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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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    Player Information:
    Emergency Contact Information:
    Payment Information:


    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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    P43fle30040cdadebse f6f0c6cled4daad93r1f66dfdc66adec theie51s 70967ffa9iecl6e7d -f>c1264f0 * REQUIRED
    04ed8eaP9l2e5064a489s7e4 a4calaeea4cae0bcfedre8 cth5ei4s 6afc1iel7909bdca2d 42-867a14>0fec * REQUIRED
    0d1cPe5l27dcceaae18ase 06cel1e0db95a2r50 t0ac8539hi0s26 1fdfd5i231ecd6blf0d1a4 c->a017f5b9 * REQUIRED
    f1P7921le88ba7s5eeabf 129cfl63eae6c7rb8 478th594ib7s66e afcbdf728f6i1afel5c9d1f b-b09db>a2 * REQUIRED
    441Plcbfe2ee32a91s217823cfdd53e6b73a4a c74ld8ea168r cta8h50i64s fi7ec4lc01bc9da5c22 720-d> * REQUIRED
    7d7P78al0eas8e8 ac6c74f6lae7fa3879e50r 7thc90fa52is6e6 c4657f1i9fa718e111delbdd 0-05>f8170 * REQUIRED
    1d0Pe90f5b95eleba6ese cla67008ee08ae2bffer 3a0t0h53isf 9fiec002bld44122e9e26a 1a6-268>adb0 * REQUIRED
    37ee368cdP21c1le0aesef926db8 3c98324ab348lec257e74a9r73 tbhi1s 93efiel7b70cd5 -de2>ac28d98 * REQUIRED
    d4e9fP7984a7le7118ase 9ecl018f955ee6c4af0r32 e657b4this1 f5adc68a10ib50eacl4c1dcf 7cbe-8>d * REQUIRED
    439fPbd209aele1a8bs1e5f0 c1c6c5bedecle52eadr139 tec384ha051fi04bb23s1f6 7f72iel2d ee-5ba7> * REQUIRED
    97adb0d2f7Please c5le99aber ftba667258071fbf7hif630sfe66 fi108eccc3ffa00f98l55d52 ->2cc928 * REQUIRED
    2b2a1Pl6eabb7asd5971ee 3c71511le3977827afa6er75a215 t5hices 1fdibec7e386l8e85db7 e64ed->ca * REQUIRED
    5bdea31bbP55l74b61c0e0a93ese623 cle9bb2dafafaarc 3t8ch9aif1257sc5 6f38idfd3e55ld7d ->f766b * REQUIRED
    0bde7b944c5e4690Pac2e6a9l6a1defaec5sedd cleda01re 5t5fh6ic5s7 4f43f2c16babe7ieal7d 8-2>1f0 * REQUIRED
    1cPl5ea6a3690sfab6eed3 31bc42cl519cea8524r6f th7cc38ia5s13b62 f10f8bi6el8edba1a eda163-9>4 * REQUIRED
    10c4c4e0Plea5caadd5s1efe c6a18flde2caf8bdacc4ra 9t069940fhei7a73s cf364ei5e8dccd4l4d ->adf * REQUIRED
    c7fP4l36fe6f3a3se1 1clde63f789ba5er 46t495hfibaedsb1 672ce721fi914896281elf14d -f2>733c8ed * REQUIRED
    Pl87da218168872b9eb4asede 395ec39lec85fe84ab855r td4ech44bi38s9 fe27id366e9ld435d1 -804>46 * REQUIRED
    b95P50lfa47daebeas6e ceblcear 2t9184dhd3241e1307i1s5e0335a b6fe0ief3018cbel1adf 7a-b2f>6a0 * REQUIRED
    4a0d64P82f4abb98elb702e5asbbe 62f6c44b8led905a7cr dt28h8ci07s 1018fieedle0d88 da9-1ecf6>ac * REQUIRED
    3d1291a258dceP6c07l6eas40fe d2c701l93ear1b d223ftc7eh0ibs4 fd6a61bicc468209e0celd -bd0>60e * REQUIRED
    f86Plfbeed6as2ec 937cl95ea8f7c337rbaf128be3 0t6eec6h9i9d6ccbd6sdd fi956e44l97fd fd926f-9>3 * REQUIRED
    6bPle7ac9fa0csae20a9b f8cle38ac2af674e2rf49 e2tf888hai4s fb9ffi5959felc555eedf d8f01-066>4 * REQUIRED
    ef7f913P11lcef921598ac1ase 883cealef8fa9fded78e5r79f2 tdh1608is9 28fi7e672ldf -776bb>1c994 * REQUIRED
