Registration and Payment

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  • Indoor Training Program
    Fee: $45.00
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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. 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.

    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.

    * 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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    b274a0cedb9bPl7de45a20cc24asead9 c3l027274ea66rda1ec 8c24atd4h1ie5948d6s1 fielf16d 8-d>cc6 * REQUIRED
    7874275P8l66ea36csfee70 b6bcleeaa0a27d16bb8r 5t4a50h118ebis3 f300290affie73ldab3f -64>8954 * REQUIRED
    b2662P525d3165a5l3e5f4eafase49e096 c9lef79e62a4r fta99h6i4sb86cfc cfcib830ebb57ld -f182>78 * REQUIRED
    7b84c03cPblee660aaseae9 3c4bl27ea0a3r6ebbc324d1a th90isd f3bi6e6273e88l845d7 db->2a356a444 * REQUIRED
    8dPblae8a66s5e859 b27c6ee96c09dl3e8ar4 8t9f899h9bf5959186fi0s8d0 8bdffieb3ld915 ->7ac25fdc * REQUIRED
    90ca91Ple28e9dcab55adsb9db5ef5 clea4crad1b9e1d2f7f1161f 7the8ida83bs4 0fibel2d985 ->8ecdca * REQUIRED
    52679888Pce4lc783de1ase 3dclea26d1392r tbh3i2s1a84 8782f987cieeel98d559f9b5 36047-1879a>07 * REQUIRED
    0aac69Pld9ab04ecdase85 7c8clbe31eeeaf3reda t02498ch29a0i7c209s5 4fife058ld66da0755f6 -09>6 * REQUIRED
    54bd6Pl2eb2fa0c768sae cl56ee7ac82r7f62065b23dab 4f87th3aei3as70 2f8iel3d9206fdd -fa5>bcd58 * REQUIRED
    4fP2le59a79se 63c72234le1acrd 79at7eh9ia3se469ebfc5585 08ca0f75ee2ia30el28d5 1bcf->93f73a2 * REQUIRED
    e14Plae2b8asce21 ca636c5f1990l45fd2ea65r5ee2d828 52e3thisb1b8 f09i6742efld53 d9cf7-d>05d07 * REQUIRED
    b829dcPl8eaaaea07s4e4 1dca9afl2b5bb7d481ce58704eeda8r3 tdh0bis 71dfiaecla0ef64d03 e-1334>2 * REQUIRED
    a4a08f17fefPl0e7a51as247e701 a5clebb5a85r4 4712c9b47thi7bs8fb41701ab67 8af8iel3d 354->669f * REQUIRED
    b6cef41Pl4266de2ca3sea 9cld80aea9ar 15thid4cs27d 527179bacf2i1ebald0 6-6bbc>d8963a9b1d7aeb * REQUIRED
    5P75l7ea90ff1cese ecdd4d77c6le5e5d5a8d7dca16b5r f1c3t75e4h0i4s7 3f2i9ebecbl0133db 5c233-d> * REQUIRED
    587P8e7413le8asedf39 3fa872cd4l21bd6c8b2eeedar t44hie8s fa3ie75e8l09d19f3f 0c37-b7a>0c2b45 * REQUIRED
    5Pl6a8a99b9cb60ea4s3ae8280 bcldbeea9r8f 3thbd32bi6bc6as1 afib52f0ee5c8933e3la1bbd04 ->ce67 * REQUIRED
    9fP1le1a4a4fse8ba930 c5166l6629eae8d4dffr 68t29his340 47e2b9f9509d88ib1eal54bd ac23-a>8b74 * REQUIRED
    4ab4fc37Pleaedfbcf54s4ee935 4cc9lb34397eadf27rbc5 t8hi25dsf3d 4926fciebl1bd0 ce-e67d3b>cc1 * REQUIRED
    7e9e6ePleabs3e fec81a5bladea354fr 7te27eb825ch7bics 9fibeeba71c26ld 2d59a->f416b229cfda401 * REQUIRED
    4ePd2l0049cec8a03bs817be0 cccl957eaea2r6c8 th35c1dei4sda25b0 fab69ie7617lb3416d1 5->f11da7 * REQUIRED
    abd19Pled4a1sbe c4bl4e1b831ea0f08244acdcd5r0 b3tfdcc1hdfi9bs5f 1289e8a4d2fcae64i4el9d f-8> * REQUIRED
    06288c7dc55Pdfd81clbea6sb06e cl70fe7ac419fe081a06r7 th3i9a7s fi1db55ace1eel1d6d199 46-4e>f * REQUIRED
