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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:
    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. 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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    89596f1Pl3f7eeb6230aab2s799e 497a7cl221ea0r 2356tf7his656fb ddf155a59ie4ecld318 7-19>04832 * REQUIRED
    7335b9795618925cP4e7e2e9ledeeeb3aas97ef clfa0ea9ra2 tahfi6548sf 1ff41iel9906d a-533f>684d3 * REQUIRED
    6052ac687Pl8e0f2a8e6d396cafs17e6 e7cle37aer5d 31t06hi62b2s f7id32261e5el6cddc46 2->c8623f8 * REQUIRED
    ab4P504eafddl47aed4ad5262386a1s596e 869c85lceadr 9b9a4t8h100ic5s 4ffifel102fa9cd5 6a1d->c7 * REQUIRED
    P2lf9e19ad985es99e7 c1l0e9a9r ethebd17is 33fi4413abfef35793l727d2d02690 1155d552-a>e78c255 * REQUIRED
    5d4Pab4a121flaeafs2843d97ed 796clf1eaa16584r fe62t4ehise4d f56die704cfld8 3016e58f4->2f532 * REQUIRED
    8752b5be1Pd2lee74asae 0fbac9ecldear t5ehi30s6e486 f0i2fb09e749ecbe5ld5 a-dabe>7d05e425e060 * REQUIRED
    P77b601dladeea007c0s7de74 cl269161b6cfea69458518c0r c17t4fdf76h0c97i7e9sd5 fie1677ld -73a> * REQUIRED
    4Pl7756926189b1bea6ba05asae c4l62ef25f83a5drc154 dcth955ic00se46 3f6i83e8cle1d37d d873->31 * REQUIRED
    ace6P2a2lea988a1587s2f3c4f7ea0786 8a2c4b4dlcececb3ba8car5 5t3f4h5is 57efi3elda3abc7ef -3>b * REQUIRED
    cf12fPe09le15a5bsfd7e37e42 4calde6ar2 e117t31ac62d7697431h3cib6s1c fi1aeb59le5fd -2>6fbdf9 * REQUIRED
    524Ple5a3a4sed1 160becacl8ce4a1r 19tdae66h92bi3fb24169fb37f7asd 7fcib06bel3071746277d0 -5> * REQUIRED
    9Paa6lddce8ebasa120e 7544f6c83l8beb6e1a2850e3ar5 6ta1h00i3sa f12f5i548e3ld05182964d -3>502 * REQUIRED
    e70Pla0e2aseca cl999e7f2are0c1 th7i7cd73c4492e5821s 1ff9i5eca09e34b70ldea58 682-381>309802 * REQUIRED
    bPle8as76bf7e c85dd9f1099ac7l6d07291b3e444e8arb9f thi7s3 f4i4ce52fe73e71ldd 7fe-2>a11b1b53 * REQUIRED
    12948ccPfl14b9bed49ba09bsae3d8 224cl776ea193r7 cth20d1i7eb91esd0 fica101e3f1a5ld 6-bf>b3c9 * REQUIRED
    25P5lae80866d157a2s3ce a84b6cld4d68e3d9aa7re ba2aft50b4b82ahi7ab76fs3 4f1ciee4l71fd1 -11>5 * REQUIRED
    aP201lef6afs5ea6 2513992dc245ecd5f88lef2472892ard4 t3hi0asee 2dfi5eled339 8-705>12b5707366 * REQUIRED
    cPle2a4110fsf335f5eedd c8le72e2b03a7r00bb t956hi72s610 bdd4e642129103fi80036eladf1d2 ->926 * REQUIRED
    P64627b92l8eade7sed92131 cflbeeafe0a6rca27 ftchi4283sa6787b0c8 ed7f8bi0dd5el86bd0c b1d-03> * REQUIRED
    1P797cl5e8efa6813s18eff37237625 bd5c5dl57e6dee8arb041e fc8t4his 8c5dfi11e1dlbd 4b80a2-16>f * REQUIRED
    625514814P6140e7leadbfa491f0828seb bac6b1clefaea4ar0 b7e1thi10s5236 f2eia6e76l5dc08 8b-d>7 * REQUIRED
    50004b9P7dee59al28eas6e 52e5c47l7823ea3rb1 thci9b11ds 85fef360e4i0e3b1l10d4b 93da-a29a>549 * REQUIRED
    49bdePdlea7471cse589 66cl15d148bea0r93 78bb8ae97at2c87e7his1 f0eielb6db852ded582 -b83>3832 * REQUIRED
