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  • U16 U19 Winter Turf Goalie Training Program
    Fee: $100.00
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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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    46Pleasc91bee0b b92clea8e555ar0b5 6195dt3his ff4f580b5bie8d56515e68f1349l4b102da c->0d5b75 * REQUIRED
    7e8df17aff49c27cf96P4le5abadse c9edefd1lecea8c279b31r7 3tdheaiabs6192 8f9iel8b65d8e2 -8>9a * REQUIRED
    bb7eddeaP93clee9asce0a63e5 f42cfe5dl2earbe8c 2c33t8hffeis 809ff0c397i44e43a73l5d1 -4>b7637 * REQUIRED
    P59fle7261a84ease becldbcb6ddc28ed6bbfffar3 th2is53 45963f67ie1a3dld0 61bb2f-50b9267f>e658 * REQUIRED
    9Pc62l10ea1s9e8e0 084865c94fcccdl72defadb49727dr64fb th72eis 120fiee4l0dd86f67debd b->ee76 * REQUIRED
    bfc306aPleac34a8c82da3d725seb04c e7c8leae2erdc 799th6abi8453sda8 fie73lb5c4d ->a475551217f * REQUIRED
    2c5b5313fdbP8dleas17e 81985c7b8lab01e3b0617a9b7a057r32 8t45be74h7is 6dffi94e7ld9 1da3f8->8 * REQUIRED
    1aP7l4e25ba9ds783e850 ed5ec60l9001e6b0a9f8a01r2c th2a4is 7932f383i6600edel50d04 96->36c82e * REQUIRED
    8a7e6dPlb54e5as14e 38f7cae875l2fe4e4b1527far65c 8t66h4839i6739s39 07dfiaae2l3d 73->afe56a7 * REQUIRED
    59eP58l22e8a8se 8ec5l8e3fd5ae037cr3 atf5hi2abf24s45 f1e84icbeac25e6cbba2l644d 9-d18>9a1b76 * REQUIRED
    33P3ef30l4eas3e949b4b40 cb45666cl53cea630f8r01 thif2s61 fie5lb4d13cf 6f-995895b>4ec28b0d2d * REQUIRED
    bb500f857P67leae4se3e clea93r518 1c64th893i9a958s0d bffi1ba3942880d1e8lcd4ec 2d-048d>49c88 * REQUIRED
    c1P20le1b7a2fb0asfade 2b16ce087l48eabb3r6 cth299ias1 78fd3i4el1ed5 6eb-4823a1>3401cfcc0cbb * REQUIRED
    P7ad45l1e33asb64e5f786 1fb5ec14flef67a5f1er5a8 th3is926df38 38807fd861i4b2elad1 ec18a->60f * REQUIRED
    f5c423P6al815b506ade8a81se30 bcf55e8b4ccle24a22r4 148aetfc4h9i37s3d2ed f0ie6ld 1647-a>6c4e * REQUIRED
    5c489Pb9af4l4ea6970a8s12fe88 2c0c3lecfarc26f53 tbdh28ei4s 5af39i56el17261d3 df2a9-9b>891f3 * REQUIRED
    2a2188753Pl0eb908aa4fdesb5ea e4c26cl1ef2a53rd t6h9285i5s fdi6a6a35ee71ldd a-5792>c0f6bc07a * REQUIRED
    7327d6Pleaa44s8ec0a bac3cle8e42a5dr9d teh14ci3cf71s 631db6bf7i1el1169bd6d61016 bc4b57->b56 * REQUIRED
    2aa87Pl0460e803ab10efaad2dcse1 1c3le7ar2eb3 e2tc6h83i68s83 b6af327ie782l2a7bd8 1d-24>e8823 * REQUIRED
    97991P37flee958e357d7a7dse4e8 fdbc3985613ledfar t72835d983hcf2is f8aiedb5eld4f3cddf a-c>1d * REQUIRED
    08Pfl26864a84ebaabs4919dd1e 77a68087clefare6408369 54edt96h8i1s15 f5i8aab8ae43ld 15->8f4da * REQUIRED
    5Pd6fldeac3101s6e7 c68f9el7cb84a0eca1e7frb5 741t21h4is c3f3ce3i4c0e14ld97e -77dad29340506> * REQUIRED
    6ePlaae92d485afsa2082ee7b c46c9b30371c3lear2e 2t6313hiad6ds8 fe8fci7e00ab4l49d1d58d -d6>78 * REQUIRED
    f1ePe56lfbe95b6340f7asc7a4674ec c15le5adr2 397tfb4his53a2 18f6i3e6ld2 28-30fe>579361b3369a * REQUIRED
