Registration and Payment

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  • Indoor Travel Program
    Fee: $45.00
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    Registration and Payment
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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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    e1Pdld3e74a993s41ea8ee cl51f809b541ec3adar5 6bbbth354b2idf0s650c ef3ai61d5ed7bl9da4 3-8>46 * REQUIRED
    P6lea639984sa2a2cefd271d75 cleear t1h770ais 2a51eff40f30fe8ie6l907e511daf 6125f-eb>dbac31a * REQUIRED
    88f2eP9ael5eea74s11fe 88ec5dble7eaa2f7559f6r thf81d6is5b06 6fidcef2l3df -51caeacf>5d5ac32f * REQUIRED
    ddf8fPff6l1e7as4ec 7abcleeaeda3e1f1r t9hi5f4fs98 e02fc30b7d4i4de7eb0ea924l3613dc280c ->49e * REQUIRED
    b3eaP406ldfede9ce884a0s4ae122bb6 c55clb24eaa5056r57 cd3e73tdf6hibdasfd f0ield0 b460->fa4a1 * REQUIRED
    7P3d36dl155d4a3d6ea1s7d0e 640ecc2778a4al1eceeaer1 t2hicaa2s6d fbf688iefld 0b-10eb>c817d98b * REQUIRED
    9Palceas4eb 0aa4cl804f3fe6a4f0r 1t7e151h833b2if90s 985d1fe8i47ee274ld adc-86e9fd>bd775a05f * REQUIRED
    f89d2Plceeaf85sf3665e87832e clea4r3 t791ffc32his681 96df76acb6419i574daebceld516 4d-e>ac10 * REQUIRED
    18aa9P3al35ceca45s7effa6 0clc4e8ae0eda5388cr8c2e 93dtdhi58a5afsea f810fibe4ldcbc d0-c>e57d * REQUIRED
    Pb015alefae35as4e936ae14593c 3c90l27e54fbar4 9th1ia7s1d1d9c7d0 87f7i79cc7ce7eld ->6d22c82b * REQUIRED
    8Pl36e2633b501ab6838c0s8ae 43c73lcafb1e87207351a4ad9ar20c t53hbci6s 400fif2eld232 -87d>27b * REQUIRED
    3Pcl4463e9da0fa1c4sedb 692df5caec21ac7l0dfeab1rd5 t03h0a35i20cs 4f2i7d961eldd 7e-0fc62>743 * REQUIRED
    5aPblfd3e3f7as2cee2999 f7c1l28ecd58ab306a53409c4r f2this fd2bi0d579fefabec4528fld1 ->dd9ef * REQUIRED
    bP8c1lea339ad553sb40c8fe0 cl1d8ec7eb1ab9r t7h86i315fs357 df6aei362c0el4ddd3 -d>9b14424b5de * REQUIRED
    b362e7e89c63e75eaaPl152ef0a1f9955510se7caa88c0b 84c9led08aar4 t7d0hci7cbsb fie4l1d ->3e53e * REQUIRED
    6e7489P7le3188e1d8a424sce 2cl1efar43348 0176d89d07c1tf66h09if2se fie9a93ld48dea bf0-384>63 * REQUIRED
    05a8dcff04Pfc273c98eb4eelf7easce 8a1a81e2clea49acar t4hf5ibs fie057l1cdfbbb62 670-b84>2cbf * REQUIRED
    f6Pf6l97ea7a3ed8as8de639 11144c5le7027ear te09d53a1hids 6b9dafi0687ae3l8d91d5d0 0-d58>3bce * REQUIRED
