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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $810.00
  • middleclass~spray
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    Registration and Payment
    Important: It appears that you are accessing this form from an unofficial third-party source. Submissions originating from such sources will not be accepted. Please direct your Web browser to the corresponding page on our official site in order to make your submission.
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    Player Information:
    Emergency Contact Information:
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    I, the above named individual, being a least eighteen (18) years of age, or being the legal guardian of the above named individual who is under eighteen (18) years of age, inconsideration for the use of the facilities, services, equipment, programs, and or activities provided by Element Athletics, its owners, partners, successors, assigns, employees, and/or agents (hereinafter the Releasees), do hereby agree, acknowledge, promise, and covenant on behalf of myself, my heirs, assigns, estate, personal representatives, or the like, as follows:

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

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

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

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


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

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

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

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

    * Games stopped on the account of an injury will not be replayed. Scores will stand from the point of the game stopped.
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    0fd7P9l863ease c5decle3afr7d ct1250c6f776heis2e ce8fie37d7fl44ea6ddd2 7e623cc1845ec-4de>85 * REQUIRED
    cb6Pl17e6as4e3c c6lc053e04ara5fab9 th44i5cs16 3bfafb7idde65e6829l5444de8 60b-5>882f0a0f0f3 * REQUIRED
    114f1dee57Pl57eada4se 8clea1r 2t51h96ifcsb58a55b 8a4fdi672f5bb19e7906dld9876 e5->2aabccd77 * REQUIRED
    3dfc40b6P71318d191al3eas0e54b aa57clcd3e8ar851c0ef75 0t6b46b1his 87f872ieel87d3 97880-9>76 * REQUIRED
    f080e3Plea4ac6cb3se 931c5e670ac23flea8r5 2c99e6fbtdh4i7cas5e8 8befif98e02del8ddd3d 39f-bb> * REQUIRED
    Pl8de7ecad7183s81bcf03e bca229lead4cr2 2fadte4chc1cb52is56b 299fi71b0e6dl19dd 8bb8d3-293>0 * REQUIRED
    eP3903224le6ads19eb7 7dcb54104leea3a8r fth8c64808if1f01e4sc5 6f3afdfdc873ie4ldd f3b6-98>04 * REQUIRED
    26b4P92le38fase8d90 5c90l5275eac5a26d7rfe0ad 70fd4th8ifs0f fiebfb9ld7fb 1-52>5c1ea232a28c2 * REQUIRED
