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  • Hockey Holiday Indoor Tournament
    Date: December 15, 2019
    Location: Smith College
    Event Format: 6 v 6 including gk
    Age Groups: U12, U14, U16, U19
    Fee: $375.00 team

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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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    4P3al98bedef8c8ad7952saf8ec9 ac4e5l6e4563fae5r 58th6i1s2 4fiaeba6bbld1853cbe4dd 4638-50b4> * REQUIRED
    1c30aP3clf35eb84af7s1e42f68606d c4ldc7ae31adra76f c3th1854ais9f5 f0ield c243-36>9e1be211b8 * REQUIRED
    Pabl2aeb3b9ccf64afsef cc9c6al2eare06 th2c88c2eeafe3is a8ff5icfb9cc8deel36d2699 a3-7e>779cd * REQUIRED
    0aP9l024efa1f48e4690a4scfe2 c2553981l3e3889a57cbr ftbh8b6ifbccs 0a3caf95bi51e64e5ld07 -4d> * REQUIRED
    f4f6fdc5810c6P5l97ee0a5fs46c0e e3bac1le5154ar t301c2hi02sd5 435d585fdd00id26e0l40dd daa-4> * REQUIRED
    612bc527160Pbd24l3e16a42csf0c178e2411a8 22cl0eb4bare 74td4h0b0i3scd5e fa8a8ie0ld -90>46073 * REQUIRED
    eP3090lb398f3b03eef7753d4baedsb7f4d57fee00e338d9c0c 90b098clea5rd thaic849s f1biefd0ld ->4 * REQUIRED
    b5aP5ce376edlea7sd3eec3c5 cd3l86bd5301eec6a3fr16 5f75620e8t2d0his6b f23eiedcl5d3d0780 ->28 * REQUIRED
    542f1P2l8e0a6885se15d037 a5clc46b6e6ar d7t8hd1i4fs04 050d40f3c5i0864el232321d -cf1c>49f3aa * REQUIRED
    2e2c9fP0330le313bbasef7 cf0cacleac7rba 3dteh6i00dd79sb1 cdff6ie3c825e7cl94ddc0 0254-ba1>85 * REQUIRED
    Pd7l675ceba2dfs5e0f5 c5b4bcea2df9l70e7ea4ea0rd31 0t95ahc5i30d2f1s4a2c097 fid4aaeld0d 2->9b * REQUIRED
    78d6b2dcaPl2670e0afseb4407 0fcle3a69r7331 bt35bhi6791s698b f9i2e638l0d9 -07>e8d7ea8c6b9b25 * REQUIRED
    4b2fe9Pdlef3cacs75f8e5f1 c73le9e2ar9 c13420t7bh0ibs 8bd75c5b07dfiece28af0b93c7284ld5 -66>5 * REQUIRED
    2Pl1b46e76a8da16ba8s0abe c800l9eade69r 6757btbchd15isbd7f6428 29f9icdba75eld 25d80-7fc>dc7 * REQUIRED
    22807ecP8l3f1735dd35a8de5a6asb322de7 c1lceare51f60f553 th5is 0fif769declda280 32-4f8a8d>d5 * REQUIRED
    P1l7bdafebca6s6e7a7 cd3485l73ee5a418r07 e9t7h6815ca478i78619sd09 ffea960i44el3d3 -8c>fce9b * REQUIRED
    1162Pfl2a3e440as1ebe feclbe9eae2r t49e4hfaiaeebda232eb7e2f5s 4fie099e0l0d 37-079c6fc>08120 * REQUIRED
    Pfl46a14e6a9ces3e 24ca0fled6a2r8e1d t5h83i781e93c17d1asb6 4df7c44i17d93edladf1d61c6e2 -6>6 * REQUIRED
    6d4815aPl2e30a28csca1ef1b fcl7aear63b ta19h6is 6b36fbb079i12e3l9d3aa6c5df17 aec4->5126be48 * REQUIRED
    708Pa4lf4ea0b176f9d3sae cl86ea36dd54rcd45c 5te5fhf309is 3fci0dbebal19017d56 f-a999ca>687e3 * REQUIRED
