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~spray
    @MEMBER OF PROJECT HONEY POT
    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: Yo9u amabye c8be2 making 96use o8f automatefd fordm-cfifl8ling so54ftfwa405a16rea. Th4i9s type6 7o8f s4o0ftw6care can58 trig7gcfer our hid7ddee4n 3spae5m-de0tection syset1em,7 4which will bloc3ke0 y3o8u fr3om su9bm9iftting athis form. 5Please selec6t Fix Thi3s025c4630c91b bf418f3f01f4e73c6foarfe6f4fd319cebefceaf62a465c61 51649036b17bco2mple3tci96nadg3 2ctfahe fb8673or1m7462 icn ord837er 337a2tefo dc632o7r213595receec5et bte5bh8e pa2ar8o2eblem6.
    Important: aYou mayc be maekin8g use of7 automated 9form-9fci1lling software. Th9i1s12 typee of1 socftware ceanb trigger our hidden 9spac4m-detection 7systae1m, which wi1ll block you from c2submitd3ti1ng this efdco8crm. It appeacrs that28 t8fhe problem c9ould no9t be au1tomatical8ly corrected. Please clef7ar aany 0field3 wehich appbears db8el37fow w15it2h correcsp7on7ding i0nstructi8ons7479e7 84864be335d3fba8619e09e5ce352eoda92e00202e3bc152er8e3 cab36a8a6d01compl9eta94ieng71a 29t1heb f59od3rmd i4dn obr9da3e1ar to cor23recte7 the9c pro9ble7m.2f W0e apol1dog5izdec for 3bthe i4nc4onve6encience7 and we 99ap1p4reciatfebae2 10y0our1 understand1ing.
     
    Player Information:
     
    Emergency Contact Information:
     
    Payment Information:
     
     
     
    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. 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.
     
    1be1P5l63ea983b46seb9 3e802307a41e4c1dl337a3ebfa00r 5dft5hibs bf6255be59i63e0l3d -8d>f7bc3 * REQUIRED
    cPl34ed000a47fc917a4seec07 a05d2a754411cleae2ecc26a2r5ba 6a98the4f1i1s8 1fi4b1e70ald -f6>5 * REQUIRED
    ff27cbPl9eafe40f5ese7 bcelb18af4e68ae4re3 6tf6d8hi3bc54s925 5ef602i90ee6bl31d 523093-4>a28 * REQUIRED
    df784aPldbe5a799s5d9008bc8ee 436cl6ebebear81b407 1t0b9hfcis11fd2 5f155015i1e3ld 36-b>d5b1a * REQUIRED
    d8Pl6e9case12ae a2aec6285l4e93da950rc3 thd548i1542d8fsc9 fi2a39e157fl7d1b5fc4 -11a63>4bf27 * REQUIRED
    3dP0cldb7aedcbas9ed cld2cece4ar85 6btdh0199i61scee9 7def9aif449el7dbc6f 357d-58a621ff64>b7 * REQUIRED
    66fP114clae0e2a95as92e3e627 clbede4a1fb3r0 t9bf1855b0h1ai8fse7 f3ie87dbb98adld f5->9f4597e * REQUIRED
    020beae02d0ePl0fea9fsed 1cleefd3744b6b7afr5b t0hd40i01s13 fc4ie9995e28l7ad0 f19a-6361>4ea6 * REQUIRED
