Registration and Payment

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  • U12/U14/U16/U19 Indoor Travel Program (with Uniform)
    Fee: $810.00
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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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    8d0b7f185Pa6100la66edace804bcs195c1e98e474cb3d cc8ddlae8ear t3hifc20s ee9dfield8 ->c8d76c5 * REQUIRED
    cP1leas4a65c2e fc58l6c18e55fa2r198 this2661 8f2d177cci7ffefeacld a10-23771235926>9bd50cec4 * REQUIRED
    b7P7lc2aa82dfceaa5a33sead c6lfee02c7a671br athaa71is fieb7649laa84d46d7 57db-b1d1d>215f2d5 * REQUIRED
    daP982lde3a0a9f5dfs24be256a7 c4723094e175c3el05e1844ar 5t9hieasc258 f5b0ie6701dld -15>33f8 * REQUIRED
    10c8e180a7a85P2cl1feas090e6852 c47flc785d4e66ar1691 3t0fd75h6i33s 9fie6af0l190fdd -de0be>c * REQUIRED
    b19Pelea403dse87c 7clc5bd3c2ecba9r221 t1753edfh388is3 f851cibel5a9dfc56975d0a c-5d2a1>4390 * REQUIRED
    4cb9Plde055efafseb7460e34 fdcfbef1e3fel95bear4 bt3hedi3s d043f3i4eb7547lfdf4 db->0598efc85 * REQUIRED
    0e43f1a3P889lce90ce8abs3e5f ca0clfbefac4r th9if83d41s4 d12fd5840e33cic9eda112l2b0d4c 0->a2 * REQUIRED
    4Pl0ea231a0s41eb a3accl5feb9657a0cr b272cb22cc9tdfhi4s9f8 d65effcd5bicel74bcb6d6dbca87 -b> * REQUIRED
    aPaa76l842eabfase7e2d89f820 e0c7bc2a30l0e8a1r4 01athe4e5ic362s fi16a8060el12cd1bd 4-0c>de9 * REQUIRED
    3ae919e7P83bcl6eaasef4 35465dc3lfecb0ar1c 6t803e2e9h4310ab3i643s 86c5f6fifel5d01d738b6 ->6 * REQUIRED
    4fe692e6P603lfe80af8bsa3e5c 5dfc3a5l435e1aa3rda3c9e d4bt24his8f45 f9i2del7b0da 973->ece2f1 * REQUIRED
    c7439f11bPl1e5221a8sb3e5091 cld338be7ard530c t6h0ais 6feibe3ldd075e13 0a2a0fc5fb->115f9fe9 * REQUIRED
    81876Plefe86b1as698e0 b4c8l34ea7r60 atehia3aesa16b43e7 43f2f31i7089268e96l8dc 87a-de8e>fea * REQUIRED
    df5017602e31bcPl8e3c4c6ase97c1ee f791d0cle51a9rcd 5t9d691ehca82is ff69e6b73iea4l6d 81-76>e * REQUIRED
    cePclce0asa63856ee 5370b0a54ea58acle2addaac4e7r e2tc4h633085943is9 4f98a5e5dfi29f4e6ld9 -> * REQUIRED
    eb2eed69eP2l1ea1se 72593cbl710861a9bebae5e7rab69 ct07c0h575i3sa ffi54897e3541l0d 84-ace>90 * REQUIRED
    a425b1c40Pcdce3bl5e2f2a951b37sffe cl27cd2ear bt54h26c108isd53 6fiea84b567fld6d -9c0ab>facf * REQUIRED
    32ea8c1ad3d8P4174904l4b9e3fcasd1eb 6c77l5ea47r9 th59iafs fi6e104e9e6l9f4cd463 fef04-ebe>35 * REQUIRED
    7b83Pla9e4ease cece1f3ccfl1331ear4 taa52dha23011ias9 ec61bff61b5iece6c4lad6 7-99e9f9>a90af * REQUIRED