    02c00Pl5706eaf42af7see25 454clbc1ec839c93fea9718ard0c2be47bee t17cbehis 783fie7l6d f1-0>e1 * REQUIRED
    9f380Pld97eea8es8e ecla091e875aba8r tcc95e106e3b96cee0h62is fie83cffe0b0al65d406a 7-f>0142 * REQUIRED
    feP0c0dce5ld089efas552e 3ecl5bee4f37a0r t09ha79iescc9e2d50 f7dfd6c4f3bi1e0ld68 61-63a2a4>4 * REQUIRED
    4413c6c2e8ffPaa0c4leacsb97e cba7le392dbe9arccb0 th3i0sa4f5 dfa301ibbf0e0ld3116 e43-b>15b55 * REQUIRED
    d07265474dd43e4cdP42l40824e3b4a53sbe c3eld3e1ad21e7ar7088 thi4dbead60bf7s 63fiecldf e->f84 * REQUIRED
    c98928Pl3de6a6cse678f 53cd2l6990be529aer3 t0h625i0c01f3s9 214afai0063791elf9aed c-b>b05f3f * REQUIRED
    P3el3ece414a03asa0598e4ee f4eac7a4l5030ebef2a7re4 1t04h5i16sdffa6cd8 0d6fai5edl8dc2 -a7>6d * REQUIRED
    3acf3dad423d325Pb7b98f0leasea fcc8l5ea3rc74824c4e5b1 8dt126b23hies6 fbfiel3cd4e8265 3->e18 * REQUIRED
    a05998P86lea01s6d055d7e6e cc77f0le14ea9rf75 af1a6t5h0719i2cdsfe 5f08ccfe9ie4e223bld7f3 ->2 * REQUIRED
    2b76Plfabeas6e33783 74b83c8e1e31le28a49dr20e88e ctdhic3d5dd674cs 35bc251f3ie4ld8be 3-8>e9e * REQUIRED
    841fPl4eda34acs3eb 566ccl4f6e59ar84935b7 3t0h2iffcsf9c66 91b2dc07f3di3f9efld2 2a-b8f>99ce9 * REQUIRED
    5b13ae5bf9P7cc29le825asce1 cle3af642ca6976far9 tchis1 f1bi9ef9ec9ldf9 -fa9>64ec883792dc575 * REQUIRED
    7581Ple6asa7e 4a0d76cdlcebd8409aar46e 2t89hi16s 45a5dfie2l0dcb f-7301>970b84d2703c68fe07d5 * REQUIRED
    4eP102688320lebb7ae6se 6eccb9l8becaf7ee8arf cdath5is 8fif4ce3l5dd95 69d81-8>3b8c96f0c5e2fb * REQUIRED
    5Plbf6edba2412f6seae1f e0be9c3l9earb5 b48ee9t64h3f9d3i66s097b3ce fe8ie5ld08b950 -c>8f5a826 * REQUIRED
    20dfbPeleeaa0fse730ce193e3 cc6196lead1r3e t777ha9is66 3f86ee1f108ic8be8125ld2 7674-24b>cc2 * REQUIRED
    b8Plceasfef8 fcc26dfldeb4adac414a504rfb t30h35d9ibs9 1bf0914edi43b95b1e0192ld9012 -1e6c>62 * REQUIRED
    4a537b57Pacfcl1b1becaseb30f91 0d61dc6cddl8f9ebar this fieelf5dd 70-0c0b6>f4b8a399441d0d598 * REQUIRED
    212a4P0le11b5df080ae00a9c7s8ce 55e4clea66r98e8 t97h7573i4s9ee9e1 f1ield27b359b5 -6da>98858 * REQUIRED
    3471P7l1e5e2a8bdeb8s7e c69cl84ec95a9r cth3i1bs6 f49f3f19d1i4ee0480l5ad75f375 5-964>2044333 * REQUIRED
    e56e28cd48Ple10aa2s4bed 5fcl0eeba8120r dat62a1fhfie5s bfdiff07el70d5fb035ab9c d85d246->912 * REQUIRED
    0037c7f65299835P0leecb5as126e 125c3bl9d0ea4rec t4h6c9bi6sb4c7 539fe6fib4celdd 75-d>9444380 * REQUIRED
    265a5e301c1Ple8a5sfe0aa87 c0leaaerf5f 3993th6i7s0553 f1ie358cel48d7ff29 23b2eeb-fa08f>6b0c * REQUIRED
    0aP3b1bbleb65ea591a24ae13cs41ae cla3eear7c37 a22fae5tc9hca37852i3es feb287061cield 06-d>c4 * REQUIRED
    9828Plbcfead2sce9 7c1fbecle304ca1r72 94thbd490if9c843s9 bfib25elecaf24a95bcd b5->dd1e144d8 * REQUIRED
    93fP1lbe3cdcdd9cfa5csdafe f7cl0fea7er34 a9d9thicb8s 683f81fi386eceddcl72af13bd f3b7-83>648 * REQUIRED