    419cePf5dl97f23feebfe7f84f16a3730s5bce3f7c a8327cle2ear8 t92hi9sa4 acfibaae2ela1d5 b1-f3>8 * REQUIRED
    2P5l9e35asf4238117ec90aa 30f1e1c97172cale8afrc5 c65at2h9is975349980 1fic1eld86a8a 3-c>4243 * REQUIRED
    a59784912eeP9l015e79fba1se1 cb9l8eard7ee t433e76ba9hib84c2d5cs e80fieefd92ld16 00-cc>7b27a * REQUIRED
    aba5Pbl81bd26ed07as8e caec3ld6819edf1ard 76e34606t3f1ahis3 3fi70eldbf432 aa52-62233b23e>51 * REQUIRED
    e916ePl3eased4e29b8 dab5c0e345a02f9bal78a21a9eabrb2 thf6i3d6c4s fi06e4l5db9fd45 f->e7de0ab * REQUIRED
    c5fbaf6P6edle9d76ase 9cedc6l4e4aa4e9fd0fr9e 5tc10eh17i9554cs30 fidel0e2d170 114-1>e2660c4b * REQUIRED
    13ce5d6c0c6d0402P2b8leadsceda9 e98cle9a4r 133b6at1hf7is3 6fifdea7b4673c99l6dd c-d05b64a>a0 * REQUIRED
    P8clfe7easd8abee654 cd834l2b8ebb2ae8a6aa28er6af863a 74tdf2hc094ics c02f02i24el8d8 ->60e377 * REQUIRED
    8Plecaas1eabf20 ff113bc6lea82ber69c1c38 thi38s676 417392f31cc11ci66e8dld8 2c6-6>3a8c8a5988 * REQUIRED
    d63a9P0ae9l7014544e5a1sed0e9660 acecl5e1832ar9c48c8 6dthfi9sc6f123e3 fb3ff7i711e066ld0 ->4 * REQUIRED
    c6Pe31737d15836al13d4eae854se 53c75l1e23fb9daa355r ta590hisf 6243b4883fie8082bl0d b1b-e>e6 * REQUIRED
    13aP2l4e6355asffe b71ca18l7942ebcc5cda0bc8f5rd6d1 f214this9e7 a8f1ie80clcdb 4a->c5ee19468e * REQUIRED
    24P17l2easce 0c6c7l15ae01far1b 279091tha03fc38ibbed6s 5f60286962d96i8478e69ld8e -1>e5a8bfd * REQUIRED
    b3Pd2lea895se c4aelf0e920a372ra078 t0h0ci41s622b 01e952660708747e9f634f4ie1ld 2-b>d08f4097 * REQUIRED
    d932aPa12d9l4e43a32asbe7 ba999c6a8c5d6fc7l09c4ea7eaa2r 8this dc7f5be3i8ed8elf6b7d49d d94-> * REQUIRED
    e1cPf8fdaldea8s67e0b1af4f0 4ce8770cfe8dl73eae2r0503a6 8t2ch9idc00absc3e277 fiel2bd 988a-b> * REQUIRED
    096Pl7307e0de96a574890s6e1785 d2cl41ea7r0 t128d8hdeeci4s1fc 40385fafe7ie2e9led 2b-7228>d71 * REQUIRED
    Pl2eac7s9775c27f838bd77ea ff6cle20a6acadr thece622fa0i0c6cs f41ice7eca7d93afe96ldb3 -e>823 * REQUIRED
    d40fP320aled93cfase3c 36ac35e4l9e4c3d45fea8825fr d4tah7is4593dc 1cfee5i4fec12ldc -84>ed098 * REQUIRED
    P6aled28af2bs9aae9747ff7d bc21e8a2bc6lebd7ea2r 00ethbi94sf9d6ce ccffe8851idelf47d5 -fc6>7d * REQUIRED
    5c30fc45c60Pcl6d8ed1ee2afcse3e cl11e0acdaa5cra9aa 34a395te8e721his fi05e899021l6063d5 d->2 * REQUIRED
    56Pf0f05l3ea9s88e bcld0ee3abare2b 00t2hf0003i5e00cs1 f217b843fai5e6ld41d5dc546de 5->cddd53 * REQUIRED
    Plead568ec880cs9fe dcl9beac2r70ab665 21tf1ah2375eiaa98s8a5a2 cffe911fc0iecl4d89c d-4cb99>7 * REQUIRED
