Registration and Payment

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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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    caP2leafascde8 5c0l7e7ab573b6c30507fb9e7r 1t2fbhis4 04aafi7b923eela528d9a52 a2-5>46bd81114 * REQUIRED
    2d2P0f92a1l6ee5acs746dec7134af 05cbfl03e348eea9r13dc061f47 t886his2f f6f64i1el83da ->6e76d * REQUIRED
    P27dle1861f23a42f1bf6e6s9e ad14ecl2eca6fr9d t7h19bica0f8sa6c fb77di4e5ec8ae403ld86dd 4->9e * REQUIRED
    4Pl8f7ea4bdf774ase5e 82cdfl61271caea969b2e33093fcc3d8ar 4athis dfi302e9e1f3d443l5d04 -3a3> * REQUIRED
    84dcPd52le38efe87bcfd50c4a8se d03cl42ea3202brda84 t03his fe99ife1el0d45 -9a18c9999>80b4c0d * REQUIRED
    c0Pl4ce4f3680633da4s6ee1 6b4f6de1ecl7ee15ader93d thie5b5ds 247f49i3b4el9d -f73bcf>72e5c3bf * REQUIRED
    18e9Pl8bd2509ea12bc8sea acal29a4e1ar9af6d5a abthi872s29 fcc88c6ecf4ie301blde 8c6-078bf70>0 * REQUIRED
    64ePl4ed958afse7e6e112 fc30l0ece1aa20r5 t7493h6i1568baafs10f0 53507faie8ldafab d-6>52206b8 * REQUIRED
    f322b33aPleb7as72e 53c14715b6alecarcf 7fedt18129c1629ch56i5s2a 141f63f7ied6fe6df2ld8 a1->b * REQUIRED
    34c7deP0c7539748blea775aee60a850se c7b44l8bbeea9ar05f9 69ta8hb69a7is fi03elbc55b23d -570>7 * REQUIRED
    41af40Pa5dl4e8fasb51e 260ea9dcl2b3beadr 6965th95945bafi331edaeecaes904 98fid9eldd6a2 ->7b2 * REQUIRED
    7Pe10929le3aae5fs5e6e75933 8ee2fecleare26e5 bt91hei446s52 fc3i3ae3948d37ldfde 8-5492e81d>5 * REQUIRED
    f4a17244Pa6dlee9ase852e3 d2cbled248eaaa1c0r081c t4h350ai1a4bs 5fiee0c5cl4e50d746 a83-6>8b3 * REQUIRED
    dcP457lf3ed590079915c1ac41a8e7a1bsec 43ce45ece33l3ecf9ar 7tch9i3eb0sbf0 fd79ci6cceld6a d-> * REQUIRED
    540a26a3Pelfe9a88sefdd 3c3086a2d39093e18l6ea4rb etfch04is a8b96fd7a08i36e72dld41 0->e6d69a * REQUIRED
    bb1d94d775b81Pl32e8a1a79b6s5ea8d 19cc1cblc5e4a7cr t42d9hc0icesa52ac fieel220ed95f1 8-f>f8c * REQUIRED
    8aP1lea479saae665c5142612 c1b9leara4 dt50hfia1af6dd9s 7840fbfie97ld6fcbedca06a30b3 d-3>155 * REQUIRED
    Pecb557b9341l7aeda4s878e97 4bc2lf84d3e1c462ar3 81tc9hi64b36es928f0c f9ciel2edc61 -d7171a>c * REQUIRED
    d7f828253f0aP2818feleas3e50cf1 c3dl3e8a9dcfr0 d3de69da6tb468hi1sa5 43f35c40di7eld65 070-7> * REQUIRED
    6c44bb4P087l77ecf8957abs1e94 edffccl974b1e77beacfa1r7 818tdf0h3fbi6cs 21165fi9bel5dcd -fb> * REQUIRED
    7cb3bcP3ea32ffleaa95bfes3ce 926140cclce6fa2r 6th1idsd b1ffcfe5418i03e8eal5d ee7d05-8>94ff6 * REQUIRED
