Registration and Payment

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

  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $735.00
  • middleclass~spray
    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: eYou3 may57 3be6 mak9icng u3dse of 3aubtodmated form-4fil8lin0g softawaree2e. Tfhf1is typea of software cadnf trig40g6e6r our 1040hidde9n spamdb-8detect1ioen system5, 6w0hicah1 wdifllb blo6ckd you from sdubmitt3in1g this form. Pdlease1 scef6lec1t 36Fix 8bT4his9b 4ff77b1917c2c7f186acefb45f4b5cf6od3633fr13bf33ecdbd 2e09fa28de8ef60f92fb7fco9b8em0464e5ple1ting1025 et78dhe for662me 0i3nd oerd71c47b32er to 9cordrb34ecta b1bthe p81r34cbocbfld7f8cem04.
    Important: Y1ou may1 b7e makiang u3se of au3tom4ated 0faorm-f6billing89 softwarde. Theis type of software can et65crigger0 oudr6f hidden spam-detectiofn sfystem, 9which will bleock you from subm9itting thfis form. I8t ap6pd3ears4c tchat t0he probl9em could notd 9be 1aubtomati8cally cdor6rec0ted. Pbcl3eas52ce clear eany fi1e2ld which appeabrs be9elfbow with 2corresp3ondi4ng instru5ctionsabc 885a05431fef81142536a4070dd7b7ae4fee9bb8994b7f809oc1e2911e6r75e8 d1b73com8pleting t2he1 fobrm in1 ord9e4r9c to 1c7o73rr6ect tdhe W3eb apo793clogize033 77f3bor 9athec in928conv1be1n1ienc1d7e and1 wce ap84preciate y75our uffnc0derstand0in4g.a0
    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.
    097cc0Pl43ec6dad5e91se9f cc9leeaae4a085r42 b4tdhd2ide1csd f50id8eb5c6ldccd6 ae-2c>c3141d6f * REQUIRED
    e99Pleab1bse 462db2c505l09e6car7 b0d6th3i67076dc3s7 b6bf4iedd77c9a73c0ld6d6e0 2588e->453fa * REQUIRED
    Pl95edaf01ac4fse2 c1l447e979abee69b03acb91ar52fe3639 atb1b53h01i6f6s fiebbfl89c1d1 1e->410 * REQUIRED
    6a4dPae6le7a705c4sb236c11eb6 ccd62013l4e40b8eee7a91f58c7fr7 6at5hi7s4 fi4642deeccbldbd 9-> * REQUIRED
    733Pl5b3e8f79a55854390cse8be0 cfl1earc faatdfh223ias fi7000532dce957lfd 82d09c85b-f4>627c8 * REQUIRED
    7a3fPlefb4f7b04c73bc24178asb33edf5 cl45fef233b1arb9 t9h12ei4b50s 5539fi38ecba3alda37d94 -> * REQUIRED
    Pl604ebf59daea1s6e 1c2l47eab4r47f78dbf7f 9th089i1bs498ca62a 1f46e3i164f9ec730bld 98577->5a * REQUIRED
    7f580fbPdl4bb80e3asdbe2e c9dlb9ecb37f4e7caefr4cbf 0fc3tahdis2 fc66iedcl3bfadc fe3d->91c8e4 * REQUIRED
    783eP7l4316d5ea5fe25c5seb021d 5ce9f234leafeb9a032a209ra 9tfh82fis f89i3be6edlcd83 ->481380 * REQUIRED
    P2cl81767ad99b88ea26212se cclc115aae0eafr87 0bt6h1icb24247c2f7cb9s 6ddf3ib0eald9 6-a>22319 * REQUIRED
    cfce3c6Pdl7c2e9as35d6e cle42c69bbbd026a3a80afb255r t1hisb13b548b f5ield1ecb112 ->78150e04d * REQUIRED