    2c2Pl5ee3das451de cle4aara6bbe358342 0da6t26cf6b6hc76aa2fi4sd 00886fi3e342l2da 4a2cf81-eb> * REQUIRED
    69P1cd9el29eeadb9475s4cfedd 5bcccel56c1eabr11 7thca9i5see755358 142ef294ideldf 52b->50911a * REQUIRED
    8P4lf823a7e5323as351e cle80a87ar4 61d81t4h8daib48sad 79f6c8effc1ia95eld9 -3e7184c41>73ab82 * REQUIRED
    5e71f49e2Ple19e1aesfe ed6b7clfeb734aed7d3r0 thi1s95b f52293766if2ad2e261a146ld e3-84f02>fd * REQUIRED
    Plea00aese8e8 89c2d54d4le0ab067bd4r 6t7ac5h421idsc09 4b96f07i23de8l25d7f19e03 4d3c676b->fa * REQUIRED
    0abbaP6lcbe9as40eb0 cbe4024a91fle27a60eca1r18 tdhis854 71fc3a5i1da5eb636bld73719 -97335d7> * REQUIRED
    Pcclea85bas1be2cd 2ca7le26a4dr3f 2efdt1fc9da8h5dfi2ces f75e4ad186f17iela34c2d66 e3-22eef>1 * REQUIRED
    fc48ceb61P232l7d06ea2bfsee cdbfle2a12re8d4 3t2he03d1ibs 9aef7cf4ie6266a3aabald66 b7-937>4a * REQUIRED
    Pc41l3ea5see0 cc8l2543e2581bcbaf689621236r 28tbhicfs6f302 fielf6e022436d71931aa 489fc3->d1 * REQUIRED
    b6P234e69cc667f9fleddad3bcsee9b 27c7ac7b2lae2ba1r 23tcah5ais63c faiebld 92603061-593>91d3f * REQUIRED
    5d8ed4881e0cfPbl5e72a1s3e cadfca713lde7a8e1ebaa33f265er5 63t52h077is f6aiel34d273 c-72b>49 * REQUIRED
    P1l4ecaase cf91d15lceda0cr43b2f9 tdh4c75a17a36isdf9bd5faf2961216c 72fdd7db6ce2i56bafeld -> * REQUIRED
    b58439e938fPb9a8l5f7a8b6eab9se7b 8b283cd0la2ea11r8 9f894c8a8fbtf5ehis55 efei7e2f9l0d -8d>5
    * REQUIRED
    f3ab30ff7P2a8a6la478952e3as8e87cf9f eccl1d6aeda4bar 32b3t5hi87s 4f7icfb6e9596ld -93b>7d4cc
    * REQUIRED
    026a2Pb4lea0s8f6a1e 272bcfa5c5373db1lcearb0 t6fhdi4s f7f7i00a4e15530lfde3 36d20-eef5c>f336
    * REQUIRED
    f704Pf9b4dlea6990a8s85e c2le60acddrf96 ce8tf8h16bis 4f3d7di0c7eld55f32de1 8e07-360d3>0bbf8 * REQUIRED
    8dPl4871e8as7eeea9 2cldfe651997car t43b645dd5h6isf9d9ff 1f217b7dciec94clbfd 12-f1e3ae7>be0 * REQUIRED
    Pelc02fc4feeb166da8seb7 3c0le5e9e3ca85e94r athci85s2d5ec897 66field 0437bef-31d96f5>ad99c8 * REQUIRED
    150dPe7lf17a085eaa1sbe2 e1f7bclbe9arb c6t86hi4s375e9e01908e61b3c2c9a f21227db8ibe6led 8->e * REQUIRED
    335df830Pfl772d3ea8cs779c9b2e clfea65r9ae 45t6h05224i4s eba3dfc5ie9a96f8l3d -5dac>9a2346c6 * REQUIRED
    4Pl77e75aa4dsce a08179cle7c895233ar5268 19t86eh8i9sde fiae7f4lc535db6 9887-9b60>996d6ddd90 * REQUIRED
    c2b3P5l3ea444se cleaabafcr18b91 2f48f9t0d5ff942b733hdiees703e 1f2ic80edcbl92edb3 c-9>db463 * REQUIRED
    P0l367200e9ea7s13e05f e9f4acde5l5ef0cba5acf8ar 4fth94d0ifs f9af01331i9706e2l37d795 -ec>4e1 * REQUIRED
    b01b41cf4P161le490a51s23eaef 9c1lear4e1d atbah91cb89is9 7ffi061cd13el40d ebd-8979fb>a85585 * REQUIRED
    868Ple1as4387c66e dcle1aerbb a31t41bb38eh6929d2is74 a026060fi1elbb1d 56cde-c>79f45d84119b2 * REQUIRED
    27Pl3b36edceas5e931e 7a7c0b1ad0leaer 0b7e0ftb9hi90s1f6542 b232f68i5eflaaa7042d d8e->f49827 * REQUIRED
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