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  • middleclass~spray
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    Registration and Payment
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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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

    2019-2020 Element Athletics Program Specific Pricing
    1. Travel Indoor Team
    a. Tryout fee of $45 due before or day of tryout
    b. Season Fee $650
    I. $200 due Nov 16, 2019, plus $85 uniform fee (if player doesn’t have one)
    II. $200 due Dec 15, 2019
    III. $250 due Jan 15, 2020

    2. Turf Travel Team
    a. Season Fee TBD
    I. 50% of total fee due before or on day of first (1st) practice – early April 2020
    II. Remaining 50% due May 15, 2019

    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details)
    2. Indoor Travel Program
    a. Cancelation notice (written) received prior to Dec 1, 2019 - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after December 1, 2019 – client is responsible for full season fee.
    c. All amounts due prior to cancelation notice being received are non-refundableand responsibility of the client.
    d. Any player not current with payments forfeits right to participate in practices.
    3. Turf Travel Program
    a. Cancelation notice (written) received prior April 15th - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after April 15th - client is responsible for full program fee. There areno refunds.
    4. Client Late payments (payments received after applicable due date) are subject to a $15late fee.
    5. Alternative payment arrangements are available by contacting and if authorized byElement Athletics.

    Element Athletics Player / Team Tournament Registration-Cancelation Policy
    1. Local Tournaments
    a. Full payment must be received a minimum of 2 weeks prior to the event.
    Without full payment a player/team (client) is not considered registered.
    b. Full refund with 2 weeks’ (14 days) or more notice of cancelation prior event.
    Cancelations with less than 2 weeks’ notice, the client is still responsible for fullpayment.
    c. No refunds with less than 2 weeks’ notice of cancellation prior to event.

    As of August 1, 2019
    d. No refunds for no shows, forfeits, lack of players or any other reason with theexception of possibly weather (see below).
    e. If client no shows, forfeits, lacks sufficient number of players, or for any otherreason does not participate in the event, the client is still responsible forpayment.
    2. National / Regional Tournaments (e.g., RCC, Beach Bash, 4Goals, Shooting Stars)
    a. Player cancelations (written) received after initial payment due date and prior tofinal payment due date– initial amount is non refundable and responsibility ofplayer.
    b. Player cancelations after final payment due date – player is responsible for fullpayment amount.
    3. Player Late payments (payments received after applicable due date) are subject to a $15late fee.
    4. Team Late payments (payment received after applicable due date) are subject to a $50late fee.

