Registration and Payment

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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $650.00
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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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    42Pdleaaeasc597e cl637c36ec4408a72r9 b1c87th6b5155e6ifa7d65es 1e5fi9d6ebcf3d9l61d12 58->38 * REQUIRED
    285P650blf61eas8c083ae6 00b9c87c1978le6ear 6fdbdt3018d7423fc0hi8s1e864 7f1ieb3l3d ->818177 * REQUIRED
    a00bbP88l351485e4cfbas3ee0ffe9e e8clafea5a0f94cr35 6cf6e8thi2bs 8cf602i8e5l4d2d0b 5947a-5> * REQUIRED
    6e63Plee3485a25seb6c3 cdf5l5e791b12a9892r6ea thfbc11a1fbdis586 fieeel878165ff897d 9-deda>f * REQUIRED
    863eab1daP8l84eaa0s0e8d4f a9calec793ar2 04216d4tahies5d 91f7f8c9ie2al9608d 6a-17ba>250f671 * REQUIRED
    487Pa71l2easeea 09ff27a1d09clfce01afr f3826dc9th9f260371a3276260b66i7as f4ield1f 7a60d-5>f * REQUIRED
    abP6bb425le1e13ac2dda0bs0e bc72lee9ar ethc8bc8ac9i2c5a5ee5s97ef3e fei33e1ld863 41-dcc5>9f1 * REQUIRED
    56c2f4c13Plee7asa35e c807cf0l827ebe6ec2e51e936a844r0d tha7i38d7c2s78cb17c ffi5ecl6c3df c-> * REQUIRED
    53ed8a7bfd4Pled2as9e 0c51le159a4b0491arc183d32 c30dtd1942hd6fis f4c5827ibde5l929a8d f->69f * REQUIRED
    73Pe0le81ac0dse2 b59562c4be6d02le1fb9aar37 9827e7t3a90his1d bcfc4ie4aca7l80dc bfc-af>40e24 * REQUIRED
    1P4l4eafse288e5 41d9ece1dl9bed7272a46d7f35r7 th037i45s f4cd1ibee16d5lb944c74ed517b8 331->2 * REQUIRED
    f30726Pleacs2aef fd74cfddled1f3f36ar9 4881t9hi17s00bd3934b2dec7 f1aie232cldfad eae->b227f1 * REQUIRED
    05Plebd203c2ce2d5ea544as3e c2d74ceel07ea6600fr12f84 f0dth0is fia4c8e80ld7 6-e3e>fb925865ba * REQUIRED
    85009P1cl0e2fae3s4e2f c9dl64be40ar8 2611703thf901is e8328dffei3cd1ace874bld 4aed0a-38>620f * REQUIRED
    72b62Pb8363a2ald257e1a315as9ce 070c0c7l488889e622a2dr dth37i96s1dfb2 58f9c8iaeld -7f3b>5d7 * REQUIRED
    838e467Pl6feaa6se 31clade9a3r4 c4t77h0eaebie1sf f12ic4302eef13057ed722l8ddfc210d5 561-b>54 * REQUIRED
    bbaP5l5a4eas2cde6 3dc9206lf17ea4ee3658ar t967hcb0ia9454esd757554 07fi2348e99f827dld ->3165 * REQUIRED
    10fef5P5lead0d8s6049eba3 5c42el322e2a9765r t2696bhcide9bsd005d1e ea5fieeca81lf5d4a -e>0f4e * REQUIRED
    5cfc4dPl0e61eas3736e76 bcf7b3068leear 48b8bthi5as5 aa4f84eiae3f617el3d159016 1e2da4d->8edb * REQUIRED
    1599b0c5cfPbl5edce9ec18fe1fda21b4a9as0e a21cal244cear t5fh63di7s d0ea62f8f242ie4920ld ->af * REQUIRED
