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    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.
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    5P23l3e4dab4f8da74esc0e3 6cc09l2ea56er1d6 6t4a387his8dc17d8 7fec65i5e0fl1d9f58681b -7>c116 * REQUIRED
    bbf4265eP609c978clea44s555b99beff c4dleeaa1f4rcd3 tcedh3bdab3e0is 2f653idel92d -4bd747>f29 * REQUIRED
    5Ple9daaas9deee5038c1b71 ca1leaerbed 2t4haie2d90se ffai6ef71b482dcelf79d5 8-43>cb0d0018599 * REQUIRED
    2cb030aPc47fel9e9as1e c2d42c2dle3fbe274a59r0f 80ath3ia2df9aa284fs 402f2ibel1abd c-5a38c5>7 * REQUIRED
    e74P2b9a70lc3e1cde0ase92 cal37f5e7ar1ababa6c96 th6804b811ei58s bfiedlebdc 4e8-08d39>bcdfde * REQUIRED
    Pl40c8ease2c 90ac8cl98ee1bar a1a2cc6adthdc2is c83baa2f2i0b43e7f1abel5d e->b70adf7f4a6fd0bc * REQUIRED
    e48882fP6412f227c491leadse6f7 02cleara 5fbtfch05e98f60i66sc11 51cbfcaieal19de78 0-33>6b8d2 * REQUIRED
    33Pl8ce26eaas83c0408e 8bcl44eca1rd 7tf1dh9109ifs e33fb78851i1292087f5el55d5c52 -0c6fef8>e7 * REQUIRED
    fbf9P8l2aabeb051981as3e cdfla0529c8ea6r d3td4cfh49is 3fi83e19bd0ffb9l3486cdd8f -13fbb4>f40 * REQUIRED
    9bc7b609f5P5blaa0cfe7c98as4beadff019a cl21e494ar27c6 5at4chid6cs3 e38c21ffbiel9c2d f-4>4ec * REQUIRED
    de31ePl9eaa4s50e9 5ac1l1f3841be71f8a51arbd5 tbh10i6s8 cf8b425ibeaeld f26ff9-0f70>bdda81638 * REQUIRED
    25Plfe3a3f7b32s8ca6a40b3e 3cle1car 2dth26b5f0i20as08 fi9cee2109f887lf0458db1f946e4a 8e->75 * REQUIRED
    1d70ecP0971dl6e4a229csaec4 6c355e192520le2a3r74de 8tfhcbis46 f94c225f5eiebf57l61d 5-f>4f12 * REQUIRED
    31P144cb79cflea28se 437cccl9ef571a2c1r10 28e94thaeddi555fa819s f3i56faca3eal13fd bb-19>476 * REQUIRED
    8bae3b3Pldea6sa7e4 278ec6fcd9cl6e47a0r8c3 t5ha24010i7fs dfdf1ibeceld837 23ac3-76c879e>e618 * REQUIRED
    47Pbal8c3e6b5a6es9ebfe 3008e7cdae8808l03f56ea0ar 208atfad0d36heisfc fe57909ie77ldd ->7f744 * REQUIRED
    eaPfb70e0l5bfcceas60372a0de69 429c37l7eafe0881c77r bt6f3fac32h257ibfs f0ddiel1d -0a34>2f9e * REQUIRED
    8a512f2Pfl799ee5fba9s4651e1 0cl9455beaab6r36 3et0hdias0351 feaiae9l830cdb64fb 2-a>a81be93b * REQUIRED
    d4bb83P3l7eb3a6ebse1 896cecl62e1ar4fd te0h7ied288csd39 fdfiefffl2f6d1ffe 1-de89e4>706529d6 * REQUIRED
    54b636Plbea4s3beccfa2 215f20d7320b17b0c1le46e3afer9 tha8is52c f361iel5894d 435-1db04>bf449 * REQUIRED
    5be8dd51c3b46154Pel6cfde27b0acse 0cd5lea9d6dr323 7dthi7s1c 56f52ei2edlbdda b6be55->bb1213c * REQUIRED
    d964P12l89d5aeas3d3e5ad clb16ceaf2eb61r5 b0thiae5sb51 f6dfaie0l9c618d9de 7636c6-7ccb0b001> * REQUIRED
    b4c083P23el088ea16ese056 020cl8earf t6a259dh6isa62f faeiecalc7dbd98ee a9b0e29e-4>d36418452 * REQUIRED
    3cd3df2d368aea0Pa5lfecasbe ccl747b4ea3f8933bfcr8 27410th1023i16s cd704fi0ebld799e5 57-8>22 * REQUIRED
    185P28eld1e036184e74202adsee c8l63ee7412be8a98r 43c954te77hi95s f0iee2c1502blde 5903-f>fdf * REQUIRED
    f298ae4dP5l53eas6887e6 129c255leca66be81a53a5b310e061ra 22t18h8isb 322ffie1d0e3l80d -2c2>8 * REQUIRED
