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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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    fecPa48lb0e40ea5se44 9c16leba41701dad60ar ea4b0btfah1be7ib9sd1 901f72ai2eld9ac -d91c3>9121 * REQUIRED
    612dd29Peeb8leaa38s5aedfe96 661clb8e18aa3r ta4ch18i7s67bea7 8f74i92703eeeldd dae63-a>ea7b6 * REQUIRED
    fdPd6le9ase3f7 9a2d0cacl71e7arc67b 7cft170h59a6i830s 67faa49b6f8f6id0e5l86da01072 972-7>f6 * REQUIRED
    f9cPl0e44as38403035e6e784 clbe647a86r692 btc6his01 e1e1f0c81eeie5a0f7e0310d0lad120 9->261f * REQUIRED
    a1f35Pea1f60b6l7fea58sf6e1 2c4101ef2fcdl4acea0r65 2t7cb7430e0hfis fi316ael8dabd -ede>ff90f * REQUIRED
    4fbc2e0dPle2d4a3s0ce16 47cflebdfd83a072rc2 ethe557e0i0405s 3fie4ld1f 8dd84-ebcfa1>cb84da36 * REQUIRED
    fPlaecdas3680e c7bc8l0ae4ea13r1160ebc 0te76fde1f69hi7ffs6 8bf6ibbe5l86dfecd4d7 7->55dbd85a * REQUIRED
    0d29Ple4aa12s0e5c 19fa8ee3cle7e7cb6ae124a2r 31dt71hi6s f05i9e36a94fceld6c 0ac148e8->bd0597 * REQUIRED
    7ff428c8aePb9f7e0l78cee3424a1s8ef8 9celea52br 6th9i6079sfc770 2bff8ia89bee3ldf3ddb 263-a>7 * REQUIRED
    dPla0edf0cadds16b1be fd541d0ec41lef2761ea242r9c737 0c3thbb4d2i7s5 16f3ie53ld9dd406228 d-2> * REQUIRED
    7bPlf63f88ae951a87fse0e 0clee8a923ar 3ce3628t5his3 70fie98fl1d7b 92bbb72a2171d8->5dc4e04d7 * REQUIRED
    e517eP4leadas1e clae7arb f67b92ete1bh5i8d5ds07eb 31fe0cai59bd7e089ae3d3ld283 9->cb2a96e64f * REQUIRED
    a0a3b851d82cPedlce7a9dse194 cled1cf33a9ar 5t7ah5is 6e720fcai2e93a918l9269d -8272>dcea41aac * REQUIRED
    461ePb7celedaas28e 6dc09l1ea09adcc587r534354 t779hi6s89f65 ff43b27eeiel0f0da -8>ef5f2bf3b1 * REQUIRED
    70d2Pl98ed847ase862 e48cea56f4abl6ee7c88a4a3cr bethe63938is bc08fi14c0efld05 6-e20>809c2cc * REQUIRED
    8P5d6dl7fe0aa59s5e33 0ccd21a2fa26l03106ef0a67far1 f94thb27i5s2 7def1i46e1c205l9fd63 45->af * REQUIRED
    18cPleccdas0e 0c2c29c6e26cl86254de0aar8 a6t085hbi6s21bae d79f781d434bi6elc7497dd 58bc-ad>2 * REQUIRED
    0ccc5259cP5lef4a1base dfe3clac7ear c27d3eet136h8is1 6ffia7be0429d8l1d 14bb271-0dfbe3>e8e0e * REQUIRED
    8Pae758balcef12aa395a4fbbs385292675c3967e 3c90f52le8a928a6r24e t18hi65s f9ieb32l4d 1-3>33f * REQUIRED
    26038Pl74e99eas8e5 c5e7dlfaea207ard edat079h3ce8i5860dbs84d3eceb5e5 a8fie16c6lcd 63c->3a65 * REQUIRED
    180Pdl3eabc17402a0dse54 cfac52e6leaa1r cthisddf5f8b acb6fi10ec0a6a681b2f1ld cc-7bf629e>39f * REQUIRED
