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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $735.00
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    Registration and Payment
    Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission.
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    RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT

    THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS; PLEASE READ THE ENTIRE DOCUMENT BEFORE SIGNING

    I, the above named individual, being a least eighteen (18) years of age, or being the legal guardian of the above named individual who is under eighteen (18) years of age, inconsideration for the use of the facilities, services, equipment, programs, and or activities provided by Element Athletics, its owners, partners, successors, assigns, employees, and/or agents (hereinafter the Releasees), do hereby agree, acknowledge, promise, and covenant on behalf of myself, my heirs, assigns, estate, personal representatives, or the like, as follows:

    POLICIES: I UNDERSTAND AND ACKNOWLEDGE that Element Athletics hereby reserves the right to dismiss or prohibit any participant from the premises for disciplinary reasons. Such reasons may include, but are not limited to: unsportsmanlike conduct; possession or consumption of drugs or alcohol on the premises; violence; posing a danger to others; any illegal activity; or violation of any rules whether stated or implied. Such dismissal or prohibition shall be at the sole discretion of the Releasees and failure to dismiss or prohibit and individual for any above reason in no way constitutes a waiver of such authority or discretion. Should a participant be dismissed or prohibited NO REFUND will be given.
    ACKNOWLEDGEMENT OF RISKS: I hereby understand and expressly acknowledge that participation in the events and activities and the use of the equipment and or facilities offered by the Releasees bear certain known and unknown risks which may result in INJURY, DEATH, ILLNESS OR DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGE to me, or the minor identified above, and/or my personal property. I DO HEREBY UNDERSTAND, ACKNOWLEDGE, AND ACCEPT that such risks may also result in claims against the Releasees and/or claims against me, or the minor identified above, by spectators or other third parties.

    I DO HEREBY VOLUNTARILY AGREE AND PROMISE TO ACCEPT AND ASSUME ALL RESPONSIBILITIES AND RISK FOR INJURY, DEATH, ILLNESS, DISEASE, PHYSICAL HARM, MENTAL HARM, OR OTHER DAMAGES to myself, the minor child identified above, and/or my personal property arising from, directly or indirectly, the use of the premises, facilities, equipment, activities, and/or services provided by the Releasees. I understand that the risks associated with sports include, but are not limited to, sprains, cuts, contusions, abrasions, concussions, broken bones, bone fractures, and in some extreme cases long term scaring and/or death and hereby state that the undersigned is participating at his or her own risk with full knowledge of the dangers and risks associated with such participation. I further acknowledge that Element Athletics strongly recommends the use of any and all NCAA approved protective equipment and that failure to use such equipment may increase the probability of the above mentioned risks.
    RELEASE: I, FOR MYSELF AND/OR THE MINOR IDENTIFIED ABOVE, DO HEREBY EXPRESSLY AND VOLUNTARILY AGREE AND COVENANT NOT TO SUE THE RELEASEES AND RELEASE AND FOREVER DISCHARGE the Releasees, their agents, employees, affiliates, sponsors, or partners, from any and all claims, liability, actions, demands, causes of action, or damages which are related to, arise from, or are in any way associated with my use of the facilities, premises, equipment, activities, and/or services provided by the Releasees, INCLUDING, BUT NOT LIMITED TO, ANY AND ALL NEGLIGENCE OR FAULT OF THE RELEASEES, THEIR EMPLOYEES, AGENTS, OR AFFILIATES.

    I FURTHER PROMISE AND AGREE ON BEHALF OF MYSELF AND THE MINOR CHILD IDENTIFIED ABOVE, TO INDEMNIFY THE RELEASEES AND HOLD THEM HARMLESS from all costs, including but not limited to, defense costs, attorney’s fees, medical bills, pain and suffering, damages, or the like, incurred in connection with claims for bodily injury, wrongful death, or property damage brought by me, my estate, guardian, or other party on my behalf.

