Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • U12 U14 Winter Turf Goalie Training Program
    Fee: $100.00
  • @MEMBER OF PROJECT HONEY POT
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: aY6ou may5 dbe55 fmfakingc ubse 6off automated cfe21orm-filling soft6w4a25are. 95Th0is t2yped of s2aoftware ccan triggeedr o1ur1 hidden scpdafm-detefctifon system, ewhiecfh will blfeockc ybdou from fsubm7i1attingc 7t7his form7. Pleasb44e 1dsel5ect F5ix3 Theisb65f649b5653 5beef331f25747ed06f46cde945632eo7r1cfe5efaf2f9e0 b2fd3827e2cf87co4ac2mpfletinge b7cath8ed focard86mc 1inc7 bor5d1cer t21c03o8 c03orf4are2c4bcte60 6tbhe 1e7d1p753e3reobl9e1m32b.
    Important: You may be m6akin6g use7b of5 autfo61mated fdormb-fi3llin0g so2ftaware. This 5type o7f softwfare can ddt0rigg7era ouarb hidden spam-dedtection system,0 w7hich wil38l 4block yo3u 6fro7m submitting this f7o1rm.76 It appefars2 tbchat the prob1lem ceoubld 6n9ot be automdaticf9all7dy correctced. 4Please clcear a0f5ny 7fiel4d whiach a9papears below 6with corresponding in1structions14708e0 aabb6f66efdboace95903rd992ecc9f20f b6b13cdb30fcbccccde1e78663df59compld0e839ting the f5orm ifna orde7r toe3 dbb2co8rr51edc6t 6tfhe dcp41rcdoble9m. 243We1 5c7e0ap1ol584og2iz0e0 forc the incocnvenien1ce a8nad we 3a3pprea7cai7ate dy8our undef2rs6tand5ibng.
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
     
    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.
     
    7Pdle7da5a99se ecf191le6c4602a7391e9b3dr87ccefcbfe ct51hi3s993 76f3f44a6ie83le6d06c -6>bd5 * REQUIRED
    b69P6d01leasedf43fcc cc5ld9b0d6e1ear3 ct4h83b91ic2sd15839 3fai453ba41ed46ldd488 9-4cd>586b * REQUIRED
    3P7l998981eas3516d00abece47a29f4f813eff 891cleaar1ada 4t7fhis7d2b bf2i991edlfdf765a -8>e3d * REQUIRED
    c82a02cPb51lfee89bfac3ce9ee9ds507132e cble16a9r 011te94ch0is7bd f39c7b8ie83l766ed9 e80-f>d * REQUIRED
    17dP87117ae7bfcle9a468b38ase 66ac7fl7efbabr0db4c98 015tb2b48his4 c5d6fiela76d498ff6b7 8->4 * REQUIRED
    68f4f9Pa03adl510eeas9926b41fe2e7f c73dl57e11a3c672rc t9hibes8 f9ieebl8a968de -5350>a80fab7 * REQUIRED
    56fPfa32lea5fs4109eb c42learf6 a14thfd85is 5f5fc26ibeld8a293234e33d 0b-ed1ab68>5d14af075d8 * REQUIRED
    546Pleasebc0 2eecacf6970a36cd0eldefbfaedadd08fdf104r1 t1hi3s2 5a5f2ic97cfa8e682lda492 -3>2 * REQUIRED
    7f2Pbb9el94e97a4saed12d7dc1 c4612046lef455eb2a100ra3 37ba10th73i7s618 f6ie2dl7d -5e>6a548f * REQUIRED
    28297586413119Pald8ec9a959d6se c314463le6254abeedr5f8bbca6 this6 1fiel4f7d3c1 42b768-3400> * REQUIRED
