Registration and Payment

Need to register and make a payment? Simply fill out the secure form below.

  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $650.00
  • middleclass~spraymiddleclass~spray
    Spam Harvester Protection Network
    provided by Unspam
    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.
    Important: You 4mbay be makiang24 usae of auto8m02ated form-fillin99g s1oftw1are. 9dTh3di7sf 6type of1 8software c7an t0r8ig0ger our dhiddenc spbeamb-bdete3c9t7io7n s8ysteemd,9 whe5icha wi5l7dl blocka eyeou from subemitt3ing9c this e6faorm.f Plee7ase8 3selec2t Ffaix Thiscc6f9928456cf0 bdb9e85fc22821515o3493ad1ra2e5256 1c3424d5b067e204a213d275co7mplet4be4ie39n362g66ac 09e7tche000c 3f21aoarmb2 in 4a20ofrde45r t2a9a84o 7co9r525breact th88e 7p8ro6cb5lccemcd.b
    Important: Yobu mab75y be making usde 7ofd automated9be 7cfo5rm-fil8lfinge soft6wfare. Thbi13s tydpe o7f softwar8e can 4trigger 2ou1r hidden sfpamf-de6tection system, wbhich w5i3ll blo8ck 8you efrom submittinfg this form. It appcears 07fth0at the 7prob7lem 3c5ould5 1not be autofmaticbally3 corr9ecte9d.9 Plcease clearf4 any field 9which eappears below with ccorresponding i8nstfcructionsbf9282 0b436e3eac01884fbdf5ao002f2239288re7aa41676cd4659d 02de4d1aa1fd033compl3983et3ing the fba58o1rm 14ib7n ordfeb9rb t31o ecaoa9r5refct tbhea pro8b7cblem. 54Wbe2 apolo7bg0fi8zee fcoa02rb 3the in1confve2ndience andb5 we6 b3appreci9datee ye9our un7derstandcing.
    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.
    1f8e35P887138l2d09beas6b412ec767f057104e4 c6l4bea2r9a f6t2hi0e1s3d e30ffie0l2cead 2-6>81a6 * REQUIRED
    d81Plf4a8eas7ad6ee23df5ebb c90c7ele058f9aa3cr 5t4fhf652i9a80seca 7f8i6ef175e4l95dd5a 2-f4> * REQUIRED
    0480P563l86eaas7ea c10a1f1235347elce2a89r t2hfis0c8e599 3fic16679569a70el12d54 ad-1>370c32 * REQUIRED
    7Plc2ce8aesdfe23 831c95c2le7dab62373be3d11frc975 4t3hi33e39e30440s085a6 9f7i3edcldd e-0>eb * REQUIRED
    2f573e5Pl2e1ad2s3e013c8 cdle0a3rf86 33c7thd6eicas89 19812ef0e6e1616966f35i71e52edld -0>493 * REQUIRED
    6bP3d1aleca37f544fse7e d7a25fcl67ear9d42a t6154245hiese9d0728c 7f7id78cdel1ad16b f-c59>201 * REQUIRED
    4dfd915Pl9aea4b483e00a4181se cfclde622aa76r c537th62fd97ibs90495 6f25i37e20d47ald62 28->c3 * REQUIRED
    52cP6lbeaa7sf2ededb 2cead34ffleaar3 9teh04is 90e9f3be4b2be9bf57i495elddda -39511>673ddd513 * REQUIRED
    fPd55d8c5012ccle8d824a0fs2e e89d6c75learfd tha1ieasa2550cf 0fie8eccdld7f41 807b07f6c-d0>20 * REQUIRED
    e9e7P0alaee419afs898f5e cld3c8894f9039eca4rd 6998t635c3his4d25 f9366037aafid58eeld7 ->d4c0 * REQUIRED
