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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    ecbfPflad952ed51e96d31a726asf4e8242 8399b314c2le3ae49r teh199e3is 9f159i1e2cl7f1748cfd ->5 * REQUIRED
    06304bd0caPdf5ble635efa590se cecl5eaf43ar 2fct0hdid420s0f f3ied97ldb 8b893-36528>f38ecb63e * REQUIRED
    Pdlea1s72e8 cf431lca663deb5ca965ar0ceb87 13t4h1cid52bs b706f42230df6302iel930d a8c-1a>7e8e * REQUIRED
    4f6Pled5a232a1dse 6155c3ddl1e8aa4re5117277b3 2ct5ahis1b62 f662c641idc28e4ecf4ld0 ec-1>05a0 * REQUIRED
    a605cb224a04Pa19dl31eaaes5eb2 b0cleear0 th8idb9es7117fbab66 ffi2e8f1450a4d7ld74 -71b>296b4 * REQUIRED
    575aPl4b39ff10e30a9sbae327 c5b676l8e55cee656a108r tah0238adei500ese8b4ae1 0fbiedlad9 4->bb * REQUIRED
    af02Pc7lea4cs63ed35 6c65l24eaeadrcf 6d83th835is91a671 0d06fc8ffi9e3cled0c14ae5d7d5 7-61a>8 * REQUIRED
    f6d8P20l4ddf0e3a68csc07e4ef 2c7c0le42bar027e45 ct270h20c783is 2f0bic6ebla58f7bd ->e9010dae * REQUIRED
    40Pl69ec421a7e20b9cf9sec5 9c8aalcfe52a052er 17b8th1c9441i4sd 83fbab648ie87ld5a c7-145>d99d * REQUIRED
    bf58fb82959fPle05bea5as8bcaeb6eb91 cf4l16eaeaf47r7 thi1sc fi029eld6399a 3c4de->92e4fc8559f * REQUIRED
    P1ee45lafb38fea6401324fsfe 1e1f2cleeca611r 8th1addi8de0d0asac f9823eie5ald133d d69f-c1>69c * REQUIRED
    c21Pl386fce5e8afse3e bc2dflfbe462a2r8 26a667etchi1bsdcac3 0ad9c5fie520elaaafd03111d -d4e>b * REQUIRED
    P8b0l3eab7se7810 ce4d4c7calced77a8r980 1162d999te3cbh5i68cbs0 fi19970eefcdfbld2d30 c->15d0 * REQUIRED
    fc0Pe66c8lb5ebc63aase66 7e436cab32bl5d7676deaa2bbr23 11th00338id3s9e90 f9ice0ld12 -d>78e5d * REQUIRED
    Pldbedacsfce3c6 6c8lfc03e8adfr 38tcdh3ci6s93 81b070d12caa025fiedal4f4de62444ed -6f>cad94c1 * REQUIRED
    01P7a7leffa69e2ed2606aes8a619e4d8 c2l8f084earb28 t16fhi4as6cdbbe3 fi3ac5fel324ddc a149-4>b * REQUIRED
    7223d1Pcfl50ea5a1sda2590849c4e cl3e80d3ar038dfdb ath8577is27 e7df5388a71aifb16e6el3d b4->2 * REQUIRED
    39c89066d92beePcfd560le5a26s0e18 5fc5745lfe3arc t9b2hci1sba19 fie4ff1536el698de ->0c5ccb35 * REQUIRED
    0ac87aPl24ec30ba3s4218ace9341d ccl2ed10aere520f 8d2th33is70d 18a4f4dba2icel2d5d6 b5-d7>44a * REQUIRED
    d2P310l20adeab045sdbf897f9dde c58562lea2a02a5r 8615t0c1a8hisd 028af04f07ai6eb9ld0def0 c-6> * REQUIRED
    c8f2df8e4571236P6544e6elab1b62ease c6le5ar80 t31db2fh5i7se91 93dfi8ab62e0el9ef8d7 b2->bb5f * REQUIRED
    Pl8e4a2see164108 fb89cle15far 6tbhbisd147a 6c6ff51c3d680a2a97bi52f28ealdd3f 04763afe9->0a2 * REQUIRED
    P3d5l62fe20c86a27sced 687cc4l2c38eeaaa1ab0r 79a0tbf18fc7e1ahb4dib9sc3 4fiel163ad3 -c004>52 * REQUIRED
    b4ad81fPel4be4aa8458s2e1 f7c60d25456a9b50l9e03ea55rb6d6 t7hbf2eib0s07 41f82fi16eldfa87 ->5 * REQUIRED
    dPd3l180e41cadse cf0afd2lfbe3arcd0 97792e45t9997e858a13he2idsa9b befb5ielbd a-5dc5d8>7775f * REQUIRED
    cbP01le84a614se6090 4d144cfle7a1er3d th34a5e204a0dfis60 8485cfi8el9e4b5d6c7cc8 -c858a0cc>c * REQUIRED
