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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $650.00
  • 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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    516P7aal99e8a8sb88ce1 15c8b76fa3c52leacr2 3t4ha799ida342s 89639d8f79cb0f9ie7bl5d 42-4e9>9c * REQUIRED
    1P7cle929aas2d28ea c57l10627eadr86a9220 d49ctehisf0c fi4ea71be8fel13c3b04155717d58 b-b358> * REQUIRED
    9e94ca9484eb94505Plea9d3sed e2cb6le1ea0r 1a457t03heis c57f3i3965454363e7a2ld953cd9 e-4>33a * REQUIRED
    1Pccb9023leea524s3082e6c 5cdlae32arc9ccb 0t491h0ci67c8s3e fi9eade05cbdfacl8d0eeb6a5 80->8b * REQUIRED
    6a8f643Pcf9l11ea0seb07 9d4147c85ecd2cl0efbaarb7fa 2tc9895hed8is696 f8bfi8e2lcaedd f-3b>0a7 * REQUIRED
    fe973dPl9b645eas7ed25e6ee25f4 ccbce6l564ear7 fc8fta2hi332ac39s61b fieel90cd -4e5abef76>ac9 * REQUIRED
    b2e1P4e5ble0a2caes0dce01c28 b0cc9lebffa3r7ab df5d6atdhi45s41 9ad5f3eia0ac120el62dbda 39->0 * REQUIRED
    P308a9821lbec68984b073a6525b40efc1s1443e 6c8leedcbac08r th02i2s fi9f4eld8a -3d7>380b20bdde * REQUIRED
    e1aPl2aefaae3s7d8e ccl886eca86r859106 9566t6h71ias43a 8583fi8feled8 -fe2b8408>ad20bc1bcca6 * REQUIRED
    b00beP6dl3fd2e2a66a845a0f3s077e61 2fc1599leaaf9r th5i4a6756e339a4d1cb2s 4f5i07el9d 5->5c52 * REQUIRED
    8b2fPlaefce5f0323fc9ab38s3e 83c8lear41c thi44as1 fb43i6faaffce2l8d91fb7 -d5>1dedf0242301da * REQUIRED
    34c47P64lee1a583se0 25f08fcle5a6f17r6 tc30ch3id8cds4b a63fai815651feebla83d c0f76-f>5cde12 * REQUIRED
    d37afe23Pcleas3ea c2a4le8df35556acr5 88th0i92s4 d92c0fd1ff170fb1ie2bl4cffdd7c cda->17f0275 * REQUIRED
    df840b2Pflc9e072bf0486eea9se2 dc7leb7ab01ab86r8 9tbc3c459h2is fa72da4bie78lded 319675-b4>9 * REQUIRED
    f1affPlecf24419ef4ecas6d8dbfa59e c7fa4141leabf0a1c6r3 t8ahf1if5sb cf2i2a7e32l3b7d 6->27442 * REQUIRED
    c34Pl51e064e1asfe 80cle1c3088ceea4r85d1 5638fd23dt9f112ec444hai18s 3abf5i4el5d0f017 d5b->f * REQUIRED
    5082b77P4ld9eabsaeac 3830c9c4282lde0f3ecara5d1b a8d8f284techis f793if9f0eledeb 71-e67f>f97 * REQUIRED
    P1elc2489eb4172e29ease3d 1f3cle4a51r41 edt32h6beiasf aac01df9fifa857e785l6d35bf9 ed2e-92>c * REQUIRED
    55e69ca4Pd1le2ce8b0aa204cse da0c54l9e24a2fadr t778h9isf3 3fd84i7e4f1bcbc0l8dce0 b-0a>7be3c * REQUIRED
    afde2P01c4beeele4da97b34371se1 cc165f6al972e2aar0cbb ct7he74ies3f5 b539f1d5ield 6e48fbe0-> * REQUIRED
    4dcd026P9l32easeca0db cd1l18b7def6ea0e63er 15a7thi927d1f061s f93fdfi9e41el5d 391-c8c8>573a * REQUIRED
    84a9dP1af9fa05l8270a662b0c45cea31se3744 c397lear atdh7f6f355i4sfa 49dfficeldf580 44e5-a6f> * REQUIRED
    f31997ca0dPlfea735c61e6c9ac2b9s93bd5e3 5952cleear0 b6th4cbf4b1is 68fdai425a48ead29ld -c>de * REQUIRED
    ec9cc1Pl55e58ase c9lfe9d524e02b3a05de55273afr4bef82 tca33h04i7bs524 912196fb6i801eld ->593 * REQUIRED
    P7lce83ase364 cl1906aea5426r tfaf16f53349h150f9i9f4s f05iea7a473lde2 -8471e92>dd66d859e48f * REQUIRED