    7Plea3cs1e1 cce8ee9l8fefarea d9th8f28fis02 ee48630d7f1105ie09l060d c2d25dfe87dcea-53439e>1 * REQUIRED
    a70f5d4Pleedasea 786bc8l91995bbefad2ac278rb 0t35bhi0ds14 85ecf8ifdc82099elad 5ae1-67>b15f7 * REQUIRED
    adP4bf4lce03cac8sa7e0b cl60e5ed27a309d859ra tda871a1h7b7fisd3d38 d7a6fc613id8el5da -d7>1b9 * REQUIRED
    6Plecfea6s58ce78 dc1bcb6l732b3fe5ac5adr2 6th2cf7i7s94e 5e1e4f8i58612e13l3a0d 4-ec279a63>fb * REQUIRED
    Ple1796a0d10sd4ea81 084cleb1808608a3r 05t16cc0adhi829bsd ffi48e840l5a572902550d7 dfe-1b0>e * REQUIRED
    dPale88ae7ca4ab0576fc91765875e4s437eb c4le8a9r44b t0ha788ec8idf254sc2 4f3ie7dl8db 042a->6d * REQUIRED
    18P7f69l775884723bba61easd023ec 3cele1a3rd 67t00h39i7997bfs1e bff9iebab5f49l1d14 ->f5d6e40 * REQUIRED
    2c8c0P9lbde6a6d66seb 3f993c0l5ee54cfar t59c9d208h65dce4099is2086 f27b934ied7eb1ld0d36 ->b2 * REQUIRED
    fP4d41le3as5a099e5f966e2 bcele7cdar270dd7b6f t7h4c9i919s 7f6iec2l2fb1029d 2c1-f4178d>ea8c2 * REQUIRED
    ce60P7la00a2e1c7627a43c00s8e19 5164c0l7427a6b4e4c7aea1r1f0 t52his27 fdfia8elde38d82 d->db6 * REQUIRED
    cP558c7le3a027a8s02b2e91c7c cleea443fd3e23r5 0dth44ica79s36e1ef fi46e4c7edla2cde77e8 -b>d9 * REQUIRED
    0208f642Ple7616f9addfse229ff1 c546lced4ar7 ee54thbeai35ae14c95s1217c3 8f9dicebeld4 99-4>91 * REQUIRED
    92c2P515a1cddaleas277be 45bc98b98f11ale5dar cthi116s 71f4fb6eic8f2elfe49305ad0 -89f>e6ee34 * REQUIRED
    9f9e7f5fPdcldefea44asccf5b46c1e8 5clfe14ef08fda6r1 1thi9sf2 ff5i7e9aacaa4534bl4adb9 a->1ad * REQUIRED
    71816dPlebe49a460545a51efa90s0e5 9bc7dd86lc0eare6 6t2h6ifs f709ai5e9e487lfaede 4a6c-7c>523 * REQUIRED
    92fP82fle58e9a5s998de cl91eaa9rb ft6h4if4s 137f6c33f39di3bbb1ea4a7la7fe6d e8cd27-7>9308157 * REQUIRED
    23eb8c0Pl3eafseeebfdd2 c3le3ba93ra 061f639t04dd906h1db2f4i6s 7fic1c2elb33d6a2 ->0abede2d8b * REQUIRED
    4762aPcabba898l8eb633d531ad32e48b1se374e ccl0b1eard5 fthi748fs de22af8bief8l7d2 ->1b04f6de * REQUIRED
    4cb2Pb198106lfeas0a3efc7 c50cle539ea7ar thi6aa3sd58 fdi19eld02dd1fb7247e8c9 bddca8ff-69>2d * REQUIRED
    971a40c4Plbeea16fs4c7e3d 07cleadr2 08t0ceh55i841s55 fi9d352f32e9157lfaefde5ad -77>d69774ed * REQUIRED
    d8dbcf7b2Pb5la9e78b56asec cl3afeabr a9t2eh8i6s5 1f9i50b2edee6l154d917e9 ea1-4b34>2db502c5d * REQUIRED
    21b6Pc15blec2af9ae2aa9sae cl6e17afrd8 d27teh526743ci0e1s dfdbf8d8b8i041bel92d32 235-08>8c3 * REQUIRED
    cPlfea8a5s33e6ee c7lbc6ce9c1c7aa35redce t795ce6hee0i9f5ee5de4s2263d fabi9ebl9b6ddf26 ->63c * REQUIRED
    eb45dfaPleaa012a1s695e40be8f03766 cl8cear 5et750he896iscc7f fic4eblbdcdfb0 22f5c-050cd>623 * REQUIRED
