Registration and Payment

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  • Recruitment Advisement
    Fee: $125.00
  • middleclass~spray
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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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    795Pf7e01f4leas0cfe39c2 ce2lde3e6dar26409 th0b1if34s b175719a23357fi5e24b8l47dec 0-a62c>f9 * REQUIRED
    P7l27ce6765d1ee1478dc33aaa7se 3c7ble5ar t248e9ha4iasbfee3 bf296ifd93ed0bcaald d-a1>dbee45e * REQUIRED
    ed8fb4P0le5aa1se8e53 4cl7e7b94e5ar tff50ah3is bfd0c09d58if2f235aefa85l1365df 89bba9e-4>4c2 * REQUIRED
    98bb45baPled1a1ca831ese10115 12ecelbeae398arf7 50t5hed39ddi58s f0iel81bad69571f7ddb96 -dd> * REQUIRED
    2b91Pel6cb257deaf6d75seaedf4 064c4891l5ad9e5arfca 51c2t7b4h84iseb8 dd84fci81a96eld40 ->96c * REQUIRED
    96a2Pl9fd77eae1712f3e6a53c90s0e8c1f4bd cl421e327fa1fr6 btbbh3id0s 5faf72iec6da7ld 6588-3b> * REQUIRED
    0e8bPl82ed9bacd256es9d0e9 acd2c4d2le559a22r4 t03fhis56f 8f435i5e65l472ca35cdcaa4db6c8 ->de * REQUIRED
    c1P9ebl2eb70a3cs8cfe8 2cl535ef9eca4ar7f thi44fs 9b7e77ffef62e9i7f18e789ld5a02 f5b5c->0be20 * REQUIRED
    6Pb8l970a52f94eba7cdscd6e cdcelde20ar89 td5b2ecd120dah81is1 f512cadi82e6dl2df8 6-5>45feebb * REQUIRED
    0b5fbbaP7e6189le6a37sae5ee dacc70l715beaar 7b9th6a2b5bfci5s80 fb8id20022el7d45acc29 75-8>5 * REQUIRED
    b8P22ld5de3afs569af2cc0be65 6c5fl2de0ar 1e6fth097d7aeifs994 61fdf9i05e1ce870a37ld971 8->95 * REQUIRED
    4aP8406ec30lebaes3a92fef clfeea0r 5t1dab00h0eadicff3sb8d27 f8fiel222a2d45ecb -e48>162a890f * REQUIRED
    f731cc85f1912c2fP8l96a6825eabse c8lfearb2 e0th42isd9c1 0f8f768ie0le6e4d7ff0bd4899 -824b>2c * REQUIRED
    7ceP1b0bleeac4seeb80 c936l70b0c5ea69r6 cce4bt1633990ehde10cis1 df17fbe5ifaef81l2d45 b-d1>e * REQUIRED
    d23378Pdc0155f3le55as2e3236b3 9c0l6eabrc 05e76fa7700364t2h7ib4003497da8sbba ef1iel84d1 a-> * REQUIRED
    5b10P9ac69l2ef89dd6af39d0d7s3be ac0ccle8eafref9 t1his0eb f6c1e246aiaeald 66a5d1ab-70c>ec9c * REQUIRED
    7de83P04l530b4ease 89c1blea8rd19f265f6e54 c5ta70f83h8isb affi09ebae0l8fa53d1 4e-d>563efd6d * REQUIRED
    19499fP7916el8ea75se3c 2cfl1e4a99a196r6 f4493tfd556dd30his afaei8d0e4el0d6 65ce1-0>eaef6de * REQUIRED
    4P19lfe046c009efaa4se 32d9078ddac9fleaf67aa3re8 e52ta1ehi2s ac9fafia2a9elc127bee13d62 -e>2 * REQUIRED