    I hereby state that I am in the best position to determine by physical abilities and limitations, or those of the undersigned minor identified above. I expressly acknowledge that I, or the undersigned minor, are in good physical and mental health and have no condition, disease, disability, or impediment which could impact my participation in the activity or which may increase the risk of harm or death to myself or others.
    LICENSE: I hereby grant Element Athletics an irrevocable, royalty free, worldwide license to use my name, image, or likeness for advertising purposes including, but not limited to, photographs, brochures, videos, electronic media, promotions, publications, or any other trade or advertising materials published in and medium.

    I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT BY SIGNING THIS AGREEMENT I HAVE GIVEN UP CERTAIN LEGAL RIGHT AND HAVE DONE SO FREELY WITHOUT COERCION AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE FULLEST EXTENT PERMITTED BY LAW. I AGREE THAT SHOULD ANY PART OF THIS AGREEMENT BE HELD TO BE INVALID, THE REMAINING PORTIONS SHALL REMAIN IN FULL EFFECT

    Element Athletics Player Registration Cancelation and Payment Policy
    1. All payments are to be paid on time (see yearly pricing sheet for program specific payment details).
    2. Late payments are subject to a $15 late fee.

    Element Athletic Player / Team Tournament Registration Cancelation Policy
    1. Full payment must be received a minimum of 2 weeks prior to the event. Without full payment a player/team is not considered registered.
    2. Full refund with 2 week’s (14 days) or more notice of cancelation prior to event. If client cancels with less than 2 weeks (14 days) notice the client is still responsible for payment.
    3. No refund with less than 2 weeks notice of cancelation prior to event.
    4. No refunds for no shows, forfeits, lack of players or any other reason with the exception of possibly weather (see below). If client no shows, forfeits, lack of players or any other reason, the client is still responsible for payment.

    Tournament Rules will be the same as USFHA Rules
    1. Duration of games will be 25 minutes each.
    2. A match is official when both teams have a minimum of six (6) players including a goalkeeper, in proper uniform, on the field, no later than five minutes after the official start time.
    3. The score of a forfeited game shall be 3-0 against the offending team.
    4. If neither team meets the required six-player minimum at the five-minute point, the score shall be 0-0.
    5. All games begin and end at the sound of the central horn. Penalty corners or penalty strokes awarded before the end of the game will be completed.
    6. At the conclusion of the game, umpires will record the score and each team coach/captain will sign the scorecard verifying the accuracy for the official record.
    7. Once the scorecard has been signed the score of that game becomes official.
    8. Signed scorecards will not be changed.
    9. Umpires will deposit the scorecard at the nearest scorecard collection box immediately following the game.

    Weather
    1. Every attempt will be made the update cancelations on the website. However, weather conditions can change rapidly and all teams should be prepared to play as soon as weather and fields are playable.
    2. Weather cancelation determined prior to an event may result in a partial refund.
    3. Weather cancelation determined the day of an event will not result in a refund.
    4. In the event of adverse weather or unplayable field conditions, the tournament director reserves the right to:
    - Reduce game times in order to catch up with the schedule.
    - Finish games before inclement weather arrives, or to preserve field conditions.
    - Reschedule games, if possible.

    Medical
    * Games stopped on the account of an injury will not be replayed. Scores will stand from the point of the game stopped.
     
