Registration and Payment

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  • U12/U14/U16/U19 Indoor Travel Program (without Uniform)
    Fee: $725.00
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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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    47P266f07le9a6cf89see82a cbd51cdl2e98ara8fd184 th52bi07a8s00 5f6cieelece8dc3954 4->cd97f6c * REQUIRED
    a0dce34bfdP980cl35ead4sc6e94 c70alda344355283a1064ea64r83 thb9de7isc 14fi8e424ld03a 7-e>63 * REQUIRED
    60d5P433ece9l441e083d0fbbase cf9l3be0abr4fa901b t1d5his6105f4 ca231f11a677ibe080ld ->1e406 * REQUIRED
    6d4eP9le0cf4368a12s9ce734b43 8ca36bleare24ab5 83tchi76ebs98 fi7e8l0db7a5477dd2 d00f-3>c670 * REQUIRED
    36Pel0e0afse2ee1a7dd 4178ccle24abr 76e7d8th3014icf644s fa36fi9edd9a5cd9ld83bdc85 f5->2942f * REQUIRED
    44bPle5as62f42bee0 3ffce3l2ee71adrdb0 0et5hfi14c92895as67d1a9a 4fi1e6el68656dc7 e4-b>dedb6 * REQUIRED
    ce4cf8aa2664aPc3ldc9cee4dff17d01easda85be0 ac28e6819le9ar 11942th9is3d6 fie94lcb593d -af>b * REQUIRED
    1P3l0cea3bs7e1f1b5f8 de8d38cc7lefe2ab8eb68dr977ec5 thi0sf4 cf03ce5d5ci17eb2l82d 7-8c6e>fad * REQUIRED
    249P34l8039ae9875a904s7e4 c2lfe8d8abr6f ta50f7heis419 fec3iae2e88b0lc79d f5833b1a1-813e>66 * REQUIRED
    Ple5asee90 85bc1l5ear36214 096211eetafe76his a9ffb73afi9bc5654e9c8bel7d67c1bd -717a>c78b19 * REQUIRED
    2fd7Pe33f1e59a4l94easde15 cdelebad3a2br 93ad8th35abcis22 68d3d8a3685f2e38ie4ld cc47-6>9f5e * REQUIRED
    P8l88fe3as0e25 4061f92bc2fe973lbbead0e5ar1 ade4t92bh8aia2s30 f25c1b5fd7i90eld2c7d9 a4->72f * REQUIRED
    8dce2Pl8ef622a691sdeae40 acl5f7debacraf3e thei4s4758 c747743e889f1ief57ld71 4f78-e>914c290 * REQUIRED
    P3leed3eda998ds0db1b6d1ef76 be6cccfble6a8cacr620 eethisf738 4ffi9elbc5ff37cbe6fdaedf -2f>8 * REQUIRED
    3Pl0a8f5ea9s397ea87 1cbdcdcc71a2blef9a3rf0 c0f675th3e8is fi08def757c0cle16488b5d703 a91f-> * REQUIRED
    036cccf5199ddd7P9l31195ea0ac7e0s3ea12a 8c9l3faear 2th0i5s7 68c7f558i32el86fcd93 78->d4b1d6 * REQUIRED
    d7Pe83el3fe0c2eda5ee9sde dcle5f3be69aa9ar096 65t2hi105s df9df6026e3ied2d302ld 48a6->369283 * REQUIRED
    956b0f228P68c1l9650fdea8901see0f c0b6lcecead09e080d4r71858 thisb f3ieecef1l181ddf552 -7>e3 * REQUIRED
    Pl5ae82as1625e 4b2bc2elbbaa2eb53db01abfbarb541aa4bb66f0 tahi102s c1e9fi997ela8843d -5>661c * REQUIRED
    Pd21l1e53ffd43aa5sea1be673 7cl6760ead40fr 5f9t2c2hi38e665s90 5fc6aie7b05ld7 -ea9d9>ea262f6 * REQUIRED
