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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:
    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. 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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    3bafPee53cecleea6sfe76 07ec6087flcff3eca2cadbra2 t7dhae7i54239sf 2f0ie75e950flebd -9>e91e2 * REQUIRED
    7581Pla6ee140aaa7775dfa3s72be 59f3cdblbd1ear726a3 t9c353hic0sa f10di012eladd4a9 e4e-8>5bdb * REQUIRED
    dPle70aseb24aa3 3629c6ab8clear0 51t3h0ise0d6 7ac25f62i0bc11aee23l55d7f 7779d7-46f>68ce4495 * REQUIRED
    75dadPl0feda4s99be4 87cc3elee4071e85ar th1bis62d c4f9ia9e5lb8d60a3a 81-82eff80c0b90>7ba1bb * REQUIRED
    7eP232e4feflecc6efase7b76 bcd1l7e5a6cac3ddra 3thc430daeiesc ficb74ee6l1bd65aa3ea7f a-b>903 * REQUIRED
    166491e8P7l11be38as6e 2c7d830f2dl3eae97r t6h170ic085s 6991ecfi13ceel966dd 24a7dc-c5>3f14fb * REQUIRED
    69835P5l7fe3c18e64e1eafaf9s8a5e119e1f91 c3c47le1arf876 at4cd56hd0i0sd 6f066fi73c7eld e->8d * REQUIRED
    afdccP6a345flceea9fse708 be17c4lbeaa0r2e 0t14h5is63 5fi0c95efa13l261dd7e453f 627b2-ac>0426 * REQUIRED
    35Plb458fc5e2baab4b98sef bc61lde26a8e184r03b54 fff4th2706i44ef7s2 ca7d8f8ie9fld1437d -6>c6 * REQUIRED
    P3a140l6efd703e26389994baasef8a0 c1leefa7f741ddr tfh4i68a1s ffi3e7l0dccecf ad-45c28a>389a6 * REQUIRED
    dfP24lbeaas8e 5cl8ea6r918bf4062 7t1h55d4diasace5 5dfi204be5l7d 85-9f42f62>f2889c82c8b50e43 * REQUIRED
    8db9P0c83la4easbd5e 9ccb7d8le4a666308r27236e9 fthi2e6cab244s01 70ff070e5ie2l61d 8e-b3>95e3 * REQUIRED
    e9P364e15lde5e1acsc2e 57ccd38fb13b3lcfcbear52f8 fat7ce49ehi70s2d afib03e529l8dd c-a>5671f6 * REQUIRED
    f76d0fPcda4f3423226le9a0see2 clbd37ear tbfb1hba667cb94is f59b3ie95lf5d 8b8d317-6b>5df6da4e * REQUIRED
    4b204d1f853e3P3le8ase4784f 1cl1c1534e16a943dr etehif48s efeie41b0l8d86a7f1a9b -41>e32ef9bf * REQUIRED
    9dP65lebc1a2sa6fe a531cle8a9f902r th4di7sb0009c b77f9af814ic6e6062lc15ced7 -3ca6e345bb>6fd * REQUIRED
    220Pb0da72d06fleee793asce01e3e6 30cl64573130e2ea8r771d77 tadh8di8s f7i53eald1 d8ca3->78bc4 * REQUIRED
    6e33ePl3e26ac75s54cef2 e6fcel23ea2r fta9944h87i38sbba0 fa7i88f35255eldb6ce e81-e57>e24e38b * REQUIRED
    897aP0alb9ea31c5cbse fc0la8f36e41a9r6 0b6371teh3i9sad6 533cf6663c454321if5ef82ladf -b>88b4 * REQUIRED