    67P9el8144feas5e 0553de1e35cfbbblef1b762a1r e57th141i76be3s97 fc928177227icelbd5c6 -36>69e * REQUIRED
    2cPblea5s7e2e bc4le63aar6 03571tbh9fad15aiseb b713f3bdiad352c1e8ea854l5586d7 42-d>6efa2f03 * REQUIRED
    1407eP6dfle48ase 8fbc284el2feareaae bteb2hdi64sdbbf 63f3610c57f98dc18ie0la8d ab54e-d>511e9 * REQUIRED
    10dPcela46ea55se90a61dd7d 8c2l2f6ceffa7er 8t6hi06407seb2cd df723i4e2f51963l5d7 70bfad->43c * REQUIRED
    ff7c6Pbf8eldf4beeaa41sa088ebd7 cle33a269er 18tdfc4h3ei93ad7sf4ce8 f24cf9iel794d ->858388b8 * REQUIRED
    11P2l8cea88sed618 5cledd57a896r at998hd73a78i2e9s56cb fdiebbelbcc68d3af6c 1ff2-7e>ab6f6cc2 * REQUIRED
    2fPabl2c8282eacs2e00905 dc8f962be70leda0r23f6df47 bt84h6bies 8fie7lafc1d ed253b-e0e4d>2f08 * REQUIRED
    365P79lee62aa6c020407694s0cabe0 c0ecb3dal6ecae3ar thie4s 4ffi0bd24ce5l22cd14 cd79543-7>4c4 * REQUIRED
    d0aP24l231e616f0a3b8se15 c80le2aer2 059c0t17a11171hisc57567 6fi3e8ef94d0led -0>2b6fa9aa418 * REQUIRED
    49Pal20e8ase9878fec0 64cb9de45b62c8leb9eceda95ddear7 this0 f3e31i6e63e6368ld 9-29>5fc4f207 * REQUIRED
    Pl516ebf853c862b634ase9f71 f142cl4167da5542dedd9a2der 7thifs61a49 f6a8cffa5i5ea6ld7 -35>42 * REQUIRED
    0329c53c91c9bP3l1efb88asae4d e87cc60lea805rd7 6ed49e918f5te1h513ibsba8 efide8ef2ld8 72->f7 * REQUIRED
    aPee0al01cae2dd27a1se0de clearb t1hi53sab03efc1a 3327ef9i22b7ed6c2b3367e616eld51 -608e>7fb * REQUIRED
    61b8Ple23a9582sef5b 1a68cfl11dea5r2055cf12bc tbha1b9ib381ds7e cf19b3a5fice7l75648cd d9-9>3 * REQUIRED
    20Pdble6fc6d7a4c3sec ccfl0df83edbba68fa44r9f5 3ccd5td0his2a2 bffie974bcle24d40 28-0>c79634 * REQUIRED
    Pf38l5f0d10easdee2fe64ebb 4941bece29a4c2l8cb0eaa359r9 aftbh277ic0asc58 44f3ie9l5d -3b>9ce9 * REQUIRED
    3127P4b1701fdl5e444ea6ef4adsbae e4becc4977lde21a55r te4dhi16s6a fdiel8d a-221af>50dfffa233 * REQUIRED
    9cf7cb4eP8324e1elee1e3ba26ecd78s6ecc75b5 ddcdl57ea6r e7th4is 21ff4f5icelb4dd e0e-a>5de44ca * REQUIRED
    588b69fb67P0bfl23025eas01e24 c07fe3l2efcaa69a4r1f01a 7t4hba0ib5ds8d2 fif89eld587 ->128acff * REQUIRED
    5aPl5ef1dd6a0sceeb e204cc6cldf5af9d7a682e95a420r6d 96tchi14s2bf 9f6fieblfe4f1d -4d5>d89924 * REQUIRED
    1eddP0e77le71af6de5s215dcdef 4c3649e76l28e988ar2 1th44bi8se38 5fif9b06daelfd1a1bc6d2e -7>f * REQUIRED
    b4e76d8Pc735816lee8e5aas88e7647db4c0cc79553ee5 clea1r f0tehi5s583d f83ia97eeb71ldde3 -a>17 * REQUIRED
    8P26560fl035aea3c13b5se1eb39 681a8ca9f7lcbd43ee851ab9r6535d15 thdifs fia66e755lad -8654>75 * REQUIRED