    4f4P2l8aa51be60cf1aese600efe3235 3dclea7frb09 60cf0669a3dft0h7is1 41ccfi57e79ld 2e5->8ac50 * REQUIRED
    Pe2ff88l781e9a98se41 5425dclebac6r9 4etbhbec5idse6285 afafie803lc79d12d a16a2b6-f7>5afe65c * REQUIRED
    2e1453Pl4945e727a4a9s183b6d4e ec074f1lfe0a483rc1698 23thi4s f808bcie2lc602dd ed-815>01e6d0 * REQUIRED
    a89fe97P8edle7afs75e0d7d4b bcfe7c2l78e48b0bb31aa1aar et83h9d0i0es f3i14e3lacd842 8->125749 * REQUIRED
    5cP5l9c93f85e6d0122a3se 4bddc2lece3a5drb21e7 bct0402023923h3i8s fdc712ie6de5l362d b9->94cf * REQUIRED
    605bP57l5e65fa94f5fbas54290e ccld017713ear 05846t0chc54is 1ff7b864b8fi7ad9e2b4ld 037->b6c1 * REQUIRED
    c0340Pl9ea54fb568a1se1e274f98 2a61f11cc6ldb3f9e9eear7d tcahisc878 0adff11i8eblf02cd 1c3->9 * REQUIRED
    7eb02P9leea41fa22e2s22a123739c59eb cl6e3abar 5at2h4c9is77 f0i0895ad1eld7a4263cfe924 c-c>2e * REQUIRED
    1P64b735lae4ceas3d27e58e7 91335cl7a79f77a7ea0r 8da428t0h6i2a0ds 5a63ficbed76baldaaa52 83-> * REQUIRED
    105706e26P816f20l5de1aefba3s5e 2a893b2fec9lea19rc ta7dhb8bfb9i1asba acf74ie1eaeld 8f->d2fa * REQUIRED
    Pf445689f048l359be3d0a17as4e36 860c66d5leea3r7 t242hi9c7e75eea2sc 0fie80fladb -ee9e>bbfe66 * REQUIRED
    cdPl3459e0eaabs094e2 ec37l35be90adee5dar 1th5is02034 744088bec18fciele853582dfd4246 9->b87 * REQUIRED
    eP0l31a8dfef07dff303as9e cclcc8ec7b2ard tha3i7fd1s7e8b42b5f54365 2f66iee5736f4ld623cc -b0> * REQUIRED
    58cPfl78851ce598acc0a8asa835e 6ccl07e128ar 5thifes f5ibe8cld 011a4757cabd4f3-20dc71438>ee0 * REQUIRED
    4adPle1050dab1s7e7 c62dle062aaa5r cbctah5i896bc0s7b843fbf 65fi8375e7ec379adl9d 8->86f6dc52 * REQUIRED
    4ca318P3832l0e5cas39978e6d6ec 9cfe76laa7015d0900eare1 bet7h37aia95s1 c86feai1e0dld 6->3e7a * REQUIRED
    206ac50P48lbfe5as5067ed58 e9f9dcla9e2d1ard8 a9bt3h0i52348dsb 1fci1b47eldd07 92-05929>daee9 * REQUIRED
    ebP0e2lde7baeeaabs6de 3e0c0bbflda9feafd0drf2f 79t77eh3is fi059ael68d6e48c3453 c32e->75d14f * REQUIRED
    ba81c9P7elade04ac6f6bcs4e cle08a9ddr 46830at3c3h4fcdis 9456eafiab220e8lbdd e03fb-e1>0f3f5e * REQUIRED
    9f6d2fe5f5d752Ple76fd4ae25sed58c7beb cle577a9fer5301 f6dt4dhb7is eb4b97faie2l073a4022cd -> * REQUIRED
    bf2043Pbf6299lbe4e7ad5f2a3b4dsae aac0al3ear 7ed1th3disace f69diel3d4603043da0c503 9-dd>843 * REQUIRED
    ecfPleasd31217f63e730f 4c4lefacf5ra1f 3538t9he1f78i04s 3f6id07e1d9l962d c-a59>b510f428227d * REQUIRED
    P551e0bl7ca2eae72s4fe8 ec9b6e6fl39e54e5ar t1dhiccc2ffs f634field63d84b079 -59d4ca>24ee814e * REQUIRED
    12a383427cc3cP3l42e9cbcas2114be cleab0r6330 6b21b73bth3bifse 0e17fiel8edb2 -80>2682666b327 * REQUIRED
