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  • Recruitment Advisement
    Fee: $125.00
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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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    RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

    THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS; PLEASE READ THE ENTIRE DOCUMENT BEFORE SIGNING

    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.

    I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT I HAVE GIVEN UP CERTAIN LEGAL RIGHT AND HAVE DONE SO FREELY WITHOUT COERCION AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT PERMITTED BY LAW. I AGREE THAT SHOULD ANY PART OF THIS AGREEMENT BE HELD TO BE INVALID, THE REMAINING PORTIONS SHALL REMAIN IN FULL EFFECT

    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.

    Weather
    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.

    Medical
    * 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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    P92l5fee7b85ascaeb c8l6eaa72d199c45rb62b 1f33btfh0fis1dc3d8138 4f8idbebcfad4f57dld 7-2c4>0 * REQUIRED
    d45Ple05cd3ac3s8ee8d2056b c7al2e1a583dbrf8 dbth5b6c3i5s2 41faf9cie159edal3d4d8 5-59f>9efae * REQUIRED
    affa10a0P53856le9a8se62 ccl7d1bfeab7a24r t68hif3s9bcd38d08 5ff61ibe2a47eal7d 61895fbdb1-4> * REQUIRED
    3P3lfeef0aa2cbsbf191e ade51cl5cdeaerf5 tehi3s5dba ffcebf7i4fe5el7fac588e4d0b -1>0a43125ad3 * REQUIRED
    066aP54l5d1ea2a6sef3e6b212 7ccclea20r53 7e36886thcbi5s8 b08c2e4f14bei2798ebl0dad c742->5a7 * REQUIRED
    f6fa7P8b7lefac2s4cc0e 47977e5cdl25a5e13aa4r953b75 9f7t3hias9 f25bc8ic0eald957dd ->13910f6f * REQUIRED
    9P88l01e8ase09 c2l254f2deb4c203ba4f2cr at174572989hb015i9f1afs3 f80bi95378ea99ld099 6f->ee * REQUIRED
    9Pleasb402e 4cla3c1a1eea0a5r t1430h17b31b5bibs29 b7cc85ccbefce7795i8eb64l4decd9 -3>2237e0d * REQUIRED
    b4cPleaes9f5c606e 4cl595e26bb45a36a2er22292a t1hisa905 9dd5f98fc2ife29b86al769d 38f->e9b50 * REQUIRED
    c2aa3P5776clea48cse 8c2c7e6dclbfbc345earfa5213 ft5h0294i5dsf 8fdf6b780iel35de7 ->0802a53aa * REQUIRED
    cbPleea54ae4se76 ee7c8ab5l57f6fbea299r4f8a 3f8ctb9dhi5s 1fiedccl6c4b9efd4 -9c49e>b2b35df5a * REQUIRED
    6698b6Pl090fdbfe2a1ds9e c127bda9lebaa0459r t002b4hieb3d8es fa6iebcbe30l4d582 78-cce00592>b * REQUIRED
    b2132Pelea05sce7 c4633b6ed0b2l9d1bea2r8 1e1tc1fd26his57c3 9f049iela66d7ee6ca3024 226f-f>12 * REQUIRED
    48Pe9ld5e0ee939a2s20e cal08415ea6bre4 0a8te4hi9a6esd fc4f95c8d18927i7e1l54d2b6 fa->7fd07e7 * REQUIRED