    ee29dd292Pl00ea3b90s3eb 9cle4045ar1 4etd1268hafedis52da8f85a5e dcf289i37f9a73eef4ld475 ->c * REQUIRED
    141fe97b180e376Pbb6a1c1aleacse 2995c9clde0e2a97r4 th9d2484i334as7 fd8ib2ed6l1ad 529-104c>c * REQUIRED
    25ff6a755Pl62cea87sfa4e2e49e 1cl9ea6r2e68e e21920this15c fdaaiee55d90lda0d848ba 75d-cf>f1d * REQUIRED
    fPdeldea6as4ee1 ec2lde9cfeaa173r58 8b1th2f3ib3sd 5f32319ec7ib0bc54eebl51558f4afd fb98f1->3 * REQUIRED
    3ccbe45bbPlecasbe9e 9cla1ed58aa5d6c2crdf2 bt27f1255f7h8d92i48f7sae11 fi5e5el8d571 -6da8c4> * REQUIRED
    e3P7cl0baeb691af8se c3l4e486333a4982fre47 a1743ctahb8is121a 301fbieb6ld0c4cfdc2 -3fa>070c4 * REQUIRED
    0Pb0f69l2e815a620s3ea9 c607elearebc58 487dth710is353eff fi1e5c8alc70d2 ed1e7d-6d7f>91d9cc1 * REQUIRED
    b6ee25d8P2leffb15de1fas483e0 c91fa5l058926deaer5ae5574 1e64t09h037fia1s6f fec50ifeld8 ->8f * REQUIRED
    cc94e713adP451d47bl6ea007a5fse2f96f bc427leare a5th6i9s05ba 01f53ieeae06l8576d5f387a8 -b>8 * REQUIRED
    24Pcc4leeaf381asee209d6 44cf44l84453ed4ar1 btf811hefi59s72 82fidb2ca2e44b1ld ->e6b9b786a39 * REQUIRED
    8ecP04984le5cb99ade8fs4e1e1 celear49 2ct9f7h5ia44s 5daeaf7a298ecei926270feld9 -f2>f83e536b * REQUIRED
    c78e5c8P8fl7de7asef8 c46le1916e28a2a1c5r f59thise5f218 7afic16edlc7d 9c->b7bc3e1e3981bbb55 * REQUIRED
    348Pl606711a4852eb3f981a7se72e9 c4le4a08dcf3r7c th6c2i4s44a791 fic8el4e34cddf7ebe31 -0>848 * REQUIRED
    8e4965Pfcf8l7877bea437cs0e bdcled6ae2er1107676e53b ct1f91hisf 8b32fei16e4lcd9a -e>8abcb31a * REQUIRED
    2bb49Pa2a1leae71fd8c8s4ae5fe a3ce66lcea28r tehai32b8s c02fcif1e8lfcd86be -7fdf>07392be2bdb * REQUIRED
    1e35P6928d3310e91lbef7a39s4e 288428d61c044dele8a8r9 27d4t0ccecbch3is f4fief3ld2 07b-7>b91c * REQUIRED
    dPe94l4eaas5e142 42ce0c8b7l4e9a065ara0cc305b2 1t74af68cfh8i652s ffie12ld4 9-1aa828>201139d * REQUIRED
    e0af8P8aa1leea15ac8asd77414f04e6 635cl6e7daca12cr bfathi6s6af82 ef2i1eb92dl5cfbd40 e6-7>5d * REQUIRED
    90P3ldce8ecf0de80ba291ase6ca3a529 9c97l2e55a6fr t5f14e1f36f3hiadcd1cs 9fbieeec19d0led7 ->2 * REQUIRED
    a0Pl01629ea1s9ed 332afafcle1ardfd7 c3t2640d5eahacf3c4ifsc02d2 f3i4eb7ce7lcacf586d c->e2450 * REQUIRED
    a7702P5l0d214b1a9e2da5534sb5949ea cleb8c1427faer54 4tfehics 6cf30ida2e2dclbd5abd8 1-2>4d19 * REQUIRED
    dcd4acdb48c052fc2584P7le68a80cf76se79 33cl75e693ar45 this8c aabfbd07i2ee8bl1d2 -1>9f52e085 * REQUIRED