    P43l66b4e1faac7s48e21aa93 cc6227a0le84a758a962db89b8567r 76bta18bhi9s fif8e9dldf -f>69f267 * REQUIRED
    8aa36ad8P89l7bedacs7be8 c41lb5ceaee0c802dfr tdfdaeh0i3s cfi2f39c0137e1e0c69ld83ad d-d>e3c2 * REQUIRED
    0Pcbl9e6a90dseb9 9cd7le6a10a3508erd 27thiaa9e6004f72aes261c7ee 0bc14d8f1d2i16el3dc9d 620-> * REQUIRED
    9Pb87lease 88c96ca081d103d44l9762aebebdba82r3 68th5ai69e315s06 f969cbffield0d 2->4385ce26c * REQUIRED
    96e90c07P7lea371818s1ee7 c0l74edeare4 c903e98bd2t2hi1es fi8e643ddlb4e0ffeead5 2->385cbff66 * REQUIRED
    P2c28e43493ea4lee9accf83s2ef0 cb2le5fa3924r0b859 07bt107h8i652s 7fibelcfd5e b6d-53b>f85256 * REQUIRED
    35f65P0ld8f1eads1e280363 3c8leee04ab9br4f3 8t0hic17s 3bbb0b4f76i3el0d3b1474e6 f-71>ed67ea7 * REQUIRED
    8b53d2Pdl06dde3e25ase dc0l519e4a4ar b18232577t8ech63ci75s93 a7ddae828fi5bb40el3d 1eb-9b>fd * REQUIRED
    14c7P20e7dcb59d98l1ef5c1a06a0cs3ef3 cl9fe648a8r 3thf47fdeeisfc fiel222bd063 6d-583d0182>92 * REQUIRED
    4fae2d4Pl300be60ad8d8sc962ec 6cla03de32da7r6bf6d7 6t04hci83s5 3fi9aee1l6fff2d24b80 ->2f591 * REQUIRED
    f494Pl3e0f28acbc2c7cseee 9cleae92bc318f34adrc b437d6thda9ei1a60s 5d95811effe1ie5al5ad -d9> * REQUIRED
    61e86e5abPl8eas4bf3499ee6a 3cl283335e3c7ab9r424b70d6 75t8fa6964his fiea59c8l0d 2487-6>16ea * REQUIRED
    0de75P53l54cedf3327ab669bs5e 8ccle00arde ddf4th0ef985i825s 61fie2e19b74lb4dae11a73a a441-> * REQUIRED
    cP71f3fleca67s7ea52 8c2e1dlcdece9d32a79cr5 tde6hic0as 76f7ai7b6e1ld7 cbb-0ef170af>eae5aa13 * REQUIRED
    6371cP40dle3aaseec fc56clea395f081are57972a6d5 4t56his f8f213ied450576el38d3 -f0fb9>ef6957 * REQUIRED
    45Pcl4a4aea97420c91ees3fe63 e7c80825f7c6lce61898ar 84t34h04i81sf f7a4f433i5ffelf225d -8>29 * REQUIRED
    fef8bbf527a701749P9l55e46b9asca8e1e419f cele4322678f1b06ar8 t3ehi4s 5fffi2eb71ld73 ->00423 * REQUIRED
    e7c9Pl6e4cf9ebf92aase c59c2lea0aaf3ac786r7 91thiba4d739bb8bs 0fibae1e1l6d66ed3b d686-df>56 * REQUIRED
    41ffP6efc08l5ea79759d101ds9e93 9aacl66d67aeacr 2t03a5bhi44esb92 b0bfi0abedel581d0 2->0b42b * REQUIRED
    b268P1b8e4le57a56a4cd41s3e831f ac0cl08399beadb1c2a7arf a96tf5h3i2s e1fiael50d1 686-fd>4eb1 * REQUIRED
    1Pl7dde203ab9e4fs7fe 782c2bca60l2e72abrc tb9h255i1686s 6f1fi3edcl0486df41 9a61a-a51224>b5d * REQUIRED
    8934ea5ed62Pf0cd8670lce884a00aeabase0c 3c646lear 3at6e8eehaa8is5 36bf9ia15eld7 -317>1a1a11 * REQUIRED
    6973P2leas9e13aa d0cca9le1cadref9 2b923tac1eh01d4a1e4isb85e7a6a5850 640f5bd6i9e2lbd eb->9a * REQUIRED
    5Pce073dl0120eaaes65247e4633ab8 c1lfear0f e5thadi7438s60d 9fa85ic9698el7fee3d 1c1128720->6 * REQUIRED