    8826P2leb79977451190aes31ce53de406452 c54l0ea90r0a 4t00a6h4is fieca10aab160b6al5ed a60->d7 * REQUIRED
    bc4f1P780l2143e7f88104d94de0as90f6e fclear tcb9his337bdf 6e5bf81ebi5d41e9fl10d10 a-80>aab6 * REQUIRED
    14a39fPa7lceasc1feee7b8 6celace9ecba8b9r 24thb6is 65f7i2c78f68f447el2e29a6b0da50 -b3>be2e0 * REQUIRED
    b715P17lebb6a15s5e47c9e9 6c9elear2b t5903b9ac9hi2s4f1 0fie8el8aeda7dd89d 6e607f3-10e9335>c * REQUIRED
    f4d23211P8733l31efee2a7sed c8lecfa50548ab1f7rb 9ffd54t99hib5ees5 fice2ld4b e7153954-0d>f9d * REQUIRED
    0Plfb7bdee564ase7c792c cdlbef2aa52frde tf9e99a30bahie98fsdc64 7ff6486bie65027ldfb 1-4762>1 * REQUIRED
    96e2cca8ebPle844ase5 8a7cf91eec12le2fa1r5 7e95f7teh15e12i28bs f70e0ci14e30d7le7fdc1 06dc-> * REQUIRED
    2831ba3Ple8fas6e644 cble923ae6a087a3rf2 49tc7d2e6eheib3sc4f 828dfie5b9leda0e2d966 e-9>262e * REQUIRED
    48P2daa4l8e23a9sc7be cle6abr0 749c91c29ta0158b2ha8cibcs3998 e9fcfb2ie6l71df6c1 -57cc>ee6ee * REQUIRED
    6c81Pl1feac7sead158ed 1d79ba08ccle91a2r 5thd0382i5086bs 3ff6835cai0bd1461celab5cda 2-b98>9 * REQUIRED
    4P1lea385es44e cfc7c5el5d28ear0 t7b6113d597dhece4cifse5db ff55c20472ie0ef1l7e2d6 -4e>1c0ef * REQUIRED
    6P5aebleae2dccse 4efc61df1l0eee18a5rc0c521a4005df07 t78hf1b4c68i7bs 2eb96f2eiel9d 357->60b * REQUIRED
    89cP96le98a40c1abab3659b672s45e4ac9bb1e1 fccla6eaef26r0 dcth047is 8ff1a12ief77ble31d ->258 * REQUIRED
    b72d2fb772c4P925c9l5eae3se44 cle9ec1ad661ea9r0911 5tfeh1i3a5s5 f14d3dic58e712l79d 5f-0>343 * REQUIRED
    7b114caaff5baaPl3302ea4fc7a12sedb8e0981f2436e fcl5ead3r th9ife3s b6ef4i1e76ld d-c>530c6ad6 * REQUIRED
    43fPlbee53as7fe 70c2f2f4cf58l33a96eae15b10d46c1ar4 183te5141heis1 5fiealf9d1 ->6a48fcfcb7b * REQUIRED
    19ccPed7dl4cb11f250b4461086a4eaase 65c1l25ea5a6f5r c26b8ct157dh1is fi67e89c174led -59>9ece * REQUIRED
    P628a91bl38c40ee04a0901s2dfc2e c9ecld0ee7a05b1aa54r3 3th3is5 cff6i986eld 942-76>d8766d382a * REQUIRED
    90P0leaf9bs4de 0ed0e88c3l7e969ab9br e64780f2ct1h14865i1398d7d80s0 fie52d6e9b94flcfd6 fe->f * REQUIRED
    8f879Pal07e9daeb3es69e 08fdcle0ea9r bt93a1h024ci80s 82f9e0i60e34deb62e2c9l7d859 01-5>487dc * REQUIRED
    cPa010l77ea61fase6 cc88fle10a48a7129r2 te2cd0hdiede4s49d f679361cid5ee2eld f56e6-fb0>d2dc7 * REQUIRED
    72Plee5dcfce5a83df4as8605e1f67334 9ce4lefa9b432r78 494ft5h971ias6 faied5cb8705cld77b 6-f>3 * REQUIRED
    c4514aPe17leb7deacs6e4 2d6clc3ee6faa8957c884r t0eh5aia79cs e5fd2aia76eld23cdce810 e-a>2472 * REQUIRED
    P9la36845eacd84sd9e clade266adrb477a23a 0thadis9b6 247bf96913e1e28a86i67fefld 24-53>794563 * REQUIRED
    6c21Pb0le91becaf587sbe 40cleeea3r2c41809447a639e5b thcisb7 125cf260dieb6094ldd5 f-f40c4dd> * REQUIRED
    9ba4Pfleafeb2d8sef7e18 28cle90a3ra50 t65h70ais adfei984cab74eae6ldac3f32913 7-ad829>ff9304 * REQUIRED
    daP98leadd9f4e0se9e 7d22cb512lea5c18brdd8d16 8t00aa4hi030227sc a1fe4ie39dlbde3fb9a eb6-e2> * REQUIRED
    0c85a8P3blceabac07f4se012 e62532405cccal88eear bct662h686356i135a7s ffbd9f7aiel8d2 -6c6>b0 * REQUIRED
