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  • U12 U14 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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    Player Information:
    Emergency Contact 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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    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
    6378aPlab4fe6bads39d37c66e4db c9312338eclae7ea14eac3rb6e 1t3h155fib3es84 ff619i3eldf 7->0c
    e64ePlceea87se 3c5eebdafe41508l5c6e3efaa0r 9d1889dt3h3b5is f554iaf51ee1d2e8ld a85f-b92>0d5
    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
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