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    cP1086b9837l50ea0ec9s2fb5e1 acle051a13r67dbf11b 5th4icc9s ff747ie05487ldd 4b7905b11b->afe6 * REQUIRED
    3cePleaas00eae0 1a95c3c951l6e2dda6r 8td403hi530se 905f8357b30iefc922c4lfd2 d9-b>c7860766d9 * REQUIRED
    ePb1cbdleadbs5cce 2ca09l35e42817fe6adr94 58t6eh3bi8ccfsadfe0 7afc2i6edl0dbff d-7f4d6f>40d9 * REQUIRED
    6Pdbl9e2f9fd98faabae4cs05a4e b6f4cflefc000c2ad5rc05 15bt4891hi6ecds 5f6005i0el0d3 6c->ecf7 * REQUIRED
    4P4008l51easb5ef735 c83c43leaed4r5f 3te20bd90h74i2e904s8d1fbe32c ff4eai05e5f1el61d2c ->b82 * REQUIRED
    5Pl77fe42a9s4dee5b54 1fcfcleaae38rc62 48tfa13he270aif2d7sa53fc 751fa594i494aeblad9 63a-3>8 * REQUIRED
    03e0dPa4ldeasdbc76fbe1726b 0dccablfe8f6a817rc tc497884a58hf85767is0a afb6ie6l40d a-b6>00ee * REQUIRED
    5b3d8P4d0lfc0a29fbe9064afse cle718406aa47r t81hi435b58s1 fibde2alc0da9d22b e2-5>5123774ca0 * REQUIRED
    b6Pl9fe8dadsb39e66 9ca87lecdb33e9e4e1a67r17 ft40hbi68d373cs6e d0e2f2afciel8c38d263 -94>7ed * REQUIRED
    5c4Plfea72c8724696ae54sf3e84b07 8c3a5le3aaa0r677c 0cc740tchics2f c5b8fceie7ecl5666bd0 ->a7 * REQUIRED
    d2bPd88f269l5efb08asc3409cfb5eea0d715 a90clea2r 1cth1fi2f8ddsfb ec0ad2f2d41ci7ecl5d -0>49a * REQUIRED
    5c70c3ePl6ca2b329d68e4aa584ce0sea9de c4cle0a5221rad 3t0bbh69bbis c55f4if2e10cdl5d9 c->f4bd * REQUIRED
    29d62becPbfl3cea745e8ds6978ef c316l2d4b6ed633arc9 atafhd60if41e2sd0 f1di365el8d db-e>16f77 * REQUIRED
    6eeP0lecaas69a671ee 9c06lfedar09ba5be dtfh45is6d 13bff40a1bd05bda9ef51ield4ebd6993 740d->a * REQUIRED
    de8795dP2leaa9se0 91fc8leb2373aad3ca4f2rf t5fhis 2fiaf0880c96268ea75l02d676941e -7e072>9f5 * REQUIRED
    f863e39eb31756P5lec5as341e1d9 cal572e3a157cr49d1 th83e52is66 f4af91di3e6l929d 3-ac5>0f0fd4 * REQUIRED
    34b0P28b26l3335easdf0edfe3 a9c0ble8ea61r t676haddiaffcs 5f1ab5036f80ife72b9ld8d 74-48>4a88 * REQUIRED
    Pdl2eebbae3cse316c 5cla7c7bedafb9ad7r73 ft3578e92h71id5s 30cf1ie8c7863el22ffd8a25bbd2 -e>b * REQUIRED
    7ed2aee9cPle66a8f0se 42cl5e3aa4e96aa0r ct6h45i03s f487di6e65le4bc5d5 97325-11e0395e>e9036e * REQUIRED
    P5ddbc4l138aa6ba29ea099781820se cblf9e12ar 26thf7i09s99ac6d dafcficeld 969->b5a81579e50a34 * REQUIRED
    c09eePl0ease2 6f5a166cl14efba0fr 5btha2a0f86e250ed52df1eise f7iea4c55lfdb 47-ab51435>e6e18 * REQUIRED