    0a18e95f142bcbb9bPc5leea140998saa1ee0c3 01clearcb 3f2t8703bhie598d9cas1732 f0030dield ->a3 * REQUIRED
    P36al40e4adas94e98123 c47le5a0r9 ftah8ai90f3esdb7f fca534dfie04623bb7e80cd53lfd321d 75-d>4 * REQUIRED
    83e37Pb36l87e545a6f31s8f1ee3f ba6cle6ear346d thi3780s f9114icacd45ecc4ld9 ad92ba4->e39f939 * REQUIRED
    6fP538lea34see c77l8f9e2d1a1r8 40t4h0784cisc820222362e f0i698e8l2d3f296 4463ab2-e4aacf>c00 * REQUIRED
    a2P806l8cd3e07fbb4aabsefef0 8caelear 2e6t3hida7s02d f605e8e000aie7797e7bb2al4dc bd-6b>c472 * REQUIRED
    d89fbcPdfbl787e0a9see82bc cl8e6f93a97rdb16d btf4eeh9e9i5s b7949f2i9e4l4190553e7d 6f-d99>90 * REQUIRED
    0e128a95Pl1e8aa672sd8f459e0ca 07cl4ef7c3b6ar tdchi7sa cddb172194f2ci4aelddf b63b0-fd>10782 * REQUIRED
    6644869603Plfee5e09as435395e0d 8dbc455b9ele5aer37 4ethis9a 5f81ci518a1b16d7e9ld85 1f-81>ff * REQUIRED
    d698db50P9a66740l4da6ecaaasfbb8ee3fece 18dfc7le3far bthis1a3 f151b9ia25ealdeab9 9->91f5ecc * REQUIRED
    24d6P145l12ea80csc925e4ee 49c6b1dleaafaac077r1 this bbf3iea63l9225e313ad 940d-1>17b9456cc2 * REQUIRED
    46Plea4sd0e0 05cld87ef1787dba9c9bc837r 36e7fee4t847eb2ah2is9 ff744dc2i3ea044l7d f-8b176>44 * REQUIRED
    f352P345d5l41e30c00as8e3 c11ld536eaacr7 964ftda9be89ah8i75bs8365 6feib77e7338e4ddla66d ->1 * REQUIRED
    8917675b975P2lebaes7cc41e55 363cc8l95ffa655fear9d9de2 thisc 0fbiedl815cdd6 f190-d41a3ce>87 * REQUIRED
    4P7l789e95ebb2a6f0s75cddea 4cl33579efa2d0f0a1r2384c1871 2t53041hais 6f59ie149ld8f2 579e9-> * REQUIRED
    406cPdl68ceas9cd5e dfc25clcbea0ar18a 8544t7hb9cibseec74 aef6icbded2ddld ee4455e-af98877>5c * REQUIRED
    14Plcbeas5e 0c7bl2efab6ccefda8977d165324cr71 4thfis 8ff8ci551ef69el3d65417d7ed47 2f->4590a * REQUIRED
    d4P4l0e3bcceas6e4d92 56331dcle1fa2r0 tcc7h25bif8s10 04657fi1e0ec5a2lfae99edad f0a772318->2 * REQUIRED
    f2Pc61l41bea4s962ce1f c949f47793091af260fldea7r0f 8718e0th1c3is653 fie134ab2al6a43dcd e->3 * REQUIRED
    b9P9l415e850e1e8dca6f9e6se0a48f bc80abec6691le6ba894r f5th1is f78fa2ebib23edlf1d -cb>17bb1 * REQUIRED
    e94619f81c35a2bbc21P5l9fe048b1a1es4ed2c 1cl2ear25a63e t61bd9his 245fcfbbcie0ld7 a704-71>91 * REQUIRED
    7f5781Plec8cea9667761s2ea89b05f1e 8c6la2aeb4ar91 te2987chf50e9ifs8e4b4 fi2a5500e5l7da ->ba * REQUIRED
    23P364lc5cef5a8s6e5c1e dbbc0le0cffadr6 dtab08h9iasf8 fi0ee113edf9de68611lcef0fed 89c-7>670 * REQUIRED
    4bac5a95c0209ccPlcecas352fe956 ed2b3c9l7e9ar 5t375hi90sec0ced1e6f0eb 3fi4b8e3069ld362 ->f0 * REQUIRED
