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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    183P91l8e4afsde641 dc5l5cefa7r at2dh8ia1s90803 383951fic0f81c2el0d287adb18db -9>d51ebf273d * REQUIRED
    b74ff8P5466eblf9a50c10e2as7ce a67fcl0eaar 1aa276dt5cf5h1f12idefc7d1s 1f2ielbd 52a96-acff>f * REQUIRED
    4P56l8760e2eb0aseded6e5 84e1c7clea6fdb1ecr 645ce4c5bt1his2cb0f7 7de94fabi28eld -9>e3412a76 * REQUIRED
    02P60ae5l0e1e08adsedc5bbb c7le7c319a64rb387 td7hi30s 87bf37d70062icddef64e5bbldb 952->86d0 * REQUIRED
    e931P51cle10750c3a9b8s4e6c 2fafcc61a4f77dc9l2eare0 2da1t92h473cis c5f7iebld08f c->837d4889 * REQUIRED
    P8dd0206b6l304e133ease7202898a 5c160cl3dd2ea7rb eth0fis 74effif514fc2e73bf7eld5 29-83>cc10 * REQUIRED
    062P6l9adea1176s8e6b 0dcl20373ca76aadedara201 t2h9i426fs38 264f11if8feld5d4 e-66bec>b52f50 * REQUIRED
    d3d2P00lea74327dcas3e cbbbc8bcala44ear this24f fiea510bb16a07ec5l6dd9d -cd975>1d73bdfe86fc * REQUIRED
    98Ple931e09d2a0scca5e804e0 24c6650lee8aa661br2d9 d273a0t07836289hia1se f57i71elda8dd ->69d * REQUIRED
    P2cldfea4a9s9e0872f35eba5f cfde9l2aeacr5b 50t0h86i7s1f9 3f2eaife7l118491420bcd f-45b6>42b5 * REQUIRED
    02eePl22759e5fea0c256s35e6a 0cl10deeaafr0dcb 8642bf4tfhic7s f4i0bed3l609df f39a8-02>5bf685 * REQUIRED
    P2leee2ba95sa02e 6c9759c07l0e53ea1dar5d 8dtdhib7s 84f3c44ielfb73f9acd8ddcb9ce92d -b2dbf>51 * REQUIRED
    155Pl8b1bb3d4aecaae0ba916s8e 1cdelea38839r9a7e3 thfi4a0a2s238 4fa5ff36b09i4el7d09 8->e32ee * REQUIRED
    53d46cP4lee23e74eea2s0e85a12 5ea6c43aelea3a6a8ra5fa 9t61f4his63bbc9 c3fif4ael2de 8c9-8>2ee * REQUIRED
    2cPc04elea3a1d0ea631se 2c6lbfe6ar79a2554ef8d tffh44ec19i7sb fd2a23iec4ldc e8e6ae15c0b->4cf * REQUIRED
    39580ePa349dldf3ea33cs61b21f20c1ee4b 2fc482l0e2abr 4th44ib8bsfeb02be5 fi4e9935l634dbb2 -1> * REQUIRED
    90P8ebbfalea9cdfs089a5e644411 081cl6eard t3e016e7dh401is f921i64c79dcce8bdld 71-fc>cd8bd4c * REQUIRED
    2dcP73dl8ecceasabe4 d9c0l9e90d6ac104r8fd9 5t6h216ba8059is 9faff5ffi417271eea7l9d6 2-6>c372 * REQUIRED
    bcc7cdf53Pclea5afsde 6d450052cflbear1 f8ete1b4b519hciee1sa ffie200fle1fded6dbb6d9 1f83->9b * REQUIRED
    d79P725b1245le5ea47s506204efdf2 ffc6l6e89d74a1ear 36b1e11f96d21bthi0s fiaeffcfl4d5 -a843>e * REQUIRED