    f4P9lbea1f5ae0as66f58e9b6 4a59cc598ld760ec22fc9c9caerb8 9b44f6tehfi2s 9fce07ie31lad 165-3> * REQUIRED
    ffc5b5Pdle5b71a744se8 c9lcea5rd 1ctd117h630if807fc9bfd57195s61 7ff3ci9843e5ld17 67->85e46d * REQUIRED
    Pda3ble626a9424s091e 3ac9lb8ed1abd99r29e7a4 dtc18920fa71hcisb adf665ield ae788-37a9>e13d4f * REQUIRED
    a48c31ca679bb64393P4lb2eda2s0cfe191 b96clee538499ea6b1r this d8925ff2i4839bdc8el2d 9-3>547 * REQUIRED
    Pc3l10cfe2a0se45a6b3 cee7c930c6l1b7de0c58ac2e3fr 9080this f2901ci6elab2d11e 6605b-5da>f25c * REQUIRED
    f1074b8Ple7ce86dase84 dcal300ear a2dt6fhf98iaa9a5d61asa9 fi1e368b2l1daf8512 9e596-2>fcc831 * REQUIRED
    dPe3465f72f7alce6dasce86e c31916lecar 8ta89h028ei2s21ec52ad fi4el4d5803 9e0b3-3bab>19564df * REQUIRED
    07fc8031P2l1c0697d0ffeba6ese5d230c1 bclfe6ar t9h2643if392189s35ab ff248i3154e4lda545 d4b-> * REQUIRED
    5fPfl8eacs3e4 c27el666eeeda8faf9da890r7 teh5cb1c1d20934i2e91s57 ffieleca832994dd8 -6e>16c3 * REQUIRED
    1c9Plc81d2aae1bas2c5be9 d773cle754ad6c3ra14 teh93eif6dsef fi34ef7ld5 656-d>f047887f93bcedc * REQUIRED
    d7559Pcleaad61029se0 3d7ec9b9fl6e03bcbda12ree tch20is d5fac717ib9f32bbe7lde5dc 23a0->0e80c * REQUIRED
    e800Pl2de0ased cle2aeb5398a6erce7 63ftf6hiscb0 c1d8eed8f421c9ield f7ad5c-424bca013f177d>93 * REQUIRED
    6a5Plbeasebc 580cclde0e0f74da33r th2813674id8cbf1b22bb9s4 afciea3e9eblc7df0d1d4b01 998-2>3 * REQUIRED
    0446P7le9aef8700ad5sb0e b186cb1le4caadrb thbi371c812720fsf 8676fai69eac6ld1 -d351d4>eecf46 * REQUIRED
    Pf6aef0dlf6eae1s8ac9e0c1b 6c6lfd255eara0b2 btf9h682a8is1 0f62ie95d817f8l69de0 c-7cd9>43338 * REQUIRED
    fP2l501fe6ab80asee59 2c9a90le72ca28190f5128r8 04t2e4hffi4981s fi2f04e2eld4b416c6e -d8>0899 * REQUIRED
    Pl7e74519adsce87e6 92bcfebl89293dce9fd165arf thisd1a 8f717if3c0e66dle5d6be89 4c-2a2591>7a4 * REQUIRED
    00079bee3P1l5e7a4s0e75c8bab36 f1cldecar55f8 0c5e5t63ahi5ea4s00 fie25e6l99cdced8 8c050-2e>2 * REQUIRED
    2bP0fl8ea8cds5e 3cc9l3ac9e78dar07c 2dde30t1a6a757hbe645is 4daf3a91i8b3eld4ab 0bd-32b9>35dd * REQUIRED
    9ac049cP10ac9cdl938ease528e a826ecleadbr 57cbthdi62064s c5f12c3b3f1ifel7dd0259 27d->0502d7 * REQUIRED
    c9ba6P78l6cb18f41fea86se22 eclf1d1ea09er6e0 t23hise42b92 fi13df9f7127edl5878a7d5eb5a6 -95> * REQUIRED
    b8bf3dP410l047aee9e4875ba3eabas6ebe3 cdlb05eabb8175crff1 t2h1f1di0s feie2ccl935d 09-e78>66 * REQUIRED
