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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $735.00
  • middleclass~spray
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    Registration and Payment
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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. Payments are due on or before applicable due dates (refer to pricing sheet for programspecific payment details).
    2. Late payments are subject to a $15 late fee.

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

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

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

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

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

    SafeSport Policy and Practice InformationSport should be a place where young people can develop, learn athletic and life skills, becreative, make mistakes and have fun – and do so in a safe place. As members of USA FieldHockey, Element Athletics and its coaches support and adhere to US Field Hockey SafeSportpolicies and practices. For more information please visit the US Field Hockey website.
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    P0le6a17fasae68d792b 6fcl1e81ef2aacrb th777iba48787b9302d27s00ba98 f7aibe20ld9 ->f01a343aa * REQUIRED
    f69Pc4c81c0fl2eaa84asbe 8clf7aadfe5c8a0ar t39eahf8a9c7ise cf73354ie0el0abddf74671c51 -b6b> * REQUIRED
    de172c7P6le271a340a3csc3ece4f7e2324d8 0474859cd1lde8a07797r ctchis21 afideal5eda8b8 5-7>58 * REQUIRED
    a8d088P2l6419e2f4aa3sf5e 8778f4c4ec25l74ea8r t7hdi07s565 84f5fca626i26bbe7cl09f6db 8-58cc> * REQUIRED
    faPl149e2e7aes99ef2 5c325l1e62dec61295ear 8tchfc1is7 444ffc62b0ci0be7c1l52fd e5-de>4fa154b * REQUIRED
    a0632517cacf9d61273Pclae9b48a8secabfeb bclear100d8da5e06e 7t8his7e aff4f52ie34lcad 77-f>c6 * REQUIRED
    58eb0c2dePcc7eleafs3c9ed 52cle0a7a7ec57eab3e13br ta7he44ias f565aie0307dbld0 d9-4c8>62e12d * REQUIRED
    cPl8eff5afa6s4e4f cld1ear08 a85e6t1h61b05942c4e10c91if0s f1c79f690i5el9d e2c48e6fea658f->f * REQUIRED
    4c5Pleaascec070eb 0e3cl151e74a899315e625rf 35965cdbf0teh03i1d4c5s9 fi5170e29le93d0 -5f>68c * REQUIRED
    8dbdfPb71730172c1l16e9a0689s2e 39a898clc36eacr38 t7ehi3s 06f3bi080ael3c0daa79c5f3d -0f>4e1 * REQUIRED
    6P703ec0b9db2le0as5e 4fccblb39becaeb1r18 t2cb4c7hiff0sc6 8fa03fi8cbe3flc43cd 6372bf07f77-> * REQUIRED
    80caPd9fa5lae0a3se83a 1c86c4d840l0ce43fea2efr f4f4t9hi120s53f 6fi3e0bfl22ddd -015142>9cb6e * REQUIRED