    P2al00ea70se6 8cel2d579ea7ber 28fe9e6et29f17hd31isb09a fdciaff7e90l66fd8d83 5b-4070c>bd0f0 * REQUIRED
    baPe9l78ec0a0bfse60c f77f2fcd5leaae444779e0r ba7d82f91thccfis fi1eld 990d9fa8d041-82e>b557 * REQUIRED
    1P0leab8se465d ccleb57e70bdb9ar1 t850ff08d4hc2dc03aa9i773s e9f31fie2943l4d13b 8a42e42-73e> * REQUIRED
    9dPl7ec4221e1a9e6s0be 1bca8ld1e9d7b64aba35e16r t1h6bi10s680 193fc33185ff56iel47bed c0->dbb * REQUIRED
    79201Pff91l91a58e9ea6faf37a3310sce3d cl764efff9a91r9 atdc9hf78i78c7s fi2950eldbffd9 23-4>1 * REQUIRED
    13P50le7ase652e cec5l6ec10e4ab664rcb87b t2a2h4i3csf 15d259dfi7dff4eflfd871376b6 d->091ea25 * REQUIRED
    64dP3a8leacb8d1se77 a53adc83lebedacabr8 5acbftfac95h8ifs38 4ff6ie988celcf9adc263 e12b-a>4b * REQUIRED
    424dPdlb997a9e4fb9eascbd3f12d289e 6c89lc011ceaar f6tc50704hd361is82d 4b16fci798eled777 7-> * REQUIRED
    Pld8fb8bd946e20bdas4ee6ea9 8966c2leacr 0dfth4aiddc78s e547fi14c0b97c238edl2d 9928613b->273 * REQUIRED
    Plec1a1as8e25e4c698ee8 da8ca2le3b5dcarc fc8bbtf68bhc07bi735asd2ed ffb2c31400iceldd -c702>8 * REQUIRED
    841d1P8lb8e84a758asaec476aa cc1adleear503a99ff5 6644thi938sa5 2f6eie64dl59ccd102 d-4c>48b8 * REQUIRED
    bcdfadP5cc8cbbleadfes48ce 4cf78lear0cf8e84ac 080th1i64s9ed454 f3ide6l1d80cb28 -0c029>41174 * REQUIRED
    P80l2263059eea451s6fecdbba3 c50lb8b4ea2r4 t6hi1sc0 fife471f8e5ba2bl8dffd7c -d3d44603>c9a43 * REQUIRED
    d69Pa84l2ease9b c4023aele174arb 3ft46fe648310hif9f9s8c6c b92f58i50eeld110bda7 babff->3cf01 * REQUIRED
    7ePc4284laaaeb9ac1s52ace27d18c c0leafd227ra2d th1i28sbd3c0e7 cfi9c685e00f00ld 37fa-61b>b86 * REQUIRED
    bPlfde60a1sfff68f19972e364 16b3cc82clcee9fa1e81re3 5t3bh5ic3s c9fa8f755ieelf5dc 4ef-aa1e>0 * REQUIRED
    P8e56le4d280a6s23dde473a 8ccafl464ea0fca2d00r athais9c 46f1i3aee5a569ld2dec 66fb1-3cdb908> * REQUIRED
    fca0a7dffeP2leas37cc16ce 7a7cce4e7a4lee1ed67a618fr t14f77h7i8a8se 3fa1e1ibef1ld4 d4949->73 * REQUIRED
    fPlbe1aeb8ddeasde 0clb0e7ab0d670rd b2t2e8bda189haa6is fe063fca6049i2e61e77525ldbbb4 b-7>d5 * REQUIRED
    7e266P53l11e7e0afs4de c71cle18abr5f0 47d0etb8a0chisf ffcdi1611efc05ld3 f5f8a84-b0f7a9>a84c * REQUIRED
    b11eePbl6b14eabc00se bclb21d6c5e498a9a3b1bre43 f9f839t021haide9s 4fi5e506ab8dlad5 8->85fbb * REQUIRED
    c5f40Pla1e9a4d03sc42de9 c2e90l93e3caa082a6r8497 9t1hi5cs71 7b145f940fbi6a10026e3lda9 -8>c0 * REQUIRED
    5b6d4P9lafbad045ea70s58e621 cl29c9ecae3f26aacr 0tah4f499i7bccs feif50e3bc1l1d37 fe12-d>f05 * REQUIRED