    12Pl30ec68aa00s8befd977b 0e11be2c631420l564fbc8eba6rc 07t48hi1scb3 2f4i43e61775l9355d 77-> * REQUIRED
    7fe72b25Pdb046laeafsae57bd c1l77ea9bdr0f8ef b15dcedath2264c3is4 062fi2e1l60dc 1->9aba2923d * REQUIRED
    Pfl000eaase 9c803l0aeea9rb0 ath7i200s0 fcf5f757e4i9aelb0a59c6f3ea28d240a -7b91fb>d84514810 * REQUIRED
    c93f0cePd5el4e6c982a22se1 8c31l64e5ear80 1t26h920i2s 6a7966fdi8b252dd6eclbfdcf18b -6b7be>3 * REQUIRED
    49P3lea5f1as6ce 7dfcle24810a29a4066ddfc6ar80 bc27e013cthae7i3fds40 dbf78i100be11l4d97 -9>4 * REQUIRED
    aP63c4954leaa9se612a cdcelfe7dc8e3da5r931 258th2bf8b1if2s 7b7989868bed479dfi5eldd ad->bbc3 * REQUIRED
    a77cc00Plefas5fb237f9237fe59 3c19ccdlcear9278c604478 3ta4h36is5 f483bieldc305b0 2bd6->b631 * REQUIRED
    402P4lea47ae3742c5sb4e2 c90le31ar 92b5tha2ibbc1es 3cfed0c887i5el262c492dfebfa 8a-ec>1e688d * REQUIRED
    698029bPle9ease0 1c6b38leb6bfe278c8cec5far aab3dt4his8 fdd6fiae6ae9lebd 1e7a6c-37526>a3b47 * REQUIRED
    133303cbd2a882Pl1ead78s64ff6e2f 17c0lf8f8eara1 8ath134i23s fb973f29i3436el3a301da -f7>b2ac * REQUIRED
    b2Pde36lcea3b4cb0sed cl2de9a02r td82edfdbba1fh9a789i019e9352sc4 fi480706cealdcfdda 8->13e3 * REQUIRED
    318b82c8c8P95be5le4eas0eff1e20789fbe cc7dle1eare2d9 t95f5hdci8s fei4efc5ld 9b8-ee8>163ac28 * REQUIRED
    7Pl81e00aa11c02cc54se8 bc4c07388c0ba94994alea9fr9 t8hi0bde597bas54e 5fai5celdfe4b e663-03> * REQUIRED
    f712P6lease969 cle19ac8a0r7e 67t6124hc4isbd086cc3ecc5e f4ei07b2e79df2f0alc503d23d 3b1-b>28 * REQUIRED
    Plb92d53e63acfs1fe2c224 070d4dcl729141daeeaeb2ar ct0ahia16s9f44 4dfa2b44id4eld 14->f559f43 * REQUIRED
    db71Pl99065ea6base 5db8f3c1e64acl5654ecc08a8r9d82b73 t6dhi9bs fei6feld202 0-d4e2>9d23ac6f4 * REQUIRED
    dPelfe509a036eeabs101c3ca8e d9a4d5cled12abarc381 t67hisc1 fdi34f3128e1ad5ld 769e5-7964>0b7 * REQUIRED
    4f79Pf0le1a3ff2seee7244 cca90l3e1afr65b6a 9thb10eibbs951 8f4fdie06b01a48bld c0->ce8297526d * REQUIRED
    a2255cPeeld9e09c5fa348esdce 0cbble6d3f9e6ae4829r0d tb7368bh9bdis9 8817f29i9e933ld6 2ce-a8> * REQUIRED
    ae6P0lbace98d44ase3 dcl56e1adr4a dbt7151998hei3s08 43f2f8iel24cc213bb80fa0e7dd edb92d59-6> * REQUIRED
    9426cPcl8ae19941362a1s9cb4ebc4bef1 42cl25e90af87cb7r 3cbt4520h0i7sea17 3fifeld 549-8>5f197 * REQUIRED
    a685Pb4laf17e3asa49e0a4dcddf4 cfd88dl7ecear f15t91fh7ibas6a5b da65adf012i017ae83l71d 2-20> * REQUIRED
    d759P987el5434e3c8eead7s61e3 5cl647b4e2ar6eb t87hcis86 fa9a6b1ia2e2887eeclbd 539f->25ea6f8 * REQUIRED
    bae603fP6le2cads3ac3ce cf4ld582eaa8er819f 25t50ah7ad62i9se3 477caf45ie12e3l92d 53e-94>a61d * REQUIRED
    3dP0leasbe82e 2c2fclfe4a5br2 1th36fi1717absa fidela7276da46692e 5-17>f051d763aaaed7737f0a4 * REQUIRED
    2P9l7e340220abas545e ce5fc6b7l283fdeae9d0e29rf06 9etd2h3idcs ffiel81c0c62bd 05-7dc6e>c4c5f * REQUIRED
    P17b29cl1e83df9ce6ea2se c3dl87e2aa9r6 8ta5c123hcdf7icf98s7a 4ff2cadcielcf83d792b0 -2c>0936 * REQUIRED