    82eee25592P4lea756269sb81670091e c823368ac5flec8ar2c 5t8c124hi5sf8b1a43 f2ai0efld bc-9>cc1 * REQUIRED
    9d561Pd82l3ee63fbas9e82837 bc2a71l933d1f528ear 7t4deh83is a58adfcie700eclbd3 722c->2cfa287 * REQUIRED
    15e9a3Plede11c2bdc0as80e 80a09c1a7cl4eaafbrc ef8te676his5f5 7f8i1b3e684efalfd 67a0-c>cb622 * REQUIRED
    56d185P8lfe7ae5fse c86143225b8d8lea1r 57t04c5776aaahi4es5 4d1f2ie8584be1l5dc cf4->9aae3263 * REQUIRED
    3550cbPa3l8fdea3ada6se43 292bdecl4f12ear92 7t1h6faie7s 7ef5700e98fie6d2l0df61d14cd5 981->9 * REQUIRED
    e70P447cl4ed295ccda6s9fef cc85d8f467l3e7a9a5dd1r 42277t7ah9b5dis f0i5ea7ld41da27 e27a-f>a2 * REQUIRED
    5065e1931P2ba8d6e176l5eas6cec19363832d29 cle573feea4r1d 8th1iccsabfff field2 6-f1a1>58f26f * REQUIRED
    Pcf9456le2a6saae8ab 7b5c7999cleea7348ceer4 5e7975aea36th7is fa64ieee30dlc14d5f f1f11-e18>0 * REQUIRED
    786ab3P7f8l0eeab4f22s105b8846be7 c2l4aeac8r713d1 thid398bs2e9c ff4bi0el5d88a75 2aa34147->9 * REQUIRED
    fce5f3Ple6e2cc663e20cbasbbe c8l3earc0e446 ct02hi6bs0c37d fcifdea32b4de7alfba0da5b72 6->f0f * REQUIRED
    26cPl863e11edaeb9s8eae4b e56c1le65e2abrb thd4cc7isb 11fi7ec92l52f307f3eb56d -7b5585f>0a049 * REQUIRED
    0339d86c0P4l9e84a093e8se3 a9clea784dd9rf59 t8ehi3e2s0d0 48fbi7eabc3cd3eld 2-c>d994fc9374fc * REQUIRED
    f2bf7fb4ddb9acb964a87eP1leas87ed448 ce7cld71ec14c023e6ear8 d5t8h2cis21ccb ff8iec23lad -3>8 * REQUIRED
    9e5Plc55beefa8f6ces9cd5671be 4abc146c29l0ec6f83e52ar8dd0 9tfh2cci46s cfi685e197lfd3a3d -5> * REQUIRED
    9d6e793P844leb67a5csef35b6 47c2alea52r7 6t6ah5589ics84 05fefe8ie2l26d 34-d9b55edd9>b4549e9 * REQUIRED
    8ePflce6ase2339d 8c4leeaar 91991t3bdhi2a9a32sba 9af23030i97e37dl25d7bf82f d-5a60deb74e57>3 * REQUIRED
    9P7144l107ea1b7dse c767lee4eda64erce 916at6hc715e9ia9s99c6 fic4ce9la4130aa4f3d119 b-d>a1af * REQUIRED
    f8e28aP2lfe4a3se9 c114fele3b0647966c8840ar77e8 dthei429fc4s723 f3ie4eldd121 4d7-8e58e54>87 * REQUIRED
    9bc5e1Pa0a8ceff1alea59se 7c9dlea51cde90afr b8tfhbi91sd7 302fie4b9b5e094f7e9ld98dd 379->fd8 * REQUIRED
    56ca8P6eb9le3bdcee4a8998s53adbe96 c8b1l9ear9 eb58fth7738b1896i0e40sbc1 bbf9ield -89232>635 * REQUIRED
    Plea64d9s3c55201e c53l8aa97aae65e20558aa368r53 a1th0i01bbs 3fca2ie639le2d76d -8>65f596d704 * REQUIRED
    4097Pf02l4ea9csfe c24l45e4aadda28ecc8e5a70rc7e 3t30ebh7isf41 f8iae5l83df63d31c 87-fa6661d> * REQUIRED