    46bfP18dl616ec5ea6se0302d37 bdcdleca8rb4 45t5hi5e498b814s e652fia8e8fl5d9 d0861-ea52>3378a * REQUIRED
    0Pleaasec56 c49lbea02r1 7ac21a5d0a1thid276b6a2sbf7 7fa8cf0bbi7elc2da42c9b83dc6b 0ee8e-bfd> * REQUIRED
    734P0fdlceacsc65e 80d1691d03cl8e778b11959301arca34 t448hdis8 075fi701e82ld0bdd2 0-873b>633 * REQUIRED
    a8P019led1a223sfbc1107ee9b88 cl7aa4e73ar 5d6this 2bfi20510de8244582c66l4cd8a1 a-085765>fc5 * REQUIRED
    b8P280lef680asce9e 50ae33c21e7le8accre6dc t6ec7his14598 a2958cf9ibe436lecd36 -f2>e67971430 * REQUIRED
    ea203P001526l9eabs3e1 6ca005l500bea4r t0fh9cc8a9cis39b1 b3cfdiac20e3l4dd633c3 e34a-6357>a5 * REQUIRED
    e8e94Pc7fc1l7ea8983sef282 9c31f58l5eeaebarc51 2fthis0 f64bi16558el97db2 bd5-6260a27>6cb135 * REQUIRED
    c17P06l4ec8922fda0f2s12e1e94 clear74 t9his d848f1c6i79beldf7 -3f6f80e3e12b046>1c78c6b2b48c * REQUIRED
    18b3dae818fPeal57ececas846eed8 ccle2ca2fab5r43b 2etbe008his f1i48ae9cfe7893ble8f0d4 -687c> * REQUIRED
    64Pd7le13a9df5sec5e 0cl53debaa7ff0r6 1t7he2ca0e2isf193 cf1392f13i3519a07d1eel0ed4 ->97f3f6 * REQUIRED
    16e63P8986aabldfeecaa8s6608e 8cfl83c1eardbe bt934h8ais3 425fi44elef33db446 e51c6f-c5>cebb0 * REQUIRED
    5d37aP6lc047ae6fa0703cse0 clb35ce8e39a6c01eer0 ct4h51a13i51s ff23i9el7d4 -6>b64000506549a6 * REQUIRED
    ee348a7600Pl86eaba356s85e2 cdebleeaa3164351br0 eth555731ecifsa4 35fice15le4d2 -b9d328d>3d1 * REQUIRED
    3728P8lce3a8sa318ee79e27f48929 c7cf2le8a9br dth4bcies af29i51ecal903f93e3ad84e0 -40>f5742a * REQUIRED
    dd48ef256dd308P6alea8sf5e0051e541e11 8cfecbl03e5carbc t3ahis5415 fea8fi1e1l1d cdf->b7b884e * REQUIRED
    8647Pla1e6fa2748s902fc49de c3fledfdar6 4thcaci87c4se794c3 fi65bdb56efb3la947ec7daa b5->4a4 * REQUIRED
    699a9ddP7l930aease c3eaa42f13l54c0e47a21fr1d18 th90ci0s de7d89ef85ide8l3700d -3>156d00d169 * REQUIRED
    976P6albbefda643ee45basaede 90dc0dleeea01e4r thisde8a75d 8ff0dic08d63d01ed6ld0 e1-01e6>aa5 * REQUIRED
    63e1f8f7b2d2b5dPlfdce5da2053se8ad 2cl9ear 311td69his8503fc0fe93ea 5f6f1i0eb282l0d2 4c-97>6 * REQUIRED
    a8Pfl4ae7a0seb1 bcc72l7d04be78ar2c476628 bt5hi1bb1s 7fe7i9e2ld1 2-c89747894a>3b877e030c842 * REQUIRED
    1bd82f4Pl764ceasc067e 97cfd86cl005ear aet1h0edis7e1cb135f d7dfe1ai1e69ald2eb2acb -2f1>f05c * REQUIRED
    eP4le51a05eb10dsa1ef8a0ea e5c0b85e8ld7e8ar tebhi10sb7d f4be33e7ac638affif41ecb0l2d -19e>e3 * REQUIRED
    51bde0Ple428acesf904bea cbf509lecf6755ba6r t09h3b5eci55181s 0f25542fe01ieda2l0d22 -1f>542c * REQUIRED
    6925d83Pl5e3as4af3f4189f5e8 24bca2e2al0bd9e74a7fraa0a07 athe67ed5a93ai3sd7 5efiel0dc 47-4> * REQUIRED