    4P46cc8d7b5l92e06dafb18fs9e c89dc26fl8aef79are256 d61thci920s6 bfif9a0el6d 1ba42-9a699>c1d * REQUIRED
    b8efc6d8efa3a3b7Pl3f5eeacbs2ce 1a73c84dclea3r674 t160e7h1b505i9649s5cf bfibel4d1 9-7>fcede * REQUIRED
    7add08c0108cd73aP772fleaa09sc56ae0 08c7l3eearf9d770d 0t52his 586fi90e62286l9b4a3d8d3 f->bb * REQUIRED
    fPl6987e4a1b3258bffsfbbeaf e90cfl60ebara1d05 2a9dbc4th8bfis 28fi80d757e106ld4 ab8e74-00>35 * REQUIRED
    fcP1a2eblce2c1c3a69se 90f61cal04af8ea3e6dea6r7 tf099ff0fbhbis ca7ae8a3f52id466eel6d7 2->6f * REQUIRED
    f9b8b711da0cb1P41dbdfldee9as5e cdl1e6cce4fe2a121r8 t1hid7sedb0522 b7fi03ededfld86 3cb-32a> * REQUIRED
    cfc5003bP539e8clb693ae5e2aase 78ea6cl1eear 63t9h3c34i1as1 cf6ie2ald3a35c27c49f1 15->fe9f30 * REQUIRED
    b0afPd2l48acf4eaea3fsb7c6e49 3c0ebfleadfr747 t7ch7e1is f1ed77c81ic2e4cl5373d3 ->1dc2041137 * REQUIRED
    26P3lec6fea11370asb1f0d3e7 c83a6le7arc2799 e8fd39dbt484h3ed48ei1d30fs1 6fie54el8cd 9->7329 * REQUIRED
    119P1dlef49c17ec1c7aasbe40d a3fc232le0aefar9f 45dct9ch1707a7db00cdis bff427iebl11ded -8>90 * REQUIRED
    23e2ePfl9a3be3as1598a5ea80ef d166cl2109e9d8903a3dr25 th37ias f9i5el673dd7 fbdd-8cf>17c4e48 * REQUIRED
    3d61P2l76edeaf4fs304da9a0be bcl869768e8arc61cdc t7ehci85d9saed 0b42fd8ield85 3-5b6>ea8b06d * REQUIRED
    5658f2P512l27eeaec48cs97e c3lede0a0cr3fd70b3 b0bthb4ise00 fie792la37d1dc64 2b-c191>b1e3c3c * REQUIRED
    9dd4fPl5abe692af9dccds5ee6 853cle8c7da44cara47f21 t56h2b9dai89s14e 6f10ied8ldc 1-945b>e4b4 * REQUIRED
    c98cbc7c2dcPl7035e2aas67c7cec6a 6cleabd01r5 t8h8131d3isa 11cffi0734e551aldc 36228e6-d40>82 * REQUIRED
    865c111cPc5el1486e767ab0s0c39e443 2cl3da8earc th7b3i81s a71cc7fi33el548e6d47 a-9>5d5885355 * REQUIRED
    db7P572l3e952ase022 4bed38ccl389b6earcf a039tha0i3683sd f9afife3e9b62ld0db0d 8e-c>9efb795a * REQUIRED
    2P41cld2fea75fs35cbe c02d5fd9le99be3ab2rc tbd35019b073c76hids35a 3f426iec2ld5f9 -9ab2>ad97 * REQUIRED
    67ae459a4af35730Plbe9da509s8e7a cleaear8735a te8bh04i407fs0b5 10356fiae9b3l2d 6-6dfb56d40> * REQUIRED
    1cf17P1lea3s9b13687ed61d4fb7 12c8l2ea33r 32th190eise76014af5 e3f7icde0la237dd6f13 70->2d9d * REQUIRED
    d0609dP0led0eba51e4s6e cal3defa879ra fcd1a6c2at8hdc2ib57386d7925bs fi2e00ld788b7 c6-15>ff4 * REQUIRED
    0b6868Ple75f8adsfc2e 39924cl249d5b7fea5r 9tfhiff3fs f32ie7l0cbd8 5d0f9e7c-5618>70b50851d40 * REQUIRED
    f75077fPaf8lea619s57ae43e411 cealfebe62cba2r620ad t805hi0f1s f405bif3debelbde027d49 ->d1ed * REQUIRED
    50c74f40P439l9aea5se 4c1fb3elf6ecbbf8a1redbc81c thi9s71 ddfi700df1ae377dl58d01 5-2951>d36f * REQUIRED
