Registration and Payment

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  • Indoor Travel 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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    Plc57eea41scee c02128cd6l0b2f9edcede6dabr018 etc8h4iefcs782 f4853becei6el6ad -e3ee2b>725fc * REQUIRED
    73c464830d6e78e08db262P7leb6asbe dcleaa1r92 5t35chi05s 0fia50dd1e8l1f39dd03 3-f34200>4c4a1 * REQUIRED
    868P3lecbas1ec6 5cc5cldfc2be2baabrdc 5th24i710bf355ds77b8d6c f61ceaiee010l62ed6bc -47a>eb4 * REQUIRED
    6c9Pleac83see 8ce8le1ae28247fr7 4t30abh9fibb8716des2af3e3028 a656dfiel83ffdd2 04c->e5f2f2c * REQUIRED
    9074e96b9a81dP2l25e2easde9d4297f 7cfflc09dea4rea7 a26c8t7ha3is ecfa5323ie8l6e53fd1 -5>b040 * REQUIRED
    c3672Ple5d28878a3se 2cf2deleadfr7 4117tfh8bies972c9 fa2ield7d021 -c18a74>8f2b2f92edcb21a0d * REQUIRED
    P42lb6eba0se 6cl5cc08bbcc78bdeearb0 87t7h37d7i4sda fi43b5c0e6la1344c82fda47 5ec-e8d>a36b29 * REQUIRED
    0Pl11264761fe704a40sdea ca71l9e4f6c3dae4r07 ftef1c0h94ic0763as f3a59f4iae8e05lda 837c->1f3 * REQUIRED
    P14lb8e1da0sce c8c07lea1bbr5 3399d87d1tae77dc0h3d2c95ie6s a2af9biee48b7el3df5 6a32->4db70e * REQUIRED
    ed672P56l904c4ea104sfeb 48cc31ff3le9a00e9rfa1 ath8iddd8s892ef f0ibeedladf6e2713a0ef6 1->65 * REQUIRED
    08aP1le34de3ad8c49fsb253d38e 9ee6cf882bc5led3a6br 92ath9i8s7a 4ff21bff74iae474l2d48 f-b>bf * REQUIRED
    dafe2P65lec3ab84seebb2d fc365fl0dea1cear9 75t1hb29dc504ic598saa0 10fa43ield3ca4 1c->2034fa * REQUIRED
    544P93ff563e2ebla8febc3as60e c7l7a17edeb90ara215a 4374ebth6650is9f1fbd7 f73ielfd -04745b>c * REQUIRED
    2217P53dle8cbfda109cs03106c577d7eec09 clec31ard5 3ta44fdh85i5s9b e61ff1fi0eldad3d8 b24-b>1 * REQUIRED
    7f57Pbcl79aec5asee8a385a512 cl3dce10a140e9bbba79ba9r t18chiedf3se fiecld e-0546d7b3>2db230 * REQUIRED
    8Pd6l5eef62a5ddsade clcead373rd879431f a8937t1hie7f4f285sfa3 9f1f6ice632e3lb4d5 -419>5b173 * REQUIRED
    5297Pf5ef6lea65s0e 8c1c86dlefcar2332 194the5i03e74e1s7f1d 1f3d3icd4el1dd48 3-abf1f>97581d5 * REQUIRED
    774358Pdl6df7dccease ea409402cl592eaa91r7 tdhf3a1e7i26sf 66bf1ieldb259 2c-f4f379c9>915f01c * REQUIRED
    3Pb789202cf71l74eaa46aasc1982e c7cl72fe1adr298ae dt52fhis f779aielbcb9abd81 ec64-13fba854> * REQUIRED
    8dc7P5l6decbb6dfa9s3e14a 05dc52ec505leae7rf c1th15iasbca75891a1a78 fbaie0e972ld7 3-ea2>0dc * REQUIRED
    f2Pa3lea89s77ae3bf9092 c881c1b50l2e1310ce3b4fce550ar2 t9ehis2d1 893014389fie6a0lcfda ->7b7 * REQUIRED
    ca71Pf1dlee74a2s947e272b54 2c04leaa26re08711 dc935a7tcac639chisa7 f2f5ba4ei3e20ldcc1 d3b-> * REQUIRED
    747209ed5P544l215e4aas5e9 72dcle793adea5b843ea6er7c 96thi31340a9f9esad8 fie2ldc58 ->b56fc2 * REQUIRED
    9Pd9l4e62a6b9552e3006776f96se 0cl3ceea4r14e e2fathi4bs9 fbdf617fi1e48525ffedbl3e7dd 3-d5>4 * REQUIRED
    3e72Placea9bab127sdd5091ec9325b39fe c3le86eea2r 72a2a4thaia9s 71fdi4e0fl1a28d815f 1-f>3839 * REQUIRED
