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  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
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    Registration and Payment
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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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

    2019-2020 Element Athletics Program Specific Pricing
    1. Travel Indoor Team
    a. Tryout fee of $45 due before or day of tryout
    b. Season Fee $650
    I. $200 due Nov 16, 2019, plus $85 uniform fee (if player doesn’t have one)
    II. $200 due Dec 15, 2019
    III. $250 due Jan 15, 2020

    2. Turf Travel Team
    a. Season Fee TBD
    I. 50% of total fee due before or on day of first (1st) practice – early April 2020
    II. Remaining 50% due May 15, 2019

    Element Athletics Player Registration Cancelation and Payment Policy
    1. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details)
    2. Indoor Travel Program
    a. Cancelation notice (written) received prior to Dec 1, 2019 - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after December 1, 2019 – client is responsible for full season fee.
    c. All amounts due prior to cancelation notice being received are non-refundableand responsibility of the client.
    d. Any player not current with payments forfeits right to participate in practices.
    3. Turf Travel Program
    a. Cancelation notice (written) received prior April 15th - amount due prior tocancelation notice being received is non-refundable and responsibility of theclient.
    b. Cancelations after April 15th - client is responsible for full program fee. There areno refunds.
    4. Client Late payments (payments received after applicable due date) are subject to a $15late fee.
    5. Alternative payment arrangements are available by contacting and if authorized byElement Athletics.

    Element Athletics Player / Team Tournament Registration-Cancelation Policy
    1. Local Tournaments
    a. Full payment must be received a minimum of 2 weeks prior to the event.
    Without full payment a player/team (client) is not considered registered.
    b. Full refund with 2 weeks’ (14 days) or more notice of cancelation prior event.
    Cancelations with less than 2 weeks’ notice, the client is still responsible for fullpayment.
    c. No refunds with less than 2 weeks’ notice of cancellation prior to event.

    As of August 1, 2019
    d. No refunds for no shows, forfeits, lack of players or any other reason with theexception of possibly weather (see below).
    e. If client no shows, forfeits, lacks sufficient number of players, or for any otherreason does not participate in the event, the client is still responsible forpayment.
    2. National / Regional Tournaments (e.g., RCC, Beach Bash, 4Goals, Shooting Stars)
    a. Player cancelations (written) received after initial payment due date and prior tofinal payment due date– initial amount is non refundable and responsibility ofplayer.
    b. Player cancelations after final payment due date – player is responsible for fullpayment amount.
    3. Player Late payments (payments received after applicable due date) are subject to a $15late fee.
    4. Team Late payments (payment received after applicable due date) are subject to a $50late fee.