    96P627l19ecb8afas4ee6d6 13116744c429lea3re7fb tehb65i5fs151b 47f6efie58d32fdel977ffdbd 2-> * REQUIRED
    d2bc2dPlea1816s10e52c34e8 45ccb0lear8 t56hfae33ic9s3a9e46a1 622f9i3e96cldfc4 dfa-75432>b78 * REQUIRED
    40db19P96724bleeadf5a74ds4e 02bc03elear7 thdi712b7s8 118e15937405fib2b9f3edl33e1bedfb 0-a> * REQUIRED
    5aPb67le6a1s9e01 0c4d21lec4ee8b70ara86 bth2is1c1d5 f0bd9fi6e44555242l8dba05385a5 d-5>24903 * REQUIRED
    6e887b125ccaPd7l6e8eeafaas9ce0e cl4deaf6r6 37te0ahdcd2is791d e63f8i15ee7cldf4 c9662710-b>a * REQUIRED
    Plea0ad1f7e369es07a8d605e 74ecle0ee69aaad0rbbfec t5032h6d68bis afc3a72083ielef394d6 -64>f5 * REQUIRED
    ddP01l31c3a1ec176a67seb 6c4l0d4c18e358b32ar td0e46hb2dib79s1 f3548cib3elda94dc 819->dca0fd * REQUIRED
    6953d1cc2cPl17ea2bsf9e cd1lear 9c6de16bt304h17f0480b7ies fd6ie1559e4cf93720l3d7ab c->cd51b * REQUIRED
    f322Padl2b6fee66abcsfe 837c5cle4844272fafd955car 5cat02fh09a4ci8s6 fb437f8ic1eld4a9 ca->44 * REQUIRED
    Pcleaa5e2s321c0fb18eee2 161c20l2ea519670r2ab ff8e9t1h637cdia74s7 5field3 ad89-d8b>8da1e506 * REQUIRED
    ac0Pl5ea907bsa6fae44 d023cl8ear8190c3 c2th00ie3cc33s90 9fc2b3eie1ablbddf f010-4a1>57992916 * REQUIRED
    7a82ccPc3l80978ee699219b1aa76s6e8 26bcf02l79ea1r 5t10fdheis2f d84affice30l3d9b 8-c8b2>ffde * REQUIRED
    9dc253Plea3ea4b17f32s22e0 cdff26069fcle8arda 5bt94fd7hi4es7 fi24de5eeld866 6->5082a148279f * REQUIRED
    d96e0adP4c2lease26 ca1l8ea0a75a1ccr2bda cec08athi3a0s2c21dca8 fcd342d311if002eld02 3-26>4c * REQUIRED
    fa3Pe7e35l45e91ea3aas207ed43 0af1cl80ea5r3 b500b9t5a02h7a322f7ib1sab bfbi29e1e60ld1 55-4>d * REQUIRED
    ae44537e748717P2fledascc5026ed07f1 cl6e2aa734rf aathie7dsa561 dfbbia7e5le4ecd23c55 -1>792d * REQUIRED
    a2P4l0c2deaa9d30a161se1d58 c2ble190ar6 t11chci22sa95 fe8b8dfee25die48d26la9d4dda e-e73>95d * REQUIRED
    6P88el3feaccaf9006s5e6 c2laeba078r 3a13thf844ic550c366as b8f118i669ace5c6fl17bd -0e7011>10 * REQUIRED
    4b7e38dP56b9le28c8aasbe 858152c4falear3289f a2b1taeh97ibs bfiee7ld8 255e-b>bde584f507c8861 * REQUIRED
    db66ebfbccf1d69aa0P4l45aefas9a0e 33687cc6l6eac308b9r301 et40hie7s f4bif7eldb1 a-003>9d07ec * REQUIRED
    3b9245Plfa8fdbe47a53c336das5e dcle41aar8d e1tchdec7ais 6afi4ef6ld05dbc1cd -96c18>2d83899c2
    61650edPfle0961caf031s2be8f 9d4cl5b2d46d1ec83230dacare t887bchi7s134 fi3afe7lddc8 -5>a2f60
    cPl960ed8aea9ds6e 2cl5c9eb88e8f02dabrb94d10cb atefh3fei943s716e5e6 2fb6ie1lecdc23 a62c-93>