    12d6Pl3fe53ccdas3e6c cl2a6ea80ar03 2t04ch4eb36i60s99 9cc193f1i4e206fceld2c46912c4b0 0a0-6> * REQUIRED
    33a076P43l244edb87afbse 257c90fclear0 2etch7i460f61dfas02 cf989ba6iaec9c9bldc5634c8f4a d-> * REQUIRED
    88bPl14962ebc564e1d9e8da6as20ceb cfc5lbede6aa3513d8er b4t2he4iesa0 f0die1752dblad9b0e b0-> * REQUIRED
    ebeP802l4ea7asb30bbde6a136d cle8aea29rd1 tfah84b3b2fdis07805 fied0eleb3fd6a 5-c9d09af9>ad8 * REQUIRED
    558Ple49a31480418s88631e c151le8arc b547th172ib2s31624 fi88d2e969lffd854d 9-3176>326a93566 * REQUIRED
    7e2eb13Pfle8a7s4e0c61 c6c8l856fbce93ab03e59489a51re991 52tch08bis7 74af6ie3le6a1d -bc>092b * REQUIRED
    abPd62l7073e97fa9sded05 58cdl37ea1r this 3b54928725e5fi5fa1df7d674189e728l678dacc c-9b>eb5 * REQUIRED
    5cf01732fb99Pe4l2eadds808e97 c171l6ear9fc2ff9 6th1i5s b0fca9b92e9i50e9l9ddda723 -b77a4>062 * REQUIRED
    bP3la7556cfe40a273a8scf59e30be clb8b4ebafar8ff fb926thi8sc 21f95i2e52l6fd76715ef0b f-6>4cc * REQUIRED
    e9d54e32P2dd9d007l6eaas7ce93e 5ac3l2e5a65fr tc70479hbf66d82i00sa84 fi46f9eld264f2e 8f-8>a2 * REQUIRED
    2d542a3ePlfec2asce7 b9c8ld76ecar484 ft6hb3i4s f8i798eedb0301ldd7fce5fcbb670bd 294->9b78d14 * REQUIRED
    c7e855Pldaea0cs14735bec1 c61ebe91fcl7earf79bc 9th59is a2bf23cie51282de8lceb068d3 -c>14f4a4 * REQUIRED
    7f386Pfle3ase66f8 23d4e91c2lf4ece9a2r thfdi96b1a9f7s 9efaf3di4970fe25cc61bl7d -500>9a4ae48 * REQUIRED
    Pl6e88a5e4dsee0a4 cleda10fcr 1b4e51tdff55ba96093d0641hcci9s 6f37i65eld7c5a41a -c464>531046 * REQUIRED
    Pbleabs24a95a5e 59d90efe95cle9a17r184713bc 9ft83afhi8s e83f53237i8eeb4l4c1d31aa7 a-8c>169f * REQUIRED
    42cc24044Pblbe9e4ea0beaa3se1 c8l97e4ede8ca4r38 0fb35ccfthis ef1f0i08d8b086eld 0-7>51f5e848 * REQUIRED
    91adf9P5lea56b1s1de9 8c3cle4bb13a55r t0h729i3sb 21d878dfc4d9673ie93l0dfe 120-dc9bcc3564d>a * REQUIRED
    9d9P18f184f20dleasfafebf b6c2272bdldebcfa3207rcb dth62ai1bs4 4f49i9302ce808bl181abd ->b5e0 * REQUIRED
    677a56106P5laec8b7e2c21ase7328 f5cleae8rf87927 4tcc9h4ais 2f57ie58l89707f94ada6 -daf12>623 * REQUIRED
    8641844Pleaa8d6s2ef342 d3cle3792c8a88c72cr962d3e6 tha3ifs 5d3f5i5eelf81dd8d4e 6->cd6dd5cbb * REQUIRED
    a8P24c9l9a9eas408e2 dc9l9e0318a9r92d thi1557fae4s0e2 9f3d5cf5iael6c38d1fd 6ed-8f8a7955>761 * REQUIRED
    aca9P1leba4s3caf67b04e63 ecl54f3d8eeeb17214ar 6dt56h5b386i183s faib82c3bbb52e5c4daled -bd> * REQUIRED
    37P02b7le7a61fse 9f136000ccl72b72e70c1f0bbaardbd4d6a03 th1i36sf2fd fi528eelad22 47f8->0c59 * REQUIRED