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
     
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    e49dP36le5a442ae24sc3e2 2155cfe43e40lde69a3rf26f0 t76h17ifs5767c 36fiefldbfe217 e1-a2>c9bf * REQUIRED
    b42ab0dbb38c0164e0Pad9le0aa0aseb61a f9d9c4104la0ear1 t7d73h4a84is fi7eldc04 ad0-62>dc82030 * REQUIRED
    b3e6P66f57c94labee1fafse00cb2 c7aleaaf1145ra0ca tahbcis154 83fei3ac1c71a0e8aldbd1 2-b>58d8 * REQUIRED
    bdcP2aldee1ded38aa0db52aa1dse c8b205c20ef6clear 2thca1bbcis 4fi93e0591celb4dc42 c484-e>437 * REQUIRED
    bfb9976327Pl3cd2e32e70aa8s0e98 89dcadle3addr 4f043ab24727thdi8fcfsb125acd fci27eld 9-3c>35 * REQUIRED
    f7P8l0be918cd4e27aefs0677e51 0e9bc6l9fdeadbreae7a2 t7hc67isa 0fdi8ed8l973a76df ->05f443494 * REQUIRED
    e6Pdleab1775410sec cl0e2a1bc9r5e9 4th56b0b7d7is31307 21053cfda79f6ieelbcdd8d2ad 6->416cf16 * REQUIRED
    bcPc9374lbea91503afddasb9e37c6b 4ec66al0c12a5ea5r549 4t2h07idf21as9 1f2i2e60fl0d aa2-6e>fb * REQUIRED
    3P021ld25386aefda13e1se68e celeaaer6 3the5ci990bs204d 7259aa90df364i75de2b3ld 34b3-6>8080a * REQUIRED
    6P0l701eafsd0eaeb97 402c270ac37fl34e14b2032daffr t417h93i21fs 8e957f2cield52 13abf90-0>793 * REQUIRED
    dc59d46fP72l74fbefb6as512e4e cl5550ea3acrbf t38hefi68sa7b 1fa6ib4fe87b97204l8e4ed9 b-6d>36 * REQUIRED
    14f8P3l7a63b1fd1e24fa47s20e666 cle1beba07447ar0 fthi70sf9 fc078eeiel9e1db1d9f09 -d>bb598e2 * REQUIRED
    cb188d6bPlfe54afc9309d1365ac65a4se 79cc77eeal6de1ec8dadb29bar fthcia9c7s 7fieldea 04b-b>bf * REQUIRED
    330fcfPfl3eabs4eb2385 a2cdle1b22ae5a65r 2ft50hibd2s6eface2 71642dfeiae65l60fedf8045 -35>93 * REQUIRED
    15a9Pl8e1a3s4e8aebd eae617329cb2fl51eebaf3r92 dc34thbf6758i20fsab0d 9fie22l925add1 1-daa>7 * REQUIRED
    Pcbf410adled7a72s7e c6le88ee9a1efcar5a t633hi794scec fdi7el9d d402d584-7e7c1b0>0981516b93d * REQUIRED
    004b7aPble7282fba1s3e 4148c5a09leca6439rc ctbhia4bs 68cf48eaiee345ld39921a3d7 7fb3-9e>2bb2 * REQUIRED
    45aPeleaa400d177scf4e d4af30d584c0063286le5ea78150r t6c7haiefb08s 0eefb9ifde64ld 176c0->f8 * REQUIRED
    5Pld0e99ea2s7e69 a4clfdeae829a7r70b 4th3d2e2ab76ebis55721968ec9 fieal5d c-de5585339>90f99d * REQUIRED
    6119dd32a638Pla15ee2ab04sfe cld129feabfr8ecb 701thci534a6s c015f42ff9id1delde742fb -6954>7 * REQUIRED
    119a2c97Plea4575536seeb1 2c45cce0lea0bcr5 3th43973132i5es 704340baf4ba9i9el802dbd 3-e>0641 * REQUIRED
    201739942f02d0156P7l17acdea43cse cld2051c0e279acca3beer 7t6hibfs49a25 efie8cldbd4 32-35>f7 * REQUIRED
    e703dP3el57e763a1a35a1ffba3a65s85d43c2e28 3c63lfe20ab1b1r3 5th1isb 72fif91ebb35dd756ldc -> * REQUIRED
    481fa59d5a1P84fc65220l5fease32ef c9l8eaa9r eeth7i2es4e3d 3fe3iae0ede31lda9 ea126-6b78aa>a8 * REQUIRED
    0cb9f73P1l5eas09f8ef4e4281 c6le449cd9ar 7t6hei68d1s3a a3efi6be264d57lf8d c9e-13f01>176af60 * REQUIRED
    93e95138d0beP719dlea1se b6d7cb235ld9e71f02baf9dr 5t7hei8esf 9fi44e9161lc8dff6e ->f3d6964cc * REQUIRED
    eP6l32308269eaa50csfec67 e0f38c0d6dc4fl3ecaea0r340 athi0s2 fiaeba779f60ldb eed85-ac86>fd00 * REQUIRED
    6bc0dP20l867ea8sf866e2 9055cl7ee8aer c0c555t2h458c5i7ff7ds ef97a8b9ie4clde2aa99 ->0c65b97e * REQUIRED
