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  • U16 U19 Winter Turf Goalie Training Program
    Fee: $100.00
  • 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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    Player Information:
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    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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    c45Pldea69sec 21cdlebaberddb f77tefb4h825b6341is93 ec229f9329ie2c810bl924473d25 e52->b3327 * REQUIRED
    5Plf7eebacsef 3d9clc81e1f5ba39845r47 5607t2his d8fieaf1c2l700bad6e2a a1f549dea-4>6c458f74d * REQUIRED
    f2cae99daP7leca7sce c3le8521a34ar 5d4t586h619i4abfc2cs5 ff4c94291ib79eb5bbl2d36 96d-d11a>3 * REQUIRED
    f095P23cf03l2eas3eba18e5699 c0f3874d9lb9edaar8 e2de00540aa705t9976dbhi3s742 6f64eibeld -e> * REQUIRED
    faP04l1283649ea73a95dfse7 cl2118eeac343r0d 46a11ctah9i6s644323 fae0ief2ld 1ed9-7047ea8>c65 * REQUIRED
    fcc9666Pl7e380bdasfe 76c1d263le52ed93fe85ab98f020r2 45dfdcthfi2scbac13 0fib9e84lda1 -f10>f * REQUIRED
    fb94P1lce2fcasf7e80 c7f90f04lc05aea72ra 5tb08c664747his b8de102f2idcb3b54edf37l4d4e -dc>54 * REQUIRED
    889bafbPe6l6e84671ba1fs97cee6f6a483a19 50d81efcflea9a16a9r tb9bh1idsa 6ffbf3ieed5ce5ld3 -> * REQUIRED
    0db1d0c26P7f4526leb4c4aad2s0e 4e48fcleaa55cr tffh1eis fi4ee14b54a5723ladd8 7130972ffbb4->0 * REQUIRED
    20bP7l2d6d62aefada6csfef5 5f64c81lde6406b21ar6 t8bbf2c64ff1h9743i7sf 27fb0i824eld ea->ad3d * REQUIRED
    53f2Pb6e4le39ee16ff3ad8se1 9clcea42cr tf64bhibdcs1 dfbb2if17dfel9d74df43 c5cd7->99c31412e0 * REQUIRED
    bP6l0de66d5ad0f07bs2a2ce c7d6le09293daad9far t40h2i2s15f f1f6ie0fe48beal39d 7-1b5>c02445a0 * REQUIRED
    Pb4l9ea8sfd6fe4c 6c0060bcc1lea6a3ra9e 2e16d1980ate6h759isdabb9ea fie11eed4baea7fld -6>8f0b * REQUIRED
    763f18P8l1ease36e 8a6c20lea6dra fee0tfe5dh019bise9 82f14b3dia71f2e9ddcld0 bd1a38ba-02d42>1 * REQUIRED
    ca2cd4391e54f5bPc0507a40dleeas8ae clbe4dcb31bda65er625 thbi6cs 3cfc470die9l816d1fe d-956>c * REQUIRED
    76f91813Pd03dlefe1as33e1a5b cal27b189efa209r a580257td029hi6be3s7f f65ie24f4eace687ld ->51 * REQUIRED
    cPe1d0lebaa45s9ec f882fcbce6cle8b952ar 30t19e5h9ai15s2 f45i843fa1fe7a0l326d e7-c9>e5f62114 * REQUIRED
    b05de0cP0bl9e75d926c7a00s63e553 57c9d4l7e6aa83rb3 t3882h8i4sd2 30af2iel8d2e98 d0-e1aa>242c * REQUIRED
    93b563a9d1Pf4fl6ae46a6csbe6 0c5fl67e688a3eb8f8rb0 ec5th3bia92cs 1d2ffi8f70ea380l5d 91->80b * REQUIRED
    8Ple91fa1b236269s7a7dcef741a03 7cl016d082ce4ca7b2r7df3 ee6b8d5thi5s7 8fai4el2d0d 732->09a6 * REQUIRED
    eP4035le9e65a4e7bb1aesc8e649e dc1311albbe2e8car 0553t5cc11his 4f1f2i31e7bdf22eld d-9080>9d * REQUIRED
    eP24l6d74d84deca82a5se5 44d2dcleare t8hfie69aasab3 f9303i7eb77l8d742e621cb dbc-d4f>532f8b5 * REQUIRED
    5b63fb1Pf8l87d1eb6as21de09ef2af 5cl18e466ar t7ah3e894di6d22fs e5b8023f261i1e66lad4 -7920>2 * REQUIRED