    a6dPele122ae13s2761ea 6c7bl0ec59dar0 01fthid28s fiaelcc4405dd2b7f6e -3ab0b006ef>c1bfb577be * REQUIRED
    f068e9d88Ple8ab8seb 53c429d6c2l59dea7r th466814fa0i1sbff01 f2deid98el29f34d a-b13a3e5>8add * REQUIRED
    c02Pl13eef4c037ase5 cl42e8cf2ac7r5a76d 1df7th70is b9d7f1fd99i8fe0lca94f9fd8672662da -d>8c4 * REQUIRED
    26P42lebd5cc7a2sc840e15d cblea344rc 89t982h2if5s5b 19360f384i7c3b8eb6e4la2a1d3c3d bb->1b2d * REQUIRED
    P2f4c9bl382779ea98se 5ec9el5ea8r cth5if533c828951sa5350ae992 ff25i2e52eldd9 cde0c5-5ae>a68 * REQUIRED
    31d478fPlf051e9477a1aade0edsb7e ec9463lc93a6eeafra5 thdi43s2d a9f4iae973lbc59d089 bb-69>f1 * REQUIRED
    9562P67b17lef3dasfae8 cec26cleffd640dd91cda1r t124eh2ie2s 067f8c5fiedl4a07d6c e-b>fd4686df * REQUIRED
    e2387Plf3e3a3see dc4b72le05ba3arf fatae0h6721if44sa68 9f8ia8e0l93c70881d 17869f360990c4-9> * REQUIRED
    7cP9elbea4a6b3cc1sae c320lcf9e2b963aear7c 4ffet606299h3is47 f32fi8e50089ld 98c-52>ca0ae68a * REQUIRED
    fcbb1dPlace30a89e2s816bbe1b92 3b3dc14l36c0ea854e2f5r36001 t1eae3f8his 19fda1i9e4b5l7d ->3e * REQUIRED
    d9P89830d9a22blfeefb47a8d3b35bse f1clde07a0r47fffbd athie6s5c8193b9 b29f5ifel9d -0>1370ec6 * REQUIRED
    540dd7cP29l14b27ea5cs0e c825ld9beb7a9crd t42a6bhei55f5s1ad 095f71ifcedlc60fd26 90-4fde3>9f * REQUIRED
    1b04e54bPal9ae4bbdaed0as9e78b7bacf5 acl71ece6a9a4fb8br t5e23hdfei5s2b29 ffieae4ldb4e d6b-> * REQUIRED
    66P1le86aseb cl8e9b52eafde94a9r th66648i5s2 e3a644ace7cf7i39e52585alfba8adc716a e5-823a>79 * REQUIRED
    P81c22cl4eab4054se c5le831d0a6bd88d5r5 e1t71h34ic2esb5f3cf3438ec7 fdibe8l52d1a -e9e3>579d7 * REQUIRED
    648bd553aPl0d06d817eba1se4746a 1deccflear67 thai0se5 f1c4ie1688a9436de9ld -1d753>e9db28b60 * REQUIRED
    5a0baP2lddbefabe2fda6cs9e 0c1ble7a291cb052r8ce te6hi34b5s9e3 4844ffi3eb051d3led0 2-15>88dc * REQUIRED
    2P75el761fae2e4ae224sd2feda 162c49l5e6aafc4c706r t88b9fhceisc 7adf8991ie2964l1fcd d6->5120 * REQUIRED
    81ddee2d1P1l5bfdea315bcse2ac cca3b4le97311ar 4758t1hi65c2b1s 73cfef64ai30ed09ld 0-44e94>74 * REQUIRED
    85535P64ld55beeas24e731 ca9c8blb46e45a7er t6h3a7aia7s7 f4d15i036efddlf93f73cda3 e-930>ca6e * REQUIRED
    537P33f549l2d537cd760bcb5637a90ease91d cc40lfee7ar3d5 23ct3his1 4008efd6cibefld8 611-b06>f * REQUIRED
    3P7l4eaasf25aef70e9e 6cae417l25b87aee9e13b301b6ar da33th478i4c5419s258 fi9e1lde5e -b>05314 * REQUIRED
    98acPflea137s459d756eea0e cd1l52ecaa83r ae0ta9f424hi2sc6e f5i5bcel4cfeda599 3-77>1ec1a0a7d * REQUIRED
    P9l7703fea2sef96b 8513c7574lb7a5efaara07079ad th68987c7bis f7i5eea6dc473bb7l277a7c3dc -1>d * REQUIRED