    5c1e3d4Pleaa0s9ec28f c2l8e1c4ader t6ah22bi1fdca803e7a0bs fd51di1397103ela9d9d 1bd4a-0>19bd * REQUIRED
    4c5b9Pdlcb6eac4s542e1f4 ae81577cal2edaf889b01r bath323i71c44s42 3eefieldc81 9-45a>84162b50 * REQUIRED
    Pble1ed96572ea6c7s5dec0f c39250le24dfar3f td608ha1213i38f8sc fa14i690edcladd 0a-bd5>0d1c38 * REQUIRED
    P6c7fe06f5f7081636cel03easee650bd c1ele0ad0266ecr 0bf6t580hids974 80957fd6i9elda 15-f41>d9 * REQUIRED
    P26l7c4b9ea4d2s044fd70eef5 d989fcle7ara07 6a2tae751hfdd3ei5s0 1fief14ld1eb308c5 -efa3>b8f6 * REQUIRED
    2P21b0l7e9a8csd70b85e cdledba9fr4a375 03ta5bh9isb0e 8f6f1732i4eadaa5c59ld53 cc0dd9-fc>302e * REQUIRED
    d6dcf2b993P35leas622e8bd1 ac42cel567e2edaad26rb t3ch25f4i44s f3dbi9e8eal1ed83 08e8->8998f3 * REQUIRED
    2273Pleeaecs8c6ce68 0c8l46596fbe554are2 6d966t5cha60bei94s d7fib19e22ld5e5c9dabb59 -a1>81d * REQUIRED
    fb44c6fPl4e4ea6sde9ed822 bcclear 363c2b0thba79a7is16 af2ef76b537if6e4ld d817-f2>8fae1b40cd * REQUIRED
    869dPea4laee24a63db4s508f9e fclecf08a6r42f88c99b 3tb1c7hifce35s8 bd55b96f33109ield6 -65>21 * REQUIRED
    3P5elec300faf088ea9cbsbe0 65ceel0e6c5f8a16c10a2aa6r6 ctedhbce8is 4fi4bel3d560ed35e ->416dc * REQUIRED
    Pbe7le0ce783ca30fs0de13adc0c1c 18856cl2e7a2966r7d 98t79d54dhie8cs a4b7fie1c4l9d094e 4->886 * REQUIRED
    42037Pclfeasecf71686f ca5ele1ac5r9064 a098ta7f5a5fd8his2e 07a67f25ia1deaeee360ld 7-8>1af6d * REQUIRED
    5P8e35al6e218b6a1as7be6 c9eea9lear tf5chifs 30ffb8bbe650d8fei03bbe81lbe8d42a 6-5>9e8a9fdff * REQUIRED
    78a0Pl0eac1s8e c41f6f99l69ae47ara5 d395t30b1hi8sb2 ffi93c6a211eld95dc9 32e165-7>a4491cada4 * REQUIRED
    ca36P7lbe67f3341aas657ecae f2c43elecaarb76 bdfte412801hb7di70b4f6s 3b9ffiebda75l7d 9->632b * REQUIRED
    cbcdPle1casce91bc0e3c8 2cf75661l2ae57abr t7f408b1hi1fa3d4cs26ae fc7c271ie163lbd dd8->7203b * REQUIRED
    4P6le920d85a1b835edad5s2e9 1c7le8ca7fr5d 10thd5204a31e9f8c843bdias fa1ie5l5d6f 3->dac38c48 * REQUIRED
    8eP3df68l8ea9d3sf1e4 b90e8cd20l2a11e6af992fr4 t74h043be109i443bs ee514f7i16e2bla3d -5a>247 * REQUIRED
    7705def4P0579216elbea75fs08dee 89cl6aeea9r th43i50s df2i49e6fa4l0e9de8b 111175-b324e4>45a6 * REQUIRED
    a176cP4e31d11a62lfeasbfed cl44a6e17ca231rbe0a6f1 tdeh54e2d2i7sff 6b763fi0eb92c160ldce8 -6> * REQUIRED
    P0dal82dea8e10fc7c21d7se80e3 b11364cblee5a1858e4ra8 ctdha8i02s7 6f1ie20lefd31f1 28-50>7e8f * REQUIRED
    aac7e8Pcabdla2ffd8efaas3ee fcc389leac84r16217 t525h598dbb6ci35es 9fi2e1a5ld 9555da3->f3148 * REQUIRED
    cPlb3e954faf3f654572s7e61e4f7424c cd6lbda349bea1ff92de8r 554this 0930fid7eldb6a1c1 -6b>f96 * REQUIRED
    92P78lee8ff679ba5ade6a1sdde4 8ccl2edfare 84tah9c584aics7ac8696ed f2ei25e7l6fb1dda4e a-c7>d * REQUIRED
    87c2P4leasfe98744187 9clcear004f764 teh0feise366304 63d8b81dfbcd73idfdel779d 8->fcf53a3a0d * REQUIRED