    3P3leaaesee4f67360be869c b48ccdl3d49ea0b2d5b99cc2bcbr6 th4i8sb8 3f5f8cielb8d fae-a6>64639e * REQUIRED
    8a2181P71e3le3cc8767925c90a28fse0 f6cclaed2a2a5a1ar tf0hd5561is 3f4f76i37e5ld82ad fa-dd2>1 * REQUIRED
    Pl05f3986362e8ase2cf8 1ad2c3423lbe8fb83747ar5 7thefa9b5dbdis f9fi01elf6d4d25d10b -8f2>fd04 * REQUIRED
    73998P5d33lease75 ccbc3l7be612a05r 391thiddds0e7 9ffcielcefdb9c4cd9f67de3c63 10-a9>6e3299c * REQUIRED
    6638d4040Pldedeede7aa6757sde 8bfaf7c5leba93crac21 4d3f1bth3fi8e1sa 49fide7b2a2ld -09>82290 * REQUIRED
    9P0bal33ce330a56ffse ecl7e9ae628r 422te161f92ehai45722s f48ib3798c841063ele47cc03cd ->068b * REQUIRED
    8a1Pd76l82eaedef6sbeda21c15 6c515a8171d89l1de1a27r a0t6h49id88dfs9c7 fa8i5elcd25 29->9a64c * REQUIRED
    ee90a848P9lbceas3ae4d ab0cf3e2l6e8a7ca2rd 2t498ahi8se1 fieaa103ed0e508a68le3b37d0 ->6ee5db * REQUIRED
    b5P28lae9acse72c 57c4l80e9a869bc1r 3tc4hid013sa9 4cf8f14cb9aieb793ld30 -71de9dbda>d73c0333 * REQUIRED
    07P2fl5e452da87se5ae 8dclea6668rd 66td161h8c14i94dd7a73sa bdfeibelcf2c6d a9b24dd687a2a->2d * REQUIRED
    9P28l7e0c0e06158a3471s3e c1le139ar6 ef3te534bh07i9s5418a6b7 fa6ieadfe100l313fd34 -7d>5d248 * REQUIRED
    dP89a080la7b8242c008eb1a8fs1a73e cc9leb2ar 66th0ais59 ed25e81d3f95ie3f6952ld13 -a53d14>bec * REQUIRED
    504bP05c0bl863eb10dc06af2sa8ecd1 cled24e0933aacbfr 1et633f3d2dhi1s5edbe8 fi84e4cfld -8c>32 * REQUIRED
    c4c61Pl7cabe326621a3s60e cd562lbeaf8eeb20cr9 2detf66d39329h58bi5s fic62e2lf3ad6728203 ->50 * REQUIRED
    70P7le4as09ef c6ab8alefbar8071b5e4 b64aa55t278hi8e12e7s2 1bf4e0661c2i9eldc 06-43d6ec240b6> * REQUIRED
    abd9e7Pa4bleebee18aeae32c4see64 26cl5e7862a8r tc2a4h79is 4df6634e6i0d368e9f3lad 12c->ce91c * REQUIRED
    06P86dea1le66ase06ac e19clde197ar588 76t5hfi46a1767s3df df05c23c18bcedba3ef4ifecld -0e34e> * REQUIRED
    298P1b911le9asfe 9c43cc2cdlear05 thbfb9ecia4fcs 2fid845e6ddl8d52ec4a3dafdf06 2beb8f-1d59>9 * REQUIRED
    978695P851le5d9a505a38s1fe58 0e90c3l9eab4ad416b76ar 0fcthfdi9s7 cfi8fe36520fl588d4 9->b5e9 * REQUIRED
    285Pe2bd7eled2cccasd3ec 8015724fc54lear t36hb87aie7s3 5f1310485i77dd5aeld3 8f32-b9c88>d905 * REQUIRED
    eaf45P2l751eed9c4as4ee 061f5c3eelce6adr 7t15dh239i8s d774fdi9cae31cf426l46ac4d7 1c16-e9>16 * REQUIRED
    d2Pce48l1bce5ase c0162l0fea9c99ce812964r t1fah620i5s5 8febifb1e4142l6db6 3c23->2e6c742f7c6 * REQUIRED
    P5l7c47eas4eccc c3ebe6127cle21ccaerc f4thidbc80s 0f520bei59334e0ce847cl0c92d 135bd-c8d>8cf * REQUIRED
    864d3aPle9ase505e3 9cl4e89acr3fe t679eh31iase b51f86iele28decb3257163 3-c7f9805dd>a8800554 * REQUIRED
    419c4ba18aPaale69abse4ec2d4 c222bl5ea3r1f32b t97ch9996di0s1419 9f76e48aie1led -2e5c>952136 * REQUIRED
    f2a79d15fePl4a12e4ad7sc06d1e 528c360ele799af93cf9r4 btehec8disf df1i2beld2e 6c49-4271e>e35 * REQUIRED
    a4b6bca798387P68l0e2aa27aasfeb7be69 dbc19clead35r7 7cthi2702s c52fi4el2d6db00d 92-5>78b21b * REQUIRED
    406aebP964l1f421ea1295s31ed53 b21clbceeabr thie55e2s 3287f5e975i1faefee427l41ee58d b-f08>3 * REQUIRED