    8dPlea9s3feb fc402e3l42c779251e0e1ar09842d9 thbid583c5sa67 fca0ie7e69l0acdac bf8-7>17254ff * REQUIRED
    75b71bdcP5565lf22e8asedcf6b1 2e4cc0dl2530e9ddf01ee5a2a16r0 te40cd0his fid421el1d0a0d -d0d> * REQUIRED
    cea7fP8el2eafsf2a7eef c088l0e31353cd035bac273r thi78b3s50 f199iee1ld94a330d 8-3d71>c6ba35f * REQUIRED
    ae140P2818e6l6e5daasee 9fc9ad7e4d4le0fc5910a39r1 793ed9ft2his411 ff1i2faeb9ele4d0 9d6628-> * REQUIRED
    20aP9lef9fee41a8b0779a79fs7e3859 7ccbealear2404089 ft500c2dh9isf f0129ife4ld -34ab6a25>149 * REQUIRED
    ccP282aa4bbebcleba19ase9 c0059lee62ded150f1970adr5de6 5tfa1bh56a66is cbfie2bc8ld -3bde9>b8 * REQUIRED
    a9efP3blebe38adsde f2302c1le1b28ar 6dtf7a1876h2b3c01is2e57b d42efi6el2dfb 3->93906e8bc3696 * REQUIRED
    c1Pldfe95b7ee5b243a229b4se cdelf4e4ea8d926fr aa5t3hi9755fbsc14f fi212c21el1df -53e08964>0a * REQUIRED
    73aPl05ec30ase fc8elf91e6a3r thi2611bd8as7a481e1a644ccdb1fc 9bfc3i8befd786c9l0d ec-afc4>4f * REQUIRED
    e976Ple02as446c1e9b4 14cle196e5ar0c2 76a3ct28eh22i3d122s3a cf7c5f1id7e7l9890dd -39f>50f5f6 * REQUIRED
    2a1c8Pbb0lde0adse48 3fcleb8ca9rbb366dd f50tch2i3s7c4 ff99iaafe4ealddfac6ae4b4 d83a12->fb96 * REQUIRED
    4ff0P8cb8lea17ase7a 8c9c9833636led4cd98e1ba7r e5508df7tehe3isf faibd85el7bd9 -e8d>678c0b8f * REQUIRED
    089f2553dPblb8955f9e95893eea8b4sec2 2a613cled1a0r e06thi9sf 6de0fiec07ld 3111323b9e-264f>e * REQUIRED
    P4636led22eab313a8cse3 78dc8le1ar 4batb27h3bc3bis4 1ca1873b6c6fi27551e05e9el0788ed 5-6025> * REQUIRED
    866ffPb1fl93ea2s3ed1803ece9 0dc9cl6ear354 t79hicsf502 fc6c67ielb1d1d6797a82ed9e94 -50a0>d8 * REQUIRED
    6Pf0l2b26fe5a65945se2cb221383 clee8ar 1t262bhi4s5eba83 3ff3di86ece16ldfb2d08c9 3-de776309> * REQUIRED
    6e99P8844ld41e48as5f7e85b31db cal63edf0adcar6c0d 1thi8s 7a61ae1b23bb1faie4b211ld b-f3038>8 * REQUIRED
    b6cPl4eda7c9s6e3 e9clc88e7bda1e03r8fd850 86bd8t42hbefa7cfiabs06 fi3edl8d1 05-194ff3>2cbc01 * REQUIRED
    b62dP1l91a01eas221ef cl0ee2a6a31aer9f e5f1bc13e8c043fthai1sbf9c eaf3e7f364666ie7ld7c 3-4>7 * REQUIRED
    Plcf32d0eb1be3a4e1s9beb1 4cla2f5ea8bf5r6 700t184000hbibs9 ff7ie0l0dd944024c -55ae2752a>457 * REQUIRED
    1P28168l6c89fea5sec 04c93bc4cl0eaar0156ed 65thedi7s d9f4012c5af911419ibe95befl8fd7 6a441-> * REQUIRED
    15ebP113ca3al149febe4edb6cas9e77 82adcleefac562r t34e230hids0c cfa2i0cbelfddd047 8ae699-0> * REQUIRED
    de7cPle58a3cs97ce5a314 c929c9l8ea4c0r1 tadhi155f5c776e0cbs f70i9eelc82d 33e7e8-3>c24083c81 * REQUIRED