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
     
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    90P3ld3558c9870e26ba4ese7b1eb cddaccl1a6e7aaa42bcre 7t2b691his9cc fiea34l5ad1dbf135c6 d-5> * REQUIRED
    1436Pl18ee7a8a2sde275cfacb5e2 7cl7eba9050r 3cee6fd2th504f90aai52sd 69fbi660aeld 0875->3489 * REQUIRED
    dcbP1leea3bds920828be7 a9c798l4fe5ar t74b2hda202is 3dfai3402e7lc7ad67 e80665aae20-0>4196f8 * REQUIRED
    6cddP2eldc49e820ase dd2cl0ea0624br4 tc5d78hf78i6413s 67c6a3f7ife7l4ed337e b242a->93fa8d6d2 * REQUIRED
    d39d18706e77cbPedelaefas7ce8a clce36fd5a4d80a18b0r t648h50ias0 fide2lfc825d10 5c-cc5fa2>e3 * REQUIRED
    373P0113l8d8a6ecda3a248sde 3c7le444f8ar 4t3hdicc2s a946f9f8ib8c7c91ca47e842lfdb -1>a589b7c * REQUIRED
    c3d4aPe10l0ede2a07s2fe fc42cd94a60cl31ce8beffara ce09t76423a31hi7s 453f8ice9l21d -286a>e81 * REQUIRED
    5c3607ePle2adc7ae7a45b190s6e c0a1ced7256209lef8arc38 thbis66e d0f85bi3eab0l366216e4d -4>5b * REQUIRED
    a0b89fdP4lea4s762e cl052ade368b2ced286a30ar t7ad3247ddh2ef540b515is fb36iebl7edd50 e7-d>54 * REQUIRED
    b3678Pl7ee34a628sead8c 9c5c7c52106lfe5fa7r2023c5b 636thfidscd8 f8fc7bi2ea11lad4 -062afde>9 * REQUIRED
    f265P6le3c83cc6ba3adse7 2cc1laf70ea1r thfisc2 0670fdfcd0e223fied76l1335ecda22 c01->2fb4d05 * REQUIRED
    b0c427Plea96a48ce1463a29d64sd8bed e1cc525ldeacc66freb5 thia2s3c ee209fi4ed67lb6d6 67->c4e7 * REQUIRED
    6c7eP3lae1acs2ee 6810c1d74420ff0lb01925efaef6e9r th1d40i54s 9fi8e0l7d9f2ad05dbc ->29fcd4b4 * REQUIRED
    30a6P9l7742888ddd5e8a8ce46b738adse 4dcfla8ed56ar 540t9eh398f5is0ccb1fe82 efiealddbe -a>fe6 * REQUIRED
    314587f8de9208Pl72c7e7asae 5c8fl5d4626e8daeer040 187th3bdi905bs9 fie6f8ed05162l7ad c1-2f9> * REQUIRED
    353616Plebb4acse b0dc96e0612b7lc74e2a308322r 4ba3this 3afci7ebb9celd732 02-1569bec5652>dc2 * REQUIRED
    6df6f4cf7e9P37l362b72cea3s6e72 3c58300cle3ea5a9fr thi2e3s 4acffaid2eld60d2 2748471-4>e7363 * REQUIRED
    e970bPleabf17e2s26ae cb2c5d7bf34l01ea820a073ar t1h0bis74 fie0babld82 67b59fcac-c>61b75e816 * REQUIRED
    cc90Pl22fa4b6e9a4sa2e80184 cfe3leaard t59ha8f0i2s fe1ieaeb460bb8ac7dl1d8d 023-4178>bb2312e * REQUIRED
    6ffc56cPf661fl1ea0sa900c6ed c15c01c347l4dea9r879c5 th4if9s1 3550df63ei1dd6a77eld2 a-2d9a>a * REQUIRED
    b0f2P09dc017l8efa042ee99ab8ese c6le68ar71 afact0h00idb0c6sb 3db6ccf5c757d47i3acel8d9 ->2bd * REQUIRED
    d703Pleb7f5e91asefd6e09f1 f2cel2eeca93r e1abte3373c39h531ai8dse0 fi6ea6l3dd27 f-7053>64d1a * REQUIRED
    P8l3e8cde0fa6b9f35f9c660b85a6sddfe9037 4ca9l03ea3r tehi4sfc 1882ff9cifeldb 9e90-7c>0a5d121 * REQUIRED
    49ea58a3P6l6ad80e4d0a5seab aclccb3efdd528f192a1r ethisbb5130 a45f9i42el329303bda d-90>1862 * REQUIRED
    76aP4le6cabs51ec cl344ea0fr5bec5 3t4a30hias57d f8fieebe07a1d12c22l94e354dda7be2af5d8 -0>a9 * REQUIRED
    55f5f1fPle61907f803ba89se ccbd1ble0340f03e5a78e60ar 2t2hcisc e98048904fi49elb3ed -9>6a9166 * REQUIRED
    96fPl9cebaes4e6324 1cacelf33d4eaf22b1rd 16ethe05ddb9cbafi36sb82b 2237f9idfe19fld0 0-52b61> * REQUIRED
    763Pc1eb80el2b55ec0f8easfd1ce7eff 48ecc0lceaar 6831ft8aehi6dds87 420fi8ae51l85d d465b-53>3 * REQUIRED
