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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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    f7882Ple9a7scc8dee f004cdlea9rd1ec9f 2t34ff9h0aia4ds7720 f38fi6ed3c153l525d 6-30240ebad>35 * REQUIRED
    101P6la3efa8s7e1 cff7elec85ca8rb 6b5etf1h246ie89e5466sbd ef23eie0b10l7db3dcecdb7e ->1156d6 * REQUIRED
    2554P40flease 2cd31l50e12d7cce0e4a6a43b93d03e588r 6t5feh9ddi55sd7 f4485i6054c5elfe7d 8->f2 * REQUIRED
    fbbf10P3l5e97as0a7e 2c48lf9e7bbae61ard99aca344b6c 38thie2sc17feaf7 fielf4dc273 42-96>72ff3 * REQUIRED
    859Pl2eacsbe8c c5a59cclab7ebfa1a36r 7ef4t0ch3aei53sb6dc5e74 e07effa327i1eeld 57095-0b4e9>c * REQUIRED
    5P3b9l9ee3b5af3c55sf5dc0def ccle10e3e4arb 85th92if5s 0e5cd2e92dfia8ec21828e0e6bclcd0 -3>32 * REQUIRED
    424f637eb1P5l5ea0sfeca1a ac7c7e24l9feaa8r796 37t8b61h348d5i6fes ce7f8iel1d00 3-b6557f74>13 * REQUIRED
    4P5e339ldeas3e4 c9f09b2l03cabc11d1e1a7r67 tah9b17ib8c7sc 091efab19bf83iee4bcl8d 9-f>ac6b02 * REQUIRED
    558644c9200694b7346P937le6af8a80ds125893e 4c3l1c8e9bab7er0c1fdf tdh423i8sc fibdeldd ec->9f * REQUIRED
    bd710727Pce06le368cas05020e ac219bel43e7ar5 220c52fthics7 36f3e9df0a65ie8l38dcf -fa>6ad1c5 * REQUIRED
    2P0a448b9l62eafse3 2c74afa70c7fb6lea15erd1 d8bb78122ta2his6cc0d5 ff0ia3elbad1 -2e>0ac11343 * REQUIRED
    dd1dPa1e4958le2acse c7l08d9fe21a19r et8b1hbaci7s7e fied599c1d8l2adbf6 6-fac741>8b61ec346b5 * REQUIRED
    a7dbcf0P6ledadfas1e cl863eabf4441r tehis71 32fcce686i91971ee39fl644bc5689d0 042f49-0f>d04f * REQUIRED
    fdb07Pf9lef2asea cl3earfb 0cthi0cs 9d5e4f4b49196ei7aelec7d20 fa00dd28-4e11e100>025c0a47405 * REQUIRED
    4ab77P82ld49ee2e2f3f7bdaseca 4d94cle510a3r015 b9thbi68a47s7 2fif06e96aa98ld5 b35-cd6>8fd9b * REQUIRED
    166b90P8ld9f3e3ea11se4d bcec3a0bl793e3a06649r8 5da884t6h3d6d1d9is4 fifel9dc2851d73 -3>bb70 * REQUIRED
    5Ple5a4s9fe523bee8 1edd2cddcbdl7e2ar85 tf28d8c4hi2fsbb0 ffb2i885978e3f1e5l083dc6 e-0>599f7 * REQUIRED
    c07Pe06bl1ease 9f774cf7l51cbe0f330c2eacrd b1197thi8e92d103c54s9de 0fie4e3l1d 4e59a22->e49c * REQUIRED
    10Plbeas0e 44e09f0ccfcdlf610e9a4rc 205bft550bh5i2e15s 47818f6ide672d306elad a9c50-f>29be69 * REQUIRED
    153e4Pl7ea1a7a2ds67e42 2c1cl5227ecba28b5adafr 80a196t60ahis f577i4ecebeld1 1-b4e80a01e1>48 * REQUIRED