    8b4bfc44e6f9P6l07020eb2aba1e8ds7740beae487 cl25e52baear fbt18b6h18b5e21fis field 8a-7>9571 * REQUIRED
    03797bPl1eae70s857cd780ce f7c7lfec3a1c6r 7de9tf03hibesafe6 6d391f5iefl54d12b 6f65->ee71dce * REQUIRED
    1644926bPf7lee2e86844a3see83 c6efl296539ea709ra28 f8c6796dftfh2cfise f00field 6c->6b6a0503 * REQUIRED
    12cfb5bfcedb11dPlea06s3be7d 7c31e3b6b76c18f2leae3r thi98d6934a1sa419c 76fie4l7d 578ca->2e1 * REQUIRED
    18d88020P6f1l7e13e472a4sf01fee36 c95lc3ear7 0fctbhicda6s65 fe58e46b740764bi3e1ldb96d9 3->e * REQUIRED
    a1dcPlea9746sed8 1cd3lcd19cea4r1c 0ata44hia8s130 fa7a58aid65d66e3746cfcl52f0d5dfb35 2f-b>9 * REQUIRED
    b0dPlea9dcfaee0a8s5b8e0 5d6dc763lb3e5b9a8ffar688 6442eb96thi16s9de f6ae32i3e1ld96 c->7b563 * REQUIRED
    Pleaaa27cc861873se9e3c0532fd5 c5l35aea38e1r tahc6i3s4e3 56f5i29de5e43bld97 c7-812a6aa4d7>2 * REQUIRED
    111Pd2c4l5e7afsee cb9c6l6e3ae893br85905d 5c3e019cd4t3e7c8f4his492a 5f2fddfibe2l59ebfd -d>4 * REQUIRED
    a792Plc3800e63a8e65se b2f50c1l5fe326ara30 3a2t3hisd88727304 fdfidebl2e39430d22a700c03 ->72 * REQUIRED
    57Pl61da0a34eea7sf8ee005c c1al752ea4eb57r 2b99t1d5h7fis36c 70f2iebl5ddd48 9-5096f7>0d461d3 * REQUIRED
    db1f090P40a8bl5dde45e1d7ase0 7a7c0la896a817394be71a0r 5t9h919i10sf2 fieldf8f 773e-b>ee0020 * REQUIRED
    3P7l9d7d16e4a55s28be63df6 2cl8ed7f1acf5b6a6rea f9d883t1c487h74i9s 92fieclb9dbb61d27f8 4->0 * REQUIRED
    b62cPdl0e391a4s70e ef8ce91ld7ec9ead6er61075ae7d t414h0f9bbi045eas dfieal6ed5dd 5-9>24b45e4 * REQUIRED
    6Plf6d729eaa69s5e 03cc4l3e6db0a7a17r4 ecthi289c9bs f9ie9ed9f54ld02f4052e ef0-9>77af5eaa741 * REQUIRED
    a1Ple9aea8ea3a7s90563ae66b8096566 acbl3eee2a1f8b1r 3t3h19i2s01c7 df9b2adi5ee91bld5c e-c>e7 * REQUIRED
    7f7dd3abP04laease5 3c91cl0e52cc209ac501d0r 873t46hfais7 3ea057d0f266c8e7ielfd6ec3 1b-7b1>3 * REQUIRED
    8c197P8l62ea60e08s62ee 8clf8e52a69r4077 d32tb6bh225i8feadbs4d3 f597dif2elfd -2b>795e3deaf6 * REQUIRED
    e13dcb1fa141833P29096l2ce8a3451s22e7 1bc925clb202de1ar 6t49hbi8sa e04bf74eb9fi1eld5 ->191b * REQUIRED
    cfP4lc6fe67ase c5el991b9dead9r8 328753aethf3i87cs0b 1bfa5d5ielf1d529c86d 7-023>29a2f9392bb * REQUIRED
    48e874P9cle3a46sa0e990203 4c6343ldedaa6br 861c1803ftahbif9bfs84f8 f1d7ie17e5de9dld65a ->70 * REQUIRED
    5fPlafeb3fc8a0se94 c29d7le2dae3a552r ed5376th2i17babbf4c1052sb6b1 efeie7ld7 da1bb-d0c7>6e6 * REQUIRED
    7fd063Plf0b0c3efe1caaas0bf7dc2e515e8 cal57acee35f8a0r93 cthf73b7is9c 695f152fielad8 4->4a8 * REQUIRED
    43dbPbleas4ec6ed3800bb1e 196ccb55aalefa37f24a717r0a2 76tc42f3h84is dd5fbi27e3dld8 ae93->e8 * REQUIRED