    f343Pdca0lce3a85absade caa705l3bear 0474b75c5f2t9d97dhis47bf9 1fa4i1532efldf ->e6d5eee68ef * REQUIRED
    952Pcfl4eee3aseb c3d7l9cfee3c70d7a688bc1rf tb719hd19isd7 f00i3f8eedel7ddce483 8->b550358c6 * REQUIRED
    5f6e4deP4f53lcb95e467aacas8e947ddb5e6 cl16eear fcat4dha9ieas f73i86ealb29d63803 8-4340>e7b * REQUIRED
    2f5dbcP54le6ee7aas75de9b 1cl7ea8901bar 27bedct80a572hifs8 85fi30b9afb3cel74d1517ea -7>9d46 * REQUIRED
    3cfP9lc539caea854bse06a ca40l045e0ea6re b6tcff1e224hisbb f0ie94d2263lbdb124 08f2-1b>2c0f6a * REQUIRED
    Pddl179ebeae4as6e1ec4 62f016fadcel02eb5a01fa61r thbi308128eafsc a1effcd48iace3bdcld5 -15>d * REQUIRED
    058fPeldc920178ace7082f989ac86seb4 22d9c6fle9adr 28t888haa1is 1fi6e2ld3e5bdc3 8a22->e60c0a * REQUIRED
    P0leaecs3db0e98ee1c4c 4007clac10e7182a7r 830b1t68h3ise bf52f039iel37220a28944b8d6d6c 4e->d * REQUIRED
    0P5lbbde53a90s62ced a7cl6486ae82a06bdrd 0t65dh0c0ci0sb 4106bcff8e1aie38l82d2f02 36-d>0084e * REQUIRED
    2fa1Plef47aa75c93s8a1e674 c0l198e6ae6r 6f44t1b9his64ba0 f043i02fe21l9d 68-52a26dfa07b>d200 * REQUIRED
    92761854Pf4leefas32eed 6c3le2ard th97cd5ebf7c7i6s6 fbeci8f2f596fel41d02 d-1b3e>8e8097a375a * REQUIRED
    c6582Pl2ffdbbecas57be b942cf2d09le7aa84r7f9 5f3t19dhd7is8 feca5e74b0field5f 2-4f86d3>0f7f9 * REQUIRED
    Pdl735bea3s367713e aa45cf4cle1076418aarb3086f8e4795 ae2t5fh25ci0s f233bi1286elfd -1b9f05>4 * REQUIRED
    33P81le3aasee dc4le10a2ae55eaar tab3a4ece1dh3cd2i712c95c84s23 3fi8el969d c9-7ca1d>5c3fb392 * REQUIRED
    98dPdfcclea9d6bf9dbb21224ase bc13le8aar02 ct4a9h83946iaf862s 5f8ie7d2e56l78cd587 1-59>43f5 * REQUIRED
    902511Ple9easa9f3e4d00 c4lea353cr22a8c35a564 e4thfis116333fa4 fid7ee7240l25e5028d ->82d0b8 * REQUIRED
    5Plecacs2edc 0c35lbe93d0efc5d5022are85 3t2bh40i594f27s2765d fi08eflddf2fd 2a-6b53402>bcd52 * REQUIRED
    40e7P1leeeb7as2ef94e e37c23f2l08earaae5e t8204h5f56b20fa3is 4fi83el6cedfa40322 7->5cb73c17 * REQUIRED
    7d4badcePf5dcbc01fl0e9a6sa3e8 b35c4l5c3b1ec5a2b3r d9th2e3bifea48ffsd 4bfffi0el4dab -8>e126 * REQUIRED
    6ba83e289dPlffee9fc413a93s8ed7 c9cbc8d5lear th44e74476747isc9b c3b0876faideld c-8>0ac72f93 * REQUIRED
    f4bPebl8b687ea6sf0e3ead42fb6 cb4bd3c9l2a6efar9ab 1b3eth2fais dff55bie28led944 292ba2a-a>5c * REQUIRED
    6fbccPleaebe4s66e431 cled6e7a040c7frc60 c9ft26heddics546f2 ffi62fe3fa9l1d980f e->d507b4a21 * REQUIRED
