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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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    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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    fP1clefc98638af5cedcdaae09se99a f14clc68ecf6ar4 b8t385ahbiff0s 6daf63dcfa6ibel2add3 5-3>7b * REQUIRED
    55905P316lc240ec1as56e5f c32bfal4f2ear11 ct4hdd90bidcs2c0 4ae3f9e8i5a0e8381l0d ad05->27aad * REQUIRED
    9aP827bleae7a16sa3e cl91eafr tc364hi7342ab6s77f19865a16 0f1if9eb7344l95ad f-a0c7a00>dbcc93 * REQUIRED
    46b3ab30faaa5Pld1e53605ab59se5c c290lbe0a7r5 0th46001i7s98 ef599fa52eie3l0f582d -970>8d028 * REQUIRED
    Pb4049750l5e1a2s9d2ef67f3 dcace8f9c4a220le5e2b7ee4648abdr4 t97his f071e7fi574el8bcfd -6>a2 * REQUIRED
    91Pf0bl710ea72ds84e23 b4c4465l0de0f0e71ar t2dh21d44ia33325sea 3590eabfifel9dd5 39-9>a6fc3a * REQUIRED
    df9494P089e9lffeease5 bcf59lbe652eb7ar3 th8is6bc 7753529faafi99768e54l11be2d a8388-997>dda * REQUIRED
    5P3l2ec9ase cb4716ebed3bcl0ae09c2d34ar4eed0 0etc66fh2cd7isa318 ffe7fi0eb0b8ld 91-1>7b5955a * REQUIRED
    ea7760P58082el16ef4524ffb3ase8d76d1 f900cc9l5e525155cabr thd3is f61i6e2ld13e 2-d>4cf6727d7 * REQUIRED
    f462Pf9lefab098bs716b08ee1e7 2c7feea9lea9cr 6t241h6b5ci1bsf497 fieal3d1b 80->a42ed49c670aa * REQUIRED
    P7cfcbla7e0as82e 7clb97f8f2ceada23r5 t3cd1c177dhf52i04c48s 52f0218ife7ld875 6-c>8ea3821ffe * REQUIRED
    80324Pf5499lbaed926a89b55a38se cl8485ead8br32a12b ft4hicbbs 2fd01f0ie9e83a2alaa27ded -7>d0 * REQUIRED
    cPlca1eaeebd6e1s076e a87ceaceb0l8a83e45a3r5 thi6356bsb38 f8idb825e0d583f8d8l06fdde95 -f>1f * REQUIRED
    0Ple606a3de0sf1aebed6901d 836cl6e1eb5578ear505c f5tche346aisd 4fei8efcld922de5f19 9->d9b2c * REQUIRED
    d94aPl45ceas4e91 cclbd1eb1aereeb 4e2t37hi87ab38s7 4e6cf556fbib2ebl3f9e4d3ed6 -e4>492f10e70 * REQUIRED
    1P63ec581e8leas2eae 90c08f7lea08ar63c t73hiaes7daa 44e7fib6e3lc469fead fbd69a6e3-1>0550301 * REQUIRED
    826Pfleaseed 781cf4el3be0ar5a8f293 97tbc21c4e730c3h0dis 7e6feie240l1ed26 c98faf0af6->8c192 * REQUIRED
    b2cPf296dle6aas0e 58a2bfcl3f149dde751beafacbcr 49tef2his77e619 fie7e69l2dfd93d41 -0c5>6e79 * REQUIRED
    8f9e51cbP69elb2aea2sc7ea7b091ed8e90 83clae817fa5r thi1c1851a22s f0i2e520e98ld -cb03>851d94 * REQUIRED
    e55cad1a28Pff9213l7c8eabse10939c7e930 57c06ldear6 3t8hfais 0efie5l6be27de 3-b4f>3a00dcd27d * REQUIRED
    0cP0le28daf7s5d3203b7dc2f8ea5bfd27 f14cla2ee0a29ar 5th0a6i4s7 e4fiel2163db6 02215->c9db28c * REQUIRED
    e4P7lafb7ef241as04e cc43ael9fe2a8488br 6c1thbf6iabs e1524c1f304814ield 62d6550-8e7>fd5d56d * REQUIRED
    13ba02Ple7744daad162s1e c5b0leac3r966627a21 btbaah4i8acfb60as30b fdfabie1cl1d31 0->7c5b377 * REQUIRED
    d4922d9baPledeeaasf4ee 3c21lec96ear3 8t7c359a77h1eisd 3fid215eae6le4e0dd99001f f-0>63ac514 * REQUIRED