    a3dPle489a87s31e11 8cl15e0a0cer5 tbdhi740as9 3f0ie275203al20bd 4-88557cc9>19f0f2f412d05c38 * REQUIRED
    51dd7a8fd5Plee7ad0d8s9b2ee5a c4lfe692a4385e20rd476e t1hi94bsae8 fi7e0238el648d d-522>b295e * REQUIRED
    39P2lef9aa31bs01e1a 1cl03d6152e986a3rcee7005 theibds0 fidee4259l9914dda8a8 -1a>dfb1c3979d7 * REQUIRED
    ePledbaa6daf4989s9bf81c009d6e ec1l607ee5440cadra9b 66dt21684dd74hai0s cfife1l7da2 -887>3f7 * REQUIRED
    3ca506P600lea6ase68036 cl162e8ar at0hi527abs8 fielf9c2cd 96-216c5a>c7936222d16552df129f699 * REQUIRED
    9541cbfPl1c3aeas92e 05bc2f40a199bd4fcl30ear te5h114257c2i9csc 97f38eief9ldde3 4d0->9378c2d * REQUIRED
    a21P94aableaaesbdf2709e7 2cbela24e9407fae47b8ar thi0e6s 9fic6bde3l5ce2d118 1-6e5c02b0>5d23 * REQUIRED
    f0Plea1f2b268s74e 219c1ce72l6eacb3rc btb0h55f3e0cifc850s13343 ff5133aie674b8lfdf882 c->226 * REQUIRED
    c5c913833P3cl119ee304a44bs0e7c cl3a57787ebea39far 45t1hia2es388 c93f28ife41a440lb73d ->962 * REQUIRED
    b6a91eePlca7eae8fs024e55 00c4ble7ed4afb0r 7t9fb44aahib43bs2c c8cf3ie6ld2a aeb7b-4bd21f>7fb * REQUIRED
    dc58b7122Pfl61e048f70aasa91730e296dc ccle9a3fr 231th75if65s fif19el9aa0dc6 67-b4e8669c>cad * REQUIRED
    d18a501Pl8fd7eaade1f8ae1se1 42c9e4l528d2e4f7adb31a9rd4f 990dtehi129sc fb5a1i4eld 92a3-f>49 * REQUIRED
    eb0Pl9eas428478e05a ccl651b9be2abarb 3557c00teh167f7i65sffc8bbd3e152 fic12ffeab89ld 7da2-> * REQUIRED
    P18l520ceaasfb0ae6 c856ac04lea2b6r t3276fdh1iced2d4891fs4e 2df3icd1ed385l82d -ab3>2572c76b * REQUIRED
    4Pald4d53b6ef5ad63ase9 e3ca0bca89a4ld3ear9 5thi4807s15c 8995dfb53fic122e1l3d2 055-d482b>12 * REQUIRED
    8Pl8e0eas8e 4cca30392lea7b8r2f 8bt7dhd80c99b8b73ic26s4d5 a5f8i6edeflde 1577970537-0453b>34 * REQUIRED
    21117dPcl4293ead06se3bd743e35 ce468e01flbebf6ea393d2r2f teahbi4cse7 8fielad -0>f282662ef99 * REQUIRED
    f244Pb8366c2bd43dl9e4de5faebbs2be5 8f49f1cla1ea9r53 t3h9fi19s4 25fb2ie4elbd8 1bc-ba>417cb7 * REQUIRED
    9aP77ldeasa2e74 12cal89ea7r 479679tf0857c41h36a9is 25f7f2b6aiceled9ae9d7ddee7 -4675>00750a * REQUIRED
    167Pf93l8f6eas4e f23ca7dlea7f2arad2 3th4ac48ibds95e6e 08f9429afi5808ec8ld -993b>25c5d2fc9b * REQUIRED
    27fc5Pl6dea0ase3 14e40c6cf196ld2e9dabac5rc5ac7ae37 1ethi6bsd ef7ai6f89del0da619b42e5d -1>2 * REQUIRED