    334Pl20ebas2e cceb3lfe51ac480a4b44cr2175cdb7cd t1dch3i1s5ac bfd7ie7lb3bdbcd7d1 e-b6d>c7e36 * REQUIRED
    84P3b8844064bleeae40c97eaa3sef5 f9cl5f3e868453aa0e2ara ct30ah6ia35bed6s fieald 4b-9145cdc> * REQUIRED
    d7507385cPl59ae07aesea 47clbb252bear td4a97hb4d6i2bs cf9fi274ef0l69e59df78eae7 15a7->b15c6 * REQUIRED
    6Pla76feb8asa10e20 5c8c5lc3ea64c5ad4eea644c1rd dedt89hi5sd95 e5e6f7i0ef957lee4f26daff8 ->a * REQUIRED
    0b7d5Pd448la7e1abse cleaddd002drf 4f8c08b7c5171069t6chfaid0a31dsa fie9bfldd249f111 4c->cbf * REQUIRED
    5cd07P1le57easfd1beede 8e23ac64l43e8ar3a23f 64d6b2t0h5isf 7828f4be8fdci2b2belda -1e>c1f260 * REQUIRED
    a4ce7Peleba777s5c9e 9c3l6a69ea03er ft2hisfa39b 258b32b1931a2ef50b8f9688f5iel949da 3cb->dd4 * REQUIRED
    a595P8134e13707lea150e9ased45 ecl1e027carc cth5is f4ea3246bfi6d6el3d5c fc049d747-1>a7268a7 * REQUIRED
    8bba4e24f789f067P1el37e3abs6def59a 5cfbcl031e2eeecfdabr752 t0hi1s94518 87ea84efield32 d7-> * REQUIRED
    Pl2eedbe44fa6basdf05ca921e 4d97dadcdf1lfear2a 0b9th2cf8430is cfa2db9ied46f0lfd ->e768d7c19 * REQUIRED
    550Pc98lbb217fe2ace6se 2b3e9cc1l6e4149far f4a64afth13809baffb0i51bs02 e8fffcie1ld1 4->e091 * REQUIRED
    f881fP9l586abeasd4690ef3 fc9dc8554a3bl750ef2bfar9793ae37 th57idfs afia65dd8dee7ad3ld 05-e> * REQUIRED
    fcf8P14c5lee39a5f30e04s4fe27db cldb11a49eda9467abr thfisd 193bf8a6fie7075846dbl0d -02b>6bb * REQUIRED
    cf4Pl9eease2183 c571le01d195166ar8 taa2chie8es5a9 562f1e39cie4eblbd 5723->54a80334e883b7d5 * REQUIRED
    1b6Ple726ea978bes41365e a5cl00e8a598e3e508b5fr 4t1ed1adehis5 c7c0f3i4233e9ld 1cc7688-8d>e7 * REQUIRED
    31e711Pfef546lc35e3b2eas9e cl8e1cab7r 77a21t34hf81isf7 0813fbide8c43al38b628d 0d6->276290e * REQUIRED
    35ac5Ple3fa71se1 ee5c30lddfc5be8a9ber1c5 thdc4iae7b267b3s3 feafibe4l49644e4ada5bd 9-9fe8>e * REQUIRED
    6304a9dd1Pl52dececa53sc8e 6c8dl27ed2cacf4r19f6f68 c6t493hi149s5 9ffield9 a087-cd0>f3dacdd6 * REQUIRED
    50P838a7c1f4l27765b2ea9f8se 638bcleab0r40 844eth85d98de3eeis4 b5d90f8bi7a1ebbl7dc -3>99f02 * REQUIRED
    7a6dP6l00ea20fesa957eec c11c2e0c4e6le7f7f4b275fa7reda td904d4hi8s7c5 3f43a0ide1af50l8d -4> * REQUIRED
    4c7965fPl5cba1975ed8b9as1aa13e1 5ec9le11ac32r t8h3d6cbi4053as25 c4eefb2fi27el9add -e>8da30 * REQUIRED
    c49Pl5d3e568aas336e5 1372cl711e9ar77b e4t3h4i0s3 65cf7i3e0lebd3 7fe26908fd-d2c2cd2058>b895 * REQUIRED
    9P9afleae292se0906fd3 c82cl530ea2rdd471f t4h5b0is1 fb0e45fi24eb569ld50a 97a0b9c-d84>7f2fb3 * REQUIRED
