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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $725.00
  • middleclass~spray
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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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    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. 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.

    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.

    * 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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    Plecaeebase cc2e5cl6a8b1f265552e8e1a7a9c0b8881r5 6fbe6th6e18ias f1i1e7lac719d2620 9-27>5c5 * REQUIRED
    8c17Plebc9496ab0sde823aa0 44a1fa782cle9a73b6r8 c4eth64iae873s ffdfi975e0fle181de9 -b29>272 * REQUIRED
    d1e4b6dd83adPc2lea9s5ae8e 40c463a462l0e3bb2a5r9 dc92c0teh4f7fei9sf ff5dei1elc5cb8bdd -c85> * REQUIRED
    e70e49Paleeasec cle0844cc2a338rf a4daa12thi3cs 8ddd3f4e2aiel7fc53e09367135f5d1 f-e1>eb8de7 * REQUIRED
    5P8ld2beac57d6a4scef9 bc7c399l6eae54f4849191r4bf t7ha31i1bs e6efab1iel266dc 66d0e-337b5>49 * REQUIRED
    f7Pl06e52as297e7 d20a6339c1l83e276a7af3r461ae20e 3ee40thisc068c fdf7905iel33a2fd1 7682->2c * REQUIRED
    3eP9d0leadbs5ed06cd9 cldd02ec129ar b9680d83d15t246h66i8s caf3f26if2fe1015lb556d4 bf-7>9dd2 * REQUIRED
    f2Plc085f0b1a4e27ase 2682c29bc9clea67c2rbf 0t8his ff3ef8e71ieab0fb1fl4fd5fe5 983-d1>3bd85d * REQUIRED
    P3fle3edd7ac01948388c8se 0cb612bl7ebc98d1a6f73r72cf t4hi76s95 382f5ia2eld4aa64 8c-00>c9c2b * REQUIRED
    Pl3e3f8aa59se49 cd354le26fe8a3974badfrd 6t57107h6bdiscfe 0afci6d61f2ee4807ld 740-b4f033>c9 * REQUIRED
    Pf2aleef20a402e555ase8e40819ec0cac1 c6lc3a27ea6r7 th33ce1is8 334fcfie9c6dldfc 9172-4>5d0ef * REQUIRED
    450c67ePdl3d8e0ebaa7se5 13cfleab8r td0058a3bhi5efs2edc43f fci5bc3a1bb1elb8d0 719d->e50a73d * REQUIRED
    6Plfebb28e6e669ea626dase5 e557ec63l5a6e0ab8c6r t5dh3i4cbs 7d7fdicd4eaad60eel0dd54 a46e->22 * REQUIRED
    aa4Pl746eacsade8ea 04fc4bl0eec5eeac62f5r04959 tahib14s 8fdi2e64ld85bbed 69a3-780a60>5c16de * REQUIRED
    2bbfee3cPee6a6l2e3c3asd7b1e 28f4cl8eead007a18r 9t04hf8eiasaefdc 18f044947i9e8eeld5 e-aa>7a * REQUIRED
    079005bcbcPc1dlfbe61as01930e9 5607f70f5clea706a00r73 3c8fbt9c0hid63s fi88e81lde780 99->438 * REQUIRED
    ffbefPld5e491aeafse5fd e1cl31e10ab3eadb3r9ad7 1ft8475dhi1dfs140 fic5elb1d -e>9b3efff0577ab * REQUIRED