    d27P8le1bcbas1f4e31c cel08aefaf5e2br2f0 33t5hd31fbc4fi6sb5d456 ef6c4ib6ee80c39f0ld82 8-85> * REQUIRED
    Pl61dffe6af9fd3a9029d02d81sf6c7e c23b28cl1feae30a9drf0c 3t0b4h008is 7fie552e7la9d3 b6b55-> * REQUIRED
    86P107ld8e0e0a2a7ece638fseb0c95 clecear2011 t7cfhc7b5i463sf 93468f2cci0ed42fld08 -a3b98ad> * REQUIRED
    842912fe7P0lfceaa81sde c96el2ed20a8r 33f2t72h9b508b0caicd4as75 efi84ab7ae5lebfb2dd 31b52-> * REQUIRED
    8a7P2l2e92a5f9e5se52d4ed bc8ded1l3aear0b6 fethaibse 8a4f32i8fff6ee3dl3370d -8>1b47c2e17f71 * REQUIRED
    ef869edcceP3leaece2as4e769b9411c2be 5c8aleafr9c3 eeb9ft14ah2isa 71f6i39a5e2ld aaff-05>b7f8 * REQUIRED
    40eP3leb1aa7csbf7e8 19cc754f3le6aaed7f60b23232r tfdhisdfb483f abfcd5ie7472ldcc8d c-84>79ac * REQUIRED
    P298l93ea0fse5ebaa7c9a 3201cdc2c8l17eear9c9 b97thicfs fie30cad8l9d03f24d6d 6d43-795>d37d7c * REQUIRED
    bc87c1P6leafbs3e1e cl32aedeaca9r62f ta49d3hi345s3a 9fi1efed53ld0c944af90ff066 0-5>4435fbc6 * REQUIRED
    f84519e98509ea1Pd5c91c6lfaea3as7dfe37 bdac0e2leafr 3tch1i1e30s98d7 fc3die7l11fd45e ->39925 * REQUIRED
    24d3259414Pf8cle2a3978e4se c78540l55f2be234a54rf dba8t3hai9a83abc0s128 eefi6e2l55d9 -c>acb * REQUIRED
    75885P6lefacasfe c7flc78ee8e2ar2 f09ft2e8fh4ec1ia25a69sa5 f0ai4eldda7b 613->a22bc9dac11548 * REQUIRED
    4a55P2le1case 7cbl0ae6dar d7ed3bcth45i0b31342bf398dse907e5a5195 fie2l8d1a fe-a516>f0f9ff8b * REQUIRED
    3749eP89laeease754 6calee48arf852af tb1cac7a90e850fh3cbibbs4c84 0fi0561el4d294 -39a84684>e * REQUIRED
    7cbfP57adl1ea5sbafe06 16cclear 5btb730h5e0c72cf3if6des 6b5f13fe68i0e0199326ld 1b3569a0->ce * REQUIRED
    695d1Pl9587d0905e346fac5dsaae6a11 c0lefac9r this 1f122fa1i8a0294e8149ldb478b50013938a2 ->e * REQUIRED
    147325Pe382l96f900deas2eb ccld7d6eafdr 65f1tfhicsb06df151cb56 f7aiea9fd91ld36d 83b6-6d5f6> * REQUIRED
    6Pl8c0eda369s29e4 4337c7cc5lea7r 672861ct0d46hid6s 655e29f2af03dbi8d5bd1eel26de a2c-7bc38> * REQUIRED
    e025083cPl3ease cl5e6faara 0730ath6d75iedfs fdi643eld7601 ->d1bbc16679c2b25237d6505703e662 * REQUIRED
    4feb9cPa5bl05e2f38a7se ecflecb9fb9faec6aa1r dtfab30h4is f7eie97a7a4l0a14d634 -aa00a2>ba9c4 * REQUIRED
    9a954Pl65cf4easd37fe c6le9ar965 6td28hei29bs4b9b27c f96fi1e122celd028f428 3-3f6e>ce6a9ee82 * REQUIRED
    a0d6fb1Ple98eas6364e1 cl331cbb4e73d284e8dfe1f5ear01f 3t09h36ic8s6b2 9a5fiae9l10873dfc -20> * REQUIRED
    4f33Pfle3a44s8cec02d2 cace51el5d3e1f9abefer 333799th3is8fe1 8ef931iel76ed 8-a6>bc4528a69aa * REQUIRED
    b85c1P756l213e8ef5a32aesd0e 1c1e73c0ld2eceear e4th21i3cs0b 8f85ied8elf01d8e e32a->c545026e * REQUIRED