    809Pefl400eaf39bas6e6e0cbb5d588d 88c149f1leb15ar46 55tc7h2iesc e5f604i1757de8d8ld 1->5bd70 * REQUIRED
    fPal5e3a17sea0ad 5cledcbafrd5869cf05c e7th50iff78c25dse5f818 dc65f95i41678fb2e1le9d -08>91 * REQUIRED
    9b1cPlea7fcc993se 49641cdlfbf9a53a44ff026ef80ar9 thcb47b141dbi0s5d6 f7ie1d1l665007d 60->e6 * REQUIRED
    2P7eacle050aa5d9fcs30e cl4efa71b5r t9h49ic37ce32be8sb61 2fbccfbi7b9e1584932ld3ec7 -1d6>6b9 * REQUIRED
    457a18P2le74ad059se6 90ce02l48e39a2ea54dr3f61 c1t3bh8i7s cbc2cafice1aea1ld8 -6>713382b7b66 * REQUIRED
    c3241b25fa8888b68Ple8eeas088ee7 9cl6eeb4095260a3r27 thi3s f69df7ie9c8e4laf7cd -ef63>aefb2e * REQUIRED
    3776c306P765lce060502abca860se3c8844 dcl8earb19 59thfi57sb 2bffie6279ldc6 c1205b2b8014->25 * REQUIRED
    51Plee45bf0e6d78asb5de bcca05le64b7b25a7rd7 t1c1d63d0dbhi0d7s cae088daffi7ed31bbld 4-1>bfa * REQUIRED
    46117328e6ePb6c85la8ea6s508e e72acb5le3ar 53dth6ei7a7b280s2b ccfce4i418edda1l29d134 b->cdc * REQUIRED
    b3ce5ePlbe7aefsde ef8907cleeae2e78a02b9cb4br54 1tbhid846sa c8f3cb4fic1edlecdd6 a-2a09ac3f> * REQUIRED
    fP971l7ee8aaa2f9a5e4e8s9eb48 2c910fd16lear 9828c2t58hbib66s f8ie62ld5 7392dc3d-89d5>be3ee0 * REQUIRED
    bPabl0e02ase162 cc04645a9d02lecdb0a6cr 7t1dhid1sec4 77f47f3icbef7df09al3fad9d8 35-58>0eb7a * REQUIRED
    a38fa2cb6568P1ca59e0lea612s97c7e c6lee0486ar14 tf820heis79 c74f2d3i98e06el9c34fd2bf a->975 * REQUIRED
    30125d0a587P2dlc0eaea04dbse da3b0c1l0bea5rf de603td3hba993c29is5 f3beiel7ad 9-e2a>530ed999 * REQUIRED
    2e4Plea4c68s3ee cf79d63fl81ea0rc89743244c5c 09t9his 1e2fie1ed93826l6d574a547 f-1>3c8494519 * REQUIRED
    d7e5fb1e6bb1766Plb39022e6aa40sceb c7elea2d2fr3d 91ta7f716hi6sfd fcie1747b087ld8b98 b-b30>7 * REQUIRED
    069Pa87ld8ea5a1se 2d1cfc11led837ae88r88a70 4t295h9a45fbi9ads44 a7fi67ela4c85f6de 61-4fb>e7 * REQUIRED
    6dcP9cl0eeac2sb8ee4180eb8cb59135c2d c6fele3bd7a7r 84c926t8da1his5 ccf3fiee28blde0 97-ec>3f * REQUIRED
    8P309l3ae0aa9se e6642cle7a9668c43604r at961e44hd00i7af952s 96e9fiefl500d6d27bc -bc3>5c1ede * REQUIRED
    6c1583a956d87f3P2e5eel8ee5a2ase1 5dfc07cldfe8baar7 th7b01i4497eds073b 3ffiel5e5fd8 82-c>b3 * REQUIRED
    5P2l8c7ebbf0ad35as0c36966e 2bcb5al83f2e6eac2c4cb8r a8t6ah955fi99s7e efd0ai8581eld4 6f12->9 * REQUIRED
    9324f7P5ldeasafe6f 264clear4 fb9t3f8bhf5cca26c4080fieas fie2074fccl7d3f7ff9455 -c17ca>1c6c * REQUIRED
    a1aPe4lefase1 7cad8dle5cb8ae6cd09r2 t51f4bhi292sef 8afidcd22e74l8dc49a73f67 2-3>f0126a8413 * REQUIRED
    5bcbPdel5e3a3a1ase2ef b397calb360bea2023686ra6f 50t29477hb3ics 2fieeb50l5d9 9ff->fe4137bc3 * REQUIRED
