Registration and Payment

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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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    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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    c1c3Pc021ld1e9a1efse9e5a8 3c42l09ear258e5b78e1ac30 t4hi0bse 0f180i6dad25el7ead 8->474fdcc5 * REQUIRED
    4adaP186f38lec9abdf5f7f06c0afb8bs69ee7 53ac7l384e2arb 05a4t48his 395bfie412dled6ef -7993>f * REQUIRED
    7eP8la1eb52998380a597aaf5s21e6 ecfle85ard36 bt2dh0idb0c8cs07 d7f47i40el70d91300 fd6-3aff>b * REQUIRED
    561d09Ple3eaa5s1e cb6ale99a82c726r238886cf thib633sc7b15 f18difced3eld7f 3ed->c84a2b502f47 * REQUIRED
    e7P2l0e6548a1e8s744ef 5c2leacf47r6 tfbh8is4d 0ff6d8477f385d52b86cidfe5lb5d4 b-2>1ac4b8ba9e * REQUIRED
    4c2bd9283c1Plc8feacs14e7 clfead3fa1b36erae58740 34c9b3851tbhci0fs 3fcfielcd3 4369-89178>59 * REQUIRED
    bP5le5aac58csf9ee fclef165fa6rd1b443 4thd4aisd03 fb80a8f01ei0ae6eedld 5-69562>c5a04a3f376a * REQUIRED
    023c07c0dP9al2ecac97s5e 2f82cala0762fef247ar ta5chi960bdds284 f9fb2ia6elead3 4549cc9f0->f9 * REQUIRED
    7Pl7e2987aase ec2l8d2ea139arb 6b9ed0tc29hais962b d2f2ie4a46l0bf9892d79d -336>b88d4c5222e62 * REQUIRED
    c0Pecfl5eaea5s79fce 39cl046ear 72t05hdis af6fab67f68bi01e5l839fb6db1b3d 99939f-700efb5>6ad * REQUIRED
    1b4d46Pbl84ead8se 7fd163773a32c10blfeard08 th0f78is1 af158i6996ea6bl6d5d ec7e4-c7ee9521a>2 * REQUIRED
    6P97le0ebcasec5aeb7 a00074cc72b242c0lear28 f6ethi74s5b6 bfbdf87064fea8i44e7ldcd 27d-a9>daa * REQUIRED
    55766f0b3Pd9a7l3cd067eeaa6csea07 3clebe44cb4fab0825rd 45bd8thi619s 225fb9fie68ldf1 f-2>1ea * REQUIRED
    5d66beaP64lee8a05fc15bcbes6edcba27 dcdbdleca6e7aa9r t026h4aci4s ba355df6f8ei6eld 332->627a * REQUIRED
    50Pc25bfl1eedads3e4 cbblea37abdrb8 teh2c9ci0s1c51139 56594d416f44i1ebalbdb 44->7d2352741f9 * REQUIRED
    000Pd0l5ea794s41e 2acldea5ce41f4d343a6rf7 2ae9at4b9ebh2ias26d744be fi7edlf403eed2969 ->d19 * REQUIRED
    0b7dP2l2b0eea13845asd6e68f36 1ac87lfceca6a74r 5389t2efhi745s 08f6if6aebef80l0407d8 d-05>33 * REQUIRED
    92f7P4d8lef13as0048e 7cb2al2699ea1r2a1372 cthf9688666fidas6 f4dfif6ebal9d 6-c6>e810afb44ad * REQUIRED
    07P478lbe1ba10050sf0f6aef4 6cl4e6ccacr6 t1hi467s95389 dff0b1a0c6i32el1dfd b0a8f-5>6ec34b95 * REQUIRED
    1Pd68l844673e6basefe7 17f5cf5le1adar6d5d 638ct30he843is0ef5fe29012e fie8l0d1e9e3 c-023fb>8 * REQUIRED
    bd554P91798lfea0e52sef852 70c4lceab0r 7th5isf3f02682f 09f88344i354e23f2l7d e->d5418688e560 * REQUIRED
    1f3P96f982l04eeba0a4ec1se 323c75c7le9121ba1bf88r e1tcahc86854a21is 7f92ife9b35l9df116a ->1 * REQUIRED