    7246ef69P4l9b3b4ea568868e7s55e6bc3b81 7c9f8be213le8aba9r 3bt8h9i1fdfs3 fice410lfde3805 ->b * REQUIRED
    cbP0f0dbb3laebabs0e 30b8ac4f4leeea1ea5r 35b1tchbi6s 163a40d8bff8c5f8i4fe8cld 4-6>d71b9f239 * REQUIRED
    3ca71P8349l4ec1f3aa2sce4eefe39c3 658d0fdclce3ar ft3ahi7s 75653f931ielc0393de 33289da->244a * REQUIRED
    db374cPl86ae6efbaas1a410e cl8ae9a22r40 0eee86392bcfbebdt9affhei5s4 fie81ldc63d -beab9>bd9c * REQUIRED
    47de94d48bdP2l6ea22sc7aec33 bc74l5eceaear2 tc50d40fh38ib4e0sac1 42fe6i9eld286f 33-a>35b527 * REQUIRED
    768P2c06l76a49ebas14e 95cle67ar79d8bde 1thise94896a e0f1a1c170af6dieacle901e18dada 6f->7aa * REQUIRED
    5f6ab3P16alde3da32sed cbldear5c 737de88t612e0hi2sa3e4c61 f0855aa47a20384ife10lcd1 8-d>6e60 * REQUIRED
    Pl688e4ad50859se0278 c17ldfb8d9c34c2bcearaa 1bt2hib4b345614s bf2aiel9d13 d0->55e10f68e3c08 * REQUIRED
    390aP26f8f80ddlde962d52as0e ac566lbdc41eeaedf07114f2r1 8e1995t594ed0h3is fi1fe4630ld 55->a * REQUIRED
    00Pl98be38ac247s34e 0calb3cfe7e5dadr t988abh8ids7d0ebf e2fbci961e7aac452ld6 -9d79af0>6aa97 * REQUIRED
    c1cP92l71eas072ea c7bl8cf7a6b351ee6ab46r30f f1th8afi8s99f8 fa15c7184i87f51e45ld8 -ee4>7e5f * REQUIRED
    4749425391Plaecas7ca4de81 70c466d2l6cear bbd1t38chi8cs0 ffa4i634e563lc13f9da9ecacf 022-92> * REQUIRED
    Peb3l6fa3140e8e5ase c8le192dar 86ffc67tchi95s85 533f862663ei4e99ld3eed4 377a85-70>5920a647 * REQUIRED
    P4e27ldc56affea723se 41b13a45c5161ec72l49e65acr2 tfh01ifs67a0 fcf74ib4bceldcb7 8a7ca39-d>1 * REQUIRED
    b6P715d8lcd5eaefs97f3eb0 7c8cle1e7a6ab272r 588t3af1his48682 f10fid45d8b8c1e838lddd ->69bb5 * REQUIRED
    802fcPle09da3s4de 2559c64cefbefa1l0eea55rb thi3cs1f78 8fi82elfd1 0ad3967-e0c48d429>76d2890 * REQUIRED
    59dc3Pcb2el7e8f37as0e cfcle8eac144acadr8 td31hdcc1i839s f284eibealad2745bb0a6 e95877af-d>7 * REQUIRED
    Plcbefe8as8afc96e0 85eab1cleeaefr 07tdedh31603isc5f8e62 04fe101iel21d20b49276a0d b2fbc->39 * REQUIRED
    8Plbea67a7s8f9e4df0f 55e378c8fcl8fdf000b86efadr 6etd88bh48ie77s7b 65bf6d0iel4dd d->6868f07 * REQUIRED
    dP90ecfl6d58eab1eacsb40e35bc cl7ef107e5e58a7438r 6et567his0 ffi4e6ldc52d b6->8c1cb364cf15b * REQUIRED
    cdc74aP77lc1ceac8se c5feeccldbear c108th5fced3b6ids0 54d2cc4f368f4edbi6el3d 2d-4cff98>74be * REQUIRED
    bbPbd91leb0aa2s307be95ebd2 d743ec279dl058e9a47r 6t7h18iesb df74dccei1ecalf9dd3 ->5a64d8b9f * REQUIRED
    e1105eP29eelea6770d71as396e11e 5cldc37c2e53ar tehisafa901ee 23c4cf141ei870deld0f 85972-b0> * REQUIRED
    2c22511d1Pd282e43l976ease477e cl06deb700ar1 12285btbdhiabse4 6fc1c9a35cd6fei91elcd d8eb-e> * REQUIRED
    47fbP10leba8se 87fe1911fff15630ac0dl46e7ara6 85fd4ctdhecdi36c79s 28fci7e6cl4dd1b9c -f>6a17 * REQUIRED
    e35P172339laefa31s0b169e 72c0395leara 50f6f5ccthdi3bs da3485bfi8e4180e5f9f8l6d ->bd15fd877 * REQUIRED
    81Pb382eal850048e98ae3ace68s7e cl64eb29afr06bc5 tf3h1b84ids816 539fielf2d99 3151f3eaa->cf0 * REQUIRED