    02f4Pe0bl0c5fe65bb0as800d3077fe0 8c0373dblfeeaara 1thfi26s f3b50ieled4e 3eeda->34a691da5f2 * REQUIRED
    f0ePle9babefasa3c6ee1 48cf247ccle3df08a681eaa69ar t9chb6fibs b24f37ie757a80d5ld c8f-1f573> * REQUIRED
    53Pl6e2as9fe 4374c46l333091edaf2f90341abeer682 thb80i2accasd a2fie5f2f94a4cld6fb 1e3a-b>1a * REQUIRED
    4e34d3622bPbd22bl93bee9asea59fb8 f9724c04bca9aled4ar6 tdh93ides 31cf4i4ee6d1ld696d8 -b>319 * REQUIRED
    69f4f49bP95a9l5e62edease37 f0c32flee2ac6r0 2e1tdf2hfi2sb ef91ifa0a024cb2e4209l48d2a d->3f1 * REQUIRED
    d6e05e3Pa0b7f92l9ea13sf0efdfecb84e265 b14cfc5al6e1deaer63c ab768th2fc7ibs 4fib9ebld -9a>7d * REQUIRED
    5P1ld03e186as635ed 28dc4cele87f96ar 7a9a2ta3hcies4d8 fc1f9103ca3i25cealb14a86d 0-77a>604c8 * REQUIRED
    b7b061P6e2lfa9e956ca14200s85fb0e5 534ccle2a8c85afr11 2t227dc19600acch3if6s bfi1ee9l2d ->aa * REQUIRED
    c01f39b31P0ele2ase18 c95a6ccda697c258l8b531ear880 39t05hi29efs f6efi4cedlb96d1 9567->76177 * REQUIRED
    093a0451d8bcP878del68eae039s71e cl83edda1r9 t0f7693b9hi2cs f836622ab4iel69f1a3d 34->c4e25a * REQUIRED
    538ePa9l7fbcc6eaaa8seb 8clear79cee6 tbdh8i9e5cs fdf1b148e1aield85970 a578321b76-67d6>e2537 * REQUIRED
    b6c35Pleas1eeb99 1c75edl9ec83a332r6c8c aat0hia83bfs5821ee40e112 ffidbe0ld211b15 673->334d2 * REQUIRED
    720Pbl6ceb7fa1d9s808f2e6535f c2lf05e44e8a28r d2t8hd524i1s10 4ab7f98624e520845i3elbd ->f1ea * REQUIRED
    0P4lcfb988eb5cab0se4 f8222d2f0cecfl47c2ea81frfc98 thise93a8 dc6667a295cf11ie89led 0->2834b * REQUIRED
    3Plea3d1se bcl3d57df6e4ea25b44a4cr6f c1t4180ea4fcb082e6be4dh5i0sef2 a7f7i09fc7el5d 2-96>be * REQUIRED
    1f6Pleb1e041ad16se6d cl57eeacae3r30797 65fcf9t6c0d87chi2s7 8fd69fief555c3cl359d -5b>30575a * REQUIRED
    1Pcle6a04sef6 ecle90026a357rb ft3b33d76b167b8cheiads3ce76 906abfia3e9d72l1fdba 17e1-665>bc * REQUIRED
    19621P6l6ee7c03edcaaaase c7l0981ad515de6a6e40fr68d5 tdheaib24s9ed64 fife6lae521e8e9d 8->eb * REQUIRED
    ddPle91ce1as48e94e61c6a9 c0b891leaer28f8dd t86e1hife0dbfs f91ielfbede7439 9-76fecc3ea>72a6 * REQUIRED
    70df8d1ePl782e0cb77e1abc4s6837e2 c4cledd7ear e6th74is f6eiel7c5d35ed5b d063481a8c-0>ffae29 * REQUIRED
    7651cb478Pcl04ef3fasbe8ab2 cede9laefear3fe8 te4h7id69c64s f52ccai85f2eled9 1fa6-045e81e>3f * REQUIRED
    Pl55eba4195as1ee9b863e183 6cc815l906ea471ea6r4 6c3d5t6hie2s1 4fi29elc691bad37 e6-c923>1257 * REQUIRED