    Pb6bl3c5e16a59sbe0a bc68a9a09lef0aed429r6bfd9 1at7bh37i4s fe3diae2a0e8eel8d 801b00-0>6cb81 * REQUIRED
    45f01e14Pld5f5ef825asde 9b6d760ceecdlaea7ac4f9r 9thb1f50dise c4f9iafecdd2ld -bd9>3c34cea68 * REQUIRED
    dba2c467P980872la902ea6b2dsea85 2f4a0cleafrcc4a6a4 thaias9a1a 2f637i9ca1a145cdfel7d0 -b05> * REQUIRED
    dP5b4fl25eeaa8absdee9 6clea6fc50r dft5e3ehea569cis f57dfi8ace5ad8cb7lad7888c422c 0->b05e88 * REQUIRED
    dfPla0e60a7se2be 6d859d24bd10acd9al81547ee6f478far dthe8is afb06ie9a63d9d5al3da 1a-0a852>9 * REQUIRED
    68528Pab2cb6l1e9cefabe8a1csf57eb6 cl0075a7a8a6b3ea90r t5hi2sf6 f7ielc42dece8b579 -da822>d6 * REQUIRED
    a1eeP4l8490eacasb63e c0l5a52771e32a9r5 05468tchbi965s3c9 9fi6fedal3989d8d 9-4e4b0f>1ee48ab * REQUIRED
    P0bfldea7s12e8 b5acdlea4a4r 75bbt0h27f5ais313d983a7e79 cf5cibe369639f2fdla642d8 01-8>56525 * REQUIRED
    aP0l7f6835ecd7a2e7ds2b40e 61cdl623ecefbadr 84ct7679haiefe7s5de61 6f5ibe82l9de93b b6-1>eda9 * REQUIRED
    dbbc2Pd17le5a98d45aa31sf52229e3e 6cl8ea8266d79f8ar7 dbth59is8 82ff5icd80822el7d50 7b4->493 * REQUIRED
    15Plce9daa1saec6c e4cl0c365ea13r1 thdai3s7606 df8fi3edaaef4f65ba2664l9cd0 -c8f3b>029df09e2 * REQUIRED
    f2dd2f54P75e905d0l807ea8s5e cl30ea87383r00 79a0th5icdas89cbae4d07009 dbfie9bf290ld c39->32 * REQUIRED
    0bfb72Pal04690eease6cb 39d6dca3c6l5199ea4cr 0ct6hb8i0354e19s80d ffi4d0e81l74d454dc6 -6bd>9 * REQUIRED
    7c374P39l715cea33s7e9c304 ebcal3d6dddearf tf1heb78534f2is fi9e1le9bd6 99db80-f57cb9>8c1686 * REQUIRED
    956dP4leaae5742e4734se c5e2blded6168earf6 69this049 f2e2d9c2c9i6e47ba3f1clf440add c37->751 * REQUIRED
    c5Pleac1s7ec139 clf2fd578bdcad5e6ba27r f3594516t8hies 6f35f6i6e7lea4922a0210d 2ef-c>efff88 * REQUIRED
    70ea03Pd4l34be334easea c796ld6f1e7ae6ar2c9 t83a8hc75ib2s c5f9i2457effl22a7db6b ed23->d37db * REQUIRED
    cP27l3051e6ase 05aafec08e9eld3e1fa158rb 2030teh78ai00s6 c2f2a8dd6ib20c1eel1d0d 5943->d7658 * REQUIRED
    c9991P06lb1e88aas30eed 2cdl6e6e4ab783r3124e 1t4hd8fifs fa0di6169e8l84d580f5d 93d3f-b399c>1 * REQUIRED
    0P5lc8ef0eaacffsed 4c7l7efe93a571b03abr3d dthis 96e1e7c56fie86c8e3l161de9f9 d88ef7-2>d8c1b * REQUIRED
    bed21281Pa5l6e49a422af86fse69 5ca3le8a7r t312h1ibc8s8 81d4d2f0fc1f4i3eaf23l4a8da 1-25d>cae * REQUIRED
    58fa22fae4e9P9leas0d2f1de 7245c6cbl1cc665ceac7a4r982ae tehis41430 f95fi7eld6 51-6>6804e45f * REQUIRED
    398832P67173lefa67as8903e4 ccl9de9ebaba0r1 cctc9his5599f 95eef328bie4ld8cc49 f4f->eb364f1a * REQUIRED
    Pecfl8eaas6fee3d2 6f28c863d8d8fl72bebeaac3fa4r 6dtfh1b2fi2161s 8fiel55cd4 e->2b361c51dfc55 * REQUIRED