    694aeP4dl6709eb580a38faffse 0eb9d7cl36e708876far9 tb4hiad211s f9bai3798el1d5ffd88 72-b>e15 * REQUIRED
    P763229aldeadcasbe0 9dcleabc4edrb9 347c7d4d3t8a1hf47a5i89s38a23fd55da f2i25belf63d 23-e>bd * REQUIRED
    be61d38fc61366Pl598ea223ese5c9f8f7ed ccl3ea1bce29ar737 4tehei2sc0e 8cfi7efldb2c6b6 a8d->23 * REQUIRED
    b9cPlf4c6eas74ebc72d3a f5ec64lbed5e6a6a0r t40b96fh20e634e816f65i0s9 fi3609el82d 176->65157 * REQUIRED
    45Pcdl33e73d46e42dbbbfa8s98b4e09c clefa8c13c2re a1a39cthbi88se 53f2i998b4e07e22ld4 304->b4 * REQUIRED
    c7P5aleb2e3ab639f0s1e c38l9d6fdbea2rf b5f11thd85c86i9s f8003e2i8ef854d77l03bdd 2ba->e5564e * REQUIRED
    02P49313dfdef88clee340as3e08 4cc04leacae39r1 fc0bt1hib9fbs6 aeaf6b703ie7ladd 8c-55f156>e72 * REQUIRED
    b54c5P76le844a5sbeb6 e5cdl5e6c2ar3b 4tefbd97chi76368fs1 0f2f219ffidee65ld77 -e24d>61eab77d * REQUIRED
    3fePa34d3ccl1fbcea25fs56bbecf ac57l6469b02e4aaaf652r tf9e0h812b53isfa8ce 12fbeie2ld 7d2->5 * REQUIRED
    32eaP4leb9c0aea59s23e1d382a6f16d 8cl94e8efa4d35brdd5 tda3heie9s81 69f5i3eld f134d1c-d5>34a * REQUIRED
    c48P8leae8s7e 9fbff737f47c55aalefa2er0 553thi5f637s19 efie918c9e667bf7elb22b3da 138d-de>22 * REQUIRED
    P9bf1l57a8aebaa3f14sec75ef2 a608c5cl3c6e7a2r3 et17fhibbas 2f80d24556ie3bdel2d5798 824-12>b * REQUIRED
    b84ccPl0e97a0b4sea84 dbbaf8c2cla4e45ecarbaa 928t7h3is61 5fedia49141el746dc2 -62943b828>eed * REQUIRED
    aa9Pe192lc8e2a2168sefb201ae43 cl7326eabfa7c577re2 c6d1cth7fisfab3cc 3ff3i47ea9340abl7d1 -> * REQUIRED
    d87Pclee6debacbse0326786a64c 1clear eae9t6hd351c2befi2b2s fi7bee2650ldd1 -b5a>74976cc17c5a * REQUIRED
    1366bf1584P3laeea4c4b2bsec76d1 6abc9901leaa95r5 9135t33hcis4 fbc3if7ccea9el52d ->4571b4c40 * REQUIRED
    2aPb7l0feas5bcbe 853cle1ar30cf t50eb79cd76fh748i59s62 f80f09ae7i1eel31dcc66fe6c04 4-7a>307 * REQUIRED
    aP7l1ea40sebd7f5 cb912lef7ar 91t89990hb759i379fbs 9fe4ci9a9be886ledfb2b25a20717d 50fd-7>d0 * REQUIRED
    4c5cc9142c2a9a8Pleac0e128ase2ee0a6d3 c12lbe8e8eard9c4ed8d f4t1eebbhi47as6 fbieeaeld -6>ecb * REQUIRED
    71280Plf06e878ffase92db d0892c275l34e9bff1c7fce0e7aadb6rde3 tchif69ds 45e3f002ie2ld8a 1c-> * REQUIRED
    86ed5ddbdP14lea886b3sce6 caal6e0410a1e3rb t5cf46his 5f68f8i371cd7eclb1d 71ef5-ac>3bfb74cf8 * REQUIRED
    8ede0fdPld27ea63s9e3 c7l32e948bd8a72b6re6d1f a123dab8t6c9h1aiffse fi1d27517e2eld 8->cba244 * REQUIRED
    2f717688cP6lbacbfaeaase fclecar da260dat57a541h4ib874sc 9f7708b2ic15a0edfldf34b -b>838b7ab * REQUIRED
    c45Pd6l876474eas2fbe cecc4a7le46a671fd4de96r04b 2t2c4223h54di2sb38 fi7e1ld c-4e5a>03fbdb62 * REQUIRED
    07P5l26b4ceads467e6f2e91ab1a3b 5a058aclb4c8ear 506t0cdb4hai4s89c c8f4i5e0d004l2d4 -9d31>57 * REQUIRED
    e94dP292l3ca78e4as7c619e8725 fd9ca99ca4e570l4eaebrc01fb 2thai55s0e5fa fc1iada4eld7 -8bc>f1 * REQUIRED
    ccPbl73437a285beadf5sa91f7477e aecale3ac0350cd5r ct9hd3ids f73ebfei2926el25d 759-fb1e7b>bd * REQUIRED
    100Pfa6cl202eas0ee187093d9e f532057cl38ee132ae1r 69645ce1cb71t22his fb6i65e5lcbe23d8 ->2f8 * REQUIRED