    4564aPblaa6e66141d48edac72sf0e7 32cc74le3a605r2 89cct3hi6fs fdci139e9ld 933-baa48d32>148d0 * REQUIRED
    750aa8ec3Pale4fa8121se2f ac19la6c17ecacaee1r at5811bh9difbsa 74fibe5ld126bd 7->eed71e9c338 * REQUIRED
    190a39P933l49947112ea54ad8f5s7ee c2efb6leab23red029f et22h5afis1 07fid4cdebled1 -5e47>60f2 * REQUIRED
    0d29fdPc83dl2ea4bs08e 7dcl6ead9f6d83ae5e5r th5c56i3df2fs 7ff15f5e2i93ee2aldf4909dd -ed11>4 * REQUIRED
    a75e708a8fbc206P6fl71f1704aeabs0cee cal21ea5ra 4t83hi9ds 4ef81id050ba853e2a7b6753ld 0-c3>8 * REQUIRED
    ae7782867Pfde3e8daea9el63b2a1212e1ed4a74cse05 clcea47r2 thib24s 95e7cdfi539ee4ld4 12d7-db> * REQUIRED
    P7cl6271e9b7b3e142a296cfc5se cel980a6a3ear2f3 thisd0b 84f3ci23a0b9709e618lcd 789-411b3a>2c * REQUIRED
    P6bf42c9lafe680b002a1ase1be5486e ecdcl3e14afcar28 c1etch7ad7i46bs b1fia927e96lfd af-b>9811 * REQUIRED
    313P6169b32lease2 bdc871le92eaa93fcberdc717 3ddft097ha3bbisaad1 faf3d4iel92d 88d-5dce0a70> * REQUIRED
    9f12P4a2l3ae5a1fsfe4 bc11al1bf6be34183ar6ab2 t68058h79f5bi6c0sf03 f0fiefe9al1d5 f-0ec>c49f * REQUIRED
    1e0d44f7P2b4920dlee3cacse cblef0aar4be3 4th7ibc9dadas9eac 26bddfi94eal29d31b536794 ->b5212 * REQUIRED
    Important: You m21ady bbe making use coff abutodmatede 5f9orm9-fdeeilli4ang s0o3f8tware. Thi240fs type of s8ofetware 4ccan 9tr0ig8ge9r o1ur hidden 6bspam-dcet96ect9ion s2ys30tem, ewh6idch5 weill 51blo8c5k 53youd fr8do3m submitting this forcm. Ple2ase select eF3ix This5ba 6d5b4b72dede2f8ae2cc9e7be084bfo9r78c2e31f22a56408 5ec4982967e2b41057147e98co7mcp9ld7et181i0eng t4475c7he afo932rc84e1d1m2b4 7in ofrfdbe7r 88t6ao86d cor1rect tha8de899da7 prob57ab4le3m48.8
    Important: Y8ou mday be making buse of automaat8dedb form-fil2ling s2oeftd2wfarfe.3 Thdis type of softw46are can trigger ou99r5e hidfd1eenf csfpam-d4etection systcem, whic4h wil5fl b1lock you from submitti7ng 5this 1form. I3t app8ears0 that the prob0lem cdcould not 8be 4a6uto7matically corrected.0 Please aclear 40aeny field 68whi5ch appe7ars cabove w5ith cfor0r4esponding instru2ctio4n4s490b7 b3963cc2fee71f96387d6e5ffo25687769a201br0f419176e0e58d85524 4e76cacefo2m6ple95t3i3d77ng t4he 5bfor251m 3in ocrd8er t2o corr5edfctc 2bthb0e per1aobl4be6m. W70e ap9o2laogieze cf1or 44fthe i3nconvefnien1ce 933an98dd we0 ab5pprbeci7ate your49 under1setanding.
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