    f04c400533Pel3eas6ef5854e f2cdl953eb4d9ar8 8tbe2hcei5s5 fi5d906037fe8eld0bd0 -a107>cd228a0 * REQUIRED
    5aPc4559l0e43db4ase bc40leab1r t8ab36e9hi3ace2s2 0cfb00fe81c5c8i4e1fe3fld 5a79863->3d2c2b2 * REQUIRED
    0P97l66faccfde0abs68be 9c2552l51ear616 56t6hf388iab72dfc5das2cb aa4fd56ieel2129d1 053->182 * REQUIRED
    ce4Pl26907fbc0easeb962c56e 74cleare8 0t2che3c57e6c8ise 4cb6dffc8ed509fi3485fe8l69cdb f-6>5 * REQUIRED
    4aff93092fPelde12a25277a033se7 c481c52leab48fa9dr t3bca2bhid9s5a 6f0f7id69el6c62d26 b5-60> * REQUIRED
    36P330fl5eeaads7e3930dfe05b4 5bc6le1a7cd1r32e 58097e6t3f265his f0i8e8lbcd58eed d-8519>1411 * REQUIRED
    f86Plb16b434eaa08se 1702bccl801e12a0d7aba9drd3 f364t75chi3sf 6f2ield0 d6-b2c0ab9a324325>35 * REQUIRED
    fP3l114e9efase2 61cc35a4lce14005ee769aa6r8 tf6166a4d8hi221sf fied2c447ld e4-f405f17>94cc90 * REQUIRED
    09P73le6e0aa4a9s4ee4 1a7c6l646ece21296a5r 06c7thias 1fc559a8i3e7129ec9330l42ed3d 7-789>98f * REQUIRED
    P8bl3e4e058ase34895 cl6e4af8r17e 92tae3f2h5c5i38442dsdf f11i2e63ld904 -120d8b>b82d50aa64fa * REQUIRED
    9e1P2le93a19s8b2e4153 54291cle4abar2e8f 16atah94a3c1ebics 14feie1534l8da65151bc9068b e->19 * REQUIRED
    9bc600Pl81a6eas0e8f177c08 c32dl32768e0cbb5ba353def10a75r eth393is0551 fi94eaebfl87a7da ->5 * REQUIRED
    666d83Pfblefaes4e8 f20cle9aa34rd tc3h5bi5fb4c58107s a9fb5id598291e6l093ead7c54 dc-3>45d972 * REQUIRED
    759cccaPlaeea378b21sef70 002cle65aar13 t56hi3b2ds38ae4419 9ef2i6ee6dl6c53db258 32->06e51a9 * REQUIRED
    dd8Plbc5e230acbsae4e562b0 c1le9a634frea t9f82h78beisad1 0ef068217i6e446e3823alde9 e6410->8 * REQUIRED
    88d3fP44ecle487d1eaa0se75c 7fc8l0fe1ac57r 1t321h85isea8b86f71 e76fifeb7l3d0dfcb11c73 5-9>3 * REQUIRED
    aP58f62lbe0adasce4f c4b7le07ar 336t5h83ifs8084c724 10985e273abe39fifee520bab8l726d d-5d>60 * REQUIRED
    72bc00c3cc73ePlfcee91a8f2se7ee9ff dccl34ear te5hee9di3s 4a892ffb50di7681ae9ld6 -7f31a>e85f * REQUIRED
    6229P3lea46as82cd5edf 3c1lef26feaer1 8305thcbi983sed78b 0c4fe52if7eeld7476 d-2f96e7>6a1eb9 * REQUIRED
    a3P99le40as3c3e7 3c9al9ae932aar6e 42athid9ebs01 5f932b0dieadld408e7e0c466103925 ->a4ef88fa * REQUIRED
    5416968Plfb4ecc9bas4e7399d54 c84l45eafr937d9d teadc674h8c0is 09f0id3e9ldef9 21506f818eb5-> * REQUIRED
    0a5P36l94e89ef941b1a19s7e5 b47ccel9e6a607er7 eeft93h8i408da55s 0f82152i86f1efl89d5 -a>2ba4 * REQUIRED
    b201f4P69bb0e90le95a27sc0947120d0ea6ae clbde1a59dr6 t4che3isa f1465i00el3de3 057->d8fbf997 * REQUIRED