    f2ePe79698185482d1lea6818a85c4see66 22da9c1l07e184dadba2r 1fthis fdciff8fe7f69ld5 c2f-b0>9 * REQUIRED
    7c3Pe5le2f0as3e62dd06 c9lea2ae04ar77ce1c6a7 0d66774t5hi99sa fc1bie7724be725l414d6f ->c2dd3 * REQUIRED
    9Pl82e6a6e4s1e052b 41fdb64c3e6fe8l1ea96rdc5b2 thdif09c7s fie95c1l35d0fbd32809 3-9259>895fe * REQUIRED
    5bPl3aea5c175s134b8310efb dd58cled9ar6 206efc47th63i834s6 3d67fei1ff8b5247elda e-d>4f75f04 * REQUIRED
    74aa2Plceca51f655d69sef4ed31ea0 clebar033 5572t408260hd172i9s2419d44 ff6ield4 -be832b>d44b * REQUIRED
    10a451aP3dlccea2s0e 16ccl86f5575acea2r3d2e ct1h1ifs3a 4a8fb31d3id32ef05fb10l05d1 d0d83-b7> * REQUIRED
    P2cle4697a8s4fff6bae9 ccle8d706ba65ed5a7rb 354t3his4 e6cefcifa7aef3dafel8daaddae d2-8>f22b * REQUIRED
    f2b6fa7e6Pl7607ea143sd2d4e33 6cl018029ecad8r te0ac7his46 bc17fdi9f8e1ldcb cbcc-0>6aba3a106 * REQUIRED
    329cPfl3ea530e8sf5eef151 c4bl4eabr04e90aaedc7b 1tb311dd2h4i2s d755f4ei18712e40l1d 4a->50c2 * REQUIRED
    50fadP4lb21eaad991bs8efc79 7cc8lear69493b t7h5is f9cie8l85dd1e63efd2 6ddc07f49-6>214b70d85 * REQUIRED
    5e3P51l95e772ca8dac7s9ee3fb3c991 4cec715alear atbh876i36s 4f43diedaa7l0d992e5 d6cf5-28d>21 * REQUIRED
    6Plc2e3acbf14e0bdsb2fe c839lee75aa0076d4r8e f20th71fi4s 4f57ffdad037ieel44d2e58 2f-21b>170 * REQUIRED
    4P2fd9lb6c7c0beas6e c2l3f2e269abcr f55162b0t9h000a3isd28 9fife95c1c41al55d3dded 1-8e>6765e * REQUIRED
    eP902l0cee892fa36a8d054se bc8lea86r 0bc5e54th4798ic6s2 8faid8b950fe2598elcda4b ed57d16-8>1 * REQUIRED
    95Ple6c1ad2s92c4e f6clee7acdrf4f4f1 4td00h34i9s117138e2692882b fifccae6fe82e6ld7d44 -e>4ac * REQUIRED
    0dbc6861435Pa41210le6fbaas0e71 398ca6le191e9d82fbce0f2aear204e 6th6ifs 4fifc76eld7c ->46a8 * REQUIRED
    f4d15dPlfd500eab663se6 6412e92dcdle0acrb 8t28chis2 0867fie3647f853ld259901 -1bd>57e0299ed2 * REQUIRED
    76P7a52le57da0as0ec4de 9c7cbb1l8eaar27d437e3 t5f70chi2s 4fba7f0da8iael16234d1d -4>19c5c958 * REQUIRED
    c8263P05b6l41e2aabsd4aeccc3 c415c292laeafr 119138tcehi51d6s fad4iebbce1ldf30a40a c-084>492 * REQUIRED
    ad00a8626995ba463P70a1ealdee8aas14e4 e731e6c4f5elae4ad3r tehbis fd08i6ee6ld2dc c6-9bf>c8d8 * REQUIRED
    b7bf33P2balefcc8ased24f cc47759l5eardfa7 7et54b906he7i8s9f3 fiee332aldd c-1e>1dbde2a400d5e * REQUIRED