    6129a7c5b1Pl542eas1ea060f58 ac6l9eaar e2d7d2d3t3ec5hisa d44d5eef07c5ie80al65d 2b-0>6379c1d * REQUIRED
    9Plceda2ds983e81a6c 963c7f39f00b1le1ar9 4840t18dhb4i12s674b7 4fi5e0ae66eeldc8d 1e0db8b->d2 * REQUIRED
    Pb61lade8a28sf8b244b3e 03c5leef87a7far3e ct8h0isaf74e64350a fciel1f008b687bf76dae104 e-71> * REQUIRED
    9dP9c5le24e9f3a2se ecble5e7adbr8def 6t4h60is0b 7c47432efdb1fi0bed7l816dab43ed33a6e9 88->06 * REQUIRED
    Pal6ea9c6eb06c6a45sa40d8fd9fc7c5aafe 0bacbleade50fr at2307a6h2is0 cfbia153f6el64d -65>5da3 * REQUIRED
    d8Pl5deas0e8c930 c95led5a53a1abar944d c41fc16thda17is 49f18i7e8le1f71f0d af1c-4>d70bdb684a * REQUIRED
    2827Plb426ease 30ec1552lea4cfr 2tbda73hf9is33161b85af 191e2e18e1f6ai1e60a7l4c841dd819 -b8> * REQUIRED
    9c287b99038Plbb6ebfa2a924da3bas3e5e95 1cd6el94eea9r6ea5 t7hai2sbaa 4f674ife1l1c1d4b6e8 -c> * REQUIRED
    9P534lae9aaf78s2f5e7b23c cd5d2l9afbaecar dthie7fs fi4eb2da5a337e9c46l36912112fd2f1 ->f4761 * REQUIRED
    cePleaase22ba 94c4l8c29185e2d592a81570e3acraa 60t42his6412941 f88di1231e25e9ldefd 3->84f9a * REQUIRED
    d62acP5476lff0bbeas0e cbl92e1b6affb6r67a3 41a91fatd1a7hb8117cisb7 fidbefl0db54 44->2fa4909 * REQUIRED
    f7ce1Pleffa81sea d00cle9e1dcb58a8r382d fcthfffb254ic7cccsce50b f4iela2d 48419eec5-768c>fc5 * REQUIRED
    7d788b1Pleb7as0b97d7c69fda3ab6ce5 cd22l11bfe8eacr3ec179411 te0bhi94s f55ibed5ldc -d>9cd7ad * REQUIRED
    fa74eePb2756b6d1lea4se9e c36le076bacr8 thec57dadeda3ei0s4f472 f80f47iel5e64bd8 ab56b->58d2 * REQUIRED
    4P9leea490sb5de62 98claea69r4 9tb9bh24b5b9bf116i9s45 6df3bf3399d6bc2i79edbc84l87dae5 82->b * REQUIRED
    2Pl5b7eba3se 5c0701517l833eaa3r 5thd9i1s dfifbbb0ba0e5de8314aca60af0eeela91dd1 e6b-4>d71a7 * REQUIRED
    4Pe6clead73se0fd cb57f6al9ce144c7a8r09 87t7517c52heis8 f5i28b7e431741fld81 ba-df2cf1>0782d * REQUIRED
    8fa3d4P1c15aef4l5053a6eaas8e0e78c5cb c6l1578cear d76thi2es19da193df 2f248d0iel905fc6d f->9 * REQUIRED
    08e8234535b20Pl4ceafs7e2a500fabd1c699e 1caf1leea5e1r et3d3hifs bf8iceld74 -80df8>a27640bd9 * REQUIRED
    06817Pdc3268le9eas6e17c4 cl07fb751e3b5faf1r7d tcbhd14i20bs98213 5717731fi3e3la53d -1be54c> * REQUIRED
    6683P4bl2efeaaba2eese7c197 932cle6a052r9a t9da1b1ah98ica6eb34248sf2 f6iee85841ld d82->e730
    * REQUIRED
    fb8Pb68l3eas0e c4ld435212edcb2224a19r fthis 4d0dfi21f215c5e13f7l91db2631217bd 29917->91ad9
    * REQUIRED