    6e3Pfal9f52e4da8eaa9s54faee 40ca4d48la8d8b5ea1dr 39t29ahias f09iec9ff9ld9e391dac6cb -1aa>d * REQUIRED
    P85l099a6e74a59d0se 6b9ec5f9cb1l8e0cd22bdar662 2btah07563ise83ca f84i8dfe2ld03e88d 41d-f>f * REQUIRED
    8d1Ple279aaseaa38295 cleearc5 a9t558ch603e1431ae5i52a6b5087s f1c2i5ef6feal9fcb1d bea850-1> * REQUIRED
    fbedcePea4l84e2as1e95c4 c42efdlea374f3r74bd ct4h8dfi0s6 af5c5c74iecl754dbb14 d-d49b6e8>641 * REQUIRED
    f1P7leabcse f03889c296l0446eba36r at8h7fi28681d8s78 a4f538ifeal83c9ddddaef 3-8da9>9873f9a7 * REQUIRED
    0631Pbdledasba8841e c82lbear0 btb6d9232hi9sa0 2fe6fa2idb02e7l31d61eed 8a78->cb5dc36e2b56ec * REQUIRED
    24cPbl3e3e0asec9e303 ac8330ele6ara 0th7bc8ci08c8s 85cfc018c9i3e1cdl5dad65db d-a73c>aa3d18d * REQUIRED
    07Pleadsebba7f6 1acdlabea35r9b t71hfacb82d4e7i98s3d 11cfie2e31l08d724d a-f64e2fb8>9b0831b1 * REQUIRED
    c23P4bbl3e425efas0fe c87al7beecdadrfd2cd ta47ffah5145eb93ibs4 1f9idd4edeflcd3a8a 60-6>6347 * REQUIRED
    18be3Pl73eccas1e3 33cl8f48457faf768bc3666eardb 5adtf86hisb7 fi0e1109ed423a8lee271d2 5f->f0 * REQUIRED
    dPlaefa2sdc7b4def5 3acbl35b89e2d290a22r38c t28h4ais9a4 f7i5c8a839e2ee3edld -180ff9a>7d78e5 * REQUIRED
    368dd7d309Pblb731aecas051bbe9c3 9c0604dl2ea802r6 0140f7d34d7t9dhi7s 60fiele16d30 6399->b02 * REQUIRED
    8b7Plb3b210ee6dase29 155fcl722567e7a805902a5r 3t3h94i1s adb1afc35dib159cel2d3bc44 -f4cb1>f * REQUIRED
    53aP8lea8a1se282 1f2c8clb486fbe7daa9bf29r 45dffb44tdaeeeahisc2d2 feb85iel0d92d c64a->7f9bc * REQUIRED
    c0Plde91aacse50e cd9fc3lc19387cde7d6ba44bbr47 t03fhdfi3s f07i78bfb6aeld b9-bbb3415>a3c5cf8 * REQUIRED
    67P28c7ldea91b7s7feb5 1claea5r ct0229fedd59ed7hisc 9ffddb410ibd62aedcld7265 7c09->5338fc22 * REQUIRED
    c591b984Plea7c907s8feb 538595cle8c1a4rf 3tf4176h20f3aisda6be 4f3ie6al5c43246df 36e3c37e->3 * REQUIRED
    9a2bPl5f2aaef45asae9220ae ccl3bearbd06 2f2ta8554h867isbbc ef93b3i1e611l8d5d5 3a52f-4>42c34 * REQUIRED
    6P64cle3aas3ede7bd78d c9l106feadbb1046cr099d9 e1th5is24 0f0eb6013036922i7d3deld1 a6-c144>2 * REQUIRED
    060P2leas89e 13bcl2c0d67eac4fe0re5 tdhfc34a5ci2cs 9e18fi5el7eb5db85 d621-3899b29c9f>f1925a * REQUIRED
    07775P285bf52e1l45e8ase0 ce8f3b1dl8e43c4baf3r9 be0thi14be8s8b4 bfi6ece5530bld5 eed-2d2fb5> * REQUIRED
    2P2200fl4bafce701a99sf0e4 242d79celeacref222 a7d9cte5hi0b06saf8 8f84ie20baddc9342l7d ->3c4 * REQUIRED