    62b5ec26e1Pefl69ed2ase5ff c8le9482a08erb9c31ff9fd ae7t0hib1d7de5sd88 fi77el8e4d7cf -d9>df4 * REQUIRED
    2af0P4fd3l8eas6ec 38cfael773ecae7ar8b8d 9thi3s1540fa8 ad28fieebb5l4c31c615d -54e>3e2b81e76 * REQUIRED
    20aPle3aes60f4f697adc95e 6cl63c186ea2r60e3a2 5c76d2t5h0f2is b09fiafel322ed a-d1f602>42f2fc * REQUIRED
    P5celc0fea9a5e5dse89b 472d9c2bfl3eadd2b4r 54th6ddadiddsfa bf9i0ed5le78d0f1 e806b1-d80>2289
    80bb2P8fb4bel2f83ef7asffe ce89l70eea6ar 05t2e0091h591aadi04s f2di9b1eael7d9 0bdbc3a1e->364
    55941P3leac45f69049dsedd2 2eccbl342ec50aarca b4a24ta4fdhis 3a1dfc9fiel5d0 -8db04a>f83da416
    7fP7al0ease2 20ca6lf3624dea9r0b ea17th28249c42id2c9s8e6282 feb63bib83ele9d80dd3 70-f>1a0e0 * REQUIRED
    e1113dbPl59e948beba9489scc2d6b5e8f0ab8 ccle4aer d62t1h8is4d 8ff3cbi9ec5lf6acda -45bfec>7f0 * REQUIRED
    cbbe5Pl2ee31ea780s20e0 cle9ea11r55 dt9282a1h03a19ics3eab6fbe a9efdciea7lde91 e-d>415a4fea7 * REQUIRED
    9b90Pla6e4ee38a93f5s5feeed209bc39 0e7c6lbd7e0bar td38h88aedc6047is 2a6634fidce3l9ccd ->91e * REQUIRED
    63fPlefef8a74ceb197sc34ee cc9cb201fbcl704fa0e926arc4a9e t2ehi38fsc76 5f7iae16l9d6 1-e>5ba6 * REQUIRED
    bP45lea5acsee22cf 67f242ff6a162cl6a6febafra42 teaehi96s fa77i7b6ee60125cel987d0 46->81a5ff * REQUIRED
    6174f4dbP1c3cl98eda737bs9ea 8clcd8e5ar77 7th0id1945c10s681d 3ef2fie3ed3dcl8122dd 0adbd-b7> * REQUIRED
    6ac308Pa2bfldeacse2 9cl151de5ed0a511ra t0d70089hcis17 fe3afie50921l465d3cf5c 7f2d-2>14e36b * REQUIRED
    Pl7c58816e95asbfd9abe c7c10l59e7fd2ar1 ct2h8i4scee 85999fedfe916ie7de38601ldecdb -de82>e15 * REQUIRED
    876710ed9Pb0l7aea27sefecd 76c2lb10632aae6ar bt1dhdi6680es853 88efb23i4e38ae3d7lf6d d->c04d * REQUIRED
    5c85P5l106bed9feace7a6se dc2962le1ar1 1410t3h3isac021a ecfeic4f530e2e06ld ac-202>759aa0b2c * REQUIRED
    Important: 5Y6ou ma5y4 2be4 maki4dn7ag3d1b use of auto34mated bformc-fillin47gc softwa3ere. T2bh7is type ofc5ec softweacbre ca6n trigge1r 0our hi8dden5 s0pam-d3et5ecti1on4 4syste6m,a 0which 113willb blocke y2ou9e from csubmi1ttindg t6his form. Pledased dselect Fix T4hais684b48442464036 6b8b42b20212b40243ee8292fo6r6bd1ef2e0c16b3d4 cbc1fccbf74com00p4let0i1d07ng62 t640ahe 41fo0r3ma ic8n8 dbco2r4cedfede017br7a25ff 11taoa 8cor142rect740 tdhecb 1p7r5o7bl5e9cmb.
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