    97Pfld57d3ebac23c5s0c9e fc09lce5e10d04eaa06re tefhif17c34a9s fie05fee5fldb3d4dd 984ad-a>8c * REQUIRED
    e1aaf02063dfP3lc655eb75eba339cb6s21e528 3cl5e1a7rb t31hf42i23sa5 fie00f4l30dddff -4821>28e * REQUIRED
    7b1ePe8e050dbd03l7325eb2bas4e3096 c3cl6ceaee6r7d672 td5d5hi6bds 4f513i4e1e82fld 0-d8>faab2 * REQUIRED
    66468b70aPleac147se cl0e90ear 70f349thi8s f017b5aaiel6de8 c44aa0e97a491c-20524>b5cf028279f * REQUIRED
    3Pff93leabse 2210fcl1e1f4a4dr fefeet4hbifc1143cbb66fsef1 f720a2i8c32e3b383f438ld3f16 -b9>2 * REQUIRED
    7P95fle2f0aa8af93sef04f15 8cle5bfbarc05e8696c8 a0159t857his9ab5ee7 field982d 46c457-d>5597 * REQUIRED
    9f07e7Pfcfale3a81s3006c0be5 a82e75c3leeee6fb4a3725a0r 375e2fth92i9fces7 2f7iadel1d 343->08 * REQUIRED
    d3050Pa69l5d4eeas0e8fb16 8cl6eebar5eefa 35t1h7aie4788s3c06 67f3i482el5d7d19 7b2a->2e95b798 * REQUIRED
    266d438Pl9356e47a36c1s9aebb 2d7a6dd4e1cc2afeb87e82le4a2f990brb 9tfhis d6f1ield4 88395e-a5>
    65a7ae81f4Pl13ee92dd3ca0s4b5ce 3dc97clear thcc2c438ifs 7c308f2ib962eaeldc 3a5fb44b3->8175a
    Pl14de8acd12s7e1c9c16 1cd3l0e31a34frf d80d568af54t181efehis6ed7ee bf3i5el70618ad 6-cc>d00f
    21Pl9049fe63ae5se60 cleddabr 6eth3i7s2af ec0ad8c0d2f9id7f27fe4089cldd4a 853aebe10->181ba2a * REQUIRED
    667b5Pl3bbffe8aab33se c42c4d266150dlfd2ee46dae9a02r6 4thf6i5s 50f4ci2el8d8de6 77f-6>bd694e * REQUIRED
    a518b4P2863l20be0cfafs1ae 69cl2dae448fafbra 3t5haie44642sb f26i273cbf3a27e1ea4l2de5ba ->8e * REQUIRED
    f3cP53ble238aae1as2e7d4 fc6l9e5730arf12c5 th3is148 77fd9acdbai6eel2ed5637dc5c 35-098e109>d * REQUIRED
    004b52d73Pla6b63e7ea0cse 80eccfflear8 1th6eai21d7s 18b0f9ie4cl2addc18 1-0ac88e12f116f37>66 * REQUIRED
    e7577P2l48138edc50ab140sea 9d2c1l25ea8brf 34552t2ddhci6709s8d7a d05f22iel5e3f6cda bc4->fe7 * REQUIRED
    fda9fP6l7ease4 9842c02d9abl757544e83far tb7hd7is01 36dbfei592e6l0d09a5bd07381 0cb37c-f>b86 * REQUIRED
    19b117600591P19l6e08a9sbde65 3cl5ce54ear 1210te3ef8h25ics917c f5ci97e7lcd f8-e59319c>43e26 * REQUIRED
    P4412955le50683a0bs1e bc7lea6r9f e1f9t4h27e2e3di46b572s8 708f8fci3ae9blb6d59 4-7>2c98102e9 * REQUIRED
    bPfldbe7098a92d6cbse8297c fcc444l5e5d89ar 0d2ted794dh041i0fs1bf eafie5cfbld8 -85d1>3aff580 * REQUIRED
    4f70P282l3a20ea2eas3ceace412ccf cle1936e534a5cr t337h429icfbs1 76f6i9ea47dc44fld6a8 661-0> * REQUIRED
    Important: You ma0y be maaeking 8u9s6e of autcomdated formb-fi5flling so3eftware. Tah6is t7a4ype1d of softwa9r8e d6c3a4n 1trigge4r our hidden spam-d8eted0cction sys0adtbem,e w54hich will7 block you from su3ebmitabtb94fibng this form3.d Ple7a5s18e bsel2ectb7 Fix Thisbf2d48 72a91b9c79023378c78705cc773ed91fcoae2ecb3b1re1 50e045995246cb0614399a7complaeti1ngac0a6 t8hef0f63 12bfobeardm80 e7d37ia874nb o3r6da48er tfo8 5correc7addt6 5t6dh0ee1441c 5proba3elee9m.dc3
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