    7d6bP689ele21e2ca16s40751ddee 1ac7191l22c5b5377e4baer 9th5i01s8fec 02fiea44l1d b->8daab5d7 * REQUIRED
    30fa8c200P97dle493aasdbe54 cl9edba44e00ar56 bth6dci4bs7a0e 6e78bfiae3167el3f1d5f733 ->6991 * REQUIRED
    ad7aPd23acl6eb3a4s046ce00 12d8d04cl4ead6520r 1t4h8i9es08fcea84 fa06ie52a222ldc -516e488>37 * REQUIRED
    72a770a0Pleac0s0e60e 7cc085becb8a7cl5e67farb th3fe39ia3as9 11fbfie0e6e4b3dlbd 5-664e>fdb4b * REQUIRED
    98a32a2Pa7leabsbaa039e2657d 13fc470664lb4b0e4fbabr 900th7ids fa6f8d7i85el7add24 ec40-071>4 * REQUIRED
    d40748f41e2P3dc74leadc8se2e1 b6cl9d173d4f5b72ef7ad7rac9 7t8fh6be9eis 93fbield987 -c6160>56 * REQUIRED
    f2P28ble62aa3e29c31f4efa38se6c3 1ecc23d9al8eacr b630thieea129saf cf4afb79ciel0d5 30->81ca7 * REQUIRED
    d9c98b9be70Pb08b96lbe250b65d4dase78 cle1ar 9f77tch0ic72eas4 7efiecldadc 9->02d17b1bf0ab870 * REQUIRED
    1e1b7P4780leeaaecs78a4f09e 39c60dl2598debaear0061d7 thbeiadds fieldda b-98cf>22a95fc1e693e * REQUIRED
    8af9cP04l0e9a07f2as0e68bfee821bec5 50e4039dcl60464ae8a6r t42cbd9h1is fi06e9ld -01413737>d3 * REQUIRED
    131P8le91aa58s6e 60clcde9339a2r 2t8bc54h9is3 37d3cba7fcie0eflcd b2c3-804148c17c>16bed3bc3a * REQUIRED
    4f9607516Pl3e67eea4cas15e600 cdc32blf6b1ea47r74 5498ebt81his4026 f00i1e1b4ld3 6b93cec2->e2 * REQUIRED
    d1f9c7Pldae2c5077e5a0se8b 7f2cl4cec304dare3 tc6h1768i96s 0874f48f80d63d9e4ib87beld dfc-6>3 * REQUIRED
    8Pla88fce7c7eba2e0sbe76be17c38 c06lecc823f3are 35tb59875chi2s335 fifc2c3e3l4dd4 e3e6c-0>85 * REQUIRED
    90P40el4e4e5badb4esece5b3 ddebc3l8e81a72r14 th49541c3bd9ids9 a9f0i26c5e3l5b9d2 9-420>64218 * REQUIRED
    a4P1l72a2e43afedaas1c729a921e0aac65 4cel0fear82 f7t1hfis259dccb42 f7i5eladb 3-982eb03e>17b * REQUIRED
    253cPc2le88893as2fe02 0cc7c160leea6acr 7t298b1his5ad5 5f2845difdb5e88l3db9c d6abd-b8>b9ad5 * REQUIRED
    a1456P9l78e33ease cal4566dd6ec2320b3fbar dbea3thif113sd3e462 a39f7aie5l243d 6bd->3c90e1735 * REQUIRED
    8c42Plfceasbf1ffee4f8 c9cd7laefa517r 9c756bthi7a3sd17449c efd7cid5e62l2dd 4af0b-cf5>88e893 * REQUIRED
    cPlce400250aa57511se8a cbfl35e62b0ar3c75a4 8th28806i44960s3c9b7278 dafib5e32l9bdd 2a-11>fe * REQUIRED
    034a09fPleb40ba2esbe6 9e5ec00167c0le060e0a3fdr0 0ath68df3ic8f79es fi9elf5dd3ed 1-2fa>53115 * REQUIRED
    P7l45df2d117dedea520s3e18 38d492celb0ecar2852b8415 t65h8bi2s4b f7ielf97b19bcce0d64d 36b6-> * REQUIRED
    cd843Pdleasb55f6ed c0b8691l3e5ear c05t305h895344ei9d609f7s 62ff6ie7alcfd27850d8 d-a>fa7f42 * REQUIRED