    dPcled9e73a17d116d2196sd1e01 848a1b1dc28f4lbea4re t0ahdid67s13 f15cdaai533elca986ead 3->6b * REQUIRED
    f1d85104Pdle9das6be6ae5 abdacaf30lear6b5 adtc0hbi6s fdi03efdcldf5e78d748d8329 ff6-3>ad3b34 * REQUIRED
    f602dPle690af9cse67abb79 cl03772e99bar tb26h109994db3is 2dff9bc0fiel80c0802a083d 6-afde>be * REQUIRED
    Pflbease7 d7dcbcle49bea0c47a85c2cr681 athi1acs080 f24i8353b783c3440eeebldc 844767-fdb74>30 * REQUIRED
    83d0P5l12e9aesebf43 ca38clear380 898d0th048cebi5ca9s4042 baffiedc78ld cac76-35e>a463b42608 * REQUIRED
    P8649le9bca8a07s519edc8 716cb3l5ed771eefe9aare5a f9atcehi918s fd35if3c7eff12be6ld -dce>147 * REQUIRED
    b63590Pleas36f8dae2 6dccleb6e1a2a52rfe149b78ee 47btafh00fais d5cf436dfi1elddda83 9b2a-9>fd * REQUIRED
    b8c29f07bc2a3Pc15d3l0eeab2sce cle95a61acrc2 6a5t2h0di72s4871 9f95b1ie9l4d -c9b33e>6b927ebd * REQUIRED
    a70fea0a86755419Pdleab5b79seb 122b68c1l71eaaradb 6t322h8bd0i380s f32id0fd1e41ld889 c->5e77 * REQUIRED
    3Pl9692a8d832fbeafd2d54c0see 12ccl9e2a25f3r tfh09id699835s756 afi600eflac14dc2219 01->17f5 * REQUIRED
    P01le3eas2c791ed427d7bdf 88c2e49lb20eb86a4c4fr 38d93e7783bthc8isc4 f6i2e9d84c5eldd4145 -2> * REQUIRED
    3bPcb7fc53c7laeasdecc c1leaaffrd39dfa90b06 ctf6h4i9safca619 6067fiele5bf1deb45 155->de57af * REQUIRED
    Pclef58a46f67s4e34df ccl93e3dfd25844ar d084t1hid0bc3as4c0f ddf2286ifabe7eelbf3d8 9-cf624>6 * REQUIRED
    P5103efleaf017ees4bdb8a9edf32 3768bcle1a1f5dr ctf69hdec5is 1fie13l84dd43 2d0e0f81bfc->c20e * REQUIRED
    87Pblea234629e9se c9lcea19rd8c 421e9ee6439a44b2t7h09i78s 1f18fbfe0f9iabe0l6cd d66-60>781b6 * REQUIRED
    aebb7bc1P34leca098cs9e6e92eedc7 4d4cd4lbe85ar8d96bc 9t7fh6is27f7 0f43df2i91eldb4d c-a68>c1 * REQUIRED
    6555cP66l4e8fe5abs7ee1 c5l6ea6494rb 70549t191cf98hi2sc58 fe9i3f9fcec327b08ld 9-645>77a68ee * REQUIRED
    5P0lefaa57e0bs857e3 c2aldebc418ba3a05r atae9h4a28id0fs26b9d41 f7e2ie3b833el83d0ffc41 -2>b4 * REQUIRED
    3c359Ple0ba0sbe1 0c2la9ea39c5770cf9f435r1a ct92hi3s1e 5f9ide3dfd549d5lf4f3c82dab6d0 e3->66 * REQUIRED
    9efP7dlf7c0dde34aa25d18s5ec3 dc88ael3ear7 1t9b2hia5b3s9 fi4e22ld45daf97bb a8b-813>9fb05465 * REQUIRED
    0076c9c206Pl113e8asa5e 9c6lbef4ea099afar99d7 t98b76h6fd34isc91610 2fif3e5d7f8lfd2 -85211b> * REQUIRED
    4db51d9aPe0l4ease4 a9clfe33adaf30re 6td3ce4h349isd89a f2b8i0c843e8l37d8 69903343a-8cf>97ec * REQUIRED
    4f0cdfe5a8Plae8811f46b0eas6168be cel074feaa52crbdd7 8t8b09h3i609s8 299f3ide791lcd78 -a6>2b * REQUIRED