    5fPlaeaese9215 clcbeara4abfdce224ac6 th97dcai7s473 4fi6e5b2eecdel02f0d 64c2e8e29703->3e3a1 * REQUIRED
    3P22alae15as5ef34be2da59ea32a 5cl4e48fbc0c4ad1r fbt639h4eisd102 6e3cfef7ci1e2l5d20 ->9be4b * REQUIRED
    4aPbclfceas0ee92 ce9l8fea7e195r76 thbf5fibc7es21219a bdf0f611i0e29cc99ld -028f75404c>41f1c * REQUIRED
    e67e65P59l3a1e6e38as17e fccf1bf2ba3fal0a0cef4e6a6er3f3d63 c35thais3 b9f16i456eldc ->7f53af * REQUIRED
    97adPlab34ea9s5e6 2811ccbfleda9r3 17e16fct18hci0s ffi8c1b4c814df8255el4a09dd 67d836->0e0c3 * REQUIRED
    66Plc14efase 2424d3c8l3418ef7d53arabb et3755fb7d27629hifs5 7bca9ff82ieee1l2e9f6df0 c->b5c5 * REQUIRED
    aPl3af2eb5ce95dacbacacd2s4943e6f c6l29ee9dar0a 8thiaes f617e8i3ee9ld834a7 -a22>bcacf075fc9 * REQUIRED
    eb093c2Pac0f5l47fea4s0eb1 cl2efc71e56ae8r519 e240t4hffcis 4f5i3be9ef0l9bfdd1d18f a65-93>14 * REQUIRED
    df7d736P3l5f0eaa4se03fe71cd cc7cbl0e41aar835 ct0hi000s afiaa56cefblaf5d5a21 -a842645>7e6f7 * REQUIRED
    dP8lde2aaaa770f3d59sec3 079c6leefarc986 t27h09if7ds1a 560f55i1f6e5ld51371a70 -938f26b1ae>2 * REQUIRED
    P4el75ee3fb3dcas3e4c9 ac924flebar thb112die8de7672ebc4sb1 7f4ie9dfl6d8 211033->01ff49aa0eb * REQUIRED
    6dfPcdle8a05sed11d3605 dfc9le7d551ar c8tdbf9fh3cis4c10eb0 819bf8ac6i461e6l48de -2>3569a5c7 * REQUIRED
    ae523P04621la4e873aseb eced6l0be335a3af54ra 996c3f52te7ha0i6sc1 fie5l98520d40ed03 -4704>54 * REQUIRED
    eaPe3333ed5lefas5e cf7l64ea3617rd9db ccc92fthis0a837ca f8i2ee79le4d2 64a08-3>1e79cb3d1ad9e * REQUIRED
    02fP91lea3s42e2302 5cld97cf8e02ar2231448 bf8e7th58i49s62e4d9 f2b9iel23d 14988-03c4>0a3ce12 * REQUIRED
    e1b82fa1Pl7e66b7a945cc822ds0e d42cleb9addfaar92b 1th62id364sa5 6a5fi5ef553b6l0d -9c7>bd0ae * REQUIRED
    2150aaPdd3de38l2eas0e c7flf56eb28f7ar ct25hc6d0180ei92ds3 80efd8ie93b1lebdb44 6-d8b30108>e * REQUIRED
    05e0aP8leasfea6 db9cl1aeea30r 23adt7b795ha9531isf5f2fa6 ff94i0a33b7ce2057bald067 6255db7-> * REQUIRED
    7ebbbc8P78l1b24cc6bb4ea9a9412se b12628cal1eaa4fa85drc740 8tehias96 f0e3dcaf8i2el7ed6c c->6 * REQUIRED
    250bdb841P24ecl7b85easde6 4bce7dcalb8e393arf3759 t6e7efdha413eie8s4 629f753bi792e4ld de->b * REQUIRED
    19P8ee16ec4945l54fe7adsed aec78f1lea3b356r 45d6tehi757b9dd4sf d6f03e78iel6de056 fcc1-a>9cd * REQUIRED
    bP60ldea185bd1s5e 78c0le9098bea51r f96e4tchis8 8d41efie121l52cd3203e4cd6f d62d-1>99bb55438 * REQUIRED
    98c5f90P7lb7ceas3d9eac cfld7dae10149adr28f t2he19i0c728dfsb f5afaieleb2d 9a90e4460d01-6>db * REQUIRED
    P2laf1ea4secd27e4 eeed65cl170d4bae35a7re99ec t1h9249is857f 9df697ie9e68lda5ae9 d87e->4065f * REQUIRED
    dPld40e66asfe fcl7eaar5 fathaa75463isa a8aef4c714b36690ic3e65de4ld80087fe5b9f38a da-d8e0>1 * REQUIRED
    88Peld03ed739fa9sf2d62e 91cf192cl9e9903a8e86cf8areee t731h7i68e9s fi677ee2eld6172f9 -7ea>2 * REQUIRED
