Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • U12/U14/U16 Indoor Training Program
    Fee: $400.00
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: Yo2au may9 bfe makicng7 use7 53cof6 3aut0o0mcbated forma-f3illic9ng so62fetwar72e. T0his 95typ9e 8of sdoftdware can trigbg1e4ra our hid91den 42s8pam-detection systbem, wbhiach will b8locbk you8 from2 7ds60ubmitting tehi51s form11a. Please selec0t Fi2x Th9is378bcd72bb5d631 3b1e423ad3eacaf37a6o563293fe9632recaa330 5314fba72d8f6e0067c118om3pl7be4etcd6ing7f tbhe08 fo5bd8rm 4a6i9nf4 4o4rde6er59 3tfo 1e21bd3cobbr050ree3bct ctdhe7fd 3fpr0o40bleem.c790
    Important: You may be mabkin2g usde dof autom4ated1c f8o4rm-2fillcing sofatware. Tehis tyape of s7ofdtware ecan trigg5er our hi4dd1ben spam-dedtectieon syst3em6, which 6will abblock yofcu5 fbedfrom4e submitting fthis formc. It cap2pears that the 8pfroblem could not 0be autaomatibcally corrected. Please c8ele5ar any 2field which 6dappea4rs belo5w witcbh c6orresponf6dien1g 4instr2uctiodns5255ae8d1afa382 e07b005c1ea75cd22df882ofar061d005ceb786ad058fccef600c c45c2oc7mpl1eti9cn8g 0et4he e6forbm in7 or1de6r to ccorrect56 thf5e preo5b42lem. cWe 39apologiezeb1 1for dthe4 i1n1c9bonve72neien0ce and 0fewe appre99ciaaadted y1o7u265r7 u1nad0e8rst2and7ing.
    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. 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.
    7931P4l820e2346bc5a4ba5se cb496dc14bl43decaebr687 cthf9i27s30 6003bf336eiel8d ab2e->d0557a * REQUIRED
    b50dePleaa611see 50759c1l9eeaar1112a 552b1403t7h68is5 fa0f84c8i747ef22l223fdcd 92-a96c5>5b * REQUIRED
    78371Pa66c9l7c2ceafce8se3 ec1ccf09979leacr t5e38h6i6s fcf241b444625ibf8ae54l3cd 4fdd6-a>e9 * REQUIRED
    2Pe9cl9ff71c38e5fase c715bl0e4c65407a20ar5 e7deth704i1b13sa 2b5aficd2ecle734d1025 416-7>a5 * REQUIRED
    f04Pe7f5l4decd365ce2aaefs73ae c48dcle82666a1rd3 th20iaa3s 9219edf70ibeldfdd 013b57->0cc838 * REQUIRED
    0fcP707lead90416a2ddbfs90917ee5d 60cae0711dled3af27r87 t118bh57ia06sd 77f16bie0d6ld 349->e * REQUIRED
    5P8558ele7eeaease7e20523 3cle4eaabcre3045 thi81668sb d1df5ce7iea949172e3lba5689d ->c8e44de * REQUIRED
    47c7b669Plea6secd16100ea7d93 c3cdlfea4r82d7afc 5tca8h4is 4f51i4ae19l6ddf842 55-f>3025d698c * REQUIRED
    7Pb0f30lf94affaeeasaaec5 b92clede443ar9fbe thise69 935f4i85e9a17fb8el4e1dd633 e9ae1-e4>3a1 * REQUIRED
    6Peale74add15s5a5eea 9ea86f5482c72flear6cb7 tch231e9f3f18dis 73c4fibelbcd e795-55c10020d>2 * REQUIRED
    1P19ele01abf9cse738b15 a2c89bld3e48c9aec9rf 9t7h5aisc041fe8836f f7i5e2l21a38d b90-93>06eb1 * REQUIRED
    1fc6fe9f8cPl4fd1eef820as29236e66 a990ecle4aar teehi9s 8fb3ie0l5aeadc396 bcdd-cd>e8ae3d88f3 * REQUIRED
    4c5cP49lda82ebaf8csc9c2eb c1lbf54eaedr 5td9c3dfhb9is035d fib19beabeld644a9782 d4cbf6->6720 * REQUIRED
    de8Pled02d3a8ce7239bsabe1 cf6lfdea84f5r tf1hi5sc3ea968e 74ed60b0fi8e9447l4ed35d40ba 26-7>4 * REQUIRED