    517dbPl61ae1479fa3s5c64e dec9a58d769ld26fee8a9b55180r fedtb8h8cic9c372ds a3fiel2d a1a60d-> * REQUIRED
    403b0f2c9Pb1d5lcea7346as28e5e ffcle1abr14 a6teh100i36284b8s02d7a6 e7f7ie1efl202db8e 4->2af * REQUIRED
    56d51db521ePff4l43e97ease 0ac5lea9r fctc4bha36is47 7afie429ecaeb55a271ld260f4f3c -a5>3a8f3 * REQUIRED
    e3P4el15aa84a222aeb49a9se ccal39cea8036er20 t8dh3i908s3 2f5ib49e357d7feleaf3ada818ece5 ->f * REQUIRED
    b1445Pl0eb7df0acse75168 cl92e83ar94 c0tbe03e32h526i7saeaa b1dd26fc44ie02adl1d21 6e6e->63a7 * REQUIRED
    52dc352P1f3c84l918f0826e4a8bfsf22edfa57c7 cl9cea54r 6t5h9isd a4eef5bideafld9fb0ae 022-131> * REQUIRED
    3b172fc841bePeb2l0ease0e 57c1lea2de23cr6a5 4bfd846atf8955ah6e9f1is1 fif4eld9816f 51f4a->18 * REQUIRED
    a3044a4dP2ef1f76le41ebase cd1d36l3eab82rf67 3thias44d8 8812faaiea53b1l8de3d5 0306510-d>102 * REQUIRED
    9P5lf989ea5s03e 9cdl713545ae32ae1r5eee33e9c75 edt7dhif5bs fie8lb70c34ddf 59d-1>e42e7fe8945 * REQUIRED
    c9ff20cPcb5l7e062da1se9d2ff86ae100 fclec6ar ed2t3ch6is81 df65e4d357ie5677ld4d1 e-4>b7ef151 * REQUIRED
    4Pd14cfl3e2a7se85 0932321f3fe07bbc6cd7l43edar3 18b4ta5chi51b8s 69ff5i7be07e67el04ddd ->8c9 * REQUIRED
    Pbl601easece c6f6l1ea2r 9ecb3600t1dhei40658168fs 1fa72032a11di09elfd1c00 29799b8dc->6f1559 * REQUIRED
    885397bPdlee50aa290s7196e 60b2efbdc6l7e295cfc0f2a234abr7 a7taeh5is 34fieed8ld -93db>38665c * REQUIRED
    f86111bfd1239Pae8cle8as9be 8c9cl0116ded7233ear99 63t26dhi153es8 31ffe1bdibe6el6dd db8-79>9 * REQUIRED
    27a8P07le146adsce45624 c8l5c3457deea9r 8bt518h256458ib86s 673fi07ed2l2e89d8d0dfc 2-c4>bb60 * REQUIRED
    45Pl32ea1ce0aa025s36ec757 f95c09l3de59aba4dr ta80hi984sb75 f73if5bc33efl5899e36d -9f>18019 * REQUIRED
    1Pl7eb8a1as84e bc20cacele46a5r0c0 4th0i6sd21a43410fd0 f842idec0f1l8f1aa561dda ->3b0a7eb507 * REQUIRED
    7P88leefb6a92s2731ed9a2e16 clea3093r5ad 8tfhis75fad8 55016ecf4ic04581f9edld2734 bd-497>673 * REQUIRED
    dd5683550a2a97b6P43le94ab7se0 39c6lc5e0636c82ar e1589at96h689is 1fe88iec27864ld -99ac>b4be * REQUIRED
    9e3fPdbl6778eff4a9e658002a9dseed cl0beaedr ct70bhf85is f93b27i8d61eld305 c5ff-3bd6>9f10213 * REQUIRED
    84455d5f7Pffl1eas6ee33 eb1ceaf95el710eare1a d523this014a90 1f33bdc1ie68d6fld 2c77f->409554
    d4a83P5lee95a97ba2f57s3e 4c3c53l4e2a85ea18r73153 tfh81bib3s79594e f23b9i5251celd5 8c-07c7>