    4459dP598c2lfe1fase694b7 a9cflfedea83bdr23 fb13tabh89823is44903 fcfeiecldbdeb68b 02-21>89a * REQUIRED
    17Pl2eaa5641s156e0ce c5158d5lceb395cafr tb6c06hf4dic8se0bb74 cea4f035ca6i125el1d82 153a->a * REQUIRED
    b0fP5l8e4b8a1s7ef 9cleac0aafea83942dc73dd256rce 56d6ath87i7s4c ff0e5ie445181el2a5d a-2f>67 * REQUIRED
    eP9a38ld943e3ab5see5 25c9074a6dl5fe0ar 1th8iccd7s6e5f158 02f228ci0ee8l99656ddbd4 ->4e10eee * REQUIRED
    e3Pcb43e3l14e3d73a954153a663fse f83af92cbleadr0f8bae eth7is9a6dfd 15fiefd35bl5d 07-b80>ffd * REQUIRED
    cP2bl515fe67a83befd9ase cel5e54cac1rf5 796tchea9ai7a6s 1fi9a3fab8el3d d-3cae61ca>c2a0182f8 * REQUIRED
    4aPb5l07d5e29ease06c7f bbacaac5e3learfc2f t0920ch9ai4s 12888fif4e0lde9fd042 e7-b79b>55d169 * REQUIRED
    aabf7P2leaa486se170 34c9df6flaeaa1fr9 337510dt5dh6i4s3a fbifbcfdefe6ld45d f905eacf-4>b96d4 * REQUIRED
    5eb7b7Pf3le05aad5ds0e319 1c2flfc2b1eaadar9 170t8h4a4iesc121 d6adcficela271d97 c->0fc80cc83 * REQUIRED
    Pl914be6aab4sa099e06 0c851fble2ear8c t633hfi6e33257s 5f0id6a29be48alf2d78ad b-44a8b3>3135b * REQUIRED
    d8772P9lcebecasa4ebbd218e ac6l34438b396716f68e2a61049r56 t7h60is f31iea28alb31cd793 -329>c * REQUIRED
    129904Pl4ad7fd368b7ee60aef31fs5e5d dc6le3ac15r7377e thd3a2i0as32980f fife98fdbl6d909 2-9f> * REQUIRED
    ab5b8cP6e9c9bd7l6e794ae0ac6sdbd0eab c4ad8lbc2eea6c50r0f e67dt1ch6is 5f6f2dci29el3d 54d->69 * REQUIRED
    P11ce75ble9a0a215sec 65c5felea249drc0b2 tc8fah4c3fis ffibac5eddbff53l5bd edb0e1608d-d542f> * REQUIRED
    2c47P8le4ef198e13dddc639a6s4e fcl3fe11afr 83t923d72e2ad60a7bhisb 8fi7el4a5da7bda7 007e-ee> * REQUIRED
    1eecPa26l5585ce6a84f3ds37e1afde4 cl8e3ea368r e4t6hfif681ed7sa4652 13f1i592e3ldaa -eef60>1d * REQUIRED
    f149Pl3ea05c1sbe 02accl8e16eca7e0ar1 5cf1td898b21hi7s 54be9f18ccf8fic8el60d7 a-666d19>2885 * REQUIRED
    aP3le0ad97sd3e5f1db5287e8 cld1eardbd9736 t505hi4fs9ccd0c21fa8bfe64 fib8el8c05fcd1 4784-8>b * REQUIRED
    fP1albe79a0esed0e5fc 66c1f9lea90era30 7tfh32588ae2i06sf0ce b6f71b4e2i99be1ld45745d2d -dd>6 * REQUIRED
    8c73dPe7ld7ea31ab54f618s60be fcle28f8ad3rd6a0 teh66i9dsc ff49e88i0e8d3bb7b02lfd2 -955fc>27 * REQUIRED
    9af9P9l3fbdce7edasb20adea 9ccl4ea163r9a 269thi7s723e 7073f396c686ibb5el741df7 3->5d8cae7b6
    * REQUIRED
    53accb90Pdbb6l8a9b7fe6ec7a8dac33sde c99a5laef9baar t955960hcis01 e2b4fci1eeld ->33792bc7f1
    * REQUIRED