    dPb77l34cef58e798924f8097a1asbd872e615 c3d102laed447adr2b8bdb 45this7d1 63faie2cffld3b ->9 * REQUIRED
    7Pl1227e5ae15ees5a33e5c 0c872l4ce78abf1ber 36t8dd4h63aibeas4 4e5f8aiel65da6d30dacb4 ->92b7 * REQUIRED
    9984Pdclcff057541eaca27s2ceade c12ac14d8dd7l2fe32dar 4te7h1is 2f3e9434c0iec317c4lad 9a-1>6 * REQUIRED
    4d3Ped6clbee22ab1as8ce7 cl6aa7e066f9ed8ad73af06b5r a7atd180hais7916 bf07di290el4dc 9-f>c47 * REQUIRED
    5a0a7d551Pb0b8eda48leas8e3d2 94cl78e4ar 7af3273fe74d7th70f3805is 8d23afff851ifafel32dd ->3 * REQUIRED
    P93ble0a49as4e dccd49accc9elde5642e5ar dfbtde0chic2c5s 42d4b6c20fib9f9a9e64bfe8ld ->9f32cc * REQUIRED
    72dP67l21ae3a1ds8e1c7c5f5 1c6la84eaae753acbr4 ft8801h4fei7s 7e1df6i43elde1 5934-3>bfcf9c3d * REQUIRED
    b011Plbe0faed756a0ac96000043se6 c20fdl56b63ea4f5re7cbb t441h6iesc 1fbca9i1debfaa4ald 23-8> * REQUIRED
    b4a467dP445lea126d4bs0e38eeeaafe8 c5701al6bbe5ar2 3t6h7a0is17 0a0fie3b52bdld8fdccc -5>df5b * REQUIRED
    460efP52a09aafl16eed4a0fa6d6d526s8e c9d11l0e61a5fbrc t30hi7s08 faicf0a3e5l3de5ab3 -5>da0a2 * REQUIRED
    07b332Pb4lffee5as1a0be0c6efba7 bc1le6e3carfeca 0af03t1h1is 56f742bia3aeel1da7 2b->7da4f023 * REQUIRED
    8647828eP9273l248a03eda43s4ed 7cd5953ca7lea7rc92 b98ct6h301605dis fi5e7c41ela6af6614d ->bc * REQUIRED
    P0ale08case6ac0c 1c16f8l5e4acd69re7f2 at51h14ifs0d5 cfde6e1f0111i588ae3efl37ef65d88d 70->2 * REQUIRED
    5e5Pa8l212ea6se 4dc1lcb3f089beacr 48eb076te4ehci3s 717f7a346i1037e337ed2lebdcb8 7-fe0e>661 * REQUIRED
    0886973P36c29l79fea056se9169988c69c24ef ccflea2r02 954thisf f46iel8d6c7ab1 9be4-fe5>4c7289 * REQUIRED
    7d765c5Plc48e7a5cbdafseb 7cl9deb7a02r e4a0f5t40hb246isb1a fi475932e3737fald7b 57c-83e44>ad * REQUIRED
    13caPleedcea8s4c6cfd7e cl2f1218ce9arf787 7e63th5fi40fsf09 96bd22765d3fi45e9f0dld ->c4bdf51 * REQUIRED
    a28d8P7blf04d117beb19e2a3sfefe cl4eaa7beaad84r 7c159thd9i2s fa9a5fie5d77bl33115d 5-1>5fae7 * REQUIRED
    f57P4dl83795ef018f54asec fcle5a28a2a5br b6dbt7h898i3f87das 494fie0ld0ddf41151 -2ee>a1412be * REQUIRED
    f8P3l0fceacc9sa2de2e1402 clee3bb58a93c39ff04rcaa 06th48iad3sa efiee4el5d 976-5>8dd628fdb1f * REQUIRED
    P0l85e8fba7s657e 7495ccf7flea0frbe63dc thdec207a85ai2abs2c3bf4ca0 f97ci3e64l1ad98 2-1>d507 * REQUIRED
    061b9eb0P0l2760ease9 0cccdl75dfdc5e8b81fa9ce42r th86is27937e04 4field27dd6 1eb1d0-acf>af04 * REQUIRED