    4ba169cP8lfe3as1d28e befac3le6ear c0teh4i41s9cd0d6133759d0 fbi28fe64fald 06d4-d65>044e306f * REQUIRED
    290af0Pl22a1e16a13fbsec7e2659 61b4c9839272faclef76adar0 14t6h8cis 9fi65e500cbld66de8 -12b> * REQUIRED
    aP914d2l01e9a367s2fe17 694c973dl4cd2ea815r9ff2 1t8757e55eea0e9047hisf5f93 fielde fc231-0>8 * REQUIRED
    e37c48800P64c3lde2ea95se9 f5474cl954ear b1c8t2h02i1s0 6949fif1a274b692el14fd561cc8e7 ->59e * REQUIRED
    25b7P9l9ebb444a31af3csed6 c987lbee6ar46565adaab 0t73h6i9277s802a6 e7caf6ife8l0dc3fb -53>48 * REQUIRED
    4feP9f1lb78e9a7a71see e46c54le9edaeb4r 2t675ba8874h2fis4 fi4cfbe8a830d082a9bedbld812 -e1e> * REQUIRED
    0d20P14l61ffeaase 8ecddcle1bae75aarf eth91f02ias41d6 dd8f1cfi39ae164ald3c 4c5e8-65e>443b82 * REQUIRED
    db5P1l0e61aadb0sa285a7e2 c6a5ale3c1246card179 thdfis3 2f3iea59b67aa8de056ld6850a3d -6>cbc0 * REQUIRED
    09P7l9eea1asa4f2eb2c0 c76dleaaf6r 1d9a6fa7ef6570ct639hi5sa 42fc2i4458beld9413 b->7ff3f8f31 * REQUIRED
    6a68e3P69d8elb7d1c6ea6548asce2552 1c35bl33cef3a6rc7 a1bt74hi0s96 3ef085fiee85c85ld -f>4da4 * REQUIRED
    31195c6P4lfbe73e2ase c0ble5b31dac49ef61bar eth70f6bcf2ie1s5 f4df0ei928edeld6d5ca9 14b-b>b7 * REQUIRED
    8980P29le5easf2e e2cleadr161c t1d2319042a51bcbc67chi5s9b 89bf0i37e873bl1bd 707965-fa9>1c23 * REQUIRED
    30Pela8c779d1be5fadsee cc49ce45l6d6b21eaab88r this89db 63ccfd38dield9d0d -781f8e0>1a2452e3 * REQUIRED
    aa9877becd316a49e1Pdle52f455ease563 5ce2d4l1abeba7ar 8tdf117bh3a35is f2fi440el7ad a->8b82f * REQUIRED
    758eP5a41c6l798e05ab7sfe 9464c8cl106e0adb5farf2e dt71h9ei8s131 fie9eldac2f30acdcd96 4-8>85 * REQUIRED
    b59676Pc7a5dle59b646a414se 6378acl9207221efar752bf 99this05883 c5fi0299affe421celd 7c7b->4 * REQUIRED
    5a4efPle034abf73c4se b5ffcl1e38ea0r35b t7hb3fi75safb7 c25a5c2ff3eief4ld -3>c96d934d4d3e898 * REQUIRED
    3828dPlea5a8s1e5718 clee0ca43r6b4 7af052t25059h4344i2s3b53 5dfi0de4c8ldfe8a812c3c 72-009>4 * REQUIRED
    5Plea761e555daa895d02sef cbcledb80eea53r 8e0at0fh4f77dfdis 8f7die868dald9de7d17d 2f->be56c * REQUIRED
    dPlfbaeafbaf4s339e3ea7 7bclc8ea01r ebacc5b1t2h6ise460a5510 acfi0bf27e5lad5c d821e-8>ba4d76 * REQUIRED
    Plbeaacsb3efeb04fec235 15075ce0ccl296ece4adar489a92cf69 dd76tah26is0d fide95c0l6c92d -7c>4 * REQUIRED
    93186Pc4aelea4s6e8d786 b5a6clfafea56r thc4i90a3s391 d210df774ie1aedc9cd13c3ld8d -a>d97a66a * REQUIRED