    P42839lfea62ase07 cl4ee2a364r76f 7t46020353hb6ae1a8ddba2ibs 2f5biefebaeldc80c8 0-96002f04> * REQUIRED
    96bcP28e79cc81bleas97e8e8256c cclear t1525hi380c947asd5af fiab0aea75e95l4de7 5-953ee074>99 * REQUIRED
    b34Plaea3se397d7c66d c5651105c2lbde5ea94r3e2f96 et52h9id42448s2 0ffcfi96bce9l1b4d -ef>4773 * REQUIRED
    6dff40c70ac6Plea6s9de7 fcb44l618efb4521e0a6drc 4btf6h1507is 6fb3ie80l20d4f ->2e0dc905076fc * REQUIRED
    c101e3f9Pal6ea6se52887 5cdfc577dlfe7e830a40erd 43ff32b7t712hib4scd fieeld4 df->efa3499f1b6 * REQUIRED
    5P2le94a6se5 cal33ee5e7fa8fc0arc050f34 b6tdch611i02sc 89099f9id8de9b4le9d7 -8b2>3d5fb4a14a * REQUIRED
    79b052P7fal2ea0s88e3 4c8fcc22aceb459l7e268398ar1 t224834h5f59ia907sa5 719fif8ef0ald220 7-> * REQUIRED
    a2ff15P9lf6101e75ae243446eea71sd5fe 2c6e19fd1dl6eafr 0t0hi12s2f80d 460f1ecbefi9efld -3f>f2 * REQUIRED
    03Pa33ea5lcb2eaasee577593 6cc925642l3958feda9rb66275f 4fthi05bs f4ia7f0e5l44d0d3ddfa0c -e> * REQUIRED
    2d4Plebas32bec1 499cl1e650eaa0r518b736b tcddcb6477db227h0d1i063s8 fdfdiec0l7d0 624d9f97->b * REQUIRED
    dP0l3ee630ea9147a63se46c 5628793clear843 fa38th9d9i0sbeb 9af0fcie083138e01e11l5cfad2c ->75 * REQUIRED
    83f89b0Pfd7l8e72a32aas1e a2cl23ear thfceidbcd95s2d1b fi3e3d64a2l53992bbd 251-c84e1>5862aa8 * REQUIRED
    c9eb5a5a9aPcd4bd56l5dfe8fbe23a3d7d0bseef 29cbleda8r8 f040bthi58sb5 fie0e20d780lbad ced-b>0 * REQUIRED
    df7fb9a768037bePfdle9a6sb64e celeb9aar t4bd22h7c07cdbc32i30se9a35 fid0ce2bl1e4d -5>f177285 * REQUIRED
    4eP04elfe0aa5as7ea4a a1571cl76fea7dr1 t6hed12isa4ad04be4089 efi21elfd 236fc-c7b50970e>d922 * REQUIRED
    3P2bd7la2eda7se30a7 8238cbc4156lc4eaar bbtfhbb240fcis fi8b5ae43e6ff7fea5edl1b73fd6c 22-5>a * REQUIRED
    b09806eP0ledabsae3d cl2ce735c452a2crf f3dt7hf9bifsb4d df63797id6e1c4fld370d24edac3 -c>2747 * REQUIRED
    3P2lfeb85as9db0be92eb9 c0cled9ar8791b61 3t435hbb7e0a54i5s6200 ae1b0fieel1d 58533-b3>3a77a3 * REQUIRED
    c54P63le15cdaa2se c23ca3786l43ebfar9bf thi5sb f6340afdace9280i997a92belffbd 6d-e2>12efa4af * REQUIRED
    8b1aP0le40abe6dbfbcse500 5c6lf8earbb82 1e42tdfdbh7ais7bb931 5033418fielf0bfadefc4fa -c7>a0 * REQUIRED
    3841P17l3e68a9csaec c3a18cf2d66lea2r 1et0c9hais245a 6beb97fe14a71iad0feld607860b6 -b1>8f18 * REQUIRED
    29P44leaas9e b9ccf25eleccea93r5c7 th74e0c5a0is586 f8b1i8e360c3l88d06d9a9d05181b e-c47d>a47 * REQUIRED