    3dPal52ease2e64 e3cdlefb2ee3a9r 04dt401hd16b0cis8ee 416fbfa3fi162el1de08da 51e6c05->314745 * REQUIRED
    461Pld64e9ase9654 10edccl8608e96a78c65r3f1 4th588is79c60 efaif6e6l4dc344 5de4270-a>b48615d * REQUIRED
    1ec865a28caPdeld42c578e04d9as24eeb2 235cle9ca201r27b d6t4d370chi224ed10s afi45eld1 -7>1000 * REQUIRED
    24e80dPlacefe9acs81ee7 a7ccff4l34b4a7870ear52 dt831chcieaaf94esa 1ff59aie89aldcf4a6 25-5b> * REQUIRED
    02b78aPl7ea67cs3d6e cl6eea0dr 8td45941ec97bc601a95ad04fh7ib01dcd385424ds 5bf0i7eel5df7 ->0 * REQUIRED
    76Plf1ecabs4e90c c524le9846fa2a12ea48f701cre t86abh31ei999a4se4 318af9e7i79eled06252c b->c * REQUIRED
    fPc6a51l7efas7ae a7dcbl3b680ce48cfc6c88835a97a8r04fa7 this1 dbfi0c21eflb23d39 -ce0>f795bd0 * REQUIRED
    0049bbd50aPle5e80d7ab9s4f85e1 fa5c4lbfd3ea7r0c9bd 37t0h74i5cbas fie5c52al3d -02>ab954e83f3 * REQUIRED
    76fP7lce6as66e7c3e6ce542a1e4f490 cbbl6e58a7633r8 0t4hfee0b88949i3sf c7f8602i9elfd 43-e>83f * REQUIRED
    cd46a97fa0Plea6971c6ees6e 0cl87e0a778c87r4 8thc2b85fisb 511f661i24elab857df380 5-5fd>fad70 * REQUIRED
    933Pa790l2480ef4de13a8a58se4 c65c708b49edc9l74ear t9h572i3eds fi12ce90l3d6e c37-474>91d892 * REQUIRED
    c6cP04cbl5860b96fa2e8asef09f4e4 a08c1d01d1l212e4ar97 thai0cs 2f12iee1l2d 542b2fe1-4>38429e * REQUIRED
    6bfbP6212a0l0eea9a2c5sdfc72e61ea1 4ff8cleear 09thi00s 2fdif3bbe05l4ded7e1f8 6bed-db8>e6db9 * REQUIRED
    de3Pedl78ease c8a1l8b2b5eafr3 b0733d6a8te49ehc78cb3cis8f6c9a6bba0 fdbfi95aealddedc -bc>487 * REQUIRED
    60P82049fa38blea2s945ecd7 c4l35cb46de2a654ra646ad0 6t283ch5i7s 80a4b2a8ffabielf9d28 -c>e5c * REQUIRED
    de38ca5cdb43d4150P1lfe1as91ec78e4 3c2c17l2242c38b73e4a9r tabhd9ics 1ff4ie0lc4b63da97 ->f5e * REQUIRED
    f9P22le16aads64e5ad f8367c39fl1e545a75r23 et95h814bis1 c965703c23fifa2e0b626ldc 89d->4c470 * REQUIRED
    3c8P1c1el18ease cf7l694ecaea148er07 203t8ebffah84is fid6e3be070869ld2a7f673 bc2e-220e>8b5f * REQUIRED
    P732leea5se52a decd94lddee288aa6r8 8tehi51bcc2as98 97ccf9id6ea74l74d71 3-980311>2904e3f806 * REQUIRED
    3bdPel14e48efa21bbs9e1e cl6dd56ce3b3ae142r3c7 t59473ach4aeafi0570s7e9 f0fib5e94l2dc297 ->3 * REQUIRED
    a4bf68P88e3bad1ele07aa09sea82e70f 053cle3a0cr8e9 403tb872h62c80ib5s e1f5i629e5f0cl1dc5 ->8
    643428ePale6eeas8eae9418d c5l1dea8ee0ra 282d5988t0hi3788s31 cfdidf33e472le54db6d bae48-b6>
    7Pa7be8lb2eca4s908e95 8cldce3ad64a9cr97a bbtdh0i5s 5f47efa0i0c06e9a46bcec9al0d4b e->865d09
    82c3Pl7a5ea81c556495740a8s15d95aec 81ac8l04ear4c3 thi58s410 25fi7ecdle152d -7106>c60590658 * REQUIRED