    Pbe3l99e51352a04s39ef5 acb38666c2b4fl4be9ba714r58b7d69 14tbfh77cis0 fa1146ieldb3 ebb-6>6f8 * REQUIRED
    3621P9elea192seb3c2d 849645celea89848707r1d cf1e7620th4a21i5s1 fi2eld5db7 91-fe1750b82>39c * REQUIRED
    Pla4feascee983 0181de58c3l697ae3600a3er5128 254b5atbh5i6es317 fae6fi9efld 98aa82-823>1f8d1 * REQUIRED
    00Pb7al079ee8666adsa8ee8 bfcl7e7a91r 54ta3a1h49d3isb2 f455ccidf5dbeef18bld 87eb2-b2060>10c * REQUIRED
    002839b5f0cP40a5l7e0a9e2sfa5e99 bcccdle5e2c8af8addr4450 te9hbi9es56a5e4 fibe1ld -d3>364623 * REQUIRED
    1c9b695P0le3a9s5d08d7e dcledb0e0ffarb69 tdfdh6is1 defc489e7c31f93ib11ee07908l029add7d 9->7 * REQUIRED
    540Plae56e8asaf6ca4e605 2e6b2ece7e4lea358r1cd 1aet8h2dic2f4s97 8fa13318i4961eld7 d-fa920e> * REQUIRED
    P4fle8abcasf5e 3c837le21f447ar3d60ce th6c55i6dsa ec7cffidda9ef987ea526ae8cb5f3ld0 54-63>01 * REQUIRED
    6660P0l4e3ca71b32se 29c0l2097fbe4612ef0ar b166at3d5hics9fdc5 ffie3el2609fbd2 1f-52dbd234f> * REQUIRED
    d92P374ldeecbase d192cc25ldde28acbefre t0ed1h509daaa5i2sa4d3 cf5139f179ield0b8a 3d46b-1>c6 * REQUIRED
    a0Pbe5le5f06a25sbe c14le93267ara70a f893t74a8h7ie5s71 feb1biel1957348bd49b8 e0-4>4c9fcee0e * REQUIRED
    c7d5611bPd2ef9l3a7eda635ase 97c7f15cl2eea2r 728ethid4s202094 7f5fi11e4ld60d 724-f4267>700f * REQUIRED
    20Ple26060ea8ea0s1a9e201 c9a66lb1dde6areb c55ea51tbab02h7c031i6c54es 8fi9e84lfd 9da-8>fce4 * REQUIRED
    3P435lde3a5ecse c387be5l4ea2r861b 9b1tbehd1bibdb5e0b7sb0 fi799ccb6bb8f872eld97 af2-c>baad0 * REQUIRED
    a4ccPleca2s674e8 30cle8336507220ebdar theb1d483fb20isac 2a6c0fidebb6765835eac0lbd5 0->c7e4 * REQUIRED
    63efP2915156298flc3dd7ecasce 9bc1lec2abr t48h1a6i2csbf7eff 185f7ie340368el480af1d c->9f42a * REQUIRED
    0Pl0a1f0ecd3asbee4 601c6ldceb6ba019ara784 80ad2ft394hdfib3c97as7 8bc15180fieldc c6c59-ab>c * REQUIRED
    38bP6d9l4d3becac91es45e e9c3b8b1clef692b7a155c4rb2563e 8tchi3s8 fiel8ec01e0bf701d0 e-8>ca9 * REQUIRED
    10cPlea125aac0saae0 98ca601l0043fef84aa928dr fct9bde4hae1e2i55ds4 61fdbdieefl099c22d d-b1> * REQUIRED
    8baafP3le3353ad6903208d86sddc8e4 a79clear9 22678216th9bi834s0 1947aab3ficecfld -d>364790fe * REQUIRED
    dP5le80caes4e f6dc6l1e40ca9f403rb35d83 th90469bi815asa5 9f8fid8bcc8ce57ld95 e129166-e8>265 * REQUIRED
    933ePlea0799s833e5b15b0f ce0d5l21e9ar53 b9a83604t0bfhis8 d8fbief4l5d2a059b227 -2>aca774041 * REQUIRED
    c6P3l5f6ae5934asb7ee 3b7c9f7al5d49acce9ard 8da4766ath41ie063s 85fc3i9f6eld 675-7ce63>10f5c * REQUIRED