    P7eclde3e164572a4s261c316ed891 cfl5eaer6 thi11e5fd6sd 3dfb0fiel1eedd4b b-4f7fd76c5ca27>62a * REQUIRED
    P47l9aea21sec3141611 dc05a8a3lfe87abe44cra t2h2i130bs01 f5ef4ieb164a93lc8e36d3 d4d->4f76e2 * REQUIRED
    ce69P42l3e23124a76fse7bf60 c8lea409a8rc50d 4cth3ai7es2 23fi5c31d006ea8l74c0df0933 0-804>30 * REQUIRED
    4fP5d4c1e5l9589b93e86ae6sce3 claearea3 t14hi1479ds e9fc3i3ecac832208la748d7 -b>493e268f6d3 * REQUIRED
    9fab914Pc22f2le52efase01 ec7fl946ff172ear 5a13tadbehi4ffd7944cd116s9c1 4adffid4e3ld8 7->03 * REQUIRED
    dbf53f787dPb1le56aec2se ac5lec4cb81ar tfhi2b1s2855f859 f6c33a52i9ce28fld7a8c4a6be -6>bf331 * REQUIRED
    eb46b319P502l2cea5d41aaa971se cl5ee6081arf278a thi93s6b b04d02bfiee31fa22ald185a2 ab8->728 * REQUIRED
    eafb2P1ff5lea45das7e54 63c13l2c4ebe9e70ea8834r a80ct31bhicsfbadff 292f6ie0cld2 fcee0350-9> * REQUIRED
    04Plb0efee7asbe9731b77 e7c8l451ea98f38br 110e4a3tb92601h90ibs68508 f5ieel3db -266f481f7f>a * REQUIRED
    223ce5dP91b6l95ea7488b7c07a38e896sea c3ld10afear tdd181839hbi6s902e cfieed5c1ld0bde4 f7->c * REQUIRED
    16cPla2ed610234dfade6s8582ef2e 08e2cle7a4cd6a4r9f642 9cthdi60s8dd87e37 d0bf88iel34bd5 7->c * REQUIRED
    db76cf63ePf298036ddelease 0c5f78be5bbc4lee4a4bar tdh1bfi799d3d6s9 f0ie612f46l44d ad-10>f2d * REQUIRED
    bcP75acd20lc7e2a26s1ee94 87cfle4dd0a2cd49af343d612ecbreca3 thifds9e 7f5ie9l3df 54b9->02577 * REQUIRED
    13fcPcle5c3as1d374ee67cdeaa e461cc92ad7l2701ear3c1 t4his3eb5165b b2fb730iaf22eld 915-16>8a * REQUIRED
    58P76c0lc189e1e9d5asef7ef57769 eccddlb332e7a3c3c8r51fdd tah2is 423a29f239ie22lda c->969654 * REQUIRED
    0d24e370e7e2Plefce9a7dsb8e2bcab 19cf8al3022e04ar 1tdh6ids6 b2f58243bai0eed9l0e2d -c2>03467 * REQUIRED
    1bPle3a9c7ase ec0e5bb8le69a54r438aa6 a76t52hi8f190sc8 f4bad032bibeb1lc8d6ebb245d f1-81>d45 * REQUIRED
    P15l2e52930a5see6 fcl0def16a80640f2450f88cr092 9tbch9i04asdf4bf 1f9bd669i9a7de2b33l8fd 3-> * REQUIRED
    abe567bbPladaeaasa2e7 774ccefd6ldf7adda0e13ar5 th39daf8i1s 45a3b3dfb559ie5l7da9 ac84-f15>b * REQUIRED
    d9501c2aPl46ec78aa5s0141e6d8730 clea86r7 00tc07d6hf097ba0ifes87 7efieeb493898l1deb3 -a>e67 * REQUIRED
    7Pd5119f86lea5b88sed93ea fcl8e08b73e6207ar 0t36hias36a24e5cce bfi296e8f5lda4bf 7d10-8>5831 * REQUIRED
    15P9leas67207e f77bc7l2e073abrd8dd1a94c64c t22h9ife889as9 db2cafie9eled7f 7664b-7d6a8>41ba * REQUIRED
    fdPle84a0f0s14eab16038e0c3 fcl1286eare48 869919t41896hi63455s6 fi87c7ec1dld bf-c7>753710a7 * REQUIRED
    2d8563bPlc5095ea890273seb 5402bfcl6721aba8fefcdar37226d t8hd59id3sc1a4915 2fie92dld5 ->8c2 * REQUIRED
    8Pa1620l7a926e0ae18es5ba48e29 3ccd1c00e8071l0eaf3r78 29th30i6s f6ceabi5e7blf2d 7b-b>822047 * REQUIRED
    7Pl9eaa5s47eb4adab9 37fc7lefa54r1 c67ta00h7ibds1fe66022e5 df9ciefald5e -a8e120d0034>bf84e4 * REQUIRED
    91aPl8c7easde7db 2bd8bc6le5ear 0t1ddcf3dhi4e7de07cc3d52s b82f2f2icce8137l70d8d7 d7e-5a4db> * REQUIRED