    c447e6Pl9502e95ab9s5e95fb 4bc0clade3379a4aae07r 904t2a3hi87escb b8f5406ai6e0bld2fd 5->952d * REQUIRED
    6ef2fPlea4dsaec0276b bcl06be0ca5d1dddd7r3 aea1114cth1a5i15ds0 c3efi809ab9bel5dc9 4-4a>2e28 * REQUIRED
    2e2e47db13Pl9ee2b4eaas192e0d9e befcl7bee3a8e3afb51e54758r3 t994hi0630s fai3e571eld5f -3d4> * REQUIRED
    4940Pl0ea3s338e405 ecd34cal3bee0feb58a8drcb9a 775t652ahi0aeb052as8 7f9aiee5a04l53d5 a78->5 * REQUIRED
    8a03d6Pl1c47334269ed784a75s88c4e71 f2clc7971eeb67dafare d3t0h3d56d1ifs 3fibfe9cd0l02d7 ->3 * REQUIRED
    b93Pfl617eda1af2sd83e cled90f8a5r43 t8hi1s01 4feaa65f35548iefbfc8de61fl715d66c8 -0>72d1f2c * REQUIRED
    6e0Pcl9e0ase8f260e 80d792c4l21cfeae95r 414t88ahi6f5fs1d549b3c12 d96bfd40ei88edldedd f6->16 * REQUIRED
    441Plf4055e7daseb53 5cle364ec8a2a4b5450589874rafe 9t077c44ahec1isc 7f4252i3el76d454 ->40aa * REQUIRED
    2d12b63f5aPleda148s5e 656c79ae2le1483e4b1ar2 4t50hid5s4f1 fiebec6ld5984 fc08e53e409b-57a>9 * REQUIRED
    7c4fPeal80ea07s5f123dd08e3e1d dd99ca87lafear 9t68h6266i3f3s830e6fa12 fi73e00lf5d -1fc9>f0e * REQUIRED
    Pl8e5a24se 0cldc644ec2ar93 e408tdh50ifsd ae22eef7835e8c23f6d5cae2ia73e9981bd6bld0 ->457d7d * REQUIRED
    Pl4eafdse c67fdb0bc0dl53e5e0719aer4aedbb6d3 ad8t4his f05dc3ib1583e8c6e2b35lee28e652de84 -> * REQUIRED
    a96faPc2a2813df47fle03a2se67ba66b 4f2cfl00fc466f1e9arf93 eth8c1i2sb6 f7iel1d 0bd1c651->133 * REQUIRED
    8bd8fbPled6e7a061d0ed9551e5s22e297e bcbl225ear 7064be5fat40hbi6fs0e faie1036l7d 6322-56>9b * REQUIRED
    ab1a25fPl87ea3039s9e cle9a4r dt5ab8ad4ch3ia55sd f2bbia55af4e72a31244l33e3bd 10f6-e43eb6d7> * REQUIRED
    6388P8489flb85fe5afse37e cl56eareb4c98ed f9et6da298hib404sa e0e6d023fa1i284ec7ld3 8c->bdae * REQUIRED
    a44e3725dc121e9Ple54d8a8s2e88cc 3ecleeaaf9f89r f5ctchf49035is9 b5e484c6afi8e12ldee02 -10>5 * REQUIRED
    d3Ple39a219seda0 cb2lee4b954aea4fe4r 08t74eh2i440350s8 fb43827ci36ee9cb8ld78d f6a-6744>cfb * REQUIRED
    Pl6ee329b1eas9e 8c4803dbalee5ba80b31r 4b12ddtha9daic45s307 09543f4ieel4cdb a8->69f24e0e489 * REQUIRED
    6f6e11a8Pedbl50d5feba2s84e3 97bcd8le1are th7990id4sd4f f52df12685bi1cebldd 989d-308b9>14c2 * REQUIRED
    9b5P47481al28eea980a782se7c ec530d9lea6ar287 thi0s74a3c90 ffd82i68c31e1a48le27d 54-a9bc>c1 * REQUIRED
    860d6Pl6d1e0aseab clfa08e8ab9535r t2h35i2ee78s1d 9f0e39f81i7e0e22a9dflad3343623 378-29c>14 * REQUIRED
    cbP733e9le42ae4cecs54c4ed8 c7le9aar3 tafhi62s079 f6d3id9eadled483154 0353-f94f>a762948edcd
    6fPa5ld00580eas13ea5ea68 7db3c85a08le165aa6c3r5 5th7isb 7c29fbbi310fef77l43a0bfdd 2-0>30d7