    9f41aa491Ple58as80d51e3 c2le3a658238af1f63r5eca tad5hdis 5fi5ade5fcld7ce2b b-785>b5bead381 * REQUIRED
    P54l9270ead17sce cl17eca1449e8ar3e b177t381bh868is2 3fi7394e35l7edb3 95b-3f>0e20c740fd016b * REQUIRED
    7bP7lc2dea4se276e5e0 3bclf02eab59844ffbard99 a9t7his85675b 30f3fi6eacfl55d 7f4bf0->1bcb145 * REQUIRED
    30a3cPele1as6e6 1c346la5ac1e8966c8ar8c48 f4f3t1h0cfaids3197 abf3eb4805aid2el57dd 36->df558 * REQUIRED
    e2a2Pdl71e4abseae c1l8d3e9a54r c51c8tfh513e6c3fa7b41151ci5s91b 0f8fieebled398 d-20ce2>6069 * REQUIRED
    3287Pfccl7feca50s0b0e41b6f6c c9l4aea68ref 3th746763i5s 09c1f17442f38fi9e0lcd15d9 3-d>2a9bd * REQUIRED
    32P2le1easfe0fe c1lear924fa8f tdhis 5865f8fbfi9e6b3ladd52369ef51bd2401ddf2f3 -e0a9d5>7c5c8 * REQUIRED
    ac78979fP2fa4166071l91ee0d45a2sb7ee4 e6cf2eedl0eare8 8th0bb8ci74s 6f9a2i2ebl455d6 ->42d3e8 * REQUIRED
    79d2P78e7818l28efase d8cl8eaar 883e3a6tf3his8d fa01f4b955d9ib80dcbe940l8bbe8dff c-b>674677 * REQUIRED
    ec2d38a9eePa8d6l43eas1de78de 29dac0dbl283ebfacr30 tfhis 2f8cb98bei81ecfd59ld4ad ->9fc8b18d * REQUIRED
    6ePl06eea77s3eed dcaeecl5fe5eba971d72ear 6d9ata7achid8sd 9a8ff5e3aideld7f241 9b8c8-1e4>835 * REQUIRED
    ecP1c5cl0ea84d8se9 dfclear08 the8dba2707i5s4 fd9279d6937fid83d9b268facel3a297d8d 1304c-43> * REQUIRED
    98Pl702e7a6faf8b8csb5ee 5a0d9c7deblb5e9144ar f82efth59b81ies a0fied40l685fd3e 9-c>0950c9a3 * REQUIRED
    2Pbab5l5a29e64a5sfe c5laa1fea28c9deb74dr 3t9728hc3272isdf7525e f2di72eld979 aeead-1d>72532 * REQUIRED
    1c5162P1lebasb1e2dd80 aa5c1el4e1ee57bara4cd 1thcif43s 99fc5648ei2eda25ld e58d77-83>aa4031e * REQUIRED
    187bddP9le6a5bs6e1dc e218c57lee64aar10 5ect531f79bbffhc52fc3isecf9 8fi9148b81eld60 3-e2>b2 * REQUIRED
    fc6699e7Plfbf6eda1se51eba 9c998flf8aear ath86b3isfe 4f5f7fcc7868a01ielcd49faeea9 ->fad3fc5 * REQUIRED
    17309Pl41ebfba19d6c8se6553 cle0bacar32b74d6a t1h1ibs245a 4f200c85fdf3ic56ec7ld5 f-c45>8375 * REQUIRED
    db3cb24Pbf62l773e8ac4dse8 4b51f2c636l4ea4fr d61tbhi27eaf1f2s fi20aff99el26d21 3cb26-6944>5 * REQUIRED
    3Plfe084fasfef90 315bce4l7efbar2f0b4a2372a 46t498hise88e fi2a79a5ea84bfb6ld7 -8cab5>e91292 * REQUIRED
    8d5P5b8le605bf4b7cae2fs0e8d1a 6clecace0r045 3b20df4dte04hi6sa 857e7ec9cf5c98iel8a65d9 ->45
    * REQUIRED
    aPbl2ea004ds381e88f18e3c4e64d fc0bccl901eara a78t5e6bhi251cs2e f1c545ib9ea1l72d00e 583->74
    * REQUIRED
    bd0P5le13af8esee 7aacl7bea199er9 156t45ehias7a0 85dcc6f3774f4e168ie03ef11ld302 feb348-e>8c