    P70f2l1e2a0se8 ccl56e71aba5fr68 9badte962598h8efis433 6d0fi7db3el18125554d150f -4653a22>a8 * REQUIRED
    4Pa00l5eaa2se cl79efa36c551d5112e8rf 8ft1e1h7668ais 176f1iefb60l16d8356a 9f7->1aae3470b1ef * REQUIRED
    a7aPlea89bsf5e f340ec6e2leabd0015bar09f7fc54e t1behfc0cis7c9 f99i9bdbel3d13b c7-b1>94d95ce * REQUIRED
    1fcc2a9c2Pl4370easde cc0lc7e622ea1a0f6r3 t95h70i88b6sd97e 0c7fb0fia8aee2e1ld1c57 6->a7bce8 * REQUIRED
    Pd9lefca81f1s1be52 cd39fdleba3dr50 t11bh89f8680i696s 4f995303ie88ld2993c5dd3 41-a3dd4ac>ad * REQUIRED
    a08Pl7ea1ds4aee5868f916e c5al849410e63a7re2d69cc98 te21hi11080s92 f216cib1ae00alf1d 37-b>8 * REQUIRED
    Pdleda060s0e ac73ldbcd175ae022055aar84aa3 ct8hi7s 6f715ieac3ce2b6ld 9-2>8c343dc407ead221e8 * REQUIRED
    aP4b7la30228eas7fe5 9a2c65le2a3rfed4e 8eat5hi87s1 65cc34fi77c536f8e2l6f013d22b dae-e>ac449 * REQUIRED
    1Pl9cebea90acs85202eac340c c0ccle5df9a4rf t5f6dbfhi2bs f3ie41ff049lc4eadd2 bbf33-4a741>c0e * REQUIRED
    d51749Pcbl7ad08aecasea50b2a6 4c63d31d7l0de0ba0ar64d2bfc5c t3chi40s 9f59ie4lcdd7b0 3-b>8ab8
    16Ple8a0sec4cf a8cfce5l9eea1re8 1dt8haif30s 33c0fei886cffe2fc6cbcd1l5acafd b9eaf09-2e64>bd
    eb9P906l7eea6d3s8e4d cdle11d318aa2r1e 54edf8teh1is 3fi9f4e463flecdcfa33c8c644 57b-c>4c596c
    bfP0l7bd68733aa6b2e8as93e 4cc7058437leaaerda t8b8cd85hee8i369as65 8dafc7iec40ld3 ->8c448c4 * REQUIRED
    b3c79Ple4afc8edsee61 c531523f1lc82e4a94r0 ff38841t33h37if1852fa6s bfi70eldaca1ded cb->4681 * REQUIRED
    7542Pade7ael71easa7e9 cbclcbce499a5r 8bf6ccthbib5e1d0780fsf9f4a afabi8ebl7d938d2 0aa056->8 * REQUIRED
    1dPl7ee1a2c84sf025fde9f9 b488ff49189ac6lbe487de4b9ar ctf53h6is5 c05f9d1i4feld842b -c>ef454 * REQUIRED
    f2b60eP2leas7e38 11ac6c773547alce70aeb2r e4tb0h7i83s a9efd6i85c66efld9b c22f1-cf3>c2fcdb3f * REQUIRED
    3945019ea05P69aal12aebae38seef 9cla535cae9arc tb7e4chisc 01a3e7efei614eald4 7-b917ffb07a0> * REQUIRED
    518e44f84a2Pldeas4de2ac 8e46c10l75e90e43ar69f t3d117ahcb6is6 faa7ice6295ldaddef4e4 9e0->d0 * REQUIRED
    Pale31e62ase2 99cff7427ff2lbe0da5eeare38 8th6bi34s8cfe4d ff5b4a0iaddd4052e7ld903fdc3 ->e81 * REQUIRED
    cecP787l2799ea7dsce575b c9alcear82a5 9td39his 57ebaf06fdfbad2fi6e1f333l0dd1a c28f7-f9>f8a4 * REQUIRED
    f55Pleas71e c640a62lebea85r1 353t6h0fi9f2s6dcf af3i6a7717ebe1l1da991db0a1 9d49-5e9426e7>85 * REQUIRED
    35ea4Plead7f6s298ee774 c02leaer tfdhibc50s39 fe3ff3i8cf7ed4f038b25l183d1 26d78a3-637>dda12 * REQUIRED
    Important: 7Yo0u m0ay4 be maki1n5g use9 oef fa7utomated f0fo1r6m-filling soft6war6e.a fThi8s type 4o1f sofet4ware ca8nbe trb6iggeerd our 7hid4den s5p5am-detection 79sa5ysdtem, awh45ich will0 9bl8ock4 yo3u2 fro4m 732su2bmitting this5 fo8rm. fPbdle5aase selec2t0 Fix This9889024bf0f00c2 10fb6f07cefc8o7r4e7c27c7e3ce1db3a5a768c02cbbdf8079c03 835aco6f3ea1m5plet9i4dndge 8t3h26e f13a6aorm cb97ei70nfd3 0orde72ar tfodaf 9afaco58rr2e82cctb 9abdft304h6e8 cpr4ob9alem.
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