    Pl0e26fa3se clc5446feear6 615t9c32hb764ceb99ai4s0c b090fi77ae6l23ec0dbba6760 348fa->4eca3a * REQUIRED
    50Pladff7be56f81a6sc3cfea c4lea366b50a65r5aa dfe1t99fh0is9 f9eefcciel7d92cf 56e8-9>6606ca9 * REQUIRED
    37ea1Pd8l099eads1e ce6l5eard627 e9813t991dch3i8c0a70fd177194s ff3f1feida4f50feld6 2e7b->d8 * REQUIRED
    a9Plbaedae61se56e e4f4ccleebar2 eft4fhi60sde4 f5bielf677a7ae0059c8e3d0b7b5 24fd-8c>c5e15c8 * REQUIRED
    192cPl1e886f0a0a2a4858se27c 7f83deceda733l8e57ae7frc ba7t1h721i79sa f20iel4d95 f-b2fb>3db6 * REQUIRED
    7P9296le355acsde c95df9cel8e4aer tf40e59his f7f2af6c66iee4eclad3 8b2-6dac0>215497e6f36cd59 * REQUIRED
    Plea15b3sd2dea49b 69fd0cld8ea8ea6rfaed2 te3aa37ed0826h15di74s3acd 37f25ie828ld7f -489>9e88 * REQUIRED
    08c2fP63adl30e729ase1466e2e0 fcc321l6ea31b50rca96 et052h6i803s fbbi9ee583ebdl22d 0->dea0f8 * REQUIRED
    db5688fP3le0930d5256ase 519df4c8l5deacfd1r4 tbh1i9s4 f1fai23e32af0ld 9ef4-a73>8e004a087038 * REQUIRED
    7a869bPlea3aesb8283e e1c9c1lea711c27fdb69ed8er470 t6b89a6ehis2e fc383ibe2lac11dd 3ef->53a2 * REQUIRED
    8a74e60bPbleb9faa64908c9f924bse c57l41cb933bea8acar 0d01et2h8ib2s 47883886fie790be15ld -2> * REQUIRED
    62Pl5eba49cse 8fc24fle17e949aa80e2ab602r44ba t7h44b9ffi5765db0s26d28 39fi6e8ldd 201cb->f67 * REQUIRED
    da30969P46dlec1346a0a612sb5dec ec7lear48c f221dth4414f1fi26s0d8ee0b6 ff0i0edld cd->233bfd8 * REQUIRED
    25eP639lceas5e63 c1la7dbeca4c5c44a86814r thea83ie22s2 afe5a790bi2ae7e9l91fdbb2fa 6b-1>6c6f * REQUIRED
    3ddd8d110eb5d2Pl463eas4e304e ccblea9489196r2 9t6fh13i5s76 5956ed38fie1ae86l73d9 7-4598>1ec * REQUIRED
    2e82P639l1872b1ea44se cd1l65fea726c1a7rb81ee 8b3t0bch3276is f6bi4f0el27b9672d253ad53 -b>12 * REQUIRED
    a913811bf6d46e5P9ccl974ec02a5sabe 54e40c9cfl3fe4a9bdr4525 52thi600sa66 fice4ldf 96-2>6dda2 * REQUIRED
    a1d93Pdalbed5a0see5f8088 cl677e7a66r et99h0a1iaad40cs89d7 f10a1ia6e01bl9bd5170267a -981>ca * REQUIRED
    89eP20lf4eddefdba4aseec7 cblfead6dr 8c4t1a1h1857i7e2ef0s5 977f95d30106ai6b07e7el09d -c5>e7 * REQUIRED
    beP5laea0s42871a81d4bee07598 1bc0a3leea708ar4 tb9f62h666cibf11s5b cf59ied7ld8 1->b47367746 * REQUIRED
    a2f1dP0a3lebabs89ee 1cl2e4d1528a8r7 0t3e8h8b1ais1 9f2b289389d08fie4ld43a 46e69-8d653b2>6d7 * REQUIRED
    97599eaPl3e9caed5513s3e9 cdfc4l42e2682ae1r4 7ct0hi46s51 bfe5i2fd274ee39b9lf16431d3 6-08>c7 * REQUIRED
    76dPle9ef80ba003seb 6d0b185cb57l104eacaa6dcbrc 125t2dh224cis8cc3 f16cib72be3l36d b1-77>a1f * REQUIRED