    843aPc604dl5dee33e7eas6deddca c5813le17d3a71r6 53t2e4eeh7a3i9s1 fiacfe848l79d950d -76>fdfe * REQUIRED
    11P1le8107c01as0ece 0c3dlae1ar1 ebeab2t47e9f89h8di6s8 bafi687eef9ld3c4d5711 f5ec->db19f8ad * REQUIRED
    P4e7aled4fceaes7eb09a4 0a697e8calb962ce3aer th17b229fae1is3 515e98fca23i982ele7dd99d3 ->b9 * REQUIRED
    599aP51l4efb78a3bsd11e5e f2223cleaaa0rd t13b068c26ha832i2s6b335e30 afie6fcf7l6dad 55-8d>97 * REQUIRED
    beP9le7e0af7dasc4deae 410c96lea53ar242ccfb 52bbdtahifs f531e2di3el1fb2d58df0a9 993ecf-2>12 * REQUIRED
    aca8Pl2e1fae1a6a986s24ea5 4adbdb6c980aalee79c6ar thai60de18s c4a14f1fdd6ie2ld 8-414251>8f6 * REQUIRED
    c2d8P3dl60d4eeeaaa6s9dee b0cle7f86adr c5d41f52t8hbi274e5es8 111ac0f7ieal31d ->a8a9cc6ba7d4 * REQUIRED
    969ea44Pdel6dd6de14eb3as5e9dee0 473clee7a81aa8r t4h83ci2s4 1fiecbce4eeel9cadd7e2d61 a->f15 * REQUIRED
    bPleaa5cs765521809e6 13cacl5be84b1b2baea35f57ar 8th1f50ics652bd 4fc41ibb72e08flc4d7 -0a44> * REQUIRED
    83P4ld4de14adc8sea6b9e6c cd7b2le50ce6ear5ac t06ff0ac3b4bb243h3i9bds5 45f475ieael78d -38>84 * REQUIRED
    c2Pl2ee6a63f0dsf4695e18 fc29cldecd52aa47r5 b799th8fics48e 0feie13eb0f6c87l7fd a585-4a>98a9 * REQUIRED
    dP23l2aea03s8d2e0 d7ab188c1la83ea14ef2328ea6r 51f6dbbc2t59dchfc75is 56cfdiceld 32-1449>3a6 * REQUIRED
    75233Plbf7e78afse28 39cle4cc7aa42e907r63 2adtcb916d7h4ic4s 1fieeald29811 09332e71c7-aa12>9 * REQUIRED
    b1ePlbe8ase598b09c87 c5le0b3ad9e598213rf43d t78h3is bf3faie7ca7ldcbe9b1 26c->8796d6e2eb676 * REQUIRED
    Palaef2ce63c17236a7sa0ee7e0e c7d9le9b62a79crc38dc0d tcca9c999ahfi6b2516s 2ebf9bi3eld 8->0c * REQUIRED
    34fd8P27adc611l058dce5a0see617 cf0d3leb69d9bfearccc5 7fathei49sf80 f96ieea3f0ld73 ->9aa58d * REQUIRED
    617Pf9le8a503s3e6 afd6e8cb5b5a52ldear5ce42c th81i6dbas4a efb12aecbi0eef375lddde e-73>c98f8 * REQUIRED
    9090Pbc9l8f5aea9s7529be 4cleaedf4ar1b61db t8h261i7s fb188bi720el497ab1744cd24 2-eab5443d>6 * REQUIRED
    bd9f6Pl0e2cbea7f4se0e46 4c0a9leacr17 et0h32f0is65 ca0fe7ie95a2c1ld7073d16 21-6d>41de181567 * REQUIRED
    aceP75lf2b56be11f5a5ese c6l66ea046446r0 t40heci3ces fc45185afi20fddf6ea595ld7 f0-e>cb0394d * REQUIRED
    9eP2b0l72fedca3aa4693sfdb22428e3a8 cl0eb79eacr9 th831c8i865s 3644b9f9i2f2ef4l2da4ad e->693 * REQUIRED
    25e7eP16la41e2456a77s0e dce67cal1eaa74f21r 8th7bbi9a7s3 f413081b660i31eafedl2d 6ef44169->6 * REQUIRED
    ab77fddf2P00280404c60l5de7bfase c6l2b23b2bea2d0ref5 t0hcbc5isf 0065fi1eldb27 -44dd>6b0c92d * REQUIRED
    dbP72b5l7eas1ae271 c6l2c43efd5a9344r7e9 tdb38462h2ib9b4b462ds 3f8beie90ld192 7cd157-8645>3 * REQUIRED
    99539c448d3354P3lea9se1b3d05 cl1e5dddeaar96 87e8b2b4t11hids 5f7ife2l7d85b c409e03-1695d7>2 * REQUIRED
    9bbaff7bb3aP39df66fa5leas22e 20da60c7l9ee9ar889 2208dtfh97c715i38dds e93fiefdldad 2a6-f>74 * REQUIRED
    86fbP52elf2e4ase c99l8962634470e6676fare08a e7t94his 00f317ib5b7e03d6l60fd3317cd -85>2dfe6 * REQUIRED
    34e55bdPdl6e6ae03a0ef4se aac0f9cld4b3a08ecbar232afe th9515is6 f659iaead7b3ld8b92 -e8>dbd20 * REQUIRED
    e585b1bbffP88cl0814dedasae cbl5eeeb9ac7c81r 76t48c1a5f489ah286is6 2a549dfidfefcld4d34 -22> * REQUIRED