    2dPlb34dbe1a0s85e3 dc4lde0d7812aea3r tb7d3hd73isc86424 5d72aafe34b39i7a8eld6 -b937f>beaf10 * REQUIRED
    6Pf3leas8e2326ef48bb 88c85fl8eca9117r ac5t2hi7ds 3e1598fb94i62ee50ld03b202 52-8460c>ffed49 * REQUIRED
    5045P5lea2se af8clbfe13b4de9a61dr51 tc7h34c6bb44i86asf9da0 5dfd104ie39elcda -0f>01721e635f * REQUIRED
    0ePcb1le471aea8c71d6see 8ce6f3clf8eaa7r2 283t4hi9s8 9ef3i3318846470b6e4lcc7dd4bb ->e42bb37 * REQUIRED
    1P73le3bd6ce58aseebfc c888le72a6ar617725 4t2dh5is 8f363e1iel7c72d87dd819 8d6a-18>777ca5beb * REQUIRED
    ePl5e754ad8s20cd28e809667 dcb49ele0fd273a3c72de16r91044 deth54is9 9f0ieal5a748da 9f-9>8855 * REQUIRED
    c30b3b1P3b7d6lec27ef73aese4129e29ff1 cleec7a215r e2tb9ah24b0is0 1f2d4ci1elc3be7d3 -031>cd2 * REQUIRED
    677d6efPc20felea9fa76s89ce 1bf7clce67dard f3th54is6b9c718 5f008ai757ae5ld -8c2bff3eff>c706 * REQUIRED
    cf1095Pe7l0cbeas084ae8 cc09cfc3f54leear eet4fhc1ic58d27feds165e1 9becf9ice36ld4 12-7>9a65b * REQUIRED
    Pl75e2e6c5aas2da41e celeaa951fcd5r71c et14h3a80fc45i8114ba7367asd79 0fcie0c56b4lda020d ->6 * REQUIRED
    61c2P86lea0s8aee 7c09l6a9e4c2e6a4e22b7ab314r1 4tfhie2e2esc1f 76efieldee7e86 280-ac06>3f487 * REQUIRED
    78Pleeb61asfee4 3c9la0ear 1c38atd3f7hi6ef46s28d 65751fc9e18cd0e70edi260e91le1edcb6a -d84>9 * REQUIRED
    5e0Plea2d9f84se 17ecl87b4e4d1acb6a20cr td8h2abi285ds1 d437f6c7539ie26abcl5cd9f98fb a-e>515 * REQUIRED
    070daPle5a7e4e651s05e8 805cl8e7aca4c28a413r41e dthacf241cfib094s9b70 80de3f6dbiel6dc -148> * REQUIRED
    28b7c0P495lfa61ea8s07bedd6 657cfldeb3adrb7 t8de1h376ics fib4elfb0e6bdc9f2d6d0 4527b2-c5b>0 * REQUIRED
    15Ple8aasc3a1b3e bc65ca4elee0ar75 768t67h9c2ifb11e2asa2 f7i3adc5e76l6c2d497dbcc7a723 37e-> * REQUIRED
    77a7dd1Pl1e9ddaes449be97bf 69cle0aa481rdcb79 e4t25ch8b5bibs40c4abc9f fi1eled8a2 93-3b>0810 * REQUIRED
    2594Pa68b4lease cle2118bbc555ad1cd5r 00t295hi7sd079c03 af10ieec78ldcb89a4 5c38-06ffab38>46 * REQUIRED
    P5le1fa444sb1e cbc1adflee2a92ar89 2c6ath0i267sb8a9c75b4 aeffie4e8f0869b21l0d 8->ebcbf21421 * REQUIRED
    56a47Pl98c4efe09cas1e14b5bf7 9dce9cdla1e62ear8b 6tc5h0ica9df9sb4 2f191ai3el3407e67dd -9>6c * REQUIRED
    b70f62ePc1dl246ebcd7959efea1sc47fe91d c1dle5d2ab74r 7t2b80h936i6s d3f04i3e8ld -f92b>30d2c4 * REQUIRED
    68ecPlf75b4e079acfdsfaebdc cl638e2fba6093ae5r tbeha5ei52f5s7 4e3f8i5ce22lfcd1 fb42->bfa4aa * REQUIRED
    c81f33b6fPcl4d6ecc1asaea3 c16l32dde8bar4 t33cch2iddfds472 92fibel3d2ad40 5-1ec0850b5f>c470 * REQUIRED