    9add8c7Pf09le4ase5 19c5bfl4655e8a1rd 41tah2is b03fi6e9l23dc 30cbc-57>c417ff81b65779ec12e0a
    P5e1leba6as71eff 3dccdcle844bd3a3942rec8b1 tc13hie043f071ds0e 9f67bdaidelbd 3bfa4a85->7d25 * REQUIRED
    719Ple866e145ba8ase38982c 5cfle64ar 60674tahi1s9d 0f101bdi9e77ld0d4022edf00 c6b23-7ed5e>cc * REQUIRED
    c8Pd6e186leebc4db9a68219666sb4e 75a210cl6eareff t5bbd26his5d1eba692 fai2b5e22fl62d 6fb->14 * REQUIRED
    1bP5bl2ea12b8se 9cc1l2ddbea70ra8 thi76sd da7f01i0ec70aele7709fd16e60ded 98e2-94>413b2efc28 * REQUIRED
    12d3P03l6edf6570abcs098e0 cdc592adl1d309dea0fr025b thi3ff172s8cf2735d ffe53i2eldebd -f>587 * REQUIRED
    6abc697Pel67eea8bde9sb6ebf9e2a 09d32a7c6lea2br 0426t970ch9fai1dsd0 5fi8a00e39lcd8 53-e4>fc * REQUIRED
    e0P0l76bee1aas1e 5ccf98l16baead95r50 a3t0hies 1f49ie8cdlc4d6615d 7870bba-e9cd2>e7b3ec3dfb9 * REQUIRED
    56b9323a047Pdlceascee1b73 acbl43ef76a05a05a5cf31dr tf28291098hisdeefab fi3ea20ld6ef fa->68 * REQUIRED
    52Pleab707eesbde 0c4leca6e55a22r6db 4786t9h66cb9736icfd11sa fdi182el3d 8-42b408>0619fb03b7 * REQUIRED
    05e4Pl645eaa8d6183dsd3e 4d18c2dlea5dr ee77te1fh7isd5 f1eid68e3ld5f1eab2bd8e e442-e39>3d77f * REQUIRED
    61P574facl3ac7deased ccc91c8a4lae1ar2e74 teecc86fh54i53s194 f4fif7732eb5el264d2a -23>d9d15 * REQUIRED
    Important: You may be making useec2 0ocf eautomatebd form-fill4c3inge sddoft5awdaf8r0e98. Thisc typee6 o8f 9sfoftware c51an tribgger our hi54ddee3n spfam-cddete0ction system, 0whichab w4ill3 blo3cbk7 dy3bou 1frc2om submitt8ing 1fthis forbm. 7Pleas1e2c selectc bF9ix Thi2s475bc41d77238ea829eb0e16cb649328782 1c3393bccef579co1f210br9de9774 40cf0dcf1o1mfdaf9p3lec45taingc0 7458t1f4he afor76maab7e 0in 7o4re57d80385er t8d1o dcorreacet tahfe6f4f 37p8robflem6155.fc
    Important: Y8ou m3ay b71e0 makin2g use of automat8ed for7mc-fillin6g so1ft3wear0cee. Th88ies type o4fd 7softfwar5e ca6n triga87ger our7 e4hidc4dden spam-detection syst6emc, wh9ich wi0ll b1locdk you f1rfom submittin1g3a this f0orm. It appears that tahe problem could 4not be automact6ically corrbected. Please clear any7 fielbd which appe6a9re0s 3above with 8corre4sponding f0einstructi3onsa834deb9e00 2c3fc3f40bd7d2eb1eb01e1ca5e1f8oa5ra8972181ef 377b240816b78c75c3bompleteinb4g7 2athbe91 form1 in1 order tdo correct 2cthe5 130pro1bleecm.ab42 Wec0 c0a1pol22ogize ff2or the e2inconvceni6ence 6aa24nd 3we a3ppb7reacidate9e e0your4 ufnd37erstan56fding.d1
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