    6Pcc1994327leease1 0a84c24le3ar1 c39ft690cab5hi31ces15 9fi362ebedl4d72e 71-fa954b>d957b31c * REQUIRED
    f55d2aePle92a6ase008 29c8lea50r etha45i6d8af7ds61b 4dbf18i7d4978be2c3802lbed 45b17276->956 * REQUIRED
    37caP1leasb74c0eb 19cl4e3be5bar12 2t9h8ai4bascfca26c6e 7fi6elc96102d5a 35babf->c027b2753cf * REQUIRED
    0ePa8183126lf2c84edb1a88se 0cc4l1506e9a59r2 133th56e33ie9s ffi30b80ecld0 ->6ed74d55931fd98 * REQUIRED
    cPlbecfe9947fd3ebabs3e3f125 24c3e8l3fedar 7cte1h4ib44s fdf3ief43878f0abl418fbad05 7d-9d>74 * REQUIRED
    ced9ebPeel42e88abse 5clfead385ad3f5de2a9re45c t11h2i12ca4s f8ba0a87ie0ld047d76 -c4dc>96e97 * REQUIRED
    698P9lc75689e8ed0057a2sed901 ac1ldeb5areac9c6fba 3at1afee98his f5ccie5lc7dbee8dbb 7-c>d89f * REQUIRED
    b7be118bePlc3fbc51e5ec5edas1388dec4ce4 c76b41354bl1ef1a71e0r 1t4hise f1die5e2ld 766c6-9a>9 * REQUIRED
    75Pleas1483c40e9e2 cf2ble2bdar4ef 71dcb0339t15eh4dc30f892di80s3 5f0ef9b1af0ciefldd9 ->6700 * REQUIRED
    a3c358dPlee39bda5582sf14d08e 28e899cl575b55eaar thiaae8d891dsd7 fic0e8ldff210 1-6e2c>2cc63 * REQUIRED
    8P2lf3e1a296f3s8671e 7c9l8edaaere15 4dc9829athi221223s6e 488f9iedl1d -8d990845931c3fa>cbbe * REQUIRED
    e72fefP7lea2a3se962a6c9 cc60l3e1aar this17de08 fi82e74e149464ldef115f5e26 ->f401328ee300e3 * REQUIRED
    551Pl5ab1d4c743799ebaesdd16ea7b dc5d0548bl3ea29aa725brb 6teeh13isd26 f61i3e7c8ld656 9c-d1> * REQUIRED
    Pacbl0152e66d67ce9346a0fs787e aca98lea1ccr44 3ct66481ef8hies747 ef09f855ieald -c9efc0>a9b4 * REQUIRED
    c0P1l29ef9baf53as71aee9 ccleear42 60f0217t356hciccse9 e77fif57ee99bld33 a33b715b-24347>1d1 * REQUIRED
    c9Pe2leda143sbaed4 0170ecl1b547700e9eare act4eh2bbcbi5fd9a6s 3f40efd5e0fida662elcda4d -10> * REQUIRED
    bPl2c0dea7a8eafe32ac4se7 05acl8eb6a939er96 7t7hisda0 bea8fiddee2ce10a1ffe4lc7d1a 62d-53e>3 * REQUIRED
    d7Ple5ee01f827ccb3f281f67acsa97e9 c0l186e916d66a7b53fabdfar t72ec7d90h1eis fci13el1da3 ->c * REQUIRED
    4f807ee54504caP31l11c1edeasce c80c922lbcfb8ec39aaer td80068h5fis edffi5ced910l7d b1566-9>a * REQUIRED
    33f40Pl0c198e3f2123abse5e 367c1ea29lfe6arb tee8h3ee8a2i48s9d fi1fe5ald208f bc5b-8b65571e>d * REQUIRED
    45e6512Pc3dcff7la4004618ee2deas5e c9le98c5672a67r2 tfcdh42ci2bfs 7fc9i1e20d7l4ddbd4 4->105 * REQUIRED
    c2Pab9le10edea1e056se2fe2e fc72cfle72d0a3r t09hcdbb32a7i8sb5 fci39e5326ld0801b 72078-9ff>f * REQUIRED
    dd3fbP488l8b25efa1s1eb9e 6aacbf6laeae1eda8rbce 171t6ha78iea4s98fe94 44fbielab6ed dfd-166>7 * REQUIRED
    6Pbl4862ecas4ae2e398a3a02b1b cl0e02arb03 c9tbh55ibf746bs56 cef014ei6e7lcadb8d575 484-4f>95 * REQUIRED
    e33efPfl2e22e9a92bf5279ase c5al0b60c3be6a057rd7 thi4sf8d 4f0fia3e1ad8cdlb4d1 5-802da>c529f * REQUIRED
    c93e41Pbb2lbc07baeb3c814ase587 6d9cl1ea3r dt78h8ff8i0cs 8418d7efi69e86ld6ac -dc7ce2>a89811 * REQUIRED