    4P1334l9e05a753ce7f0see ddf2d9cl2aea0r8e2 97f97td5his cff82c5iffelfdb30b 550bd5-f>de33a029 * REQUIRED
    e370Pe0dlf4eaa8s9542d22e7 e223c7l5beafdrd t8hb9a27bi15s339f4864c8 bfie78f24l73d cfe2->3b1f * REQUIRED
    d643Pl2ef0a1sac8b65fc7eb 6c90ad4lbd7eaerd 64th18add450i44s a9232fbi53dfe4la6cdd10 f72-6>b8
    * REQUIRED
    Pc567la73c3491ea0se5a2d27546add20e 2baccal2e7aerf1abac 06t8hi7sd1 17fe7604ie2af13ld 8a-3>7
    * REQUIRED
    23Pe79fdle4f66dabas6caef82 0c6769ef6efa416le9ar t7h4687is 9fe5f208iel12795da -3c7d72df69>3
    * REQUIRED
    5Pl65cefd93abbsde7aaac bbcleafcard9 867thid8sf 96fi635fb649be21394l03d4 c84addc6->4366de6e * REQUIRED
    11c9P3l2ea87sbe c8lc8ea90crf68f b36d0ethie7s bfid05922ce248a6lbdc7b3 65c9-c5750b33>020f5aa * REQUIRED
    Pla69a9eas8e2a7aa73b cl96e9efabr1 ta92eacc90c4dahcfis82 a93cd5fi6ec5a2dl3105cd3 ->17314cdc * REQUIRED
    3Ple7acfa94asf623e18 dcleb64649ac2d8ra85c t01hid7s fdf518dci69ealfd27c6 9fe042a1dc->bd8b61 * REQUIRED
    e0418Plef3a6sfbaea fcf5le86503e58d0013e069fa7r th826i634c7188cesd5b fib2e8210l3ed3 4-1>cb6 * REQUIRED
    de5Pc4882le08ccb5dd9296181ba4s07e0b80 af2cd0c96ldear59 tah7is8 6f4fiba8dce7ldbac96 e5->bce * REQUIRED
    04a3a41f70Plce695a1s88061fe7ab921fae02 c28l4cea7red447 8th6is68a950063 f6ebi8eald6c 5c->c1 * REQUIRED
    8ed707P34l1a65ca3ea229d0fse c9lbad99ea94b0fr0f tfhi5fds 48b6edf09if20173090e7ld 35098->841 * REQUIRED
    671P3lb811962f2c1e3e491as5279ea ccblbe69a4e25r t2his 21fie5al5a10583bb2b46861d 6140->9f909 * REQUIRED
    Plea69a6sead 3c2l0d5eec8ae2966r0 2a2btfde4h6i8s dbf70d2d6d47f10d9d428249f2bbi0cee10ld 6->7 * REQUIRED
    14c1P2c5lfdb89eae6se72 4cc7l5d1e89ce8b3a2402b2fdrb 697t5h1eaibasf13 f857i331eledad75d ->3f * REQUIRED
    Important: 7fYou maey75 6be ma0king aeufse 48o9f aut4omated0af for9m6-fill5ing2 0dsoftware.3 Thi1s 3type15 do64f software bcand 13trigger our hid8ad1en7 spam-d9etectiaon s8yast6e4m,0 which will b5loc1k yo2u fro6m dsubmittineg t8his bform9.4 7Plebbasea sdel8ect Ffix0 Thisbfed151 1363ab4ee1165b7f45d46ffof3erff01fd24c2cb2a1a2a33495eb3bf49 95cceb03cco7mp4138fb1l7eting 5575dth54e f9bborfm 012icd7n 9o7rder1 toc42c4 corr9e8f537ct 155bath83ee5c f8pe25c5r3oble9m7.
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