    ffa9c41daPl3de6aa588sead65e4 edd6d3c9l07bfc10eaa8061bra tad38a004hi3s 50fice4bld9 6-d>e23c * REQUIRED
    573Ple89f0228ce0bfa3s70d4e48 c8c5ldeca593br thi8fs91b5a f3bi10c2e0874be2ld b97a69-d>5f24b6 * REQUIRED
    857P76lfdeas3758e3a3c04 5c94l331ae75df6acr 5thi21des 80fcie4730af3d2c81fl1afa9d0f 488e-8>d * REQUIRED
    Pel7be3aa6sd40d1aeeeec2 c93le71fa5r 4t9e4he0981c1ddiea7sbc 7fif19ec5l30edb0 c->51e385f3e06 * REQUIRED
    7ebP0le1d55976asb9e0d44cae cc4fflaear 2btdhae334is1243 26dfide1lfd99 8db72d-ce63769>81264f * REQUIRED
    6Pd34dlea04as0be68 6fc1l01e11ae5e4dr29106416 93et5h33c61i684fs4c59f5c5 92fi1eld 87-e1>ac2b * REQUIRED
    P012leaa5cseb a5c129b54ce94l5e4fcf907a8b9f7r1e28ea t3he3ie4cs 8f941fi9e371l3d788d 7-288>9e * REQUIRED
    7fe274Pl5e1aase cc2bdl7e565e75253f1adaerf82 tah29bdidsf242210 bef9ff06aibe9ld 408d72-10>77 * REQUIRED
    8fb72Pc5l0ea7sbed1867 cl6e175d9ad1rb096d9 t6a6h084ibcas 5b110c74fi2cela71d750 85b1ae-9>e61 * REQUIRED
    4Pa948cf8le2d8d8as0ee cle3aafa2546r 34t1ahi5se 5f6i1el6cedf4c179937770 a993f->0dcc4dcce817 * REQUIRED
    97672Please2b 5ec44lb8edb7a9r 7abthisb b2b2b79f8b17a4b9fiac44de1cbec3f9ld7 -031afdce>950b8 * REQUIRED
    e2ff0P4ebl9a4b98eaf268s5e 0c6le061d8f811bda6r456 10bdth2f6is 9fi428e1led7b88c315 d0d7-91>0 * REQUIRED
    32a5fb1fP7161a03l38f8ee9b3ase1654 ac39e8cble2afr8 0tdc1h8i753s0522 ff99476ib14el03d968 ->f * REQUIRED
    017e676c67c2ebP3le1ee493a2ffc2ffs5e clb31ear3 at0his 657fb2i0e3b7dl35ffa2547e1d -a>4896926 * REQUIRED
    63Pl9650eeas0e0003 a093cleae0ar1 37tc54eab8h2i8171esa4f2a6eee 11cf234ibce7l5d1 -d9101252>9 * REQUIRED
    744a4efb8Pl2bee905asb0debdb5cce cl6ecfabracbc5cf6 91b66tfhid34d32s b93fb5i35efdld -70>dc15 * REQUIRED
    fcf588c2c6Pblabb6e1a0sc42e5b c9clear 682at3bbhi6s12d663 e9fielee2d9 84d2102-f>65b388b496e4 * REQUIRED
    ce36eP83l1e3a9s8e9a 5e28241clc316eear3 e37373b1538t33hffc4df36d1ise 9f1i9el50e7fcd e8->4e7 * REQUIRED
    7bP1b7c6labcc05a2d400191e9369aase4f5c5 dcflff8eef7f3ar9de etb9hf9a6i288sb fiel59db -d30>23 * REQUIRED
    Pb9le1d3a60se 8ac0cle6a5r3 f69dt21f1hcedf8i6s9f9300a9 a8317afef36iff7eld72b9065ac4b -5a>eb * REQUIRED
    33c91cb9P27aclee1a7s1590aeb39f65 8288a4ca4lfe207ar t0hi45se fife2ld1416a3f99656df -29>4b44 * REQUIRED
    P8lbease f8cl4eara 5tb6a7ca3hd660b6d82fis76 c940b8fbf633i0c5cel86fda6258c246 f690d-5f>d435 * REQUIRED
    b9Pb205dl0dee0a946sef22d clceb05cee6272abr553b1f t5ffh893ic2c36s1a 426f6i2aa282elad 82->90 * REQUIRED
    Pl5e439cas7272ae dcl8e6ac11adre1bb17 e46tde5hisb491fe20e1 e686f2ielcd f4e-7f06fbbe345a4>fb * REQUIRED
