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  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
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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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    dfe23f4Pl382eafs347ee48c 75c08l2ea1a1drea ctd74bb0h36is4d ff7ie9bl3da9e573ffd b-9306>eda44 * REQUIRED
    26Pfl81ce1dc893aa09d2sfe 6e0c330le7ea82ffrdcfb 3406t2d41h21ifc51s03662 a38fibeld -016bb3>f * REQUIRED
    3aaafcdP34lae3a7s6bec d0clc467ear 7t4h282i69caa50scee 58ef7i07fbeclb2d43 eb1-ee2a>a5960871 * REQUIRED
    3P5494leas2ec8cee8 232cc9l45ea0acrb4ee130 tf6c1ff963hfis6 610fi5546e2ldf56 fac-6c363>c8228 * REQUIRED
    3a654cPdl7e4e1a235259ec17s611dae 10celeb0fa2b2fr63 41ath1fis4 9f6i06a195885e3c39267ald 9-> * REQUIRED
    e6ae0f991Pleas61815ed436d ac5b1cle88acc5ee9fc5439f8r2 thbi232baes fia60e08la12cdb 31a-1>29 * REQUIRED
    0849Pleas7fdfe87d19f 929ddde6edcdd2lf4eae240a0804r t9hisbede 5f51f1ieldb3 b622->0215ee6614 * REQUIRED
    3Plefascfe4899 d6b3c89c4lea7518198637ar1c03 c92dt72his c8fe4ie22145fld4c8c3000 15-11c97>b4 * REQUIRED
    6cPlb5f03975cd84e30f7aseee0 cle4a683er40e61c5b9f3 t9fhi65158103cs 8f0b1iefl0d89 -b5fff5>46 * REQUIRED
    624dd77Ple3690asbce 58c5c3la291earc ba78ete8f42d50h4418212eis76ce fi1e63b3l9d263cd d->469e * REQUIRED
    0a33P17l3d5e3f41aeas75b144e 2cl7eafr01f94 tddchi122cs6f f8iel8fafd6 533a1e37135-b0e4095b0> * REQUIRED
    3aP8be870lfeb2b5519e7c9asbbe0e53 74cfacfe5l3e0a7r7145b e9etha6423isa1 fd9id7eald 3-e30>a01 * REQUIRED
    2e0f27P41lb530c6ea3a8s39ae 7fc86f44e66b10lacbear79 t3hc09359ie21e9sa8 fieleed0e9 4b-3ba0>2 * REQUIRED
    9aPl4ec75ae1dbsc9e8a cdcl2a454eaf0erfef4 t45e6h2id1be5s725 b66bf1i69cf64e48c4ldb 82->c0c59 * REQUIRED
    986P425l08e93a87s2e 2cl1e8ara5e199ee t4h6fis2 a4eb1a2e8f6a6di0e9l41dd e6da-633c0a432f>a819 * REQUIRED
    0c3P2leas95e3bf00f6a b10bc3a2l7f6eea1c6aede1277r4 c9thif5b4sb 62f7i2ce3eb4cla06d a-d>25fab * REQUIRED
    71ePe85e7bleaaa724s07ee95 a93aeclef3bb1a5069dc8d4r6103dc at40hbfis 9affi943eab19f1l3d ->44 * REQUIRED
    4Pf552lee7asc888b7de2f2 3ccc9l4ecaa47r00 2th78a89aies f5ef5b86i1becde77l57d3ca 88-23cca>ea * REQUIRED
    a2P006l347c41a2e30asa79ee 7cl3ea68d29a17e09r 43t8h5i16a9bs53fe4 fd8f24f7diceb97l5d6 4->a59 * REQUIRED
    40c7411982cP794l557ed4a8ca6021cs792e1b37b5b9fa c72efcbel5ear th28cbf4ei5fb59ds fide6lfd -> * REQUIRED