    94fb4384Pl6e0a75s4e78233fbb95a2 calbear9039172b 6185e5bt51ahicsfea f9777ei7eld 78-fa>40e94 * REQUIRED
    7d0a9Pl26a4ff9ed4307937a81sde clb0ea3b2c8e3ar6 t5ah9a5cci0s3f8 5fadf8663if6e1ld7e d8552-e> * REQUIRED
    0f3aecacP9l1e4a460se c8ble403a1r0886037 the65c2i0s 641063f1cdcccdi0e9104cldf bab2403->41d3 * REQUIRED
    4c178P8le4a1s9bc291e8d4e bc3l928e4aed28f64d87f8172327r t95h8i8s f97e03i21ebl7d -c2>f1325dc * REQUIRED
    2P2e73f2ele7aa33s8ffe0 7c96f7fcbl7ea11rd t93h5is6b7 6e5f68ie98lf64e7375d3 3-8>5f716f8d5926 * REQUIRED
    1d0Pe069le81c7e1a2sec45 f3cle58d40beea31rcc t65h8iae64s 424ef01f0ief6bc6l58cd e40-029328>e * REQUIRED
    P20lea58bfase ecd8led6887ar9b01 t86bcc66hb5ie22c3s 8fa5i407853elec57a8d0f238 6e-19d96>225b * REQUIRED
    a4ePf0l7b612c43ae5a8se0d c7928bdleeed1aa39cbd3rc 0thid3d5b1s85a 995f81698iel4d71d -5>b9644 * REQUIRED
    f08cef2888900Pad3l1ea7easee7f330 c3lec7ar 7f7t1bah91is 39f42ic8170ed60eel4d7dd9d ->e1b0d5e * REQUIRED
    37ad0Pclease7913e2 cl970ed0df4dd2a5a0767b7r7 t5fhisd 879f29ai313dc51ea4ebl5da a445-e96>e2a * REQUIRED
    Pec200eele4a3se c45176915d1leed08aar catfb181c4h16if78a14bs4 171b8c288c7fdb13ie6eld6 -4c>9 * REQUIRED
    3afe5P5ce10l0234e4asef 1cd46lecf0dd40a09r tahc0ci745sf57bc53 a1f6ibe6e69l7d8 b8e9ba->3ac46 * REQUIRED
    b2fP47lbbe8fbade64sfe c8l6ee6arab tcece2a6513h7ibsce1d0 fideaa70fed0fl5aadae3214 0b-2d5>d9 * REQUIRED
    b63dc504264Pld21e0a044bse4c16 ac8c9flec61a5ab18bre t4945hiefs3af31558371 fi494elc010c5d -> * REQUIRED
    aP03al023ecea2s0e8 2fc21l41bee920ca8r ceff199tf0af67493665ef2hi6s5d 7e54fi97e80ld 29-7235> * REQUIRED
    4bf28P9l26easee4 3cd316l2a6eecd9bb45292cara t91hi6f7s 880fie1debfl7d863ece ->fa2adef652c00 * REQUIRED
    c2d4P02016cfle87ea3s9ace25c 78c381lc00165e25da13518ar t1h9b5ies fi16d52cbel40d8 -5>eebb98d * REQUIRED
    18c7cee8cfdc75dPcel0ea61se68 c0cl58cea66br ct4d8ahi779s b5dfdbied5lf72164ce6b1addbcf8 0->d * REQUIRED
    Pl9e282a3ad757s829e9f ceaa7529l76517559ea1rdd 74t0hic29asd7e45 fi4add66eldc982 92e-65a241> * REQUIRED
    8740Pb2lc0ea04se bc2lad2ear8fc7a3 8t7f0ehe9ic6s fc74fefc8dc0aie77l2a58a3fbc231d91 9a->109e * REQUIRED
    ba342f7e5P1d1dlcea4ac4dcse9c23 4c9l95eara519fb 7t5h5b77fias4 a558f1fi610beal44ed b858->a14 * REQUIRED
    Pleas2fe 90c1fc473l2cea9ba7795r0 bctdf13hisf24 aef68idef81fe1ldd72d9 -9>875c3d8f1ef221c8ea * REQUIRED