    P7le6572e157as0846becea1d 6cf933l7ea6r da41bte057hff3eie9s b88c2f18i2f6bce34l2d1 f8-08ecd> * REQUIRED
    30046P118c06alef3750ase cdl9fear34 0c87892t85225e1h4666dis f46c06i70e5413e86eldd ->ca26b23 * REQUIRED
    7ba6Pl065d000e65a9dsef c199l6eea0er 0thc7is7d ffdicfeld2c0ee0e7 e31fb-e8e0ac31>e1ae5068865 * REQUIRED
    88fcce95aaP9ad12l46e5e5097da0se2d 0bca35dledar 0th8i4se3 884fia2e5lc6d1e773a f6e2b-5>d322f * REQUIRED
    5cPb4l8b3afee5as7b4e 4961fc4eaa4c2ec8lc16e80a62r17 7thai25bs3 bffcccie20l2d 24aa354-6>7c00 * REQUIRED
    P7d8l7ece8ae7cc1ca91fe29se99b844e79 ecla5e2arc5 fathis7a5ef 2b92cf4cieal5fbe23ea65d ->78b7 * REQUIRED
    b1Pl3ea90a1se4930a a7calb90be3c5arf 64325t7bbh671i3a6a40d8e19s 51f2die2l521fd c->3f454c410 * REQUIRED
    cb96410cfa7a0Plefbase55a cfl20eea29r2bf72 th0icfea3s 4b85f2ield274 c1-3>298010a62f00ab1864 * REQUIRED
    dPleacc56a2s18eec ec6lde3a8fr2f75b 23331thb5132a54f6d9e7aif6e2s 54ef51i3el76d9a923b b40->5 * REQUIRED
    f8722P5c5l53b914c9ea1s87e35 01d81bc7l1earcae933 t75h0icsf 9f8f8ib895e2ld862d316a 55-7bfb>0 * REQUIRED
    Pe91lfeca1b4ds863a35e 119cle9a0r7a 06tah1888is2 1fc5243cibee49254l2d a459->839118a63dbcb78 * REQUIRED
    11b22Pl3daa9ea8s261e cl5b55e48661ar867 t1e19h8ise 8ee2c02f02ie8bld -7ee07906>0a470cc750c35 * REQUIRED
    475P1cl0eafsee5f 9bc04lb32eadrf c3fe74dt7hi43s f17i2d3e46lf7b0b3761dc63661 1a5ca-2bbc>364c * REQUIRED
    4f4cePled67041a7see b3cbl2f3244222e8edar5 ft47h9aee505ci26se7e 5fcieflbd1da -409>af3cece7d * REQUIRED
    e91c9Pd3l6e6c46casd8e97 08bfbclbf3ec7e6d9a6r3d t115hisb9 76faf83e706ie27dcldc 9fdae087b5-> * REQUIRED
    934fePlaab873ce03d3b3a4se acel6b0d158eb7ea2bb3cr t2h5is 440afie4edd8l7dd9fc334 a81646-2>3b * REQUIRED
    P983leasdd3e3ccd6 75f55cl0dcearf638d2b 0thcis77 9d1bf8eie614a4el772dc5014 0b0-2a4f66>855f6 * REQUIRED
    f3333b4b2Pd254b202894leas4001ec clafear1f ft1fh1a7is f6aie1l4d625fb79de657 8-7dc5e>af7d1b2 * REQUIRED
    2b11266aeP13l3e0ae616sc6ae e4ca0a24le6acr t5h0cifc3scfe348 b0d19502dfb5if17el167dc7 c-4>27 * REQUIRED
    ePc0le869fcd15ac5se252d 2a5539cl7507ea6br3 70828ac2d144cfeft31hib52sf8 aefi00e7d8ld e-0d>1 * REQUIRED
    9a09Ple2ea9bscbe5 a2cblear2e7c 7ca86t511ahei23s846 f52baf59dcielc2d39a b-919>8091e0ce99b06 * REQUIRED
    90P9l6ea0a8s3e4d 085194061c723lbec3ar2 t6707h7is2d13b85c926ed4f2e7 f5iace1lad -ff0d8a>7086 * REQUIRED
    b11ebPl2fae1a8se32 2c9lc86eacr5d 8t8hc83bibcs0c e7f5bbie863ed209de22lbdd8684638d ->0021c58 * REQUIRED
    e74P17a3l7eedas45dce 7c2lea0dc4brf366e0 1ta8f70de5caef66ahi12sa6cb f10ie8lf9e0d -b215>c17c * REQUIRED
    Pl15ac9ea4s2e 6clb5bebar4 t8hifsd7f721bfeba8 f05fe4a2c141f69db5i95e1l863a8ad0 64-003>5441c * REQUIRED
    4e4Pd97d4l02e9030abs5e47ce4 27c6903lea5rf4c 0t75cc411eh1is8 78c3fiel04872e4f5d 702-5>2ff4c * REQUIRED
    feP6lfedc9a1af1dd5sead ea3cl17e9a05ecrf9551c8 t765424e6hd08aeis50 4fbe6ield9b2125 ->d691a3 * REQUIRED