    Plad8e2e8af71609sbb7be b0999a6cdl8ea2r7c6 fbtah382b2i2s aac435f3ie5l47aa98ccd 4-d3227b>af1
    f5fP6l5a16c3b5eca0see9 75683890148clebe7e35aare a5fthifcs6ea51ff71 fi539e2l9deaf0 -c183c5> * REQUIRED
    abb1dfP9624lf9c0eease68e0c1afe cclee4af6ra 943104btfh5f2b55iescc ffi8e028ld13 -087d01>5099 * REQUIRED
    ce653d27P4le78as1e d9e453f62cd7el2352fae3ad59288r athi5s fc5i55acc4be6ldfd4c -325>61adc278 * REQUIRED
    88b74aPdl7d4d9862e3ca54s570e c4lceaeb138e36b77ar10 a8th49i8fs fieb11eld39aa1 dc->502f071fa * REQUIRED
    3f1Pflf2fec5c13498bca2s9fae1e 1bcl64e3a8r0 at7519h7ise841 42fei1ed5d74lc0fd09 fa-c>1fb912b * REQUIRED
    70Pc8le3b2a26s7e2 6c64al43fefearb4 9776a6ta2hi432d3079cs 65f86ieb861l9d5 a96ac9-ae2>9c89b7 * REQUIRED
    83eP351leeeb4abs8e5142aa c16leb4ba48e8a9107r cc1ae3ft5h08b6eis3 8cf21i1ce4ld37b 49-a>ec36c * REQUIRED
    7b80fP3l5c7e3cc3a403ese19f c0c953fldaecaade9fr91d34 tcfh3f2i8s 8fdc7i4el65d78 1-47b>ffa76d * REQUIRED
    528eP692l6e5b606eacas97e 7a88c5ddl3bc22e3ad0rb1 ta2hc2bis 45fi9ced2la5b893dd3d04 ->cffe197 * REQUIRED
    c3fa32P14b78e1df0elb86ebffb217ea7abc2sceed2 4bca0dlbea6r0 9th09f9isc fib3ecbld be->aac7656 * REQUIRED
    94fcP1l71841ec26ceasea clea945f5389rac t5h65870306ib85asa 1c39f93ibdbe14l11df 1-7d>4f7a5b7 * REQUIRED
    Important: Ybou7 ma7y be making use 32of automate8d form7-d0fill7ffing softw01are. Ta9his5 type of sof6t62aw3are 1c80and trigger ob8ur hidden spam-de1tectibon systeem, c4which ewi31lel6d b0lo6c6k y5ou 6frfdom ebsubm69iatting t79his fo8frm. Ple0asae4 scaelec6t Fix Thi7cs8b00f1928912b1 1432bbb08f7ec67aba141f90boc75b80r84b704de6 6c237d73b9a9a8e25cfomp7l1cetifbn0gb t7he 60feo3a04279rm cf9ddi0bnf8 ofrdfer 52to5 7369c8borra3ect t256he6 pb8r0ocbl43e893mbbb7.f757
    Important: Yo2u may be2 making use of a2utomated form23-filelcin830g so379ftware. Td3his type 1of3 s2oftw7are8 can trigger our0 hidden4 spam-bdeteection system,a whcich wbill block you f9rom submitt7i1n9g th71is f8orm. It appea7rcs tahat 4thef problem 2could not be6 autocmadti78caally 9c8o8rrected. Ple0ase clear any field whae2bich appeabrs0 a4fbov6e with c1orbresponding instructifao0nsb50 ac4ddfe7bab1abef8b9f2or685791e826573ca2ee2fad64 9c7216e7f7ba17ff02687cco0mp8l5etia62ncg the1 form90 in order6 to coef7crbredca6ata the pcr7e3oblcem. We ap8c7ol6ogize fo3r79c bthe i6na2cobnvenfience 0fadndb we 8548appreciat08e1 yo5ur u1nfde7drdst4a29ndibngd.
    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 5:03 AM EDT
© Element Athletics Element Athletics