    4682P1c07ldeaa80es4be3 047cle5e3f1a9a7de6b3r0 14t09hai1s fbie5l942db692 -b2ec0e44069>45bc4 * REQUIRED
    ea66Pcl5a5e8ad5b8se270 c5ec3dlee4215b92c0d2a2ra07 0th0is102 8fe109i5ecld 8840ba-5>6e4891f4 * REQUIRED
    660Palee1df574a221sed4 595c2dle2arf2964e26d4 c7505t52bhei9s2da9df7 0ef5ddie0bld c7-4>3ce00 * REQUIRED
    f01Pdl7ec7a3csc4fe0 6166c1b0c1l29beae3br1 725f5bdce3teechisd a0cfi2eb902e560ld4 3662->8a2b * REQUIRED
    33e3e8P80l675eac62bs4115500e88f9ac8 c450l4feaafr19 64t4hi29bs2 a3fei0e3fd632lf800cd ->5d14 * REQUIRED
    91a13854bPl4e2as44cd242e0 c9ac7cle50ar7 39074d3t891h60bfa563i55sc740f fecbiecaldb 22->076e * REQUIRED
    b64aPb933dfbl181ea2b2fse2 eed7cle0ac23frc628 thic00edsefef fcfdi8el30b5cdd 1e1f69-1>0acffa * REQUIRED
    5P6l2e9a9se0 cl7952ed87a867fdr78 th0bbid49s6 fie514fbdel2d 0018cf11-94>60698ab5dd5cc0b9de6 * REQUIRED
    56b57Pf8cleab2ascf12ef 8f5c7le9cfdfe5a0r 3700tfdadac595h8e814i2s86d 4f0i2a7el1deecb 1e->5f * REQUIRED
    Pe93dl39325e68dda8secae6 dc70ab8cl045144e75ar t5h8c27dc602deeis7 f90f7f1edie5ald c4-08>f06 * REQUIRED
    Pl7d6c0eab3fse2de70dc c17l5be994dar1243c 6t2e6c0e2a0h1i5cs5bc7db 9f9e0field41bcab 0d2-2>fb * REQUIRED
    562P28le43a8s475fe0dd3 c6cd1l4eddarbc89e4e5 89dthi9edf447se cf0a2i0el7d73f0a5ae02 -f0>8a98 * REQUIRED
    f063af7148P4b4le9fd4da3bsef099 ec44laeca74r tchd06i7b3s0aa2f ffie3e26ld3 6a4bc-99>9b3b2f88 * REQUIRED
    eae3c13b0beb8cPd41leacedase d6ca2d0ala6cea8crf bth5d29eid0s 36c0f5ield5e65144a45 ->a21d75e * REQUIRED
    8c89eP44lea7a6s855205e5 ea1cc5053le6ea7b1718cc6r626b ff5theis fc0iel55b6e0de2 -7db6>3ae7f7 * REQUIRED
    fe7ba679Pbb2a5l0eaa9a88se 5fcfelde72f4aad168r790 t76h5is3 4ffe9bi6ae6l351d4 be->4d711b4113 * REQUIRED
    52Pc3le9a2s84e53 clb24be5adr0272 th4is efiecb38ec681cb4a08ca87e9al4ed1969a a4-5eda18a>4fdb * REQUIRED
    1838P51dlb076e721628a91fsb71ee913e eclebar8b09aa this4 12fb060bd7fc3aid21edb4la9cadfa ->c9 * REQUIRED
    e10Pleaf1s7fe9 b1ce3cdlfef771aaf662r 9th23ic0c483869efs 4ficeld7 ae54782c7c7eb-e180>22d133 * REQUIRED
    8caP55d03d65lc4ease e7c03fb366l3f26ear2305bf thi23s 0a706f4ei0e11c02eld -7d703a0>255202343
    * REQUIRED
    e5Pe0l55e4e64a25ds6a5c72e cfl976c46d1e5f5a32a21835r c8t0dhi7sf 1fd7ifce0e5ee78ld4 13-68>ee
    * REQUIRED
    3392bP7l6564f479b3e3983das7041fe c3l32eb09ar60ec d6theais9d37 188316f97field 403d2c->817e0
    * REQUIRED