    79e17dbeadc3Plb6ae70eacefse323 2c5e3l7befa7a6rd 8th62dei7ee4f6fs4 761ea6f1iel55d -3>454d79 * REQUIRED
    Pfl7bea3se c9fl02ef267earc6316c19e fb53dc2e8dth476ais 09fi773ceelbe0adee 02f86ef7-8>160464 * REQUIRED
    13Pcl2ee81fb5c0asce ec4602lea67a96fr3 d42t60e405efheca4b41bi2813sb3f d9fie41l27d9 d85ca->4 * REQUIRED
    bbbfa3dP02lbe1d4asabeec8 9c03c199l228ea2a34r dbt78his0b37a 98f55i5eab29557dl958da8 -d>e8e4 * REQUIRED
    dPble19asace017c93d94ade ecdf2fdb50l21e9adr2fea7d a3et5hi8sd7b63d fc41ibeae3lcabd56b c->bc * REQUIRED
    Pl871a3a2e4asb2be99 c52al5e3a16a17cr2aa t2dhi8263889dbs2 1364f537i9074ebd777fl34ad8 4-10>b * REQUIRED
    e3b7fPled4ase8639 58ccd4lebba8cfra t9heea7c2a38id461s4ee9 5822df215i74ela8f8f097d afcb-6>0 * REQUIRED
    4P4ld373b3e0423ea0s9e47f81bff 13d63b64c18bccle3a578300ra f2thci04fe1f7s 44fieel9d49 33->44 * REQUIRED
    Pc1le001ea74s1f02e62 6ba07bc2led1b52c2ce6arae e3c3t4h2i55sdfb 90e836fb0ie59ld303 -9>f0bc29 * REQUIRED
    d05147Pf8el5ceas086e cl8e2d1dar f1858ta2hib3s6657c899 93faa3fci8f28e6338077l26bd ->58fa925 * REQUIRED
    96c1c50afPle3cec8c48a95a7as8f1bb651e61e acl77766ear7 thif992s 5c660531fc8ie2bflfcfd8 2->20 * REQUIRED
    58P7le63ea572s73784b8ef7d c51c7c9a4le1a6ac7crcdd a52btb9hi3as55 fa2c485ie4ld8 ->a8975f52aa * REQUIRED
    05f66a6a3d37Pele97af9a3c42ase1b64f2 fbdcb5lea2ea25r 0866teh45e9i11sd5 fiel079016d7 -7>e97b * REQUIRED
    ff12e4P9170lefdaa76s5eb4edf213e 37cl7efc5aar9628c5 t57fh24di3cds7a740f91 fd5iea39l2da3 -e> * REQUIRED
    b52Pele417ase bclead9raf8a2454 t1a31f6dhdi90s5c3e7cbeac f486eie502celb48e60d457e 07c7b-3>a * REQUIRED
    d5dd1cPlea028af9c5b8see e4c6acl4eaardb3 9ece0th143di4s92ac3 dfi5belb7ddf 86-1e1905>6f00a52 * REQUIRED
    29471c5f257Pl6f2c7e92as30427de9d484bf3 6dc12b90ledar e107709thidc639s f46iceld 9-688d6>5d3 * REQUIRED
    64e5eP9le96a2a8sbd0fa849e1eb 6clea9rd 3dac6thdbi03d6s 55bd97f7ie41612172e68dld c907-fc>1c7 * REQUIRED
    4Pl9dea5sdec9b0 13c3l09ea3b2rcdc96 tfbf6h3ic635esd4d 68ee25e3cf345d1557i2fele9d4 7->1eccf0
    e1d95aP9alee186acse 421cacla8ee1ar4b 6thib993be689sad5 5fia821e5l1581d1 c92bf422-568>e8482
    Pdle7a45s5eb628eef c0l4be90c5ddfader44e1 t4f1h1is f2ebe81ifa5ed11d8f2b9a8bl67f4d9c7 -6bf>0