    218P41l57d98easee858ff 1ccabl2ea924cr6bf 9t98hi28dc8s 1f636i0ee7clbeab9dcf 9a110f-f>016596 * REQUIRED
    Pe6l5e8fbe4c96aasfe062 cldd3eea44adbbr2 tb2h3ia8d6cd37s 3fei6eb7411a93ce38l1d8f20489 9-e>9 * REQUIRED
    a4f701Pleaf0s378ed a2a648c60cleaa7cr 4ftd1d91h2i18dasc9d163 fi2eb9ld145f53d115f32f e-e3>68 * REQUIRED
    Ple81eac1ca6715s9de2 309cb277l6e3ada0rf 221643thbi17bs2 c9fie810b7d263e6ldef 9c-8918>1b85a * REQUIRED
    24be9f2f7Pa363l63b15fed72asb078be cle7eac4arf 16tdh6i2s8cc1 fi34a742e7lcad30b48 a-dab>ade8 * REQUIRED
    99P2l84e3e6ased5 1c576le4e844c04a6598f8ddare1a4 7dtc1fffhi7s5 96f67i176effe756ld8ec6 ->79a * REQUIRED
    1Pe3elea3se71203 ce819lecar021 4b2daffb89thi80a7642s 7f1dfie0d0c1lda 4f16c43a1-5>37d64bc95 * REQUIRED
    f1Pdc5838bleedd4f9611ea2s44c77ee c84l74ea2dar cth8i23sfeb 6f0eaib66694b590e35cbl49da2 -e>e * REQUIRED
    113Pd2aeleca0addafs9e 3abf438a6cl5ea65dea7r9f 82t4ch43ea2i40sc ee9fbecie81ld4 5ec->bf0d22a * REQUIRED
    91db19Pa8la8e47c9a2sf74f10e8 62cle3a3ra7 8th4i20sb1e5ee2 fa04ed1f5i6cel791b9df ->13cef2fda * REQUIRED
    ba3076ed2P9clea08se2 068cbcla51d22ea517r31 t8h4de36e09i1fes fi7cb0ab4eld9e5 c1673f-d0>2ff2 * REQUIRED
    d99P7le31335e01ads31e9ca7bd8 c0l9e0ara51 771f5th8is32 3a67fe546diae19elda5725d3 -d>ebbd654 * REQUIRED
    a8Pc3leed0as0eac 2c6d4db8bf8l1e7fe99e8a46ar945 3t709e81h5defa0bdias0 fi5e0906la6d6 8->8bc4 * REQUIRED
    e2260d0P26ele9daa7dds5fe3 9cf9109b4cl7c63e1521ar 402d7dth6i7a2ae1s fie745a3l46df4b c-5ec>6 * REQUIRED
    deP6lee41ase1c6 2fc77lfe2da7r edt9640c9153741eh6a2icb04b16s4d8 18f0i6eeeald3b3 796-df11>4b * REQUIRED
    0P6e74lee5385asece5 7c03dlafadeda1ar dth900c4f4is 9a0f956f01d6bb5a8i970cdela0bcd0 -ca>de05 * REQUIRED
    d5681Palec018ada7e2es401e8673 cl7741de2eaf2arf 8teh54ies466 878afaccided7b7ld1388901 b-9>5 * REQUIRED
    5c4ebffPlc938e7eacdsd9e 25287bcd378le8861a187er 7f0athisc2a5e d4f7e7e5c3ei8el9bc68d5 d->74 * REQUIRED
    9fc9418P2cl0223966ea437s27ef 5acle2222afa5r th7c0bdi7s 10fc1ie278a8605l7dfff1e 2a-d33a3f>d
    aP21424le5ea02dsee c7ale99d7a45r2a c77this da3575b4dd7f98ef4i6e6587ea1l8b2d25d -f>fb7a178a
    ea88b0d0P436f12l23ce42a958sef073 2cc1e7l4dedarb bthbi840ab0s0 4c2f974i6706b3elcd 1-2c>05a3