    7e6c5bPele980dase d3f941646161cal7f6e4a08rd d6t6his fe7df9ied3ldd7a540 9db-68686>21d21861b * REQUIRED
    234aPel83eaf5b04secc 19e8cbe481flbe058ab3419r4bf5a0550 thi2s2cc6 4fc66ie7cel9d80 949f8->e4 * REQUIRED
    c234959Pl781be51604fea3a19se 90clea9rfa 6df3tb6202b19hcf774i6f9ds 8fe34ie1lbc14d67a42 ->ae * REQUIRED
    bbPl69fe4a8bcd7es3fe734f 75cca8l9e04a6d6b99747rc3 th2c1d5cia016as7ec5d f57i543e4l0dc83 ->c * REQUIRED
    ePl9easefc8cac01 26fc2l2de6bar5 t0hi6sb29 2fi8afb8cfe50dd23ae19cdd87218ld4d 2ddf-dfcb>db3f * REQUIRED
    8bbbP3le58a5d9s1e79 81cleab30e8f8b44re athc57isbf52 708bfieeb9le8030ed866 2d3c-c7928>f7029 * REQUIRED
    430b43Pl4bebas0eded80e2f0 3cl887f68e17a7r6c65b t96dhb4cd901dis facff3e8i379d310e7ld 0002-> * REQUIRED
    0754Ple8ac1se dc240l9bdec6eda0837r 0tf91aceaa3155a20hd731a4is75597 f387i0aela80dc a-74f7>4 * REQUIRED
    b30df302a5b8c3P9leac9adse71 1038c8lcfe3daaar3a thia9ddfs 54d1b75b89d1fi9befa4ld 13740-89>a * REQUIRED
    6P596l5eea2sbe9 7c73515le3e0834fabf04a4br1a44 8c91t8h480c4348d00bi98sfc dfi4e3l6c0d -04>ba * REQUIRED
    b2P431lf1bd7ee296a4ff8d7bse6 c9l24e579a738f3605bafr th7e3cb9379i26as4 ef0f9e578iea1ld ->13 * REQUIRED
    85250Pb2lcebc323asd4e 9160c0ledea7r90a2ba6705 dd898622tahc93is83ad b7fai1el3d1c a5-7d>a5a7 * REQUIRED
    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
    * REQUIRED
    16Ple8a0sec4cf a8cfce5l9eea1re8 1dt8haif30s 33c0fei886cffe2fc6cbcd1l5acafd b9eaf09-2e64>bd
    * REQUIRED
    eb9P906l7eea6d3s8e4d cdle11d318aa2r1e 54edf8teh1is 3fi9f4e463flecdcfa33c8c644 57b-c>4c596c
    * REQUIRED
    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.
    Important: Yo3u ma0y ebe madking us7e 0ofc8 automated form-fillfingf 2software. Thi9s type of sofbtwafre cac7n8 triggerb our 6hidden spam-d57etect2ion8 system, which will block you from submitting this form. 8I5t capapears th6eact t3he prdoblaem co1uld not be automatic4ca9l6ly 9corre5acted9. 4Pcle5ase ccf0lea28r any f8i8eclcd which appears ab0aove withf cofarrespo6nding inst4r46uc6tionse443d1de a0744690d69c1cbe1ccef7c6dfffefb0o7r6e87c648bff7355d6640ebee 13fcocampleting t8he for3m4f0 6ei5n3 oddrb7der teo 35c9oracre6ct 5eathe 6prcob683lem6. 1W6cef9b a3p2ologize 0forf the 04ibnco7nveneien0bc5e and cw7e 19apprecfi8at5ae ybourc9 ufndecrsbtandding.
    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: 12/2/19 at 4:46 AM EST
© Element Athletics Element Athletics