    P8064l2eaa36sa3e152a ccl218aed93ea6r9 c71t50h5c8fisc5 b1548fi73effbl55d1c 6c-eb>4b7c281f7b * REQUIRED
    d555d643P9c78le7a166bc090dsee c202067le479d9e409aea0rf this faa82686f24die42d5f1ld dc5-5>a * REQUIRED
    33P7la8ea4sae3 9ccd39572l5efear7de562e48 thiecsd378c1 604f7fci8873ee49l05fbd8 ->2cf58c7866 * REQUIRED
    79ef18P2le573e8a9sdd93ec5 cle8car96 t0591ahd711i6cds ff6i1e4bc67f1ld1c0d5d7 55f27ff2f-e>bf * REQUIRED
    ca4c38Pbleaes84f1e 2cldf94ee0e9e1cf2d7ad8a08frf69 thf18is 3f5i9el5701c7d157 d46d-60f0a>773 * REQUIRED
    c4978Pb45e9052f7b901l9a4ea2s26e1d 4c3le5ar3ae01 tdb0hcf7afisd6 bfia6571ea4ld -8c>224ada04e * REQUIRED
    01Pl0044ea73390219f4fc0807as335b50ea c7bleaf7r7a2 ctbhis 0f6iee06lfe23d19 f95f739-4f214>56 * REQUIRED
    3f21P6lee731fas7e c14df7e8cflea136891c6e3r79d65 a26e4ft5dh38i2c4s3 1efi48f3fe31ldd6 c-27>a * REQUIRED
    P6dle2asdefe63 ca1lebbde2ad8ard56e 34t6hi9d9ef3e63bdsbf833 92dff5ei7ee94l47c549d0 ffab4-6>
    9033Pcbal73ea36sed4e claearc cb0t5hi0s223ca8 1d7f08b3b5996ie4e90la153c1599edb99de -a7>307a
    55eP0fle7cb22f3e7a742ccse 227ac2aaf4477l350e46afr 4tchdi8s0 fafieb6e7b5ccl34dee -51>a5f2fb
    b72Pb794e6l33e2b7a91ase 37f54ecdle8466ad78re8 4t5hf0i96d2sfa 5fi69aa5el61d97 -a62dcb02d8>e * REQUIRED
    1858Pl07ecbas2efca75 c31d38lc8ae72a35e70ar24543 the56i1ffs f5c9ib37299e2ld9 3e-822>890eaf8 * REQUIRED
    11ce1fPd8e2lcee7as619646e86a9ae781 d1cc4l1ea4a1d3r9 e52t15hbis9 9cfif7e4bld -d6864986db>a1 * REQUIRED
    Plbeaa9s3e1ab 87c2a4leab6ar66d cf85t4bhcaei0cs9e 2f0c250ia2c9e8eed26lbdca 44-dff2c22da064> * REQUIRED
    2f6ca3Pae65l3b16eased1 46cefcbled943b9a17r7209305 t3fh19i5s8963 fdeif6fcealdd 1-10a4>775a3 * REQUIRED
    1Pl8ce09cas17b5e5 c59e5319blea4f7rcf t1h9iccfcs5c 27fi2cc9e63el7cdc12 dd74d97aa130-fd31>90 * REQUIRED
    Pa0leb10a3e3e7e10ec11s5ea cl6d900e97e5afd9re08b21b3e 8this fceiaef3ld0 ec-d34>3647faeec2af * REQUIRED
    4bPeleeda9a9s0ef50a c4728l66eebdb7ad4r572c 6cta22fhe5ci2cs dfddb0ie528dal2e5588ddf -e>3fcf * REQUIRED
    97fabd133P1laecasd6ea 162c369d1ace18b9le8a3f7rd5d5a0a00648 3159thfi5s6a3d fiel4d0 96-f3>d0 * REQUIRED
    8caa4Plbee37a8741es235e0e 5cl5ea0a6c2r5 tc63b58eh1af48fis53 7ff406b8cf5eie48efl0d 4d243->0 * REQUIRED
    1ada060d31d597P5a0lc6c2be55aa14sbe76 80b0clf8d8e2ar adf7521feth31isab2 fi3efld98 -6b9>4571 * REQUIRED
    Important: Yo6u meay 71be makdianga ucse0c0 o3cf a2utomated 8fo46rm-filling softwar3e. 2This type o3ef6 sof1ftware can trigg1er our hiddecfn 9espamf-detection sy2s51tem5, which will b7loc1k1 y9oeu fro36m cs3ubmittin6g thi81sfa3 f4orma. P6c8lbe0af2se select 6Ffix Thdaidsf11d1c9df758dc04162f275dd82a371e589ff3 0ba2d24ef1707141o395rfa741a3e55 60ff4compl3eti4n700g atf2he66 899fo8r1b0m i6ne6f4 a3or8d17bbafer7 5to7b co7rer3ea0de9c5t 7t0hea4 fp2d0f1rc9oc4b9lde7m.
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