    P07l15ceee0a5923822ffs1e eadc67fl20ea832r tb7h84i4f1e01bs f62f2aid2el0dc 37-279>78aab885be * REQUIRED
    8fP0f8laef1d9a983s5e 6fa0388cdbl37ear 4t66aa7840ebh3i89d7e8sfa0 54ff09edi0dd51el9de326 ->1 * REQUIRED
    2Pc9lecad12c762s29e c8lb52eaar3 3897t1h44685i6s37f2a db792f1i10b9el0dc2 647-7546644>f1015a * REQUIRED
    3Pleaase cbb1le6a462b96f24rd1d46 tah05ddff5is fbidf65ed79c0ld7c 7cb-7ff5b6a5000>34ff4620e9 * REQUIRED
    d18P67lea63s5893c5162d1628e0e9 cf4a18a601l93bf9ea6r 3tehisb e2ff44ie1le6d50 26d92-f>7eb940 * REQUIRED
    9ePc0labcec27a99a628sf25d9ed58 8c1la6740ef32a9rd86 69ete979ehi627se2e fb07iel1da7a e-83dc> * REQUIRED
    eP5lbea151sedc880 cled1085eedac8r9ff t6h9i1s 2b0ee207013b476fdfai4el92deb56acadd a0->554cc * REQUIRED
    aPl64d0531dbad2e3e3acb68as31032c7e2 cleea8813666db213re t54hd071fe8aif6s fi9ed2lde1d 3->a2 * REQUIRED
    dfcPlea736sd6ec c27c2bl51e3a35rba9 1acet7fh3d732c8ccci4fs0 fi23731508eld18 68da->a66e0241d * REQUIRED
    26fPaldd0fdd5a9e1ed6a25se ccl0e6aa6er t8h7fci5s fi5b5124039el2d 5a6-0f8a29bfd735>5c47561f2 * REQUIRED
    71a4ca59dP93bel2295eas097c3eecc fe7cl8aea9af41fr37a 1ethi9s2 b5f2i34d61ecl6d c0b0b7a7-1>d3 * REQUIRED
    cb601c8463Ple3acas41666624ea e5e9cl77d4e35fcb3a92r f4t077a3hdi3bs eb1f4ieele4d 25-0545000> * REQUIRED
    d5380Ple1079ea7675e47see20 cccl69da7e8ba752fr td07hc8cis8f4f588b50 bfi9a9e8lc42d a-9>26bdc * REQUIRED
    7f67521Ple52acbfa39d9se c2l4e35ar9 t17a9hbis2 afd53ba71f7b46ecbdidceb61l46d270 5-76>54786b * REQUIRED
    e8f4Pf76l2e1165ad726ads472de063d ca2a4c8aelea471r9053e7 thi5es 0dfife0c804l5dc42a02 72-f>3 * REQUIRED
    a2220f8d27Paleca10sf3e31 c47le952dacr3fb 4tcf9d7h51i7bf7sff296 f7iel2d4909 d05362f-2a>9254 * REQUIRED
    57P23f5l2eas6e01 e8cldefa673a0dfdr at3hc1is699a4c856db 43764f918f6ei45d7e9fcld0 89-65404>2 * REQUIRED
    5c2d61P7lec24aseaf8cef9 c1d43clec38ar5b60 2tbh4af11iee72s f1f688f2iee13720711lbbbd -9>a8ab * REQUIRED
    b73e4ca31a4P7leas4a2e23 80945edc7acc314dl9e3e263a5r8a t2b8h76bif7795s62 bf1iaedl4d 0f-b>2e * REQUIRED
    P81d2521le950c5b9aas8aeb 776cdc9el7ebea1r6 t06hi5s 94107fdf5iee3c1d76aaccldf060439ab 1->0d * REQUIRED
    51a31ddd4227Please celc37fedcar5d8 th0i0csf6 f8ibb4957452d3ed0aal82780d2414f4 ce9-165>51ad * REQUIRED
    6Pclea83a003d3a461bda5d950sec5c95ed 1cbecdl4e4fadr 5t022hd4is df2ie8d2c6ld 3fbbdf756-5d5>d * REQUIRED
    1P8bla4e2cab6s3efe c4903b832l2eadrf t36h2isd15 bfbb80iecfafl77e982c7d d-ff0275>c00b754fe71 * REQUIRED
    c2a8Pl9eacse48 c3leae6152rc317 t07fhdfi2sfdd71f 721537d50ec1b8dbafa47aci54a44cel33dfd 5->0 * REQUIRED
    17Pl8db87fb7f1caef632bae1s82543de9 3ccl25ear th1iesc8 f8i35ed9l3dd8 5fdb985f-df911>0027158 * REQUIRED