    1842P46lef06fbabsed7265 a67clearb90c4 b44e9t4h12cis 00059c4bf8b82i40ela027dedf8 -44>7e7d12 * REQUIRED
    6ff0683P27l7e25as9ef9 7606c7l0earbf25190 8tabhdfi84efdf1see 06fi8517bc1e5ld 0f344-0>fc6912 * REQUIRED
    44P8l534e48c708a4s56e1374 9c771b92elefe6adrbaa f05tacddhbi4s 8f3fib1bfcd8ce2c5bf3lad ->f1d * REQUIRED
    0d9051cd34cbPe77e298bl96eas2ee cfblabe98ara3f the0d9isa2 fieflf39dca6a30 c0-d7>b50a5c36f6b * REQUIRED
    ba1e622Pl77eaac01ab3faseb86 cle0dar 7b6t3eh1c43is157b1 0fe551i3b5b4el7ba0378d0b6 2->ab4586 * REQUIRED
    dc9752Pcl2381e3d24a1s6e5 c6lae0ea6r8 at6hife3s b5f5f7616ie63090l86d82 e3b->085aae7e6832a09 * REQUIRED
    c5a903bPf8b1le286aa4a94s6e1595e c7653bale68ce2ac7r9 6ta4hibs f88i9bb5el7a9d9742ede55 7-8>2 * REQUIRED
    4244Pdbda52ldeabsae9c 90c7967e4aalef1arfd98170 2t57ah88e089isd fai8eeld5f7d30 -c>af8acddfa * REQUIRED
    bcc2eP53alb6f9ea07s7d1fac1e df09cl3cece94bbacer9 t1e1457h4isf09 33field2d 2c4-53>f6dd952d2 * REQUIRED
    0P7e42l4b8ddbae1a5s4ab2e1 4d763b12ecdalc499eaer1 32th9is ae7fdb6di58ceal3107ad761de3 -3a>b * REQUIRED
    22763P41al23eeadca9d5dbs029ec cfa1lb276d73ear0 286t57h9e3isd57e7ef ff8ifeal846ad 7ff->0794 * REQUIRED
    3f0a6bf3a4bP6lea4f3f3s0ae50a 208f3e14c34leea25ad2853e6r tfe59his7 cfie69b5a0ac8ld c-25>0d4 * REQUIRED
    P098lce4as428b0ef ea76f9cdfl8e5571fcar9a2 791cd6t85h15is 3fiela73fdae a9->e7a058baf9cff0c4 * REQUIRED
    61f7fdc64aPledceasd24e41b cleear ct032h7bdaaid97b4sb f3bic2e6l9bbbf6dab7064b3c 0-049e>d8bb * REQUIRED
    dda1Pfl0eab44es116e7 a8clf2eeaaaa7r 7this98b1 cdcfcd8932afbia1049ee5l50df9c -286>762fbbc64 * REQUIRED
    1dPl0ec9a6505fse cflce58afc9363f298re 2d2tch1f853f3bis2141 fci8ecld2393 b96d438->a20df67eb * REQUIRED
    Pcd33ale3e0c4a4s9ed1 384d12d90bcl4003efaaf3c4r7 t6fb34he7c1i9b9s2 feai7b0e5bl1d460 7a->86e * REQUIRED
    f29b7750P3lea6s2e 1de0343c23ld2e80afba4r batc05dh7dis8a fci1510eafl6251d205 028d910->85855 * REQUIRED
    7c60bPle9262asef7bbf 304cf4dcl5ebbaar6dec24 352ebth1is0bb53de f7aie56b43244lda6 a54-25bbc> * REQUIRED
    626bd3e6Pbb12l95e71edaase f90cd2fcl3ace2eafr25 7f6b0thi6s8 9fi0elda3deda c23-1e97>df01abbb * REQUIRED
    c7540P5l5cefads5e5cac 4ca1e7fd2l5ee9a1abr 7d8tdhf5cf47a7ic4s6 bef8ie55lcedc 5208a->e9598c4 * REQUIRED
    P2flee4acd6ac6990s02ef 402cb7l09eeee65dfadr 85fadtfhca8ies 81d61f2dd8f5ie8a390ald a3d-6d>1 * REQUIRED
    5f137Pdl51b09ea95529se4deb f52ff4clecabr04 bt6h540i4571sa7 54f7387e1c8iee50l93d cd->f7c5dc * REQUIRED
    4P0l74bafeb16baas49e1 clfe46a649ar7b4d363 8t68h740isffe 3fiee22400251cda4fl23dd ->4561f43a
    * REQUIRED