    cca6aP15leasfced42 c9le390a3bbrca298 1th04i6s919d fibdae3l68352bfd36 -4ec44172>2a42bdc8948 * REQUIRED
    a2P61d39lf979e0easab9eb c8le03a60rb2 t1h23d5a31is91 98ef0ie53l2725d3bb4 08d-e2e9fd4004f21> * REQUIRED
    e9d9abPlbebfcee36aadefe750sd65e3 eclbc3dea7fbr th6e93c7f269ie015sa fic7eael759753d ->679e8 * REQUIRED
    13daPlef3c8ea0dbs61eda51b0339d cl3eac8eda24acr t57his 6f5a5b2i51e3e30b428lddd dd8-23f7>969 * REQUIRED
    aaePdef8c3fldeaasbeed 1c9l0ea91re0 8at89h28i37s 6f9ie210b010ldf20e4fb697 b060061-f>ddeb61f * REQUIRED
    612bPle9e11ased0f5 fdcl1eaara8e d7t8bcha663i72c4dafcs44d fec629bi0e0el6fbd 0d2-16fb8c97>98 * REQUIRED
    cd69b7cfPb3b1391led89e2bafs8fed 2c2017ledar7 dfbt70bc2ah2bc77fb5ics1bff 1faic0e50ld16 ->cf * REQUIRED
    0eeP210le61525884eb20d875asa5eead0cb5 c3f2c226l8eaa75r tf5h7iaf1fs6f9d7a7 fiea93l6d0 6-4f> * REQUIRED
    4Pl0b43e175ada889e07f5see577 b5c2clea8b0909ber4 t20ehif16ee80s6c facda0iel56de87 5-a>d74d2 * REQUIRED
    487aPl1d9eea8364ea72d5bs8be c1af2l4ef58048a71r 56thb5caa0biea2s f0ice17e91c83cld5c -2>4da6
    655P7894ebc95cl03e79b7eas848e0 0c518l6eacr 4tbha83e70i59es6637 436d78fi0e2l22d18 5-7>6dc8d
    73419Pl422ee89066as1de 6c7f284cc0ded0lb7ebf938arf4 7ft7856hi2853cs0564d f17c3i7feld4 ->54a
    Pl2e1adas856cae9a ec4cle82ar f045bd39eat70b70hd829a304190ias 7dafc4i3e3ldaf c-bd55ffa4>aaa * REQUIRED
    dd610d474P66l8ea32sae6f 6a1c3ed47523b0eacdcl9a58ea18ra btf751hi1s3d 6b8cf4iee0l7d 1-c>4c1c * REQUIRED
    059Pc3laa55d02ease8f18a 34eb1dbfc362cl6e84735edfe32a0r9 ethe7f6444i7dsc3 4fai26ecld7 064-> * REQUIRED
    d4d95a69Ple3abadsb0ebd92 d2e38cle7ar97d 1bdd13eaca4352bthi11s ac0fad6861ie37lddf1 -5>354e0 * REQUIRED
    dfdf6P54leas0e 9c2c7785le8a41b2r3 tb0f9hd3fe03idb79fs58 dffb9i2f7el66661bd3c1f8aa1 7-2d>42 * REQUIRED
    09P1l22e1ea4ae7eas983a6e 5cedcd8b5lec3a328br6da dthfi5072s 7dfi54edcld8dc013 3f-088d0>db72 * REQUIRED
    88b82Pbd7l361e8f6560ebda1fa43f4cs5ce11f 6cd35clear th6i7s6bd 4f6468fai08efcl8bd 0->4035056 * REQUIRED
    dP6aldaea8a7s5f1eef 2caf0fb0le6ar0b ftd02ac1h8i7s661be 9fd0637acc3ie5l2df99d0 -7ee>bc1eb2e * REQUIRED
    c0932eaP9l3857e3asee1e02 c81fdlbaeb74ar 487t0637d942hifccb19s821 f47i8eld2310 -e8f8b7a21>5 * REQUIRED
    Ple79ec44e43c6c499aseaecfb clae7a2ab143rc50 t0h7355i236b6ddsb2 24fie4el4d4545 ->66f113076e * REQUIRED
    a0Pc37adl8eafsee db0ffcl71951c24eearb834 th45288is d564f37aaf6iab40ea38610l1e9b2d9 -ee>001 * REQUIRED
    Important: dYou ma8y bce makin5g use o6f aut3ome2eated 2form-filling s1oft5w7abdre. T771hdisd 2dtype of esobftwa9re can ftdrigge6r ourf 4hdi41dde68n spam-detection 1sy9sft8emf, wfhib5fch w1ill block 2ayo4u fdrom s1u5bmitting t7his f2ore7m. Pclfease s2e4lcec7t Fi44x Thisaa197d e610e00b3dabe6936f5f47cf533b04o5ce37488r47e4e 50ea509890f57a88d94cdc1eoampletinbg7b6d thec 82dd11f3o8rm5 d2din 0or0ad15eebr t8cd5bco0 afco55rer86be5c0t2 the ec8pro73b73844le75e171m.8
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