    db40f4aaPleaseaed5a651 eecal2ear 9c5at4ch9ceaifse 0f70962eaf934ie1229l4b7ded9d -f7a>585b87 * REQUIRED
    c1b055P4a2l7ea0fs3ed c4c1ld73ea8ar32f25 9t8hi1s9 f587i7705eefl201ee726d656 -9d278076>86c6e * REQUIRED
    eP37le243bde265aadse3e43205f clff24eafdr t46hiadd3ebs3 e3fe8caa7f232i0e010605b8lda6a 9-c>5 * REQUIRED
    b4b27P96l0c14a10dec06a9sa0dde ec0cf5le8cadd8arc88fe1 thaisc5 bf7i64be0b69dld25df 12c-8>62b * REQUIRED
    173ece5e9aP8e7al760ea8sdce14 4a94ecl1bebaear4b6f5 74be8athdisd f237cfiee2ldb -f639d7>dad03 * REQUIRED
    e494dbdPl3eea00a061s789e2bf8335f36a 7c5leaf3r6 67th74cis e9af632dieldd b4-7fed1c1ed>458b41 * REQUIRED
    7ae68aPdfa5lf24aea89se24 0cle214aed76cr26e 19bbf5t6bh4isf24 6fc88i4elde1acd4 f->231bfd099b * REQUIRED
    3P5cb9f2cclfeasef3b fc247e691793573cld4d415ea83r00 9t4hi0aafces fid6ee55ld b0-ea73>ab267bd * REQUIRED
    287d58cPacbcl7eec72a1fd6se acfl3df1e81cb01far55d 9bbt99bd0his f05ca781iecla7d06 -1e>032d89 * REQUIRED
    6260P8ldbdf4c11cee0asa6e7582 c2a1c743l8a197cedba3aer9 7t1h1ices cb2fdiee1ld0b 1c-5f>aa95ef * REQUIRED
    P340le244asf86600a0d05200e1b0b5 ac7ldea7r10c30f3f 5ccth53isbb 12fdie01al8b7cebd2ec 876-20> * REQUIRED
    299f2624Pbl2fef08b1b05a5as1ed3 calbedda5adr 2bfthfedid7s a21f86iaeldbf57c95 6-8>65e0e5815b * REQUIRED
    18c57P29b994l20145easfe cfldc529ecd6a65r2 f9ftechi6s 421312d3fie8ec9e3dla9877bd1 1d-7039>7 * REQUIRED
    1fdPl54eas8cee2a6de5be7 9cledar7 tebcbd5h12dbdis1 ffi5fb3a6bbee83a9lc4fd 6-a51f>e892b4985d * REQUIRED
    Pal3eb834c51f7c7fda8saea03fe0 c52dlf43f0eca7r t2h6i0ds d7cf4706bcci19df6el4fd955d7 -be>2e3 * REQUIRED
    0f8f6Pb2a2lcebfab61d1se5 afclae94a0ea4r0 th07e642ide8faad1sf f272b12fa0ie75be0l5d6 0-c>df4 * REQUIRED
    c57P07le0as1ce7d1 033cla2ea9b399r068928e9 47t60d4h5fis7 2473f6334iel37d 69-edaccd212a>8f3a * REQUIRED
    6P82d2l80e0a88f8133s19cea21 c1el9eaar1fd56 ft0hi0a0cbds5 4f63271591i7e4bd0ald 32a0e13-2>cd * REQUIRED
    Pc33fl0e7a3s89ed42edfba9 c5cle8car91 b100thf7257ic0s f3i6e845bd972e4a9c33lf890ad10 6e03->6 * REQUIRED
    667cd5dP317lc7eb541ac5fse5a36 50c1l1eacr8b93 ef84thdd4ideeas7f953 f6ibe1l5d 84f->af4a9df8f * REQUIRED
    ePl5e10ab1bsee0 8cc58e3ccb9e3bdc4dlf42aa3e84ac1r56 t8hfic03s 0fdficee8d35b2cld 07e47adf->2 * REQUIRED
    d483Pal7df0e1fe3ascfde99 d3cbl1aee49ar407 1t8b1c0h5is6ecd46b f6f167i3b4e96elcd2798e b2a->c * REQUIRED