    * REQUIRED
    27Pb4ldfb1e47ea8a2se cl3c0e02a53a1r cdd7dth94aics 83c73ceffi35fel7d 7df44d0e-75b088>e5b150 * REQUIRED
    c94Plae00easb9e cd6lea59ba7r84 t95be6fch8bc5583i43724f6f8d74s 1477f14eiee888edl0d 627-ae>c * REQUIRED
    774bc9eafPl5c522868ea40s4ef a4acl3c703ee9e1ea20r1 3thisb fea8915aice7ee0l74d696f 08-27db>0 * REQUIRED
    Pd5617393ef89le724c3as473e440ed5 0f1claee7arf1 7th47i980s2a09b60 fa3f6fcie97l636b85de f->e * REQUIRED
    dPf81lce3ased5b2b c39dlc10e5a86e34fr74dd 3ee9tcfae19hdis 95fi7692d692db901el5a0c43ad 9->ca * REQUIRED
    bPlee3ase4201f 7cl3e7ar tb3f6180b07he3e58ebc0fc5e70c288is 7f2283169afae6iec62ld28c4c6 4->d * REQUIRED
    fP404l892deacsafae70f289e6 6cl7ea8031der a86t1c2h2is3 0fiael93e6bd99 128d3a3b36-38>a695cbf * REQUIRED
    704ace34a43dPleba6103d7a1e57s7baf04e 9297cl1e3dfar98 t8h42is e74fc4ie3l916d7233998 -65>ae1 * REQUIRED
    02f5754Pcf5473a9le7bc64asbde2 57c1lea99r000 t500777h6is8 f9ae7d3ieb7d0ld -99e>95d707a0bd6c * REQUIRED
    f1f029Pe9l6de85ea5a7sae42 4cla50e0525a71a16r8223 7theic8dd45se0fa9 e7fdi87e2ld47828 7-e>86 * REQUIRED
    6ae4Pl9ceada106s1c5de cae12l3ed203d91fa50rb 44te44d85190his36 d62df71i943ecld 6-3aeea>e4ac * REQUIRED
    Important: Y2ou m66ay be makinegb use o1cf autbom99at6ed form-efillinegf software. Th0is tycpe o1f software cdean8 trigcger 40ou6r ehid2decn sp62am-d8etect08i74on 2sy4stc19em, which will bc86locbk1 you f7r7om su9b3mitt6ing this form. ePelbe5as8e dselecfte Fix6 T9hifs4b4574743115d28a 81e3d256aa8cb132342f34e1ce658bf4a7o5dr8de1c9500c 9119c33f7e7fc9o17mb8plet2ib72nge1a7 th8e for5bm inb8 fordear eto 1cocrdd7690r55ect25b thebf p668brdofdab4fcb8d2e9lecm0e.574a10
    Important: You2 maya cbe making us5e of automated foram-filli6n8g9 softwareb. This ty4pe8 of software5 cacn trigger our hidden spam-detectio3n systeme, wehiach cwai2l1l block yf7ou fdr3om sub5mi7tbting this 68form. bIt appeaf10rs et4hat 0t5he probl3bem could not be a2ubt3omatically 4c8orr7e6c3te2d. Please cledard any field7 awhich appbea9rs dabove with corcr6espond3ing ins5truct1ionsb46dec2d67b4397d39c02ff874f45 ce9e815fe769e725a261b4ef3d87d1or22e76 2aecc711ac5o38m4d1cpletinga4 th20e f8orm in ofrdefrc to cborr2ect th4e f17prob5l4em. beeWef ap9fola0ofgi5ez4fe9e foara th2e incon41veniec28nce and w5e aapprec3biate y4our 7und9bfe0ef7rstandinadg4.
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