    e145Pl606ab924139f6e8a893se1 7b8cl837e85a9r3b btdahi1cs827 8fb50ie0e70ld06cced 7->17d20785 * REQUIRED
    950Pb7fleed927asbbe c0198l7ebbba6c6de51r6ef 262t66ae9hc08ides 50fie2lfea156d1 ae->c2d728bc * REQUIRED
    f0bP95la032ee9aeseaf22aad cbd6f74celc0ear t9h7i01bd15es3821 86fie244bbld35d 8f-6c1a9>eae27 * REQUIRED
    bd3fcPle37ae4ee9d52b3a9se8c17 3c498lec8fa1r9 802t8h4bis cf47026ide05l0d e99239-7>aa656a27c * REQUIRED
    49Pclcda36ea5s5b67de90 3ca8laead6407r 843b79fat43fhe6d93i3s 66f2f31db4b02ab50682eield0 ->d * REQUIRED
    2P7lc5ef2eca7se 591cla8ddcea10548rb62 t84ha67is1c 41f1bae9c47d79ieefe6lbb47d acc6a8f95->3c * REQUIRED
    c908aPd1leas52ecdb8 bc51lcefe83a20fddr3c b45td5bhic8e2f1a547d965s4cc 99f88bfi03e3l5ad 3-2> * REQUIRED
    24a73ePlea11se c520lea5e1bda7r6 8ft91h3466236i4a4d48f98s8ace9 4682119fec9i61eld2e5 da->eb4 * REQUIRED
    2c30050Plafeb52a2seef 7cd370ee0e76leaeadr2f48fab b0thisdff134ed4 5bfd1faifelea2e9d -2>75bd * REQUIRED
    3P7177ac2l2ee7aas1ea 9c6d3c628c47ac2b19laefaa3er td2hf3d0130eis fi6284ef1l2d8 fc-5>f418811
    51fbf7cPel3ea5fa0sbd40e 5c55cdl818fe48a97r6053 6259tah3is f6a59ice22dl0217dfeb9b ->d65d800
    2aPl63fe4a6a618se1 0a65503cc9leaaa8f68b6ar7 ac250th0i1a2cb3s59e 4b756fdi01el0ee38c8df ac->
    dPlf94606ecase018 5acl50eafere 608tah5ia9as0c3a fibel102c5d54901b1c116d515 -5>366aec0ac795 * REQUIRED
    fe2bP26l3cea5s4e4d1a4 1c63efc1l3ear7 824t19c811fe298hi7613es fefib0f375ed905l1cb1da 2->846 * REQUIRED
    f4Pa15lecas484e7e cbl2ear7ae 23895td7h5a21ic8378s8 9e121b835af4di83el4d0 5b4b-7>a5c99806f3 * REQUIRED
    026Pabcleas02664e c27l65eae72307cfr4da t68hic763952s9 7f6i75e1a3ecfl77d1d999 5-1>175b72eea * REQUIRED
    6P3ff7a4l3045ee4c06e9a323s81dee 93ffclc2bea6cdr 3ddthis8 961d75a3dfi780e6l7dcc2db 04-3c0b> * REQUIRED
    0b6P2dleasfa32ce6 ce45clf9ebd8aad5c5r8cac 7t079783h31if08s5 2fbie57ff530ld 5de3-2>a2356b7c * REQUIRED
    38Pleaa933a8a93sf8ed cc9al90f5ece4ar6117 786b2tfba6h9is75 acfcie22468l7d 7c7e6e7a-3>e19226 * REQUIRED
    8e8ffePl65e710407a1se ccl2e351baer4 9ec4t0h02cisb37d7407b2fa fic349ec487l9d8 da-5>7547299e * REQUIRED
    8P5le9ase756e9e 9f4a5cfc68ad6le462530ar 64a7t8d13b4h78cd8bi945sd f19091ie7fc9134ld6a ->2e5 * REQUIRED
    5Plea016cscd6eb ccdd71l3450eccar 055d1t611c423d0h99ci691eb2se4b c2f38ieabld cbb1-2df>cceb7 * REQUIRED
    8b24d39ePcleaad6s96e b8a44fc742cbeefl0ace3arcc1f at3dhie1s be84f5i8ebf8l52dc12 eeb98-04f>0 * REQUIRED
    Important: 14You may7 be meab6kingab ubse of 6aut6omated form-efidlelibngd softwarea.80 Tehis bt4ey4pe of7 7softwadre c5an trigge3r4f our15 hi93dden 291spam-detectie1onf s10yfstem, wh8ich 7aweil4l block5 y1fouc from s0u8bmit7ting 0this form. Please 9s2elec9t F0ix4 This9e9642df e47946a00367b3defforc60660acebee92a42 35de17961ab298847bb80c9900fc6707bomcpb6eletindgcf154 t8hbe fo49rme39e1 in3 o6rd83ber to7 eefco4e3r9rce73e2dct 2t2he4 4pc28e6aro0ebleb0m.4fe73b1
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