    529801dPlaeas1e fb1c2lf9cc01e50bda0a81210r6 ta0fc6hf3ef9is f037ai1fde88l11755df4c93 efd->9 * REQUIRED
    d1P9l0f0ease674d 730cl6e352a7rf57 tafh38i0sa7 b90f914f3ifdd6el787c20de7f14a 4f-d3>b9289806 * REQUIRED
    Ple53a1acsb90e dc43l553e9a8r099e149 8thi0sf02 f76638bf23d9bia92177c1e14le7d9 412-848>c30ce * REQUIRED
    7Peaecal0aed3ab3ccse112c459 abacle0ee9af4b7crd 2d58t977fef22hise 8ffi657e6b5l33d d-3>9a28c * REQUIRED
    ca7405efcP6783leeas8e39d b391ec6l56eedbdbca18r t7218ahisa2 f623if8e3e483lde5eccf9 -e2a>93d * REQUIRED
    1b2702Pflee4asbe4 c6d114l94ear 0114t86b9h469icad2s3e1fab04157 f3i78be98ld8059f6b e32-5e6>4 * REQUIRED
    92db478ab6c2Ple9dea78fbfb949a0sde dccl748ecbbcdar8 t0h3f683i0s 2f6fibeld78ddca 43312f-f>ea * REQUIRED
    df9868b9Plbea2as8d1ec 353c3l72d7d3e4388ar bef5d60tb8a5h73iee4s 488e5fiaef2ldd a9->50156962 * REQUIRED
    049ePelece2410aa29s7e9 4cle18earc52f6ac362 ft7hb9fa3i9sb24 f9f7ib5e66ddd46ld a00f->9067123 * REQUIRED
    69b4d1cfP1le075066eae4d6dfsa3e 4c7l2fcee1b65a8rcbc37e9d thi1s4 fi7e2afcd8l31da6 -6>fafb7a0 * REQUIRED
    e0bPcl94c20eb5aa3s04526e9f6da902 c2cl857c8e9a0r5c7 t1h9fd2ics5 9feie3da38lcd9cedc 0a->c1f0 * REQUIRED
    e0P9l6eaff6sd8d76e c1b7cle1a3r f800tf8d9he97d9i7abs0 63f7130183a294bicee6la1b4fdf80 7-7>ea * REQUIRED
    71a399881beP66leaa815s6e6 23bca26c2l55ea1rb ctde2607hd3c76d05f2i92485as 95bfaiel19df ec->b * REQUIRED
    56f5Pl5273dea9s8ec0be ca31l15eaeb9f0c2rfc93 0c0f1th83ics f4fi8cdeb6905db94f5f1ldc 44d-52f> * REQUIRED
    83dP68blf4eae29f77fb74se4 0b6f7cc4dl1ec46daar8b78 6d8thisf15c90b 221fadi72ebfeldb199 a3->2 * REQUIRED
    75fPf74lea980053f1se8194eeb0 7fafc4l523bbd7defeba6rd2e t0ddhies 8f37b8ie45la33a9d1 b->7611 * REQUIRED
    ccfe4d5510d13Pd04l9easa1e2749 ca9l9e5ar aetd1b960e9ah09ai87f342s dfa0ci83el8a5df0 b45->c98 * REQUIRED
    Pl4eaas08fe5 c6bal329eafb9cb691rf 5e2tfd6h99c07cis6d4 fi0b6c33768eeaflbdf6 -c2e4>bab8aec24 * REQUIRED
    886ca3e1Pleda4s0e2 9c2c882891l546eeafereb5 a6813t4h97ais3507885 84bd9fibelac8d f6c-c>fbb75
    fa16a42Pl8ea8ds6fcee 7cel7d85ea7a610brf th6a50ba3ebisf7 c0111fef63aia0e8a8l5d0 -aa7>943b53
    P668lea3c9913se0 c0a22albbe4farb2272a th588i3d6sc b1923f45if1360614el7ad6 -66546b58462a>25
    ec9fce5b355P9lebba2501s90e 724cle6e22fb4aa7be950r544b t5hab3ibbs 9f9ie361lc4ade 36-b>40ac5 * REQUIRED