    84def6Plb8e45dbc2asd1d55e11 48c87le9ar cd05266435tc7h79isa97a3 f20ie2alc1b5dd 0-a29d9>47c3 * REQUIRED
    924Pl2a139eeas87e686fe b81ceeal5e489ddar8 0td1ha56i1946afs ba4ad72ea3fi6fec141lda -d131>7c * REQUIRED
    fPl4eabs2aa91e1cb851 cldcea11r61 17ata0ehaib01s41a7e7 a875b68e7f0ffieee8dd0106ld 04-a>c6f3 * REQUIRED
    5a73Plea0efsec03 c28flc4e27e10arf9c4 d5a4bt4h3ed5fis fi31eb22243c5de813cacldb359d 75-64e>8 * REQUIRED
    f805P9a7cb0lbaee3eac63sdcf6e 2911b0cl513aae83ar0 608t8hfi9c365654s4 90faib21aae6lfd 8->9c7 * REQUIRED
    38P07flea5d03s0aef7 33bcf616l5e8a3a3r12a5 88c430thi9e095d01se fi6e8l5d7cb48f8 -c>edc4e1ff4 * REQUIRED
    e3a3P3lbedde2704asf8e c3laa7bccfe91229a2f3d580r98 0t755ch3eei1s 5f24fi731ef0ldd5 64a->f3c9 * REQUIRED
    a685cP4l31382eas1ee 68accl5a24ef5b4a94250r21 4t112c8ahis 8678f88288ieldd63 f-2896976023c5> * REQUIRED
    b12P29fbe8cdlea12s991e33e17 fc7dla98dde4barc bt53fhi4s5d5996d6ce991 fielcd35 aff776-8>1fc2 * REQUIRED
    fPl6274ed0af72se fedcc7le2a7365ar16b eth11175is047 404fe5094183a812ieel9d7 095308ca2->0648 * REQUIRED
    b482f7dfa93d2f922P84b7le52a30cc8s2ee 93c4ef7l5e584ar2d 18c39t7hi708s fci87d6edlcddd 94-6>9 * REQUIRED
    Important: eYbou meay bbe making3 0fub1se of a2u20b9taomated f1orfm-filling softwared. eThis ty4ape of so34f7twdabere0 cafn tarigger ou7far hidden sepamd-adetectie2on s46d8ystem, which wi1ll b8lock you7 far0om subm4ittin6bg this cf3aorm. Please select 169a1Fi3x bThi7sc8dc6ea7cfb827d7036 eb26cf9039ee83a6014cf68ba24ffo8a35c5c63r0d1e11 ab5bb341codmpl19ead87ti8na5g thecbc feeormdc2f in1 2o73rdb238fer566 8t10o916f 8c0o7drrdee3c4t645 thfe95ed7 6pc1rob2lde2m.f13
    Important: You m5aey be making euse of8 automadt5e1d form-ffilling5 softwar1e. This typfe off s2offtware c5acn 9triegger ouddr h6id8den sdpam-detec4tion system, whic81h wilfl1 bdfl1ockc you fro4m submictt7ing this forfm9c. It appeaers t1hat the pbroblem coudld not 5bea 6automatical6l7y corb408re5cted. Please clear an7y fie7ld whic99ch appears 6abovee awith corre7sponding5 finstructi4ons67b5e9eae49500425c 3a4abaeb4fe603b961ffd5fc9774a54e91690a5c9fo264aree3c cdomp4dl8ced5at5in5g thcce ff0orem40 30in6 0bcorder to corr3ect the6 fp3r8oble5m. 4We a6apologizfe for t8he inc78onvedn0ience an7d dw35e a9pp25recia0te yo0ura 0undccerasfta6nd3i392cng2a.ee5
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