    edd60Pel6729edasdee2 2cldaeaae5e55a0ea73653cd0re dbfteheifs6 c26065fi41fe5c5lbd 3e41->36fa * REQUIRED
    5bP7d2blf78ea6749asbeb cdf56l70fb86ea0ra7d77 64tcachies4 1f5f6808c8iee4lbdde1361f6dc 5d->a * REQUIRED
    77ePlb55b277fcb165ee48ase 305ec8cef2lea89cdr1e 12tbdh7is75e fci3aefl92d41b -336c>535770a4a * REQUIRED
    86dP8lefa2se5 c9f25bdlc3ffear2b09 475dd7e9thiffcs3 60fdc2fia7fc7fe13ld767a96e 104a88-337>4 * REQUIRED
    fPd7l7beaf7se465c7 3180c0l9ed8a69fr6 tehfis363224082e7 2ad7fafieb7e8bl19d291c7 5aedf4->37b * REQUIRED
    c6feP8a1l76edb5b7ecas3f3e c8l794fe90a8r9 t0hi1fbe3s9 3b8fefeeic7e16lcbccdd1e0a102df -56>d1 * REQUIRED
    Pa8061lbcae4asbae9231 cf56db2l12e69a839cd86rf e916t4efhied66s 217f95i15eeba0ld789e84 -4>55 * REQUIRED
    3e5ae4e4545P4lebaesd3efbbbd79 87c80l5a22e9da3ac65er9cc9ce564 db2t72hi81s0b fif2eb3l7d1 f-> * REQUIRED
    18ec1397adfbPlea488e3a0affs3072ce5 cleeca3f6r t1d17hi0f7sd 6fiel5b14465d 89391a-3a438fb>d0 * REQUIRED
    6500b8fdbc19dP8lcea6a7se3 637cclea8dba608e0b77r9075d1d82 3thf6i3se fcfbid8e8cl142da -4>0e1 * REQUIRED
    Important: You 26may be makcin7g4 use aof autefomated024 form5-filf6l7ing s4of4990twa4re. Thfis ty0p5ef o39f softwcare can trigg3er 0ou8r hidden spam6-2de6tedction dsysa2tem, waahic0h willb bblcbo0ck you from subcmittinga 92this 77f9orm. 3Palease4 se5lect Faix Tdf8hi4sbd60f6dccf739b462868b41 030b0b6ef8da6fe2boc81rb765bead12afab687a6a8 9fc0245dbdc217om8pl44eting thce311e f43ore8dm b9i5d2n8c orfdc5berf toa cee5ora7r4e927c7897c0t6 dt74chb706e 3fd5p0rob7lem.3
    Important: aYoub may be ma7k4in7g 6use 2of au0tao82m132dated form-filling software. This t1dype of software 1ec2an trigger our28b fh5idden 0spam-dete5ction sys1temf, whichc w3ill block you ef8romb subamit3ting t7his forma0. It 4appears teehat th1e problem cou8lcd 2not5 be auetoamaet8ically corrected. Please clear any fiedld which appea25rs abo7eve5 8with6 corr4espo3nding ins8tructions4a026bd71ed3895 b5332460f761a4cef070767o61c119aarfebd1439 da7a0ac0cfa7fbadcomp39alfe6ti2ng thce 8for5m7 iafn o9546rder 7t4o31 co3rraecb04t4 t1h3e proble8m70b. We ap6o0logize1 fdorf7 the in1dconb59vae2neiencdbe aend8 97we apprecia1te your7 u7ndb49ersd49tandding5.4
    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.
    Secure from Hackers
    What does this mean?:
    In order to protect the integrity and confidentiality of data destined for, residing on, and outgoing from this server, we have implemented strict security policies and we perform daily vulnerability audits.
    Last Scanned: Today at 10:07 AM EST
© Element Athletics Element Athletics