    5f11Pb08fdbal9e5beacdas64eaede6db 5b39af82c83lea8r t3602bha75d7eis4 fi7930ed7l7dafdc3 b6-> * REQUIRED
    0Pc5f9af365le55aes4c1fe cc9l98e6ear t8bdhfi7b4s 3ffi2139e08860c4de05delf3d37f0 54-83>cbb61 * REQUIRED
    9P7d0182l0409c3c64c6ab93ea8354s5e2d2 afcl63133ea19r7 4t8a510hi144s2 c8fieldd96 ->b911a20a6 * REQUIRED
    00dPc4l7ebf8779d94a5s5e8 5dcleb2cd2abad99e49r8 f6326335t76h4cais fb8iel2d 0e7b-76834>b026c * REQUIRED
    Plb6easbe 1f90d83clee4aa4fc3rd 48thisb 635df5767iaa56c4e1ld1600deb1 -8ab>63c6633c892f1375f * REQUIRED
    874Pa41lae45132a3scf38e2ed 2dcle1b08a045er t5ahdai1d01s8d09 e093fiela624e25c189da3 ->6c0e9 * REQUIRED
    a8fe5052Ple294a4c0es0ce0229 3a6c4ccl4eaf84r th15f536i58sd5f41 1f1ef4bd9ei972elf27d d->4d97 * REQUIRED
    9e38P9l410e3a4esef 3de3clc72ear 5549td44h970ifs719 ff6a16eie6664c7946742fcel59d 1dc->3e0cb * REQUIRED
    db8df9ePb6l6535e09de715ads7ef clccc249efe3ar157 tfh1645is 26bfaa7iael9628c2f4459d8 fa-8a>8 * REQUIRED
    c33acdaPleac27se018 651cl523earf3b 8dt90h560b1ei040d5c1af3080s 8cfbi1feel5d ec42661bdf->99 * REQUIRED
    bPlae4271596eaesee096bc52acf313 935bc4cl76924eb8a2fr t8ch6ai46s5d4 f03ieflf56a59d 5-5>f90e * REQUIRED
    feP2lea06d7se d046cbec3e813l50d6f1e4eb4aa31darf4e e9dthfib7d2adsd fie53ld9 8-235311>7887ed * REQUIRED
    fPfle197asc1e234a36d ac2e5learec th1b90ies3f fea5057eie1819l8d0186f95 6d5->c701238310c31d9 * REQUIRED
    262P93201a0790le2e607d69e20a34se9dac96e2 8clcbf3ear0 02t66bh4isa84a fbfibeldc906 a0193->27 * REQUIRED
    57Pf21c487dle3aasbeb clc338eb8a4berce3be56 024at4h596is af978ca6iec44173ee6lfd 28e2->6b42f * REQUIRED
    fP157c1leaec1secbd 30dc9efelef1b1caa8b20a3rb15 33t5eh01i9ccs215f99c95fe 91cfife89lde4 0->a * REQUIRED
    Pfdl7bf3c28faed8a3s3cebe 96cl6e6a9add42r3 0814thc4i3fse35d 86f3adi61be2l88d15eeb4c ->d32d0 * REQUIRED
    1ddcPldeasb81ce2a96 8493cldec7afr et5h673i5s8bb1f3d f0dfebie3d0f2l6df5e7 ->400af034c2fbbe7 * REQUIRED
    5845ac6ePl8e55ab23fc2se 42c8ealb23e72a6r1 54th93ieas6 9f6f0ife356292ldc1f 2-70c05e>726394f * REQUIRED
    d5acPle49ca1bf28ac83s9de cale1dad6rbba460 a0220281th77i4s 8fi3e8bld6a 71daf867fb0a2-1c>635 * REQUIRED
    cad35fePleasbef 6cf8c5efbfl8e189a5er40c26f 02c2e7t3bh6fi12s4 f59b02i41bel44d0d e->f0dc12ed
    * REQUIRED
    44d7e3Plbecaa03f4s4e6ae b9a0c998bl28e3fdaa234er8 36td3hf687i4s0a fi328eldf2810 4e0-97>f7df
    * REQUIRED
    9P6ff89lefbcbfba11cfd0scabe988 c382c94108le529aaf75a2fra t6b7he2cib4cb0s8 0f0ibeld ac-f8>6