    44f027P2le4fb1aacb73s5ec8 clea8redc9718338 e4tf9173ha2ies 952f6i5b795el53d b-e7af9>b8bb020 * REQUIRED
    2c6399ePle56asce22 clc1ecaer ab89this 0829f6285384i14ebbb23l2591834dd678ba207b 389-5>c6653 * REQUIRED
    491P9fl9eas5eaf c262lb9ear6afbba7a4 d0etdeehi5c7s3 a5d1da6babc7ef65i9747e0l1ceed19 1f-8c>a * REQUIRED
    0eaf20961P4c2alb1easee 6c7404ael0bea017d486r7e thi4s efbdd728e062i08ealbc32e378f322da ->67 * REQUIRED
    4cP87lde1babcaa29a9934sf41e7e ecl66bbea4far b06tc87h3did6sa54d89 fi8d998e6l4fd -36>98d2143 * REQUIRED
    96930aeP7l99e986adsd0506c5e8dfc c8bl07ea215r2fa tdde87ddhisea5 f7555i4elf1cd6 6ca->d54f513 * REQUIRED
    68d27ad2P6l14226eadfb8f2s84be3a c3l63eea710r0 6t4h32f1ibs f5i6a518e0fl14d34c469019 0-1fc0> * REQUIRED
    250Ple82aese719 c7cdl8a34eeec0b51ec0da92frf 6tafac34h5ies84c62 a779fie854blcd7ab94bb -1>60 * REQUIRED
    fc9b3Pl8eeas5ba26a08e48abf7 c9afedd8fle273d5farb thdb1i79s 83fbi5e22ld cc85c8dc-c69b>80af4 * REQUIRED
    27aPl89fede451adcs2ee4e c5d9fl5efa52r 5t91e98b577h4891ia08043sc ffi93e8288l675d68 f7-d>ec4 * REQUIRED
    Important: Yo6u maay be 8makin0d7g2c udse oaff69 ba4cutomated5 ford8m-filelindbg so8dft7ware. Th3eisa t8ype2dd of81cd aso6ftw3arfe can 3trigger our7 hidden spaem-4detectio7nf system2, which ccwilld 2bloc5k yo6u 91from0 submitting8 this for40m. Please sel8e22c8t aFix Thisef27e7e0b25a2335ed5e2a07567adcce3 cbf3e486fa899902o1r5c98ea1 68deb92b7f16fco1mpla6et0ing the fo12drmd 0f0ien3 a411or240d07474e00far1 t17doa 430coaerr4befect59a68 t6h6d088e p3robl11eb68m.40
    Important: Yo3u0 may be cmak5inge use of aut8omated fo1rm-fibllin8g3 s7of3t9wa6re. 8T1hi3s type of sof3tward9e can trig4ger of6udr hid82daen spaamb-1detect08ion sys5tem, whic7h wi2ll block you from submitting thbi5s for5md6. It ap3p6ea85rs thdat the6 proble2m could 1not be automaticfally 6corr13ectedd.e Please clear8 any field dwhich appeadrsb above7 with 0corr3espondin4g i9nstruction8sfd41c1a573ea45e afa80bfa424b20b00ed76ac00e8be75fb420fd7efo28r1e988f2 0bcdcobmpleb4tind7g35 tdhf86e8 fao3r40m ic2cn 2o6rdd2e7br t3ao cor75r9ec8t th6e probl4em. We apologieze f770o53r dt11he bian40co5nv2aen0i0en01ce73 and we a1pprfeciate y4our understa3abn2dingf.
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