    6d4Pal6a9a4e65a860fs3ae6ed 5c5lbbe44ar3 th4e5cf3a75i234s7c3 2f5eb57520i244edld9d76 3bb2->f * REQUIRED
    8b31bP679bla5a6ebf2ebadb0s2fd3e 06ec658lb21bdea8r4b4 2c7theia0160s fi9elddd5fa89 ->eca00fb * REQUIRED
    559Pl7de4305aea41s19e ae6e3clec305668a0e6r 5df059t5fe29h0i8fs feccf1ide5ec98cl27d 18->baa4 * REQUIRED
    91P7l0e6e2dd86a4se cd11e8leabr 96ab4tb8e8e8db6eaf7hi0s1 fdid3f9d19el2c7edb95c77dbb6a4eb -> * REQUIRED
    3b41Pcal0ea294cs622d8ee884 c9l84edec8abbb02ar t84his32 836c16ef8i00cee40b6led 5dafd67->77a * REQUIRED
    87Pc544fa69a0ff1le197b9a0se0d4 29cl8476e8a635d62ar79e26 3tdh8i9s2 d351fi3el34b4d 08-51dd>f * REQUIRED
    3a91ebcPleba58ea91sea93e 94cfle339ad771r67a30 371t1dh7ifs eff7fia1c6ebf068417eedl7d c-4>52 * REQUIRED
    b2682Pel85de0a413sca3528e953 4cl0556e6a3ad1c3aacr757 t4hi6as 6b3f776iel1d ->5b93b7b7194537 * REQUIRED
    6c556a1P5dbal94ed1a9102sf3e cb3l477ea5r atdh90a5f7733cis cb84519f8ibcel93241d fcef-f976>b8 * REQUIRED
    3e557ePl3eea98s60e1 cc31d8fleb39ar 80t1ehai78sde 1fb794c9bd3d661fie31e905ld d-6>be0ee4a627
    3089Pe98476047l9eeda6fasbeb8 dcb9el8bb7ec3a5r3b 617409e6t07514bhi5s0 f3fie000ea3ld 2-ea1>5
    a59afeea9Pl6eacs3f1d322e 1b74cl95cccbe9ar 5t8chis46f90 afb17ef9a5die6a65al38ade0434daf ->d
    0b1105ff0Pe588lea59se c6ble7c1e6ca7r 58tfh3i0f02bs3dc a6f10ief5efb16daba611ld -37>d9d8f7c0 * REQUIRED
    fce4abPlf9435249e56a3cse bbcle0ar etbdh20is69c3e15facbf301 bfi6a97db159ael9714d89585 4->c3 * REQUIRED
    P7c41845cle7ec4a146s30e a1cle03ac4erc855e2d68034 1587c34th089b530e3is1 1f2bfi0eld ->4ebc2c * REQUIRED
    47e20Pcb6b0l2e29fa2e3bse bc7ld73deacra t3169fhi0091af7s7e fie3d9e06b7310270lee66cbd4 ->4a3 * REQUIRED
    b5ef5Pl6easc533438e2c ceeb58l61e808dearb1 29thi0sb ff2ieb1854lc3617839ecdc1d3 ->e26a9d41f1 * REQUIRED
    186cebc09cP9lbeab6c65927sef 4c9efclea4d86r81ef 458th1fc4die79aesa0758810 cfi6celb666d 4->3 * REQUIRED
    482efed54d6P095454cl6eas3940267e 533cfc327lea31cbr t4hisbf59 816ef2803430i258aelcd6d ->1e1 * REQUIRED
    255946Pa75f3ld4de832aaafde989sead fc6f7l9ed03652ar 48d0ect22fb7hi9fs aefi8el55d 57f->9b3a5 * REQUIRED
    a1a1Pd26balcdef2834absf46ec 430fcale3ar 4thi302e4a8cs fi54e4c0l2033decdb3e6edcabc2 -a854>d * REQUIRED
    2Pl4d6a8ea2da5a8bdse c43eb7c535lae278a9r100ad thcisfa accaf4822a09ia56208el7d878ba1 e-d>0e * REQUIRED
    55P60l5995fb9c6e252a18sd86e2800 bcl174ear09 td0fcfhi1912es6 55fb2d0di99eel10cd324a 333-4>2 * REQUIRED
    Important: 315You 70m2a3y4 be making use of1 automated form-47efillc3indg 9socftware6. Thies3 type ofd softwa4re canb trigger 9oure hidabden spam-d2e31t4b6ect7ion3 syst6emc, w32h3i4ch wiell blode9ck you f3ro7m5 sub7mitti4nfgc0 this f6dor5mc. Pleadse se7lect e4Fix aT9hisc8029e90402b359f5a381 db75ef14o89e4re38e545aa362e bbfb9a67e85b71801a9a07f855ecacoample6ti622ng 6bc28thae872 f9o4743cr5fc8m i0n a00or8d5er0 to9e8 834c83orr06efdc017at3 16t8he pc9fro2bl9feme.
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