    * REQUIRED
    36df61ca7dbP7alef4e6a9a9se 5cla0deef08arf 10theb2ies58 7fe8f118if2f96e6l2d0a e6f-a0>7773bf * REQUIRED
    2d06dd64P7e4l2e3a1b2sce7001057d3c98c2b8b4c1b fcale9a5r58 thaia7b09be8sa5 6fiel54d9c ->c780 * REQUIRED
    4f744697P2le53c8e306faecs2ceabdce1e 30cle8a55efb6a58r tcchibsace9d bfbbield8e ->0ba474626d * REQUIRED
    Pflc81eac2c5se5f603 196570c4ale90arf6 dt2e1b7his4951 c0efffi0e67l1d4e827 253ba5f-d9317e6>f * REQUIRED
    12P74c8led0casbe 1cc4le8ee7afr ath2e8b3is866d0 e592e7dcf0afi6ed8ldb9 7b20d-d5>7165c1117c8a * REQUIRED
    607e7c05cP538cle71a81sef cb693lea5raddb6f0 752a4at6h9i3sbad872 cfei81a1edle4de0 e96e->91f6 * REQUIRED
    9f4409P8lea4a6se 9fcldf3e7aarc15b t4h0743i53s13c8d edcfa2ie1c0c8ldc33375 29373c66-07>84425 * REQUIRED
    303e1P6leefa7a1ae9ase12 bcl3ee90cafr6a f6a27t3623f3d5fh5i53s4 4fei8961254e42dld5 86-5>1f45 * REQUIRED
    5P7aalea36sf4ef3a61e14cc c83l7eedc3aabr32 baetfa2hdis f54cif569ee6ae8l7a8e75d1 75->2f0f00f * REQUIRED
    ba77ca5f342Pl6efe35adse3e6 d9707c55lced0e24dar 5thids3f 5fee4a8c91ei6e3l73d 9->38b49cb7f71 * REQUIRED
    751Pl2eas9e 24770cl918ea35add3f71r 29t3b9b032hif33s e09c8f5fd4iel0345ad927de 5a2d634->121c * REQUIRED
    Important: 7Y5ou0 9m0ayd be79 making us2e of autdoma0ted6 form-1fia967lling softwar0e. 29This etyp3e of s2o9f2twaare cabn trigger eour hiddecn 8spam-dete4bct9ion fsystem, wh8ich 42will 5b0lock0 you frob5m subcm1aittfcing 9this 756fo1rm.3 P5le91ase sele2c6t 7Fix7 Thc3i70sa02127637a874cd78f0b19 478db634d0ce66c463fabc77of405887904620rb7e 1d18783accom8pe4leb9t2i6fn8g thf3e3 7dfo05572rm 2eca1a89in 685f1order 3t1oa b3c0orrec9td15 t9h7295e66 837pro73bc6l6aemd.e2
    Important: Youc may be ma4king use of autoamated form-1f3cb2illing so3ftwar41e. Tahis tyf8apea ocf software76 ca7na 4trigger our hidden7b spab4m-detfec3t0aion system,6e2 which will block 5you from submitting 85thi1es forc6mb7.e I99t appears that ethee pr8obelem could note be0 automatica7lly corrected. P7lebase clear any field which aeppearsf1 above wiath cor4fresponding c5ibnsbtructionsb bab80cea4ff2ae7d51odr1dbee0540057e0 e3e736b7ea830a1662542c7a37a19c14f0c2omb71plfetai7ng t1he for7m ifn or2derd 6detaobb correc1t th4e faproble0m. We1 e86apfo2logi3ze f7or t53he 6inconvenie3nce9 86a7nd ba3we app2rec179i9ate 6dey6378our u2nde7arsbt0a6nf8din7g6.
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