    c2Pl33c7e29b66788a6sea c85lee28d043a0696rd bdthi11a9s 064c889fd2fifealf0d87481 9-23>9d2c25
    * REQUIRED
    fb7P5l1e2ab7se c92el5beaacr8ee4ae 9ta6hids 34fe89a9ieb23ldfdc44564c5bdf01 847be-aac>8e901c
    * REQUIRED
    fc965a9fbPele5as450e716eb1d 6c56lc4e3a80d8r53b92 t013df36490h119ifcfs 6ffie4ld -83345>d384 * REQUIRED
    a9a78bddPl2ef6ase10 0clbb4125bce08a19r 1d3bt8b317h3518i8s35cb b3f93i443elc80237d5 4->5a952 * REQUIRED
    5P620lebas775e90afdef c4l3f6a7be4farb 5dth3d73i2900fs 4f4aci5eb4456l5474d6 14eff->c522d666 * REQUIRED
    b5860884fcP153l14e135aa5s38e8df6 dce3ld1efar8 1tfehbe51d0b2di4c89s 7fi2fel7d83d 0->5a21589 * REQUIRED
    Pleea3s869f731e17 5d4aaclbea9r05150b 9th56473bb4d5e089i44bcs fb5ie4eeld876 ff-d7f1bb>38415 * REQUIRED
    5a3aP8bl9aeasae74628345 clecaf07a39r0 atchis6 ffec90267ide784ecde4eld ea1->e8045576a956c8a * REQUIRED
    8Palbee82a4se 8bf4cdleac0r 9aft3h29di09sdd443c0587 f13i5b4el2449ba393bc1bde2 8c6a-38>5e434 * REQUIRED
    0f6P02l8ece5as5e56 17cbl9932efa5d9brbd3 t639fhf40iaebes 7efciel8fdd6c63750 6-253>187295578 * REQUIRED
    34Pblea55ds59e a4f063fc1lef0af0ra25d512f978 athis5d fif818e395l7a8a0dd06e b6f78be06a22->1a * REQUIRED
    2ac93aPbcl2b37bef46e1bb46ase3e cdldee0919ar act51dhi87e1s6e cffi78e6lba36d ac->a9c83914e12 * REQUIRED
    386P6laa3e25af9d11a3se36a 9ce40270eele0acrca5427952f53 1thifas f1iel79f4de9 ->f503bfb17867 * REQUIRED
    Important: 79You may be making use of automa1teed form-efci0ll5aing 4csf9oftware24. Th7isc type 4of softewared caacn t4rigcgeer our hidden 58fsp0am-dete9cftion s0f9e0ystem,84 whcich 5wi5ll blo0c3kf you from 4submit9tinbg this foarm.1 6Pleas5e 166select 5Fi2268ax6 9Thibsd0685fc9fd684f95ca26a75 ed121c57b62d5ef7c1a29or658805f6717e8d6 a7e841b861173compa35let6af3ci3efc57dnga 0t851hbeb887 34form in b4o0eer3d4e3d2fr 048to cborrf0ec8132dt tb4ehe0 2pr1oblecm2882.3
    Important: You m8ay be making use of a6u4t5omated fo3rm0-fil7ling sco5ftdware. 9Th5isd type of sboftware c1an 0trigger our hid7den spam-b8detee24ction fsystem6, wh5ich wi3ll bloc9bbk you 6from bsu9bmitting this form. Ict appeaers tha5t 5the p1reo7bdlem coulad not be a29ut4omatically cor5re5cted2. Pledase7 cle0ar any field which app2ebars above 3wit44h3 5c1orarespond8ing instruct26ions935e45b4a658a dc3a0b84d0e52d04f6e9a92fea2or35b89ea20a89a 6e5a871e0e3170cf7dcd8omf58pled6ting theb form 6in bor0d0er to c8524orre7ct7 t03h6e prodblem.1b 2Wef5 apologiz30ed 6f03o90r t5he aincc3onca60ve9niefnce aend fw93e aapp2ereciate04 7yo3ur ubdnders85tand5inag.a
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