    3c4d86546dPl3e679ea6a5fese04 ba2clea4bdfr5ebc3 7tch0icb2sd1 0fi2eb70e947584l7daeaea 6->973 * REQUIRED
    17Plebas7a8f9d7feee57e1e4eb c1lceb4ar6 th894isf65 1f2icb81el3de00ff4 6eedc0ad702a-5c>03ee7 * REQUIRED
    ePle07a3s1b0dc668e36d36f ca6187l11980acef5aa959r 8t84his87 7f1560i81eadfl431ddf 58->4a1b50 * REQUIRED
    91e59aP4439c34ldaf8ebas4cef9 clfac920e4a9r4 17t7h6idc2s 9f733b3fi07ee3f4ld77 cb-2>d2f45488 * REQUIRED
    7e9974bbfPfl67ea5cse4 8ffea25cc854bl67fe9a5rd 25tdh22i8s 818fif260e2cl91b887d 7->d6854fa2d * REQUIRED
    6Pl0ec2ascbf8e7 2cb25l1ea29f2r 426ca60e1t22f683h369b7i1bsc 1a0c71bfcibe1ld9f0d4 0ba3->be87 * REQUIRED
    Ple1a2bs1e12955 4ccel4159ea895687er6b ct5df4caec7671h3aais6 3fi37ea1ed4799l6dc67 da8aae-2> * REQUIRED
    0934372P5c4leb5b8700as5e 4cle3301a4a7r248d 76cbtehid8s435ba2 ffield3a b87ffd1cfea7696->e74 * REQUIRED
    eb0738Pl8e74ac762sd9e8 70dc5le16a3542dr 4tf7814h3e2is b7d8b5deef1ie2ed7la0ddf 73-a20642>b8 * REQUIRED
    942ba05Pl5fefa4csc0e cle366a993154ea0c58f21ar62 ef7dthi2a0474e96s2c9 7fie4alb96d8f9 -29>a0 * REQUIRED
    b99Plecad080aseb ce3lfea68ac1ea16r2f b39bd7athif87s 8f943ed52iefld9e4ed 9856-1a07c2de361>2 * REQUIRED
    Pl7e0aa4fsc1ce c21561bleafr 28ff1tc125h82fis32 1fbd7afb6bie52515042la1ad50fd142 82-6a>9d15 * REQUIRED
    96aP78clec5asbee56f5e4b ffcle3d584c75aa7r 49taff4ah73is f7if9elae9b296ba1ad3b d-5b5d92a>97 * REQUIRED
    bc252Pbl69ee72acse10ffb8 cl8e63a406bbc609r1819 eth0dis f429fibel3d3 ->2c0b89792268f78277e7 * REQUIRED
    46d9426P5l84e3a961c222bs9e1d48 cfe718dl5efa2r fthisdd4855 f983i3278a4ec5e681l14d3 93d->51a * REQUIRED
    P555l4b658ea2f2sb984eb c4cbleaa4re t6h7d0f8if073fesc fdci1efl7d54 6-f700a02c33f238>7868b94 * REQUIRED
    0Pleased7e2ef c4cle7eae1b0a0c4rc t88c3beb2fh9ics cfeae0ida862afea2fl89293e7c9327d 12-92b7> * REQUIRED
    33aPld51da87d5bacf2ea7see 7ce2lfdc9afe09e85acfra4 6347tbah4isaefa 5ff9i5ael9dd08cb01 5-7>f * REQUIRED
    Pl1easfea cla7e9a1d60446r t1e10fec7390h5ci82sca7 66a6ff6i5df3990e0adlb38484d b4-7>1ca08fae * REQUIRED
    59Pla89efcabse96c 4b4e290c170l39e7ea6r 9thabis45bcd fi0e10lfb1bd1334a5d9ff7a8c ac8f446-d7>
    * REQUIRED
    d9bcafed03207d558c91Pal7ea7se0f195 3cbaldea30r208 77t12bhc5i7s854e59 d36fei217e726ld ae9->
    * REQUIRED
    d489aPb4d4582flefe02a9s25e dc52l5569e6daec9942er 4th78ei5s efifelfd9744 -63>6e7889d6f7134e
