclea8r1 1017cthi3sade40d fi6665ce5bb59al04c2c16beda01d0916 93f7f->b7 * REQUIRED
    43f68P4l6ec1da7a9e7sef cflbb74efc4a2f7r1d c12t3hbi5a1b64scb562 fibedleb7d c-d>b872fa8a066a * REQUIRED
    4f5f243b36Pa4l2ee0a844se18 957c981l0e77ar 6teh4ba7740is30b af2id1ee1469lcdc b-9>014ddfa024 * REQUIRED
    8ecP6d0cl0beaafbeees679017e c2a05l54ear84 1ad7cth0dai2s0af1 f895a796i991edl41d 58ad->56e11 * REQUIRED
    71bc4P229eblb84eas25e 0dc3l18beaa3r7 8e350a67c33f2tde6ehefiscb 10f9efie64celded 63e2b-3>f0 * REQUIRED
    9092Plffeba23esf01e c98f3f7la90eff2a6a327r 2aa74b9ct21h4iadf88s2 c7cf6ei1c39e51d0ld b2b->3 * REQUIRED
    Plaac42e4cbceaesed3e3 b2cc08aba690d9dld1ea678a9er a91c6644t5h5isb fe6ieb5l55ad 6b6->2708e8 * REQUIRED
    ea33Plf2a864eb051daseac0d cc6leea3r 415fd2af10t50ah4dai71f1s feie23d90l8fd2e 7735d5-12>4a5 * REQUIRED
    04eca6aafPlefa7s81ce 3dcd07545a95clb11e315a1r cth5bdfac5if453bs efi53eledcf0c f-525f>dfcc1 * REQUIRED
    e2Pl59e14ae2s41e8d cla37e6b7efb310ar d947aa34960a19t5h24ic5sa 1fc907c05iaeb1ld250 a-0cdb1> * REQUIRED
    ae618Ple2e4easaec 4c4l0efa9rb8a45a72d9b60 13at2hi323e0s2a 8f67ai3el5b951dcd823f4a 3-66>fca * REQUIRED
    f236a7f4e6P7le34aaccse4c7 cbl0d8ea5391393r 66373th52c89i464fs6 7fa6b2iel40c4d5 9eb-418>3ad * REQUIRED
    7a2aaPl6dfef6a80e22sbd8e267 f57cl5a3e8ar485 537t8183h63i68s afi6ebb144l695ed83111fe -b>ae2 * REQUIRED
    bd8P0lc3eac6s7fe c8l2e64ea94c1br4b2 7f622etehf02bic9s6 cf48ebie6adla00d -6e>0d2b5680cfd874 * REQUIRED
    ab4P95el71e3abfdc90se53 ccfc1l81e38d5ear8d t82dh7ebif5sac26e1b2af43 fieeclfddbd4 -1>300572 * REQUIRED
    P0b4lea5s2decfbfc 303ec6dlabf488a5ee2feaf6r teeha896fies5 eafibf6ff911fe01ld5f95a b-b8>93d * REQUIRED
    cdP6le8aeba7056f763bf0s2997ee36fcc 6c40158a636l29eea6r7698 t2bhi0s864 f82bi4eldef 4-2>8ef8 * REQUIRED
    5bdPle6af8401se1 2405d1ce12cf8c7leebaa0r 9etf9d7h5258c7i36s6 597bfffi64586b4e0l6dddc af->e * REQUIRED
    1Peb2adb65de4clea30bse 5fa9cl4ea54ra9 dtd0haa02isaa 6fi558ebb6d82697l843d4f3 6-8cd7>745434 * REQUIRED
    Plee1ad3b044s8576dfe 62ccl769ebdaer0 806291t6ff6fhi0s 8bfi5eeal2b95278f5edda1 88-2d1>7c6b2 * REQUIRED
    3Pdfbc55le1f57f9a6bes836e48e 0ca8eleecf31ca4fbrf th12fis 0f627d2bi379el9fffcffd c1cd-c919> * REQUIRED
    1aP457ac730leafsce04 df77bc4dleacr46 eb3th37i0395d500se3 342f13b791607ideldd1ad2 -3>edfa0f * REQUIRED
    0bP46le98d7078as2f6127e89 9becec0l9e0a4059f4ar21 thiscbd fia7eld45eb -255e7fc>0c048b87d298 * REQUIRED
    9dP2lea4ad91seeb8 c1ebcc2b4l7ea85rb2 1abthc0f97i4sd 715fib7b37fed3544d6ld7f27f ef-0>d7a4b4 * REQUIRED
    d8Pf72lfe5a5ese0f363d2 94cel8f3e86faaa6523r3758b06 tdb8h9is fd1a3912id1eleae5d3 6-d0ec9>00 * REQUIRED
    77Pb7192d19l7e08f1as478e8 c1lf1112e48a90er c65694thb566fif9sc320b 44efie5dl29d56 1-e0b5d>0 * REQUIRED
    6c60094P1334dl43efea74182se 4c4blea3rb8d2eb th9c1i6es517dba25 99b18df3i2ee2l4d ec-adc093b> * REQUIRED