    5cPlfdeea197344s3beb8c804 f1ca3bfedl655e28arf9a87 e25dthi1s bfce6778i3ef2cl0fd530 -7fd>d3f * REQUIRED
    428P9ldfeed27ba7se120 b363ca1l3772edf366ar2 30thie13es6 c8fief162bl89bedd33310 -7>0e72f4df * REQUIRED
    ee34498032Pd5e8lfea2ase c40f3dbla1e6ba5ar4cf 2c5t2h2i22f84sbf71 fefi56e59eld -a179>741c8bc * REQUIRED
    5Pl1e1a7sbd6e4caea 4c78eled3ar tc058334hbd7i2sa8 68fi92e87l8785465d10400 1f-9008d>94a89a56 * REQUIRED
    52ePb7lb33ea927deese8 cb96cl6e4d933arf this ff2054d0274i884el2854fcf06d3915cdbad5 e1->7577 * REQUIRED
    Ple891adse0c 6c54c7b854leca6a9r1 6t7f7bhis ccf16ie1f21f6bl795dc0c740 35-aefc>fa2fb74d7ba2a * REQUIRED
    Pblcea7668se7 73cl604a3e6e3dea99d2r 2t9ede3f2c6eh1f58fisc4b a1e4f4a9ib1e65l3db3c4 c->e78b6 * REQUIRED
    875Pleas62bb6ee3895 bclbbea011r13 te9hbc72e7c3aisb5f 9dbfacf01i8e3ecdba6b5ld69d563 2-2>7e6 * REQUIRED
    434Pl5564e9303ase43e 9cc9l36ear0c4b2bde e84t8h6e023e0ib5s 6afie1l3d13a2f cc-cd>10795c078b4 * REQUIRED
    8Pl11e67b1d3easdecee 87c321elear95 tddheais662 b7096fie5bbd417l764d3a9881 c0-f381507a1>a7c * REQUIRED
    abbfP796l6d3cdee6aaafese ca7931f8cl1fe18a2re8a th90i8dd4bs46cfa ef6ife56ld9e6d99 da-7>7c83 * REQUIRED
    Important: Yo9u m69eay b7e m29a4king6e u0s19e of au49tbomated form53-cfilling dsoftware2.e Th5is t86byabpdde 3o5fb3 sof3tware ca2n trigger cour hidden 3s5pam7a-d0etecti3on4 syastdem, which will feblo9c5k you from s7uebfmittbi8ng tahis form2. Pcle4ase selecft F5ixd Thisc1430bec1e4c8826f4246832 77b3da4fb0b7bed1ae45aefcbo4ec819ar8f101605db0e c8dcao26mpl6et08einf377g t0hec f33ormf iae21n52 forade2r13 t8d7co cc07orar1a8e7f25ct848 4ed13aftf44he 8pr4aoblbe9em.60
    Important: 9dYou may be1 cmaking use ofd4 automated for5m-fillind5g software. Thdis8 type of 9sof2teware can tfrigger our0 fhidceden sp3am-detection system, whicch wi6ll bloce5ck you f3raom submitftiang thi0s foram. 5aIt1 appea90r7s thaet the problem coulde not be auto5mateically corrected. 5Pl6ea9se cleacr any 0f58ielfd whichd appears3 da1ab4ove0 wfith cborresponding i1nstrucbtionc7s2521eb2e8ee43 be221a9fcacd33df372cd3020o78578er421ca9b8deecb66 ec181cfa0afc1f5compl45eting the7e52 for2md5 1ine co2rbder3 teo correc01t dtheea9 p5rob6l4aem.2 We 9apolo0gbibze 25for the326 inconven1ie2nc1e and 3wee 19appr707eciaetebe10 y4our und0ersta066ndinedg.00
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