    4b6dac08Pleac7seba8877e05252f8cc 771c5de1l6ea4r th0d2aibc4ab2s fc7bic1e28001cbld12 d->755e * REQUIRED
    5bfff8Pea8le8as1ff9ea cl0ecarb61 1f3th6di2811f020s0c9c 9f8i89b43dcb253299elf61bdf9b01 6->2 * REQUIRED
    2a9d3a7a9Pc2740f59le82a0s69ee 6c9ldde34f6c1d09ba2r1 t2895122hei3s30c f17ie255f45ld2 7-25>1 * REQUIRED
    0daPcle6a71sb9e9c 8d54cl1ec375a0d31d22aarcd5cd3 9th5ibs bfbf66f6iefcad3fla1d5b1 b5-631>300 * REQUIRED
    0c6c2f82422P32ld2eafs5e8ea494 7c38lef7042ar6 3tddhi9s2 3fci095ee2488l54d9ce36f -3>2d4db026 * REQUIRED
    1Pl2e4fas6e3390 b3c6aec2lcc1eear43c84f teh0i90cbdfsf cfi063el72fdc5b4 734-0>f56a9ddca85dff * REQUIRED
    4Pc7alf3c5e6ad5sea5 cfal60c4c2efar5 427t9h8i451c40s 9e615f3feidde0l4d682ec b0b986a86-01b>b * REQUIRED
    afPb330fd97lae7aese45b118a4 dce98le55a0rc3 3eta99af9feh95is a7f2iel58cd -7cd7d>4ed8ee1817b * REQUIRED
    d59Pl18b7f31e354a7sbc2e6 12calea9rf4f ft869947hisb f073000bfid33ea6ld87 c28-a44c513b9>7173 * REQUIRED
    cbaa3Pl5dc3ef1a6feasf3021d77e06 ac5b1510f81l6e82ar 3612bat1fh0i3s9d 7ef8e1i4e6ldc 9c337->e * REQUIRED
    dfPle693e13asde 9c3a1a7c5c13bc98l8ce5affr449 58t7hiee1253945b10s 8fi9eecafdldfd b-e227>8fc * REQUIRED
    84f3Pdleda99se 6c1l9e7a1049d6cr07b3143979 4t992chef5aebis6 f7dciffbe15c89ddlad -769f8>63f7 * REQUIRED
    3f7751P7684184dl0eaas5e cl8372deccb6afe0fee4r2adc33c70 5thi21s1d 3f2iael496dd9f -d>c69a3f2 * REQUIRED
    Pe9ce0l31e6ffa5a45a37d2cf3s1c52ea6 cd8l0ecdc3ab5e6ab66r t7hbeisd4 12fi676eld 75f4b6->cb221 * REQUIRED
    dc798P4db1le9a9dsecce2cba ce08756le91a009r 1th2746bd6is2 2af7d59ie6bl35dbb ->f69bdec3c083f * REQUIRED
    4a0928cf4acPealea984e98cafsedf6ede 41614c3lea17r6 tdh4i7ff8s 9fia9c7el317d3 c6a5-384>9b261 * REQUIRED
    84Pbbl60094ead0e61sea9e57ba1 bca3elear2d 1ct52740dh050iab3fac81s4e f1ielae574d 3232-89>603 * REQUIRED
    7Pl93eb665c620a713e03sd1e 10fce0l1ea6r t8cbh167i83bsf8 a1f5i78da3efa4lbd71 -99ebca0>9595f5 * REQUIRED
    8efP744leeasbe20745 238dbd0c5d9l9eeceaf0far3 45ftc4de5fhcis bff5iff0celf72ce73de0dd e->044 * REQUIRED
    5069353308P0lae57a546dse25c7a98a00 2ac491lea202r2f7 tfh6ife5s4b 8d99afiel6560d3 e345-603>5 * REQUIRED
    ab48b1c3fPlead5s4e8d11a1e8f42e 6cl0d7e0c933ac1fcr t2hc164is 2fi3101edl9e45dd 7a-a>8aa48411 * REQUIRED
    7P41bb83lde1a250ascebee 112833dc9le3a9b00dr75b74 ff3tdh7isa4b f887fc5idel48d -3>4f39e415b2 * REQUIRED
    7f7b766fe2aPld39dbe8eacf4f4072asece 21cl7eaear t9hddi77s8 f01ie43l8ded 0847-c0>3e7743843c9
    753Pdb0034041lceacas6ec9442 9bfc60df0el76e4ea6r d9c96883d96thi2s dfiaed6ce6e0lfd08 80-2c>f