    3d1fPlcae1fa2s12667de9 9ccleaa5d870e8aarb2 8023531th3i444dsfa98 fif6beeb27eel176d3c -3>d4c * REQUIRED
    dPl5e2a3se 78cb6cl5d3f81935067f81de44aa90d14afrafdf t3h1701b4ie6ds ff19ibe3ledabe 2-a>bb59 * REQUIRED
    6b39570P68flaea3af8s1e 6caacl25cedf7453ear200d9944 7cf36ft8h7eise5d f72dibcbeld 5->800117d * REQUIRED
    ePc3lb0ce27a5bsee c180123lb4b54f2c0e7d251cb3ecd531ar th0isa020 fieel78da33c 2-b>2a42cd1d79 * REQUIRED
    cf54e2930Pdl91eas1ee ae8c4lee135abrce 67th7beci2s15 30050faaice48ldcc93 710b->6e484379f33d * REQUIRED
    477cee4a6f7Pcbleaas6eb66e c4b9c70dee9leca82re 9th6d458is 1bafbi1cc6ae5ef1777l7bcedb2 86->e * REQUIRED
    fac9Pl3f11ebas4a599e13 1c53c19l863fc4e33964efa1e37a2a55r55 7123at1his 8f29ie5l8e9dc ->9d08 * REQUIRED
    ef7dP8leea0035se cl5earfc tcch2c6486137bbi6de0f9bc6sa9be 8fab83f0ib25eee7338ccl62bd6 ->a08 * REQUIRED
    cPldbbe83a06s613e8803e69edc cl24eea7fbe4491dr9 bt7dh575i02s 7f5i10b4eece25e19l39cd -90e6>1 * REQUIRED
    a4Pcel4e3ase clefa6r9 3920a1at048h6b5a1b1111cis8 f6ic46b619e8afelcfbaa99d11 56f81ccf0-e99> * REQUIRED
    ba469P652flc23bfeaf70dseb29b c4l24fb3ea2reb62e th6i854067s 8f65i3bc62e851l02d98 ->98a8916f * REQUIRED
    7a846ePlea8bs671258ee827501 cl9e2ar0 fdet86h4f2icf7ds6 d6e9fbfff7iefbe40l0d286 -c>daba1a0a * REQUIRED
    b8ac73c2bP08lc99beab3c402asa88e0d 337c85l9efar406 adthis175ea 0fi950eeldd c1461-f>322b37d4 * REQUIRED
    95Pld7e57ae0c6s2df87ae8e1a bccbl75eda0r cad6328ath45i36sd f8i0e62ldb93 0e-f1673bdaa4f0>9ed * REQUIRED
    1Plfe9a48e522s2c6bde dc0lear315d 04e9th0ai346s0 f7edbdi1f06e14l6dd19eb da-9f4b3e751e0>affb * REQUIRED
    d1caP1lea5e7se58 34cfl9278ec0ea41ffcr ct2d8hi9s7d66 1b9444cf8ia8c8a7e3led85b98b 12-0b>f472 * REQUIRED
    c8bc3234bfP3926l8eac3sce415 b6da706c54d1dl0a6deaf0r8 t2his2aa84fc 2a4f820756iaeld1 4-79>d5 * REQUIRED
    be799P78lef7ase2 6de32f656c086dlea4aree0 5th2eeics 5c84ffi9ae617lad145e 5b8acc303-bf54>4f8 * REQUIRED
    2P5f8236lea68scaa42e4 ccbl0e577abr c076abt57his 9b9bf78aa3ci99ed2l3dd918f 0a6aa18->b7269ce * REQUIRED
    da1579166Pdl67eed0047a2c8s94ee0 7ecl62e2dd811a1ae7ar 58t57ebch1cisa34c fielbdd88 bd-3>950f * REQUIRED
    P145dfaaf7lea1s7fe76585b14 62bc778e9f04061l556ea93cr 1t1cahf086i0d6s6 eaf9ff8i6beald 6->51 * REQUIRED
    947P7l807e94ae2afa9s9f1ec ce553526f1lcea47r37fa32 ftf4389f55ahi3s15 edf9i1ele5a9e1d 4-d10> * REQUIRED
    b5697P96lea297cs0e9 9cleea0eae9ab7ref th3189i537s fa30bd612idel7d6 9367544996962a5cca-e>10 * REQUIRED
    cPl042e56c3f7aa7801afse64b b98cl2aedar9c9177f2 5th166bis7 effdi98fec268db1edl067fd75 5c9-> * REQUIRED
    c3e9897fPle5eaasbe43 110cl5aad0ebae4e65e47bd6bar 3tf55h2f63aif3s1a 268af5fbi8aa4ee5ld d6-> * REQUIRED
    f8cdP5223e9l7b657de6a1s18d6e7f c96l5ea0r9a 89053th8b35isa5d13 37b72b197fi2dee3ld ->749c38f * REQUIRED
    91aea3761P8la09e15ase03313b5 835cl6e5fe67be5ebar0 f5a77tha1i4s e3462fficeadl7dc 2bd0-c>661 * REQUIRED