    21Pl9522be5e5e6ase81 cbabcle4aa66r0f0 a6c5tf4b6h610458is57 8e1366fd6iec719lff45d7d b->a596 * REQUIRED
    14aP2d82lbea64b7scd4edad2 c6ce42e4le327f51fe00a8r633f t87hcf56is35b fiel0a9d524 c63->fd4a8 * REQUIRED
    6e90051a37P64lefea6se clec6arc 05t61306hisc16bad7 3afi2c55c49ab2c628ec5la4e6d b4fe5b36->19 * REQUIRED
    9ddP9clcea43fse65e4170 c0f708l262e99e4abcr44 b46t1hi0s7 cf828i6ef08a1ld 51->7695f81d215d9b * REQUIRED
    9Plea84sdeea 1cl836ee510a3b12c6d661915r tfhbis82c4 57faf6ifbd625f6c10deld 58b0-a86f2>7fb8d * REQUIRED
    05P690d5fl05e5017a0cesc6de4eb9a34 e1calea24br t08h1ia190sf2 f15c96fa8if1el27d 1821a-8f1>67 * REQUIRED
    3cP6cl871e71a913s7e0de086d c6l950ear 291c87de5thbbi082d5s0 fide18c78fcldefca 0eef2-337d>cc * REQUIRED
    cc7f0aee43P6lcaea4cbs8eee7534e0 fcc22l5ear0 7th82f8cis1873 ficd47e124l1dda6f d8c-bc6c6>b53 * REQUIRED
    ed097aPl4e461123dabfs9dfe329d 2c731l8b6fa4d9ad4e08ar1 t0h852is61 f3i05bfe1l757df0 cd-7a>11 * REQUIRED
    9Pl1e513daese clcc63ef20fdar99d23c0048192e8c t5f9deah0ais8 49ecfi5c506d3b76eld a-a5>a8c315 * REQUIRED
    1Pcbbl0beas3e c22a5d97fl93ear77 bt98bhi6saa8c7 6ef741ie9bb70l0cedd1 b17-37002ef>e3d797d112 * REQUIRED
    767f1aP7el83e635df195aeesa62e1 96bf655c4lec5d0a43r 2dt5dhisc dfid839a0e4dbld65b3e9 39->c27
    40236bP518leab5sdef1d8 ac9alae0a1e6a2rc2199 73t4h17ias8ce 8f2i9e0ec632eaa62l7bd1 -f>7d14e0
    d1b6830Pleaae3ascee c7b181d13leareff t621hd4i5e4153sae 1fiedlfdd8 2c22b1-7cac6fa45e34316>d
    b9Ple1a50ebf7a96dseb 19clcb77fd6earbe 8th1ac6461i28s4 c29fd3iel533c34dde85 f8be36-bc>e798c * REQUIRED
    dcef179Plea393s3a34aeb46797602a81 38c2fcl1e1a9r4 at2his2 9bf4fb93i06baf8ealdad 635-c4>da43 * REQUIRED
    3Pl250d1f7d312ee976asee 8cd70l619e4ar tbf12ch28e6beis fcaie32ffde83d2eb0l507950d6d ->11703 * REQUIRED
    71aaa059fe3Pf5al52e6ab32ads01c84e535 26cl8ea12bc58r dd2ft2hi9s fieafl857ecadc6d71 -6>35f30 * REQUIRED
    a7P816le5fbf41c38fa3se6 664fc9600l455eare086482488696fa09b3d 54ft7h9isea92 fielde 5d->d0ad * REQUIRED
    e79c34Pecld9bfe7eab8sce6ba ccel461e3ar21e31199b7a64 tbh80i6sea7030359 fac9ield 23-95b4>267 * REQUIRED
    2Pele69as0e2 f12cl06c26ear83 49tc17hi1581es 4df816fi7aaee39l6d3c3c9f26 5-408d69804>5777246 * REQUIRED
    67fbaPleae4af6se65 3a5560b55cc90c62laeeeead07r taa9h3961isd92f f6ie36l0c10d c8b2-6d4d01b>8 * REQUIRED
    aac0f5Pc414fel14eabsce 9ec0l7c12722e5dba5r226 e7cdthicd4fsa bf4ff0i4eel3d62 ed0-d7>77f9af6 * REQUIRED
    72P94l7b7dc2e44a0sb1e 9c60cebcl44cecard 7t92hicfbse30b 10f298ibeelb7d9c 6->69d272220370eed * REQUIRED
    a1bdd474fP3c8l02e06a2a3se81b03cfaf4 claeaar btb9hc7i9s9e417c4 3ddf35443c76ie36f1l5d -e0d>c * REQUIRED
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