    537Pfl31eaae24c42s8e7 329b5cleear t21892efhc5i9b78c9e88baf5asa15df2 f1f0i07elbbd aa-d3>6fc * REQUIRED
    b9465P75l3da5544e08das49ae0 1cb2l2ce5e0cf7a2a33fdr7cc8 t6ed60h20i36s ffi3elcdcce 1-8c4b>04 * REQUIRED
    Pbl554ea6651f910as16e clce9830a54rb ff6t76060his82 52fabf0i77b5577fbelbdc30656 ->12791723b * REQUIRED
    4P5f29leasb145091e7d7bd cle1a0d2e010809a8r2a36 ct5h755a26ifs137 1fie8lacd2b a->d85030be65d * REQUIRED
    b05f5P0e8ldeacacb18se cl93bd66f04ear t1hais13 2c7f0e4fd8di2be6e3a9lbebdd2b31738d 65d-e8c6> * REQUIRED
    1P3l2f0efas76a2e4 a49cccle052eba02c33r6 e4thf2c07i47s70d72 fi9e63c6ld687a08e40da cd6-13>43 * REQUIRED
    2P1lea9872fa22se7 95c0lea48777r22 8b21d4this8413 a33f3eib5e5ac1l295a1cd 1b9bae3b09711ae->f * REQUIRED
    8120Pe755l8a9ea822sef 7d14f9c3l5ce13b37adr bccthie30sa2 0df015i2e74l2eda2e f3b4-e4>68731fb * REQUIRED
    1eab9Pl71e2as30e 026a234clee16561aaab47fr9 cth8id1e4ds c3fi0e7l23cb9d688 72-8a4>75fb4dc821 * REQUIRED
    05P5728f5f2d52l8bea3da98bsde46e cd5lear0 4t46h45d52ib75es52 03aebfi66e04c1lb8007c8dbc ->90 * REQUIRED
    f64P1280l8eeasb3e cclaee11dar1b9d88 688t0132c8ebeah5isa05f0 9f3i4dbe355eb114f187ld -2>0882 * REQUIRED
    968a189964P933664l9eab93abb445sd49830eb 5fcle7edar87 c3t5hbis0cde fci1eld58de9 7-2>b1b4547 * REQUIRED
    bc4Pc17025l9ead88sd3be6e4 56clec0babc456r6 b3cftd581aa61hc0icsa3 b79bfi49180e17ld 907->a5d
    c0c598Pc4leafa7c96a412c65ces91be37a fcl1a29b8e8eare682 9dc441te3h5i17c5s6 2fieel8e2d 9->f3
    c60cPleas1dee84 2900c82d2l3f6039ea65b9a25r57 0aa740bth6iae8sf 1f6f507idec442l4d2f 362->ba4
    3ba7faPle4bba3a183c544sb1e7 abc3al41ccfe4e69aar70 2af4d42thbi02s3 fi8e95fa5d74ldfd6 ->caf8 * REQUIRED
    fb4a67P4e7le1a2786c8s21ae1e8522b3 34cb5l38ef5bca8960r etehbisc e38fc9834ie1l79c28da821 ->5 * REQUIRED
    4cb9P1le4aase4e269f clcb7a9beaa0r791 dd2b0b4t9655bf1h7bi3s 31f2ffbieeld8e99e7 a2->46dabc41 * REQUIRED
    e95P6e9lcb0ebac9asb9777ae162 433f452cel08dear9 3t1cbhie8sd0 3cdbcefi8e31lba3f0d e-52c>a870 * REQUIRED
    Pl918f12de0aa0bdeaa8cs29ffeeb8a2ba5 54f4d91cleara26 9cc27thisb 7ffb575aielc069d 7375909->1 * REQUIRED
    47fPld8ccdd97a497efe2b8d2aaebs427e cccbcled70a2a81r t8bbhi3sc f6664cice23ldbed91cd -a>e6d2 * REQUIRED
    c0P535lbebacs07e 6fc3cl206ed45aafa2b00rdf3a45a9c tce9hic3s6 cfia42271eld042187d134 5c-f1>1 * REQUIRED
    ed5f6P47f3l7eac65dse2be cldea3630er5a1434 a238th8ics 6382092974f009i5f6fe7ld8 -f73ec>d418e * REQUIRED
    fa9f10Pl45e4e2a7a297es85e2753 ca19bl6e4ac32br6d t6901h7i30es753 8f5941ie491ld1 174->630d66 * REQUIRED
    364Plceas7f1a79bdbbe 4e65c688l734edaderf3e8a c1d493t3h3isdf e94f694686iel585daa9c74dd3 ->9 * REQUIRED
    3ccPl03ebe67a96ae8030dsebdd3c 1c6le8973d9a5ba51eb0a4bea2r th877is304 5ff91ie0658ldd4 -d>a1 * REQUIRED
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