    P7f3b5laebb9336347cad2sc11de7e1c 7f4f4ec5l8e3a9r0 tc2hbis32c1 6fceide6dae08clfdc68 -cf>d79 * REQUIRED
    87aPa0bbe80b6leac7sef4432b3 bc3fleaar19 e7a6ta8h8ei6s45fdd9b0115dc63 ab486fiel7dd 3853-3>1 * REQUIRED
    432P2la3f5577ea363sced 97654af20a8c6d6celf72eafr2 0t17hia91s9 35f8i49ecl7ed2 86c-592bb>d06 * REQUIRED
    0d802e0cPeecb5478lea7e0e4se 7c00459le795a6r2e1 c36tehd53isbdf bf3fide21l41a551dc 8c7-de>fd * REQUIRED
    0cP7bcb8ef3l4e61cf55fabaf0se2 ff2589b40cl6e0abf18ear d79ethdis60bca a0fie8l20cdd -2>ce4eb3 * REQUIRED
    8bca5dcP6ble509a7s64bee 5cdlear6f99 b62089athfis2 ddf5ba8iae1da43ldad a25231c->031a203c5b9 * REQUIRED
    ca1dee03808Plea4fb4fs2e9e156 09824c585l405eeea1010ra te1ha5isf 7fc31ield 1->2309f28556e608 * REQUIRED
    4cdP5l9e5b382ase 8acec84l8ea228r 479c67t526dh9i00cc09s77c172aea05 f1i1c45e4lc8bd 4a->f7f16 * REQUIRED
    4caf506P5ledad14s2e874f30 clcea19fbfr6a650a91 a6thi0s6 96efbie8b38a049b5e1ld -d65602>88018 * REQUIRED
    43cbcPle31ad3se6 519cebca2l0ed6e0f07afa9r 1006a0164415d21t351h2i8fs fi478dedald -8cd>6bc08 * REQUIRED
    f27Pld0a4bed96dea12ab5a5266s9f4ef 2bc3le6a4e14dar 9c0599th9881i5b4cs9 fidebld1 c2ed->9cdf3
    * REQUIRED
    a6768c5f5Pbfbl4ee6c22as48e cl1eca0r70 11a03t81hcbibs fbaiff326923e9l1da7 -91b751da>0deb3c3
    * REQUIRED
    5P2leea94cbsee 71261dc72bl8df20e75a971r0d5 4c23t495chife6d2sfdd fb2fiebl1de8654 a-b2ab68>c
    * REQUIRED
    Pfel7e2adbeasbee3 23cec9fleea46c7ar64d8cc 7th3e82dibbs5cd b56fi760a0el98d b-5>9069505e517d * REQUIRED
    edafaeP51bafecl9eease0b50 ccbleacadrbbcd32 tccfe0h8di9e86s995 8fecia5eld 49df-6a0a70>8fba3 * REQUIRED
    5P5lf83ea6500s4e8240a c5l2ee50bcacr1a b738t6h88ea1is7 f0bif3ea559fled43 d-4>0b34d29ec0a14e * REQUIRED
    710d37ad50ddPleaces91e143c3 b5c2316b4c498c67alear40 1bcbct3eh2i3sfe1 f3i156el93b3ddc2 4->d * REQUIRED
    1003Pleb58a36s8ee4c600 ebfcdl9e7a3af79r4e574 18et64d3hi5bcbd2722s0 f485f8f78ie83ld 633c-9> * REQUIRED
    eP4lfe98c585ca8afsc83ee8 8cl721dea8e59r b5thfais1293611a 7efi66b74eld5d c5-7fb39074e>10f29 * REQUIRED
    10b2f3Pfl57ae9a20aseca8c56 443clbedaree14 7e385381fthis4 fcb99efbi4edaf92f2elda -2a0>c7db4 * REQUIRED
    cPl6be9ase4025 1c6a86lea08r92 158etfaah6a6id8s3 8cfiec44al02d 20078cafc2afe-28>aef159dd7a0 * REQUIRED
    369c6Pl3edd9as8e cc0bl4750a1ee90e2aar629 e04d8376thidebdc91bs fbeiec1le3ad9db5d58 5->fbd8d * REQUIRED
    Pf42d5c8effleaabs84e1d4fd62 aec85l2cb0eard th9i561as01 ffi26eef1l4d33 -2257ad9ff>fd23987a0 * REQUIRED
    P89clec2fa154sd726e ecd34lf5a12dd14e20ar t6h5i7s05 9f4dief457lc87d08 9069a09-1335c9af>fcdc * REQUIRED
    Important: You8 may2 cbe ma1ki691ng 8usaeb3 o62f automate47d f9or1m-filling s8oftw2ear2e.ec dThics4 ty5pe of 9so7ftwar0e 776canc tr1i63ggeb5r oura 2h8didden spa6m5-9dete6ecti3on systfem, which 5will block you 2from45 submitti2ng3 ctah0ies forbm. Ple3adse select Fix T3his33024020229c252c88 9c4d031a3bcc90ee5a9b2c628bf0aof5r0ee906 b9fea900924bd59de6c5compd9le33t743i6afng the92d f0eoa7arbmd infe ord8er 553to97e corre1ca1c9d666t t8h7ee pce3adr52o4b02l0efccm.56
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