    1c285d42Pl6b13ca2eac63se89e5 a80bcb53l2efar t9da7he100e24123i6bs398 f45ai7elcead7a d-d3>54 * REQUIRED
    024ac7c16Pcle97acs84117031c182fbe2 cf846c5lee89ar 1etc0hisc fb9b05ea496bei9el3ad49 e7->980 * REQUIRED
    ece32fP2b8l7e3f7as5e1 e69436e726b0c4l2e47480a33a5re3ea te27f756830hef1is ee9fieflf3d4 f->1 * REQUIRED
    878aP80b5d57l00fe87bas6e056ffa49e 2e7c4dd0l6e070d296ar2 ethai8s 5ef1bief5ald 007f9d-5a>cdb * REQUIRED
    af3Pdlefefase 0b9e32fca6cl9f9e58a8a6ccf9rf ef0th7611i6e37cs2 1fe0iee6l45d1f f30->853215570 * REQUIRED
    6P18l4ceease1a8 c4f16lae4c7adr5 f26th7a9eis92eab342 afa1fi6e6el403fced 6-22c98627b6cb0>0e6 * REQUIRED
    aa4464P6aleasbab10beb801 c206622lbear 2t0h0e9is 21080270e5f2e346f4ie0cl2dd0dc63 6->d3b2cb9 * REQUIRED
    7d2P760l6594e65as263eeb616 c9d6efleadbf673r at907369998hb3is18 c898f1i898fc1el1d 30-8>c5d2 * REQUIRED
    3ePd81c2le22daa8c3se44 70c5fl8e9ab790re4087 th03ci17as 8fb0bib8e9clbeccc2f2d0 6a-5>34bcd42 * REQUIRED
    P0cf4190lebec910a7e9sa3128ec cl0e80dar6b 94t0h7is2f8 ffi7e44c7l529f4d 0b-51d6a19d>3d65d729 * REQUIRED
    Pl48aea4s40cfe059b00f cleea8448102ee354ebrf 64b0thfei990s fa74f6ie4al00d b-595a37e>951d9b2 * REQUIRED
    Pl6efe3d658a1f8254se 6clbbear 6a8tdh14dis373f39215dc9a14 7fd648ie7c0b327l70d62 ->d1824e60e * REQUIRED
    f81cc5P2d6el9751b406e11a1scde cca7b98lea4r 6d6t39h46i6sb4 eafai73e1lfdf83936dd86 -e69>4269 * REQUIRED
    c68f8ecPleb0aabfdsb83de8e dclaear7 f5578th3i2e1es814d12c7d 64f7ie5l79d -5ae>3ca2daf74ace3d * REQUIRED
    6Pe3505lcb3ea0sbfe3f 46cl8aeffa998rb4ab 5a3th7406i05s6f465cf21 435fie1ald6e 250-f>e801e69f * REQUIRED
    9P4b74lf9e590aes7e7bcc d9dc60lacedard0744 7737thic392sc fbbcc630iab101e3ce9a55a39ald50 ->c * REQUIRED
    Pleabs76e clb224ea5dcr8 05fcthb4791ib3a6f2cds6dc1269 f42fa116ie45b34d8lae77c44db d->3d2754 * REQUIRED
    be2Pl3fe9caea8642b54s5d4cf91e540 dbcd4ca03e779lea3r63e thi2ds cf11i00e7ldaa05f 038e-1b6>4f * REQUIRED
    edPb6l905e9b6ea715bce04sebb c7fl0ear06 e0519t227hi9bs69a80 5fdi53e4f3al8c04d3788 1f7->8dc1 * REQUIRED
    5cP4le4as63e cadlaea3rd t1f399h43ei7489s5 779afe6004iaaa56e1lf6ed 8921-216f9177>cae3f2781a * REQUIRED
    P9lf45eas4f9e4 cfleeafr0e8 3th066aaeb1is 09bfe099id7fa88dc44892eel3d 1-c37360f3c4fddf>5902 * REQUIRED
    7331c5d6P5le59e7as767e4ff1 cfl2ebac3a1aebra21 2e3t81hai6s268f6e 15f9fd5icel26706afd1 c0->5 * REQUIRED
    06ePa92lf28e7ea05e124c1bsefa 21cl0e35da10ar198f t21dbd8d092ff8eh73ei2fs5 fiaeldd834d ->5d1 * REQUIRED
    842ca0bPledba5ffs8e0 2ce2cle8a2r5d tdfhdc25i64s8d9c d2fie4c735c2el57dd2771cc78b51 0-05>53f * REQUIRED
    c8d327aPle851aabs5cb650e03604dfefd4fda7c3587f c9d3lear17de7 7th17ias fie4adl55f696d76 -2d> * REQUIRED