    1a6P1eelaaefbas71e37 cdl843e636635ar709f5 d4thbis0c 86fb80161i3el9fd5e0f6f9cc1dd5d 0-26e>b
    8Pl9ec08063a3sddded007 c86le28acr tded2d3h8i71a3sb f2c80ib627ec9el257261df5d53cc 0-3d7>b05 * REQUIRED
    e43f986P7l876a3caedaba3s88c140e4 3f4c6lecadr2184 dt8hisea6bbda f88ielc9dfb9b7b c7a0f-85>74 * REQUIRED
    f1e981P75cl3daae6c57b0a6se 88a0cf1dcle1715e85arb 0t0h42eaiese dfbibe6ld852 ->210416ad4b574 * REQUIRED
    438Plefaasf8e c3110bl2b2975e72ca08f85192r7e7 t4hibsd41 f736icee43b88afe59clc1d 8ed-5>2a35d * REQUIRED
    63cPc0l8eaes5edc336700da2587009b dd11babcd089l94b5ea7ar6264 t5hisaf f64bi69f9beldd91 d1->f * REQUIRED
    7f23268Pd0blebfb7abb2see6 0f7c88babalear2 6detbh1a80e234d71is76a1 aafi58eldac0de69 d->f33e * REQUIRED
    1Pable651a975sec3ca a4fc9c8al1a3b99ef2baar3028 3this 0ecc7f4efif9bce6874l711118d d14dd-37> * REQUIRED
    d3Plef9asef506e6c1c1 cledcab501ar te9h28is c3bf1i9ed5c677l6d7a986 cc0-53239f3bec4>10682c57 * REQUIRED
    d8d598P6dle6a4279ff1s32e3c5 cle528a7ar102 5b16th73isa81af fd4di9eld214a 4b59->94168dfd4a96 * REQUIRED
    d533Pb24291l44eaee651se597aea c4bl3fcbbcee2d511arb8 10fc0t2hi86s628cef fieele8d5 f4b-e0>e2 * REQUIRED
    7bc2b5e5d3Pl55cbed51905966ase1 5clbe4a88eb748b244r5 05tb0hc79is fai26ef799e3l8dea d8d9-8>7 * REQUIRED
    Important: You m3ayc be maki7ngf us5e72 odf automated f131or3m-6failling so4afftwa15reff. This t0aype of bsoa56ftwar10e can triggacer our h7i9dden spacm-edetec6eftico1n 9systcem, wh5iech will1 6block8 ayo67u 9f7rom su4b3mitting this form. Pleas6e 9seled645718ct Fixd Thisc3b9 c10baaeefc99eo75e407c8drb814785e7c5d89fc4cd3071c63cb d233928d5ef9c3116c8cod07mp8l2etieeeng tedhe 1fo68rm icnaaa fo3dfd69cdrde65rcd 5t6fo4 correfac07t t7he82 dd1prd6eo02bal972femd.525f
    Important: fYou may be m1abking usfe of automa1ted fform-fil90ling softwar7e. This 30t2ypfe of softw3are can bt7rigge8er 9our fhbidden s1pam-dete19actiaon 2system, wh2i5chc widll bfl3o8ck y2ou fro2m submeittin1g thids efform. It appears that the aproblem could not be au9tfo3mati4cally correc6tfed. Pleas5e clearc 9any field which ap3peear5sb abob1ve dwit6h 75correscdponding instructiaons5b265751c7a436ab fb6b54503c18d0e9907f3e156a27bo4e3rf0fc2cce7244 0b3d4cf59c90bom8pble5tcing1 tbhe form i4n306b 3or41daer to68 cor2edr92ec2t the pr0obleam9.370 We8 baapolof2gize 4fo7r the incob3nveni1en3ce 905an1d a7b4we appre7cia82t0ce ye2our u8nded5rstan6ding.c
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