    P05d46b80le3cf6ab4cb98sb76e cfl68ea40d4c7reb 3558t29dah754i91sdfef7c fi7093564feld2f d2->6 * REQUIRED
    96a0P15l2b7ecafa779f82s4e3 1007609c71leare 5bthi5773s8 e469ff5fibec7l9eedd6b4 390e7068d->7 * REQUIRED
    e1a6a46e51fPeableb4ase8 dc4lae3ae7rdc 3e8a4e42b0fed40edt1h10befbibsc 927fiel0e52d -69e5>5a * REQUIRED
    ac7986Pele1bb6adb5fbs78ece 4f9213a7ac25605014lea40r9 t2afehisa0 cf627i023e2ld47 ad2->399e7 * REQUIRED
    ea9P43ledas35dde6679a cl7d2ebba132033r ta5bcbh26i349s8 fiedcf8eelffd0ba5efb -5fb75d>b94013 * REQUIRED
    4Ple4afsce2 c358c5d4lebb331a1761392df32ar9 4th3cis 9087fie78eddd15lda 101-2b>d6eab99d22197 * REQUIRED
    38bcbdPab9lea8b66eccbs7efe 8c0fa9lea82f617a93re3 041t39hi2s 21fi23aeel4425d360c5 ->c267e56 * REQUIRED
    e4a0fb576Plc1cfe7abfb59a1sfe6 6claear04cb1a 921etahi2262e75b86s424fc2 fiec614ld426d0 ->295 * REQUIRED
    bPl001e3ase c09dd58eb7l92ea1ccfb42d7r1 t28h3bdc9ei0s829 f498i0aeb928bc110flbb9d7 7-c1f>e11 * REQUIRED
    b4d64P05le1ccaes134746e5d28c917b5 23cle6af31r0628 t7305f2hdi2s f67dbfeie3ld3449d63 ->d25c0 * REQUIRED
    a3P662bl36e0abs56d705e87 7ccle01af7r57 th20792223ceci135e62s2 bafdifaeld af-0>3a9236255184 * REQUIRED
    abP6ac9l330e35a7b11s9e c2l666ea65e912c09r bbtfc12h8i7s0ac912 caaafbi7e3l91d6 ->7a4960a7842 * REQUIRED
    4aeP4le402abdsef97 1cleeaar 9cca816b5tddd0h3is48 bb415f8fdi5e8d7a592ld7ae68ef4d8 b-d>897c1 * REQUIRED
    P41lefas877a0ed c60c2l717aeeaar eth5e0607b252b823ias6f 4feefic0el8d13a0cdd50d5eb5 c90d7->8 * REQUIRED
    71f1872b94831Pac32766c1l5aea87s7f2e95a5d 2c9l9e17a5re65 dtahei6s9 fdib5ele8179d -f>06c4e72 * REQUIRED
    0c3c8Pdb5ce9l3b9875ec09aads5e845 c7a4c4le9arb71 9t86h3i4cs f7fc68i33e65bel29fbd3c 4eb->0ae * REQUIRED
    cPl2e3a6sae1c9e c1c6lbef77ea6cfr t5c5efh3fc29990d4is489506 89d4f1cb9ielc3e7d -69b4>f56ee33 * REQUIRED
    ceP89l263dec3a3d37as72fc4a439e cl8bbe57959ar 206b6th9a8cis6f9e 82f0ife0l78fd823 e48e8-d>b5 * REQUIRED
    c4a0f57P3995lea893e1ad5sd0c0ef 1e1bc5b7l6ded2a97r d04th949isb3 f83cfeief9l5fdd7636 0e-2>08 * REQUIRED
    48P1al16c24eaaeasde96 cl0d7ear tc6hfba6ff98e4eids422 f4e7122aaieafcl7d6a44 6-d>7bcc6ec53a6 * REQUIRED
    aP3e9l4e16cea6csee8 c07540f9l2e4ba2198aar2841 7t718e7hcis17 8cbfbd6fi288e6l5d780 face-c>5e * REQUIRED
    P96leasfe7e9e2f35a256f 4f8b8eclfea5a4d714r5f7f448 td1h5a25ai0s efb0fiadcela85d9d0 -b2>9562 * REQUIRED
    Pb2dd2b8dl4c785e51a8as005de3 c993laee7d2c91ab8r c7bt7h74i4sc 53cfielf5d5e5 0-981159>51c6a9
    * REQUIRED
    6378aPlab4fe6bads39d37c66e4db c9312338eclae7ea14eac3rb6e 1t3h155fib3es84 ff619i3eldf 7->0c