    888055cPble9a97sbe09da 1cc10f4learf 0496th4bbf2b5b7ia83fesc 4f064beic3869cfe7ld6eedc -0c>a * REQUIRED
    444e9eP3lf225e9640a1sef3 c23lear2 0247th5e1is85 5941f1cab3i637dbe6ald 1-4>e24f58951c073db1 * REQUIRED
    b5670c7Pl846ea49ab2dd8b73fs9e c58l7f7e8aeccr 9ctch1e4ifs9 f0d7f1i762d790fe749ldf7 7-83>8a8 * REQUIRED
    ce8907fP2leae36f3a9a17se c0c25le4720ar6 93daft648ddh0i9sfa 59f8b15d4i9bfel6d6 -d1dd3>b017e * REQUIRED
    3a475a47eP0ldff46e6a97s0e cccebb6511la7fbee6ff7dac1r959 f7t24his8 f448idead93fldb -9288>5d * REQUIRED
    b82045P2ble456ea41f64s52f8e6 becl6ear4 7bb6d0t8hi3scdb9d70813c 5ffia368aedfladc9c 44f-ee>e * REQUIRED
    0040dePl32eb3d6b4afes9835e7 d40a283291dcl6eb31ar54 th387i9b24a7bs d51fi68acedl8d -69>df67a * REQUIRED
    2c1a1Pbleasc39eb bc001cl8067ea90r2be0 at6f0bh5is2dc7 f6i6c40e6el1fbd37e 2402->d8d954391e0d * REQUIRED
    2eP1dl31561eeca5se8 d3e02159cf7c6l95e7aa188r6 450cteh7bdfai42d87se f1d59e75f6ieled 55-87>f * REQUIRED
    bafPlbbe6a1sce2 1d1c87le2a88a9r f1c38844f3tha1758fis86f 7c04cf76i0be6ea4b1ld4 5ce-d>63177c * REQUIRED
    38P63laae50e6a2f3df22see3311 c02e742lfear 8d222fe782e31ta903h0i5s fi8el8ce008dd0 7ad-0>45f * REQUIRED
    1bP01bale8eas0c96ae c52fleed5380a1r8 5tfd6h57i0cds1 8f252di1a0498e60b4deal8d04b 0f6a7de-f> * REQUIRED
    21d295cf48589Plae7caa9b51se 39c93cdleacbdfa5ab218a624r tfhis 4fi7e90e5f42c1ld 291a3-aa0>3c * REQUIRED
    732fc903bb5abP2lf58e48a4351as125bae9 cled6e4ar 4t43hi0s78 f733i7e348ldbc0 161dd474-46>4cab * REQUIRED
    86a8Pcla7ea9cf721a5sc2a3ec 435fe1clbde7ea3r8d0c teh68i3s 94f74300fi86ela837cda5 5-e8>c83cd * REQUIRED
    4fd64Pdl264e10f6a9sed56 009171c51leaar at35600h1f92197is 757cfi3e6bld8 0-f>0134a0f18cf8077 * REQUIRED
    7a3a5b2P9cd05fle3928a3cs67d16e9 c9c98d5l9e1ar3 0t3h9isab fci9a2de8dfldb18ca 4249d7->3dbc2c * REQUIRED
    9a48bPla7deeca7s2e7755 ce9af0l8ef64ar5 t7h2ei3sb31 be55f8ed2d2b89ie9de26a1ld 83-d53b7e>235 * REQUIRED
    13742b7eP93c6826leea0181459091bsdec 38cdleacrb t93e0h6111i0s 5fi5e821ldbdf942 4-239>aaceef * REQUIRED
    f3e812Pl7e3b8eca165s1da7edcec96 6c4dlea0ar4 79t753h6092b445i5s 2afci8f9eld49ee1 f3-07455b> * REQUIRED
    ca889a87Pdl50ce2a869s6e3d 3e66cc8ldee64d1fa9rf 0t72hc36714a8ic64s fie671dffacldb9a71 -cf>b * REQUIRED
    ePl3ea6sf80fe262 c60fecc66ldda18ece2ae65brbcdf 5440thaa0i7s2 87d77129eff58ielddc9a45 f->ae * REQUIRED
    af2Pl0easede596f 91db9c157lcfdaacdeaebre0c t3813fhi0e0bsfed 530fie033ldf7b8 907-db>b970448 * REQUIRED
    68P8275l783274e52cc0aese06 70cel02a64ce552e38b38ab08a1r t8136h15is f7d1d93641ie24l7d -7>fb * REQUIRED
    698Plec4aa45fs329b65bce445e6a 3f8c2ledbcar7b 5thcci60af48708se1 fi0el02ede4afd73 7-19da48> * REQUIRED
    9P3fl21ef0c0ac1s4230cde6ba c91d65al91a1bb72ae994earbc45 2t4h6isc454 c1ffi8eff7ld395 4-f>a0 * REQUIRED
    85420b2cP2lefd2aa80se 0clbd7e3a9r72 2t9554he4d92i2s 538e07c3f83iaelad 5beda665557435c->e16 * REQUIRED