    ebP8le28f98a8sdcebc3a8e5aae7 c5d654cle95da08r at6b5his31cafd cfi2d7e9l82da75d7e3bf0d5 ->d8 * REQUIRED
    ePfccf9le66a1se41e7 8c4el6bb1ebaracf6 tdhc11i0s fi10a0delea74db87f6e 11f-cdb2b846a>cc43b8b * REQUIRED
    237Placcfbecasafe ee23c49cl9e4ar43c310da614b 7b9tb6h9bi30sd efife534alad8 983->b38ba2822c3 * REQUIRED
    f0aPlaeada1se8391 clear645da cb8cbbt56582a3h91i7f5s761bb05a38 1f1i0elae0a0d31 bd308ee->e4c * REQUIRED
    88P528lecc4aa9ccse ab2ca2lce65a1f46e5r5d9 dcbtbh6b66isb3d 1ff7dfi20e3le0bfe5d 6c->dfe1144b * REQUIRED
    Plea14s703d1e6a66c a2cdlea809b3a2ea01r1f57cf5 37cth3i1sdd0ba 27f1bfi664eldd5 -3e0ddd05>dad * REQUIRED
    43Pl1efaseedfb 9bc30effdfal0ea5c17967e3c2c95r9 t1c420h7a7ae4fi1se 3fa4bi8ee84ld fc9-d360e> * REQUIRED
    bP978l2e9ba30fc86fa90sd83815de c460daeleeaar tah0dai7s64 2f14c7313ci7e5l6df d-5d955>acbd2a * REQUIRED
    0ca3b3326aP07e5lce9a4067s879eae951880 e566e9821cble6acrff cdth7ifs f524751iec3ld5 a8d-84>0 * REQUIRED
    da22Ple0a6a7case 3b13c48fae2leearf t7f7h597idbe6sb5b 54aff7f8c470bdie1bl9d589 7->2a9153fb1 * REQUIRED
    d514fc400Pl87e71ase6 0c57ablcce2becadfr 8t47ha3ias3 fdc9ielfaeafd4431ac1 3dcbb3134f90-2>5b * REQUIRED
    a2ffb91Pl5de1ad0s2e0 3cel03fe702b99ae06ar t6h9f24b6i6cs8 a5b3f2iele67808ad0b7a49df 68-f>4e * REQUIRED
    41e0adfPl5eaasa6499c0ee2 8459c6531le5cab1420f412r 2tbh1isb6925458c 6f5i3e553f7ldb28c a-2>7 * REQUIRED
    20d90e4P29l9e54610364a026627sefe4 fcldae1fa3a077884rd c2btfc9hi5scf f78d95ield6 ->240c6cd8 * REQUIRED
    P6le1das0ed57 17963cbfl46eda13b72078bar6 t5hcis068891f efib3e98l8d 49594d0c-a>be925ebb6b55 * REQUIRED
    b05bP055leee46as0e c9l4eca1a61erf557ef bt1hei56sb 0ddeb96fi300e1cl4dda1d db0b90-11621c>613 * REQUIRED
    0P9l30456eae30491485s7e60a clce3ar9f 55t7f98c4b8hf922is135b f590fcdi73ed14dbld9 0071245-b> * REQUIRED
    42c08aaPl944b13e4c7ase2 cc3171le33ac9erd28 a4thisc86 e4f9dcied5942ce0480b0852lecc5bd 79-9> * REQUIRED
    c963P580792l5e8a7dbfs0103e dc0l7fe7aa44r7 2thiscaeaa fei1a93f83bfel524bff27d7 14-9c8911>26 * REQUIRED
    14b09c01dac9342662dPl7e1ase4 8ec1aele8a9raa8308 thi1a965s964a 59fi3ed2df5la9aad88 -c>b9091 * REQUIRED
    fP93el20e747a588dse2c6 16cl2e3d665b75a354rc8 73dfft7h0565fcdaics f6iebcledb5 6-0809a86d87> * REQUIRED
    12bPlea79s352e c09alce61a3dedr t05h5138d59d0222i3sd6e 7efie4e6086a2ld79 799e887d5-13f>2e74 * REQUIRED
    136dP69l7ce05ab67625s7e5f ac40lb5e5a61er0 99773677bcthias 8c8302c7fi4e73135ldfd7d -9ea>cbd * REQUIRED
    6bPaa7f228le4as1e 8b2cd78l77ea6r4 1t2h785ib56as fc003dc1i5ec3bf5a75e8l7dd a083c-43>5ec0ba1 * REQUIRED
    Pflaea3bf41a4338se 4c1lc8f285e9fd95faccbfa4rb422 th6ib5cs 7f3fie5fb2a1eca240bl9bd ->9b6377 * REQUIRED
    be86def34a367Pbl2ebafebs6d2eb2e a33c96403l75ear fthaids3 f2fi13352b4c0d2bel3d 3ddc8->eae80 * REQUIRED