    2Pld8e9c168e78aese9 c5lea6dr3 704f2dath93isfd be6433dfe1die1997lf5d4b5d3b633dd 75-ad371>63 * REQUIRED
    P6fl97dcea17a1sae8 2da049f0ed49cc09leb5afr6c87 2dthieaef93sb f8ie2acc44ld2 0-c628c9803>aa6 * REQUIRED
    8b83b0Pb2lea353se7 f5cleafa7dr 5ta4h9a8bi5s04951a 5881ba0086fe459f9ff2ie50lefd 773-44>35f8 * REQUIRED
    46c88Pl6e7c69ac0s47b0e f0cl8d29f31b5b6ebb7ec5f5ar 108tb3ehei9d6cs 8fi579e5b7l4d413 04-33>9 * REQUIRED
    8P0el51e5ase 15fe6ad8cblea43cf4999514d1fr0 thiscc69 48974963fb5ie1bld885f7 b4cd1a->cc057e0
    dP3ecle2fd5das1e7 d2c91d8l043ae5a0r tafhi03s0 bfc87814625ffi3c6e76a893e96b27lbbd 25-2d>f9c
    3Pfle3ea49as5ee53de774c72ef 45f5467cb13cl55aeabar t81f09h6ai7s f9e4a3i1fe7a1lfd2 -5e9e0>ba
    bf089aPlea42da81sab24ce c5e2lfce1ae1e0farc25583 5533tede089dh84is 4f076ielc5f5de 4-5e2>00c * REQUIRED
    Pl63d53ea5s31e0 eec8951l4c6aeecar 8teb8bhisac5 8f7247ciel2357da8cf955d23ad2 ae57-2438c>ff4 * REQUIRED
    61bP8le65c377468a6se cle5e9a1r9 thd74ff13dbdi68s2 10b0fi043adelda4bc5ba959a 81969-5>418783 * REQUIRED
    a43a9Pdleb264a0ae32sa31e50ebc cc75d4lb3ba7feaaf21bar9 a624th4is5 fb9bbdib126e7b1l243d ->66 * REQUIRED
    f5a5f8P8e6lf2eda1s0e 3c153c4celee9b25ar 1f22tdhbi4es5185cec 20bfci1el2e2d3 7e734-62533d>41 * REQUIRED
    07Ple7509ada7444a213sb00108e7f8afe5 f2c3leardecc0df 75fcat4b21hisd fi84ela1d -e8f563975>5d * REQUIRED
    5c9f33ad239P6l5e0e1a870sc8e cl0475f66eaa1d2r b81719tbb7d5abhc7i4s4 fi9a6eldb44 ->073607a64 * REQUIRED
    24Pla082e9aa39ccds0e2dd2 c3lea7rdfc 27749th8i55cs1 00dfaba449679i6dfeld07 d4231bb55-a138c> * REQUIRED
    6adcd69bPl08e70as4e707 f2fc40bbcfl0e79ar487b0cc447 85b3t9haifsac 2def11i6a0eld 2d-f30>fa73 * REQUIRED
    2a45ec3a635dPl1eafea9a4s5e0a 7776cc3le53ac28re 57thfidce4bfsaa96652 687fie0ald a-e1>1de639 * REQUIRED
    4821dfPce3lac4e107ase1 c0led944aa416e70r578dd 7b9c0447bth08i1bc5s 0fc99baidedb1ld556 -f>64 * REQUIRED
    Important: 84Y11ou m8ay4 bbe m3akeing2 use o9f a8utom6ated form-fil4lain3g software. This tf61ypbe 0of saoftdw7are cea4n trigger our haieddene sf2pam-det4ec8tion sd6yfstem, w2hibche willeb block6 yodaub0d cfrom submitt3in7g fthisd for94m. Ple1as9e s7e74lec1t Fix T1his01ceeb05a9 d5c6b2243ece12dba260e6950c924a4422056f0140c22be392abfo8b0re b2c9ab2cbompe7le49683atb91i4anfg t60ahe4c aformfa in6 8ordberf228 taco c4eorrecct2 th5ebe p66eroab9c0e706812fb4l4em.3d2d
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