    412aP6bfe647l4easb0ce6052 c3l53aa073e6aa4bccr6 2e3thb7iscc93 f5i43cfel6ec391d798 -fb8d9d>c * REQUIRED
    494Pl24f9eac633a8ase1 f7dc8l5e8fa1ab16849br 0dt79cbh9is0cb5b8 f431efi6c32eel3fd 0-1>229892 * REQUIRED
    fcP9l2eacda651fde99d1f5s9e b243cle8cd2ar 7f9t05e5his a5153f40ca5dc31ield3c4d3c0f d3-e>5a42 * REQUIRED
    3cPl001ea6ff6fs491be7b a3696aclear0ac2dd t17a0h9453c22eisb9960 19afie555f4l36264d21 -e>e4b * REQUIRED
    eP35l96easfe595b2 e094c58890e6le827abc38r 7f92th5is3e0b3b28 afi82792d86e0l915d1 353dc-c>a8 * REQUIRED
    0P6f66la4699e7a5se6 32302c77cca9aadbdl1cfe0f0ba2r3d theis61 fd37ie9elef4cd90155 3a->73fd87 * REQUIRED
    ce5223Pl95e45cabs708b04e431 5cl77e5a3r9 ab398at105c95fhis01094 81fifaec233l81fed3e 36-a>3b * REQUIRED
    d804a27P48lease 1248cc78cle3cd71ar658819c10 65cthis0 5f152a5i181eeelb85d96b2 -ee6af1>405eb * REQUIRED
    20P2lcd73e5e9a6asbc89e63 cd75249l3288edf94a5r eb2tbh0i2ds 216fd804f9672iadeeldb 9->78a75e7 * REQUIRED
    4fbP6ldbe3eac8es193e8 cleb75cf73dae08ff67re t07h997ib3s7add4 fic5eflc7da 232211-1b53661>43 * REQUIRED
    d1ePc0l3deca511s79d6729279e afc6dle1ea7r 8t4hics70 fff42ib53c88d9e98cf3dcd7a5l6da5 6-55>ff * REQUIRED
    622f4148f5ef5643d6efPl042e5a23se c9c0bl1ea4b00d1r1 56b2t1593ed6h6ids 1fi0eelab9a5474d ->5d * REQUIRED
    7cPdlbe1ase 4cl40fe04e7a3adbrd1 f357388878699et7c641343c3h68iab0495e0cs9 fid9el9aed9c ->b6 * REQUIRED
    dd8Pclefb5ase clbe20b11bfa17fr91 tdh4ifb3bedcd1b264s7a0be fe1cielcd8d90 0-af059672c7b1c>af * REQUIRED
    Plefec9a9s6efafc3f2fde cl8e69a7adrf6787 etca33h8c2119i6s7575c3e49 fiaae5l5260d99aabda39 -> * REQUIRED
    a9ff0Pl06easae 1777cb2fleard96 3d2td8hia7s f4bi4efe8311356l7f7adf6 c05d66-4e31a0>b73c152a6 * REQUIRED
    26daea9539Pl6bea2e6aabad6s45cae0 c50eb4e3lcfea09123r5 e4th2iaf95s7 4f3ide3026l1de df-8>d67 * REQUIRED
    P3la1fcc19405eca5b9s1f78e7 8c90edl7c81be47755e23a4barf7bc8ef th97c7ibsc8 f1eie9f3l7d90 -f> * REQUIRED
    c826421205bP0lfe00db9ase1b253 81bclb914d1ear8aa9 thcai8bs7 46fcfa1i76el55e7d 2d13e11-80bc> * REQUIRED
    5Pl46e62746eaa3se8e cc820ald9e2b08ar 37ftbha4d40b9d76is6 5dee921f8i73beccbcel44dd c-23>dd1 * REQUIRED
    55d0c7P887lecab8fe83cba515se 3ecd4l88c94e714ed0e33afr fth0edis2 bfi1e13ld9a0d0 68796-a>3b4 * REQUIRED
    6cPleda9aa44f7baadsefe 4ac1lea9ar724d btf2hc914f837ic1e81saf24d8 f0die4dl4924cd f->6eff4a3 * REQUIRED
    192e1Pcle505a894acc51se536 cdcld40e51d339aede911crc e5th707f7ac4is f5ieff02d26ffld45 1f-a> * REQUIRED
    aePdfle2a243sc2fe62 cl3e4e30cdae1ea287f2a4r62c7 28e2t7cfhiec9a09s d030fid841de6ld53e -b1>d * REQUIRED
    bc9f6P199c16lf21eas1ae2d4e 87ce7lddcec4far ath3i62easa 0df3i1ee701ea2fl3edff762d b-24616>0 * REQUIRED
    9Pl7easdb5e62 0c98l0118e3arfa94c e6th69f988fi9c8fdd1sf 71f455di5e3d16babb2ldda99c15 7d->53 * REQUIRED