    * REQUIRED
    e64ePlceea87se 3c5eebdafe41508l5c6e3efaa0r 9d1889dt3h3b5is f554iaf51ee1d2e8ld a85f-b92>0d5
    * REQUIRED
    9a9aPeba6l0ea17c0s24e3 dc0lc2aea8de2cr810 27cd4dd8c68taef60hi9b49s 4fa9ie3ela9340d3 5->eb4 * REQUIRED
    b8bPf1e0elcea643dfe9ee6d21cse 05384cd138l4e0ar15 42cct23d2h0i5s7 01fifeb89bl555d 52-b>25b0 * REQUIRED
    aPl7addeaa524sbe83d33 1d72cle13ear 0t8d22123h84ci6cs793 b7f8620diea77833l8db ->440bcc6a6bd * REQUIRED
    0P4844la4ea791de3s9a820fbee 4efc623l9e8arcb9b at6hbi93s4 f70bfbe6i3d0e3l22d5847329 b-f>2bd * REQUIRED
    61d8P3f428l4f77eas29f9e 1ccld82e4dac039r6 dc0e3atahc8646is d6fffa0ie018e8l02daf e11-de1>44 * REQUIRED
    387P028240laee2c86d69asfee 32ac09l3efe7a33r9 dtf9ahefi64c3s b5fic8e1c3lfd509c d5a-1>ace6f0 * REQUIRED
    f710ePe5flde0afs1a4e 3d14a1f35c5l8e38a4b5cr f07898thidds 58255fffid207el63e7c6d 2e1d6-35>5 * REQUIRED
    2Pl26fdabee9b5a21s00e afc3318a8eflddccear80 1t0hi5s ef82di7eeblc446d2c04 2bc-7935d98d4c7>c * REQUIRED
    545P14eleads5e69e 9d8d980c59l8d5c38e3e69af21ara t21dha3c99i1fbsbd af5ie92lada2 292-a63c>23 * REQUIRED
    f44154bb2e0fPl5eddc52eaas9e3 2c5al57cf3e1f7eare5f53 thd9fi55s4 f01992feeieladad4b e->64acd * REQUIRED
    e698f70Pel8ee83a5see c207alear77 64055tc3edhis4131c81 2fbi2ac8elfabad16c7c85 8da5->bafa3bb * REQUIRED
    Important: You1 maaya 4be ma92kifng use1 of9 7auet9omated form-fillei6fng so5ftwaare. 4T78his ft2ypee obf s7o9fcectware 2ca9n tcr8igger ouar hid6defn s78pam-detection systbem, whichc0f will 7b38l8oc8k you f3rom asubmittbbbing this form. adPlease sfeleed2ct eddFidax cThis59609be8ae4c25fba274cfd1614d342e697c2 6240ddbeaf3o0r90565cbd82c8d5e9 3c745c1co7ce5b9mfpe8l3e5t0i9ne698g2 the 399fdc7o879drmb83 07in0 o8rde6r 55t9o0 cocrrf879e7cet t5h09e pr8aob510lee06mb.e
    Important: dY8ou may be making use 6of 2a0ut6o3mated form-f8ilcling3 s2oftware. 3This ty6pe of softwar6e cfan 1tbr1ibgger o4u50r hibd0den spam-d93detecbtion system, which will2 block you fr7aom1 submit7tinga this form.7 I5t dappears tahcabt t8he pro4blem co3ul5fde n9ot be automat3ic2allby acorrected. Please claear aa6ny 2field which appedars above with correa1spon4ding instrufcfatic4ons0a026f86d2ad4 db7926e9ec2d4974b7f72o7b0a27c2b5arb3041ef4 e2ad433d675e335completing the98f form in cor22f9der8 to corrbe5ctc dcthe59 aprob3leme. We0e4 apoloffgizde 33for bafcthe 8cinfconv5eniecn5ce7 and8 webae app3reef5dciat802e y0ou22r ue7n39bdedcrsta3n87ding.6
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 3:48 AM EST
© Element Athletics Element Athletics