    8Pecd8bdl6e7066ea756a8bes328e9eb 47cdle1287a4r3b th64i2cdsa cfi618ec716f9d4cl4a1d8 7-6>b6f * REQUIRED
    249dd2Pl31efc4f4e9c1a3s7e4 dc823d04c49f47clear 7ct27hei3cfa1s a89ffie43lec3dc ac->1b7e4f63 * REQUIRED
    ePcl035ae64e3c24da549bes1ced 3bcl299ea2r 61theb34da2is3 76b9266123ec76fi9e01e117d67l3d 2-> * REQUIRED
    ea12dPd77l3537eb63a38s3f5cee68 c5f21l1e14babr t6h46i251s 3af0ifcd6e7a5l3f5dad825 -095686>7 * REQUIRED
    ffacP8lfb94f37195d3d3bf8eacse 5c4la6e23ea7r9 8thcb372b2is989d f82cie6efl0d 0-779e584d0>426 * REQUIRED
    86P1db74a5lcfae45as2ecb29 cl463ea726rb 1dcft309dhis 70fielc22d93d4d0d1 -9e2>2559ab442ace39 * REQUIRED
    0002Pl77e5eae36eae843s8e 8cfl1eae6bar0 ddtd1hi58sf1 6c66fcfbd14b3b310afie5ld3a297e -2d>01c * REQUIRED
    0482P149b8lcabf6ae82e1as1a97edcd ed61c47laebd29aa090rdf2 dathifaas6 fid3eecbl4333d 3b3->bf * REQUIRED
    5cPl4edasee cc5405a14146lb4bf98e2card6 t8h24e3ca1if51cesd6a 1fdaiebbl87a2d 39f-e720>e67292 * REQUIRED
    aPle84af3sead87 e78acle5a7rc 6t5hi36a94a8s10d9bf8b3d3fd 011ffei35af63913el5a63dfd 4e0->f6e
    18P6d1lfbea4s33284104e485b 447c34able3f0ara 493cft2d883ehcf6is2ac8 f5558ie9ld42a7 -343d>21
    fbaff76Plea87c1se7f 4c23lae0a1rbe2c87 tbh80bis84108 38104f4a5ee13i233dele7db -43011bb>4570
    e4e7Pl9eaf5ase b95cc2144daade27d1l8ce6fc29ar4ae athbic658s99dced 32a4ef61ie4ld 4f10-335>1a * REQUIRED
    3a1ac8P8cd2bb8bf21l16e27a3c5s0e clear77 e0t312bda8d9f7b6hisd52 fb78f2aciela18dc ->97b8eaa5 * REQUIRED
    dd8P1858c688led892ae89s2e21 cl60f145d0c8ear9a 440tdch91cibas 7f799fe4abdb1f7iel6d9 -18>51b * REQUIRED
    91b7bc49bfePlease5 b2249c568l58ea8a37a68far c07t45his 9f12iaf5661e2l9f77dc30 f30-1f74>2cbe * REQUIRED
    512Pd97l8ease bbe6cle9afd8239aa6b7r d0dte98fbh7bi93sba771 2fi97ea6c2dal6d -5c415101f4>890b * REQUIRED
    Pff4cle807425cas1dff9efe1 4cceclfedad486fe34r10 thif9132ds fe5ibe51cd1e5l1553d b3-9489>b9a * REQUIRED
    299fPfelec02a9asee e2ec222la9ef43a4r49f6da7 5thdiec7e698s 3df31fc7ielbfe0fbde bb9e2b->0e34 * REQUIRED
    14e5Ple4ac6sae9607 clef0arba1 bt781hi7esfd28e53 25b1681927d86fei6ac7dele309d597e7a2 ->df2f * REQUIRED
    7c8f9P959l0099aee8238fabcasf4e cle7aac9r tha5c5e2i41006aa03816s f7i95eld636d8 64ea-be29>c6 * REQUIRED
    0066Ple3ff4fase6ed2b cl43eeec2d6ardd9ba4c1b 3thdbi2sb efie8cee9ld420a09add4603d36e 71-75d> * REQUIRED
    Pl4a6ease46 00a16c339le05089faf919469dbrd4 f55ctaf4d4h63bcbis146 fcif0ede7l817d08 ->6e325e * REQUIRED
    Important: Yo44u may3 bbe mak2ien0ge use o1ef2 au8tcbomat5ed form-filli8ncgd7 software. This3 typde ofc softwadreb9 3can 0tr553igge0r our hidden9 cspam-dcetection s8d2ystem,b ewhifc9h wiall bl3o6c5ck you7 fr60om sdub2mittai8dng 1thised9 form. P2lc5ease sele7ct 1Fix This02b8b1ff7b8715c946779c0 acfb6972cee0ce2fbaaore1c7c bfe92216b712d5dc9b561ecom3836d22cbpcldebtid469f6ng th6be3 83a0bff00orm inb 7o3rd1e17df300defr9 04t64o3 c8orrdect8 th5e 3pr49bob1c2e7lem.04
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