    721d9af2Pd8e4ldeabaa3s5e4b756a4 122abdec7l71eb8ad26r6c c6f32te75h6is9b57 f09ield -f80>6a10 * REQUIRED
    71b16Plea2se76 705ccl0ef0f3804e1d89acc6a4r6c t22c8d2hid5s 02c3fi717fel3db0 -b0f>2684555422 * REQUIRED
    bc581P9be5l06aease6eaebe427 c7blebac7rb b0ed7t90dh79ifbs 168fadeafif184e14706ldef3 d->afce * REQUIRED
    0f4Pac6414c16lec9a961se 640c5cdbl0dece0de6a021r tah30isc75 bdf855a2ied4elf1be8fd f49-1>ddb * REQUIRED
    25cb6Pdl0ce51164a1s447efc 4cfl0ear7539e7 359bab42b97th2di3s cf6129eea4i8c9c6elbd4 -1d53fa> * REQUIRED
    fda6596f5P68l3e12eed08e67abc4s5e612 4ce46aleea38r7 tachi4cs 9fi5ce12dff8le5adbd2 ea-ea>194 * REQUIRED
    a0Pda5bl0de42a220se5ea 0cfccfle57a4r 6cbta44bhi8c27a7s bf176i949felf3e0dbe3f5cc -cdd7>dc58 * REQUIRED
    6P3f9c1l3edas5e1541d 76clea9rbd 978aa3t8f172ce7h0e0b3ffibf3844s352c3fb3b 8f76icfd5e8ld -f> * REQUIRED
    9P6leafs8c56e fc5l6e55377ac700a4f92dfrdf 9at87hi0bd1407sc47d ecaf3ie20c020ab328f5eld99 ->1 * REQUIRED
    057ce0Pa211le7ase01f5f c41le26cacr 541db54ft5bhi51s27 c0f988373i6aee5el9f5d 6c-109>d2ee6b4 * REQUIRED
    c01Pb4l13eaddd08s1e2bd34beb cle23ar68 c2t01h24isc6ebf 0f2a0i1e49l6db4 -a6c7d>dde545ee12846 * REQUIRED
    Important: 5Yodu may8 be4 makin2g use of a5utomated0 feorm-f8filaling softwbaredf. This typ8e o34ff sof7tw1aare c9and 4t3raigg1er our 84hi8dden2 spam-dete3ction sysce4te6mf, which bwiell bl8ock 91y8ou froam submit03ting thffa7is 91f8orm48. 8Pleasec sel3ecbt Fd9ix 2Th20is1e52 3b2b0e3f0238945e09eorea3d66463094cce24a4c5 d20574c4280ba7eda5b2bf7dcdomple02dbt2i8ng fafthe30e feform in38 or725d1cde010bf19fa91r to0 c7o582edrrecacf28t 7abt82h5ed1 2p8r1odbelc9e0m4.b
    Important: You 2may 8be ma0king use of aae9utoemate4d fo1rm3-filld8i3ng software9. T3his type of sof7tw6are can trigge0r 9oucr hc15idden sp8am-dete80ction system, which will bloc8k you f6rom subm4ittibang this form. 1It appefar4f1s that2 9the probl63em could no9t9 bce2 automatically correcte1d6. Ple4asef cl4ear any feield ewhiech appears abovdefe witfh correspodnding8 i4dnes5trucctio6ns06689ed94ee4507 9b91e29849f5073fb40o4rfc2af7b552e0cf7e4fd8f74 a2e959e830cfompletfing 1f8the feodrm 9i8n 3ord8ed3r t7o 92c6orrc3ect the p0rdoblem.d4d a1We a3epcologi9ze30 fbfdoab7r82 7the inco0nvenie21nce6 adn2c9d 0we 7dappr8ec471iate your ua0ndcer7st47ca9nding.
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