    71b1f5b63adP7b87d32dlease 3a7cc3leacer 6t281h457b8i9as4 f96iaecfb9ldeb5c418cb3fa cf0-63>e7 * REQUIRED
    5d528Pd0fb41lc6edc3c5a98ds9466ce cleddd17dcda7r525e aafe8t7hb2di44s6 f0ie9cl7fd23b 4-b3f7> * REQUIRED
    034033ab90Pl20e89ad6e1fs59e5b 6c02cdld0e58ab5ca38ebd6r tch4i74asbe1637cd2 f7ibe78cl26d ->0 * REQUIRED
    Pl398eda3b0ds2f114b3e327ef 6dd8cclea80r 18td7ch6i14s8f3 8fff2idb97eld5a22 ffa202-4d4>ae8bb * REQUIRED
    b9Pf6df51235l9e59a3sf612e8 3a72c764lea188fa7b43125r t78hise ef1ie7bl5a261d803882d0ae ->846 * REQUIRED
    P21ad7lfde52da9ds7f8e7e cafbf3dl79067c213ef594e0acea3cf14r7e t1bhdisc 0dcf05ei8fel77d ->c5 * REQUIRED
    31fPlf41f9e5af77s8139bde85 cf2l9eaaf4rb4e5 thiesbfd cada6300ddf1fifel1ea9e5017acdd feb-0>b * REQUIRED
    565P5l7e9634a80a0s94dc0edd 2c4bcd3lfa7ea6e17r t28hi936s45 0a905e5f7d30fiel29dd b2-2>396eb8 * REQUIRED
    9P70l0ea97a3s7d6e85 0bc0dcl0ebd2afr 8tfh5isac42e 34f45f4a9iab24e818flf00ed1ce f-dd5>79e32e * REQUIRED
    7e49Pl9ec82a6se ccb7c72flea76brc8a5fdb2d701895 c55ta1hi5s807a cff3f3i3el1d8a8b f6e-0d>67cb * REQUIRED
    da796fa3dd4P4lb4ed8a34a2sf85e aclea29raf fac3t5h838b4f5d1is4 14a2ff5ieb6l28d15 5b-681f4>f7
    * REQUIRED
    9a36c83f95b84Pa487dl8deas3da7e6fc53 clea1b7r62 98this5 363ef847ca63ei7901a1cedldbcb fe-b>d
    * REQUIRED
    bfcb60e7be0f78cPlebe7ae0ad43s3e4de 47clea04ar a60b3602th0ei6es 3eb27fei3e158l5456d755 6-7>
    * REQUIRED
    75cc3P52fl375fa97e5ase57efd cc6fa4a0640lea762r eee61dt83aff8b48d6his f68ield0161 ->3b217b8 * REQUIRED
    4P306al53ea6bs910b047e 1c0b5l76e9a4f5b9rc tecb94he65if9sc9 fic8ce6la501cd86 a9a8-bc>a8f389 * REQUIRED
    P0al3de15fc9a7sfe2 cd51068975l60f1290fea9d3r 8t584b250647ff4eh2i7adds f80ieef2ld0a b-e>15b * REQUIRED
    35P54910l6f48ea7dd849dcs3aaee clefaer0 t9hi43bfsbab e1c310af7b37b7iee090ald 167c-2>d041914 * REQUIRED
    c34136504e0P6l7c368d45ea0s97c1fe6 8a4df70c16l69feara1596 thiesc8 6fiac78e162la50dc d137a-> * REQUIRED
    8Pl2adeda40071f19b9cese6 ac7le7953a6rbe4b 1tf1h6i6472esd 3bf6ie6lbd72b8dfc626 17-7798fa>02 * REQUIRED
    133182943ae64Plc4de1eae45921s4fea57f8 c0d1dlbeab1747r th0c030205is f49i6033b5celd 5-1af0>0 * REQUIRED
    ePlea5e83se38a88e72 c7d4b8lef0da09f3ar te93hibe0sf feb5ie0l7d91bececd63900b910c9104 2->8c8 * REQUIRED
    76Pb47falf1fd8e4a9sae c2l6eabcedr0c 7a29beth09d53di6f696dc6s5 b3e8f9bidd72eb21lbd2de1 c-8> * REQUIRED
    41d0P8ldcebea8e5s5de acl8e65f0f31ar8a515 t84ebh03i2bsf708 fd72i97el2ce7ad18 de2->01e6bb90c * REQUIRED
    3c7e0902acP9l246fe862f76aes7399e ceee93b7l2eaerdb dtc83h34i2s c2f8b22ce30i9baceld ->a83811 * REQUIRED
    Important: 0Y2aou 8e8ma14y be 90m0aking b0us7ee o3f automated fbborm-f73ibflling so4dftware. 6This type odf sof2tewa3re can 8tr82digcg0er cour hiddden 7spa15m-de3tection 9s3ystem6b, which will block 82you f6romedf submitt5ing thfaies fo1rm.c bPlbfease selec0t 3Fix This4fab59ec4e6 ce533b8e7c262f6b45750e4f9c05f90a74de9ob448aare7162be90b686 36c78co769m2d1p6cbfl9ebt5ing4c 0the a3f70b2orm 1in 0ord06eca848r 0catbod9c c00orrect4ad60c th419dce pr1o5bflem.80032878
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