    62e269d00P2lc86362e2a506sd0ed 6clbfbef59aa91dr42c7a0b657e t8h319bis419 fie3el18ed -7>a0bc6
    * REQUIRED
    378ae2bec63Pl3ed2b7ase0cf cl0430deeda39b6r 2t4dhiaf4s f84i6f2eldda7a9f2f1b28 ->e80e0073a07 * REQUIRED
    bdd31680Pdl7e091f694c33b56a24eas373e c9le3dar 2a6225thfb90f77eedis088 ffi36e7ledc3f -d6>f5 * REQUIRED
    a74a0Pcc0lb24e60d49e35asa9e cc363l3eca5e4fc1806r3 t61fh45bi6es f9ia6e0l2d64 06b827d62->46a * REQUIRED
    7ec1681Pf86ldee32ae33e31876cse ac360le85afr tb228h2i42c8asac f59ab1ac3iela028df6 4c804-0>f * REQUIRED
    8P8lc96e7a7a6se44 631bc2456dle502a3r8da9d1bb248 9ff587b8th4i277sc d68d1ffi2c54eceld3efe -> * REQUIRED
    52P62l3e0a66se 4cle3cea4c910570a3r a7te6h82abifs dd4f2f3i4ecbf3l8cb9bf3d 6c2-db>510c7a3e93 * REQUIRED
    5bP3l3c8c2eecc2aa9daf7ac5ea56cfffsbbceb 4e0cdf3leffadebr 27cabtahieds1 fiel7d 67d7c1e-19>9 * REQUIRED
    2fPdf0leaf1se26e6 c1bleedaf5br9c3f3 tehi52sd25d f30aif8e5l07827d208847a9da31 dbf-9>ad4c8e4 * REQUIRED
    56ffePddl23e37asa9e34fae11e82ff cel068ae3ab0r c153t6ba4bhf9001i24s 15fd7ie7ld50edc0d ->8c5 * REQUIRED
    afeP8e44bl6f8cc7e6adeads8e bcl08e92c162ar2 5tc4f63h678isb 72f5756f56aie553lbdc95 -0eb7>6e1 * REQUIRED
    fcPl4b14e4eaea6sdf16e38 5cle8bar2 0357th4d1is547 6f0i9773367ffefelfde68e44e 438-17>8928dc5 * REQUIRED
    Important: You may2 be 4making usfe 2of auto54cm48fatefd5 1form-fi451lli6nfg6 so2ftware6. 9This ty8pe of softwa3re ecanc c7trdd9ig80fg0er3 our haidden sp1ba2m-de6adtection system, whicfh w0i39ll block you from submi8b7ttingabe this form7. 9cPlease dseeledacate Fix T2his26ed604 b615bda604aef0ce88f67b362b1c41742d9orce2651 c27943d7311898fbd08d71109c01236o3mple09t65fing7 ft9116h041fe afo4crad46m5 8bin o4brder to a73c519or9r4e0ctdcb 2t2he ep0rocble429md6.b733f
    Important: Y4ou m0ay be mak4in9g use of automat50ed form2-fiel4ling fso7ftware. cThi8s type of softewac5re5 c7an1 triggeer our hidd8e8n 0s1pam-70cdetection syastem, w0hich will 24blocfk 1you from7 submittinbg this7 form. Itf2 ap3pears 2et0hat the problbem cou13ld not cb8e cautomati7cally corrected2. Plea0se cclear any0 feieeld whic9hb6 abppears ab3ove8 with c9orres9ponding instrucftions37c9550b245e 59fb769eedfd55834cf6327615f031c70fore377b056e714 645719c22acoe5mpleti1ng t956he f70form in o5rdc7edr to coadr2rec3t the p4a250rob8le8m.87 cWe0 bapo940ldo20gized f7aor th4e incobnv0d0e3n37i52enece an6db we6c app9recd0ciat2e 03your under14st6andinbg.
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