    b38b87P6dlead8d1ds9e5 cf23b5e8flb7eae1cr b8666b575this 6845f7f50fib15fe9eefbcaladfdb -8>2e * REQUIRED
    a7P29dl5da493aea51see c4cl4ceaa4b8brc t16hbfd32fis fiel5d 8-5772eda6ee45c78b0332b>2984f69f * REQUIRED
    b887Pbc94clc019fe679as6e1f cl8b1402e30ad5d66r1d t02his032b9 fiae4cb89dl1d4076db 34e-6>b238 * REQUIRED
    ePle66as8e fc9b3l1ea467aff6r 89d1etcd7cbh1e0ei0cfcs fd4ie4c5cl61d37f23dd2e98fb 4ec-8>7efe4 * REQUIRED
    db1bP8le0aaaf2a550s8de 28edcl341e99fc3ee9499ab778erc572 20ath5dis fi6eelde8ada6 7-1652>d5b * REQUIRED
    2aabdb3Pl7ecfa8es68ada83a8e1c d7fclfear6382c4 at07hc4ai1e10838fsc 5f3aiae1lab7d 490->86710 * REQUIRED
    1c7a6f577Plfc5e1aadb43sea0 cel49ear1a595e 837tdhisf3 06146f7iefla9624d8 22->53571122f4757a * REQUIRED
    P27ld59dae1ea0ccs07e4d 3c69e5fclf24664e1b34ad7r47 ed02tdhaabbi5s93b306 17f4fia2e729l46d -> * REQUIRED
    d2ePle807a6e7aaf8201b3se cl4aea035525rf 59t911b3cbdch665i533s f865di987acb5beldd3 441dd-a> * REQUIRED
    191d8Pa3le6as3e3 ccale9a7f1r1462cfd1 e45t7h7i1aefs d89f349ca3i4beealfafcfdab5 ca8-1e82f>04 * REQUIRED
    6501fP6cl4cdef02a2s4beff3c98be 8cl0e2378ba94aera5 453thc115556is ae95fee3fi1de1ld3 ->f9ef7 * REQUIRED
    7cPc3dl0ease 159cc26l4e26arbcb977d9b3 4tf868h3ci779e16387es470292 fied88dceld9 4a-10>6c4cc * REQUIRED
    9da9614Plaea399136es902e62 celeaa39br1 bb755teh30i5s1b cb25fi208784ae727lecd 4e0e63-a>ccd3
    * REQUIRED
    4aP0fd1bldea222s8ee9 ccleard b634bdtf31359h14aia20dc74bs39 6a3fe3i7eab013ld2d f->526f544ef
    * REQUIRED
    696c676dbPl3e29da90df0sf6e c507lb3e225areb962 tfh054ics6 fieeee7f91ld85b9 ad7f->42adf34975
    * REQUIRED
    161d30bP1l79cead237sf1f5ec8f 9d9c1lbec9a3br5b 3t053chiaefs 5fd7i5elce4deb72 3->7d521c2ecd0 * REQUIRED
    0e0eP3080dled7e752783aascde3 cclee48233acr 2848f00129a029fbtdb5hef5i8s fbi7efl63d 2-8cc6>9 * REQUIRED
    3Pdb7a6lea8cfs9e 2c84le30ac45rb fd55d6a38c57thd39i4e64c11406edsa feie4l0816ed 45865a89-c>f * REQUIRED
    bPle417aseeb5 4f03cld12eacea1586a42crfc4 85t9f6hi7fs3 8df7cie68l00d7d528871 ->d1b134574c2b * REQUIRED
    7Pl9bed83ase918d 6bab6a349276cl57d1b2be1arc ftad9he2a1de3823is1 f2138i667c48ealdf3 -3>c35c * REQUIRED
    ac1ddePlafe976688a0se 6dac60l679aeaeda484aar26a67 ecth7b6is3f84 f160ie6bld60dd 1f52-52>586 * REQUIRED
    9006Ple1b71f946acse358 7b98cle876badr0651 c7tc28h76i908s 4f72id027e6l8cd0ba98de a3->c49f0a * REQUIRED
    d7b6Pf3fl71156c3ef9b8e7c850d2as198f3e dfec99lear te03hi3bfd2d0172s f5if1ae0lda5 c-64fea>48 * REQUIRED
    577aP888379f897lb2de340a347sec5e08b114d4e dac25d74cflfe7ca02r dea52this fcf7i3ael8d b52a-> * REQUIRED
    102Pal6a7feb5ase2c 0bab5fcb620l5ebar2 aft373842h0cis 6db4fi00e4924ldabd40fe 35d2177-3961>1 * REQUIRED
    a4e9582Pc97lea70se0e80a749e3 8fclf5657e29babreb4e d2t200564hi8s4 fc0i1ee41la5d072ed1 9->47 * REQUIRED
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