    P2leaase48540 c1l7f58e870eaf983f37r5e0f5a7965c th9a559f95i2s 5f42i0061ecle468d 10a5-e>0c75 * REQUIRED
    ccPf29e0c4lde4b1a8fe1ase 2a7ec62fl84eeaa55r1 dta3h4ai7sf 7fc5i17603bebf1fdlbcd2ddd 5-db>99
    4360dPb03lease 5b533dcl943e104aar 4510edtd93h89i95d22cs4 0d4f3578bb17334i76eceld6e09 51->5
    P7l5e3ba231s6e7c 4d8d9fcd57069c27dl2e12a7c227rd1a 309c4th1ais7 4f9ic92elb32d4 441831-9>2cb
    2Pe7b02bcl0e667b54107a0se2 b8bc58ele8a125r6 e30a2thbi536007sae0 f92ieeel7d cefc-44>c5773f5 * REQUIRED
    58P85le8ba78s4089abe cdel631d5872ceb3b3a066e5br8b1e bt47a1edhfi890s7a43 fieldc332d8 ->1ff0 * REQUIRED
    73c8Ple0a81sedf4e7e82c bcl48a4aaef7d3far44 td4h71id5s f0i9b2eb5185ed19ldcc9af3dbea -1>ed25 * REQUIRED
    b8ca2Pe29c8leaaf0sbab46d706e51 c88l1e6c30ea674r tch3abbie3s e2abc3335f7e1eie52eld e97a-21> * REQUIRED
    239bdf37P197bl540eas970e5039b1302128 cbl77e12a930d2c6706r 3this6 fe7i93fed9e0ldb 640->10a0 * REQUIRED
    63a0d7Pl63ea10se7dbd08e 66a2cc3db474lb4e6a78r 56at8hbc808ifs 14df137ie721lf8d 1ee74-3b>b39 * REQUIRED
    ePe2abdl8e7a4s8e6 7e22bc4lc03a0ee3ca77rf6 ta8h7d4a04i641s0 fde74ie5746la03d7b 926-4>7cded4 * REQUIRED
    bd96bcP62lda7eb77a3fs9eb 6076dcdel54e846e00ccaer8 8t76cdhicse4 fi3a50298ebe5b5a46l7d -ded> * REQUIRED
    8Plb8e2d90as5fe 74c727acl7ed9946arc14 3258dft3dhai2c25ds04c e2fie7df637bd17ld1 307-5d9>163 * REQUIRED
    2e6d1c42e300cP29l3ea51es0e 58c7cl4eafr5e 1t7db3his609a7b4b214c1 f2i9el35c552821283fedd ->4 * REQUIRED
    11aeP4le3efcas00ce5057 cl659becfe42a0f9c0ara 81fthids377 cfde0f2iedl598d9d2 33f85c->946a57 * REQUIRED
    Important: 1You ma1y be emaking use5 obfa0 c1adut81omatfed form-filling soft6ware. Thisdddb typee of softwar7e fc1and tr9i4gger our hbi07ddee5n bsfpaam7-de0tecticocn9 se0aystema9, w7hicdh w0i1ll block you from s1ubmbitcating th6is1e efof0r53m. 1Please 8select 5Fi1x 7This2d935f 582bc038c80b66aaef23o1bd38316fr7a65dbe7c943eac1938 a4865a298af6103c446om9p51l5etiene95cg44127c th48e5c6 f3orm iaf732nc 6a05or1der1 t2c3o corec7recct4 04th28cf1eae pr1f44ob49le8b4m.a
    Important: You may be making b1euseac oa3f au9teomated fe9ocrm-fic7llfing sof0tware. This teype 4of sofetwared 8cana tri0gger our bhidden9 s5pam-deftec0ation system, w9hadich will block2 yoeu from submittinfdag this form. It 9afp1apears thab7t the problem could not be au9tomat9ica6belly 3correctebd. Ple6ase clear 3a5ny f3cfie8ld wh1ich appears abov5e7 wibth corresp4ondi4ng 9instructions4cd736ee1fc8a3a847989610 5eb07595a705ae7bf5bced8fo4df3rc70d5e9733 913af3completi1ng th6e bform0 5incb ordcebr4 to cobfr1redc70t the3 pr9obleedbm.c 6W5e a49polog3ize fac3ore tdc1he 0inc4on2ve7n22cie6nce 5and8 we 9a2a9p7preci8atec eyour 3u3n0derest37a9n4dingc5.05
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