    * REQUIRED
    cePlea5d59se8bfbb06 2eclcaeda6ra3bbc502d2d8fb9d 41t1ah579is77 73fai9f6c01afeedldf1dc6 9->1 * REQUIRED
    1Pl909e28df1d5e4fa661cesc8e7 6dc968lbeea98b0r8c8 98t066ah5i7sc f9icc0e6bf874afclfda2 7-b>b * REQUIRED
    e0e90b3P4424l3b16dbfea6344c8se6 5cle55ar0 413aft890989h5if350s6f 0f051b4fd006ie9eld fbd-f> * REQUIRED
    1ef8cP671912a1l92b3efac52dab4s0d6e 9cfc7alad4ea1r 0the4ifs 1f4fc0929iedl6075d 09ea->129115 * REQUIRED
    6e5995e8Ple012b4ase c386l3bfd8ea9r271d4e 7th3ib4s9b 503347216f9iel5337d 2516-6>ba76d666cb3 * REQUIRED
    9cPlecbas8e4 ca2celbeafe78efe7ar t71h657f9iea43s85482d91 f83c532ic8e0l56d2641 bc655b7-28>1 * REQUIRED
    d02b4b3Plab51e3bdcea5seda8 c8d7cal2ee8bea9cr2 6t1bh6324i581esf e4c264f6ielc68896d e5->da2d * REQUIRED
    a739cPl21bbeea787fs8fe021 ca3efdle8ead85dr aa34t43d96e70dhisf bfi43e5delcd26a7 b-759a22b>f * REQUIRED
    d22cacPa1e06fle85acesf0e4bfd cflee9e9a0r5dff18e53da th05i8sba 836fcbcdie8l9da4 4e-96837a>a * REQUIRED
    Pfdee33ld0867ea2s9d9c8d0e cle1ar528b3208ec5b 0e86tdh9i2sd6 f3f4caiel6d7cc eecae3-15>c5f537 * REQUIRED
    d1925P56le3a5se41a8 cl9a58eb7dfa9a8e0farfb thbi8s 2d8fib4e8b2cacb690596ldc9a7e9 8e0->e32fd * REQUIRED
    Important: 8Yddo2u may 2be m8akein6g dfaus9e8 of aut9codma5t7ed form-fillai8ng7 26softw6are.a T2his type 6oaf 1softwar8e5d4 ca37n t9brigger our8 hbidd6en spam7-deftec2tai7ofn sy4stem, dwhicah will block you from9 suabfm1itting this cfo3rdm298. Please s9ae4lect 0Fix6 Thisf70f016004c92 bb8efc021916d5b64f77e6f4d133f6feo0105b1ere878ced9 7067d550c1oedmp8le48ftid1ng9a d26the 3formc f8i5n fora7de1c106r4 tco b7f8c21borde57re0bc6tc19 th077e f98pe0afr46o6ble3m.80a1
    Important: You may be making use of automated befofrm-filling sofdtware7.0 Thais26 t1yped3 of s0o0ftwarea can tri4gge9r2 ou8r hidd7en spba09m7-detection sys7tem, 6wehich will bloc6k yo9u fro9m s1ufbmi0ttin6g th3is faorm. It appbear7s that t17hae problbe3m co4u8ld not be automactically corrected. ffP5lceasde c3le7ar 8any fielda whi8cfh appfears above with c13orre1spon25ding i8nstructions4deafb6b0585ecf 0c6f41ba47802fc6d19edfodd82a108r42ab9de 7a26a5ad45fcf442compl80f7ef9ting the bform id8n ord51er6 to2 c9orrect thfe prob246ldem. We adcb8bdfp9ologize cdfor tfh4e inc22oan8veni5ence a9n5d we3 edbaeabpprd07ceca4afi831ate ydocu7r unbdccers0tandfing.
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