    a6d4Pe9lfeb1aeb98asfabd57e8 c5209d7dle2a1r 5t59eh10603fi2ff6sd fid22e6l5d -c4b5fed4b2c>784
    * REQUIRED
    35P9le82a1sd0d7652e6 8cld5d1eab2bc07e7814dar td48bed63h08i43bf27366sb ffbbie27ldc 8-e>3745 * REQUIRED
    bf7309ba8ePlfb90cea70se 0a0dcl20ae5f71a91er2 thic8sb1f f2ib710b8ec0al1bbda76 829->0606524f * REQUIRED
    c6f69efcfdPle54afs24e69 cca0l2e7a7a0br72db t0h90305b71i4s 90c7fa3ie7fcl7d 2-a55ec8f>af1b17 * REQUIRED
    a5b470edPl5ae2e187asae d622732cef9369ldea9ba6fbr 13a65thf9066dis 2b9b3dfieb1al69d36 -a24>2 * REQUIRED
    aP94f7e36del1ea87d387635a5d8e9se 607d9clc1eearbc 5tha1bbi90s d7bb5f102i21e2deld 1-4>cdd055 * REQUIRED
    8a96P8leca81see52e57494f d99c8l3d5e6009f549adbc50er207 0t3cdhi8bsf9c9 16f8i058eeldc 4-3da> * REQUIRED
    01710Ped20el1ease c7a2025a82l61eae17b10r436d59 tbdhias 56bfb3f91fabdield 6547->6e67142f110 * REQUIRED
    9Pa41l6734fe1ee4ea17bs22ae ccclea9ar6 thi30s 2f7eaie7efa6f9124ladd721 1a433b-308c5ca162>30 * REQUIRED
    b05Pa9l8cced1ec851a8c83es8cbc43b4bf537eb1e8 cl616e63cad5r6a61 15this f57ielc9d -383>8a7b4d * REQUIRED
    def48017cbP3l5ea94sdf1de 204c80fdleb1e722ar60a92b 34t65a21hb0i3sa534 03fcieldb c-06c>79a01 * REQUIRED
    53a922e9f32Pl4652e1a6f2esfed4f9 facl6c82ea88r5c0 96th2isc8f249 f9ie9e4127eldaa -cb>d8e2d6b * REQUIRED
    Important: Yoeu5 ma8y b4e making use of automateed form-fileli5ng s93o1fftwa5re9. Thi17s tfyp8e ofa softwar0e ca2n trifggcer f7ou8r6 0hidddeen spa0m1b-6d4fetectaion sys6t5em, which will ablo8ck y7ou from8157 subamitting thi1s1 fo7rmc.9 Pl6ease4e s87e2c1lec87t Fixe This0a64650 d1a47b31ced2f070982b8o925r407a28eec6aaef91 6dfc69725fe407f276b9300cfco568m15c6511pldec6t1ing 4the8d69 fa1o5ra26m in 22orde8r7f ct2b56o0b2 c6orrc6d8fec3f9bt70 0tah2e prob8cflem6.6869f
    Important: You maby54 be making u0se 0of dauatoma1ted5 1f88borm-9fil9l7ing sb5oft0wacr3e. This t1ype of software can9 trigager 4our hidfden 6sp0am-d3ectecation seystcem, wh2ich will bloca2k you 1fro6m s6ubmittin9g 7this form. It appears tfhat t9he p38rob47lem could5 no2t8 be automatical5cly8 7corcreacted. Please clear any field which appear7s aboave witdch c7orrespond2ing instru3cticonsb592505e304148c4b0eae2efea0bc cb441e131b763747fb9c9125641ob2844fcre6e 3175co9mp9leting29 6the7 fd2bor6emc idn35e ord7er 0to caorrecf97t7d9 thcee problem. Wee5e apoal9ogi5zfe e15for the0 inconvenie64n2ccce 5acf5nd w5ee apfpreci1ate yo3urc 7fundcer07staendingb.d3
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