    61ca1Peleee4asa49eead99 71618ca3cldead8rad the0032i4s7 8f1d4i97e5eldd0c834e5c9ca29a d-b>72 * REQUIRED
    53e090c424P01cfl41fe43ase c4ee909lear ebtfchai07se 7b21f37iae4fl541d 8f6f3-0f25e3>2e5ee3dd * REQUIRED
    154407d06ded3d69Plae5735a6s62e278ef0968 c0clfe3ar2 07td0h6i9s eafid6e4ld3 1-0>fec32e192872 * REQUIRED
    45Pl0ea5cs65ebc 2clbedac343r 0t7bbh607dais5 bffi8a9ec66l3c015d 9f-4d2dbeaada76d6aaa>4bb25b * REQUIRED
    9c1Ple303as94ea8 abc04ldb39e2ar e5a09d7e52e45dt56hfise 5fbedeefb70aiel6d22289c a4d->287ba4 * REQUIRED
    dbfcfbe00862c653af6bP6b2l0e4as9e48008ff ce04ld7bbe6a0r thei24sa 0afie9afldd8d6 f5d82-21>a0 * REQUIRED
    3cb073c05Pdfl7a28e00a0bba70a6se6 592d86e0c321eefd7la2debc6a15fr3 tdhi3396s afi7eld 7-c>b82 * REQUIRED
    1c269eP27lea0d3dsa34e8 cedlbf06f2deb0adf9r tahifc8a4400c7ddd30s 90d64fdie3dl3d6 b-d80>299e * REQUIRED
    21Pcl5b530e2easeda cl56ffde4a0af9rcc 7cath013i3das708 13946bf3if8ee537dld8f9 9->de58feb886 * REQUIRED
    9860391e8Pb9cl3e8aeb95as32e5d2f4 5clea2r2 3bt7e3h9f628i6s64f 1fieea347l31d8df 14->8a087544 * REQUIRED
    0150P8ble5fbe1as4c7f7e b45dc77l41feeb69afr678f 4ec9t1d272h34742isf e6f7eifelc222ec9d ->405 * REQUIRED
    f8e24aP6f39le1aab4dsf0ec9a1 25840cl9aea0ar bt3ha89di13s88 af47bdi34a8efcdld4d0 db-94ef3>0b * REQUIRED
    P53ebe4ab2fld4ee9b9a8sded ac1lad2e2a83er 005t19hids f9eide1f2lfd4d662648d261b5c9 -cba>86ed * REQUIRED
    d0Pf75fl5eeas9454e19 b66e4d173b0cl8e6ar07 0t7hb84i2a7s53341 fia7ce2904ld cdc-177d>97b31319 * REQUIRED
    fP53876cl6e48abse 84c10d34lea875rc 8te82a847hicc17bs6bb1 4e63f2fic8e5l5a3d -08e082>9d02ce5 * REQUIRED
    15a0f9d4P2185cle9a0ese71 c589d7dleb302cacr88 23th1a6fi4s7f bfedi9baae7lec8226ded de-7>d8f3 * REQUIRED
    993d87fPl881f8310ea8se1e8a7ae8d53 72fc91c3cld3e8bd0c67ar b434th86i0s fi47e18d9ldd9 -1d4>84 * REQUIRED
    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
    9a36c83f95b84Pa487dl8deas3da7e6fc53 clea1b7r62 98this5 363ef847ca63ei7901a1cedldbcb fe-b>d
    bfcb60e7be0f78cPlebe7ae0ad43s3e4de 47clea04ar a60b3602th0ei6es 3eb27fei3e158l5456d755 6-7>
    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
    Important: Yo1u0 may 82be maeking use9 of autom67atedc form3-filling9 so2f5tware.c This ftybp3e of software can9 treig0ager4 our 7hidden spam-detection4 syastem, 1which5 will block you f5rom submi8tt1ingb 8this6 form. Itf a91p8pears0 that t4he 3pr5obl0em could neo41t be6 aud5tomadddticallby cf2orrec2ted. Please clear any field w9hich 5appfea4rs above9 with c0orrespodnding i1nstr9uctions8acb072781a37 d451b5e326b347960fafc59048bd0a30fo617r15ede c0e0e8e11192cb0comple7tding tahed9133 defor3m e3i74n order64 6e6tco cforr1ect6d 8th4e p2robelem. 4We ap1beol8ogbiz2831e ef3or tehe inc2eonv74eneience eand 44we a9pprec176iat3e7f your5 u0nderfstadndi1ng.6
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 10:07 AM EST
© Element Athletics Element Athletics