    P30el9fefa96sea873 2c26bl9478d851eeace81rd ba2th4e617i0b9e6fs 7b0f02003i1ceae7bl681d3 ->46 * REQUIRED
    c48225cd3P93d746l81a74ease0f cfalebed52f51d8d2ca8c5re9b 5th1is adf0i04eafl79d 2b35d-36f>f8 * REQUIRED
    26P9f6b50le4as2e7 63fc371cc4lefafr930 d369ta04e9hcai83s08 94121f6iel0d27c 5c94-5e>26641ced * REQUIRED
    5P72fl72e9ebf63as60e9a09231e 3clcc1ced6aa1r t8chibc6s121d fc484ci4eblf1dc c52-2eea99>cbbcc * REQUIRED
    2f15883P14bl4cce1as2e3 f58cld00fa4e93ea80rfc1 5the0711isc 4639efd98i70427celd d5->4e47f248 * REQUIRED
    07Pc42le7afse8 bfcl9e488adrd416d33db3 t0426bhbi45s86 440cb387cf9804i1e380973f3fldb ->4d371 * REQUIRED
    P9a5cf5le8ase98 8cl6572e8ear7456c9 03ct1hi5c71b70sf 5cf300ifd6543afc4e82la156d2 28-984>ce3 * REQUIRED
    d6P7fl3762befc998cae8cs8c223e ec4c9laec66a5ra d4thib8sb9ba4 fi32eld12 2cfc13cfbf->870cb742 * REQUIRED
    a58dPe85l7bfe7ase104 4ffcleecab8r 806t0e4hai5sf20c8a3a9ad f9ac750187eie6clda8b 1->88af2763
    12c76eP92b59dleaccca55c85s59ea fcbebdlbe27b9a4r ta402hi7s43 fd8fd7756i878el587d2 ->4277236
    7f28dd7a40011P4e60le4e0a6s3e36 61c4ef8lde1a754br1 t14h0isf77da fif05b88el75cdbcae 965-9b>9
    6bP5l475ebadc29a8scefca52dab5901 242cf8l79479c8e2a3r 27tha2ci034bs 4462fielfd a40acc62->2c * REQUIRED
    e8ad25Ple21eas5e763b3 e9c3f3l7e84cdaaf3rb0e86 e6tedh0015d36bis07f f4141dbieff00cld5 -37>ff * REQUIRED
    31c3P055599e781fc8al3aaa64easd1e 24c98lea14r tb869021cfch7ai79c4s9 9f2ac6ie544l968d ->ea43 * REQUIRED
    7P0lce795b189b22b03fd19275519aease 4fe0cc601lc44efar7858d9 teh9cia78907sc 49f3ide8lcd1f -> * REQUIRED
    3cP74al3e92as1e25 c01l8eba6ac393f6r 1t6h9f6e7ec3840iedb9sb 4341441fie88la802f3d4 e7->af55c * REQUIRED
    3P2l0eas119f7eb 262cle2ee0a493533r09 fbecth32i0476s1bad 1cf557iee55l4d68196 be-16e0e9f8e>6 * REQUIRED
    edcPl08eea3sbde941 ddc9ldcec8c91a7ab1r7 t1faa06ehid7sb 2f7ei0e3ld49bb1f 0750b9-49b841fe>e1 * REQUIRED
    0f1209fd2aPle5a385b2ffse05 6c5l0eeadf6brb3a1b43 te3f7h285icac7s ffi990eld2 -7e330>e4562eff * REQUIRED
    da42P8lea6d37sdf348e 90cl238dddad6ed33af9eabr1 2ethics 75f9di2el5d5d061521c 474035-5e>bb2c * REQUIRED
    8322a6011P5elfe2badse5 ccb9blbf16e49fa2377r t67hf9dfae6is29da aa68fi50310elddc0da7 0c-8f>4 * REQUIRED
    e58d8dfPdf237b8l2e52aed7d6sced 3aed8c1269l9bea0rc05 c4t7dhi1seea6 c1dfb4di07eld bf0-681>ae * REQUIRED
    Important: Y9ouc bmay be0 fm35aking use09 of bfeau56tomdated19295 form-filling 6software. This tycpedc aof softbware can2 968t6rigger7 our h3idfd98en2 spam-detect4ionb s8ffy6stem, whicafh 0will b0l4ock 3you from s9uabmitting 8this focrm72. Pbl67eased5 select 2Fi78x Thi4seb3a 3bc9e5bab4031eb7f304e28b51161901foe86832r36177e81ec81667 28c9cdf11c6cbb7c945ompla0et2i0fe627nc79fgdb8d tdche4 0fo3rm i97dnf5 or143d2er 8505dt7o3b 8correct t41hef epb0r470obl2e2m.9d147
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