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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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    850P9l1e62118aa5as23df1d8fe6 9c4clea16cd5dc06ra 871tbbhi01224653s fdcc93aci2ef96a1ld3 -9>9 * REQUIRED
    e43d4c8P21le5a7ae3sca90ed6 ac69095l4ea11cr31 4tbdh8cf876fi6s694 bafiel734fbd db9d229-9a>41 * REQUIRED
    eca45978929e4P2l1ee1cas97e78 81cdf1ble1e6da90r23 adt9h138ise72 0fice44la6db2b8 e->5e743896 * REQUIRED
    96Pl42e5bba957sede078 ccl0aa0e6a6a568bd09ec962affr 9th3i425es 789faie03ld928 c2-49>53e951a * REQUIRED
    88dPc7leeceaaasbe c1fa67l54ae96e8ar0 fd939892f6tf7h1i73s56 f115i7b43e5a73dl194bd6ea -0a0>3 * REQUIRED
    05849P6cleaa99s6de97ff 5cclfe6a3rb896 t0c294784his cb4abfi0de4lf63634c2d9a d0-120>ff680ce8 * REQUIRED
    2b7bPe18lefas8eb 401c3al20b9earfecf 80a32ef9fth1ai8a5a12fd1s dcfif9bd9elde031e c3f6-0>86a3 * REQUIRED
    72aPclf58ed2a5s18e c502ld937515ed803arb1 eade4thaisfde ce527fieald733945f574 af4ea963ec-5> * REQUIRED
    fbe79ePl22047be116deasbe ba966clea0r fbt58heb4i9sed245 7f7ib866e68l58d3 c-b08625eef>a390d8 * REQUIRED
    e21e5P03d850fl7feased495c61a64e0c clbaea7abb4r ta3h2iddbe3ee1s afi24f9el52d1fd e->509190d6 * REQUIRED
    8Pl12eacba4s3e cl178afe103eda87722r a4568t71hdbeda110i35sb1 f2ide3ceed7befldd7f3 -8fd>cff3 * REQUIRED
    c1Pe0l08ea4684cas743e8 c3l8eeb0aa044r65d6e1ef 5t3903h2705f0fi9s0 e7f105ibebl9d5dd65f7 3->3 * REQUIRED
    f9P5f7el48ee6a052b0aac5c7sed 8c9lea3r1 42ab7a5te11fdhbeif2bsb8 0fibf1ee35cd8lcf1d 0-d>513c * REQUIRED
    7P6l51ce7a4ase 9c2lea4cba51955r7 d033a624e34t3adah5i0ds f48if6ae5lcffde0d aa4-74a312a7f4>8 * REQUIRED
    ee7Ple1a374s90e44 3dcl2ce4c21aec6a7b7dr1 2cthfdb472is613b7f14 545fie1l092700def a30->fe865 * REQUIRED
    d8Pf3aleas4aefb1 fcl17892a08c9eca8fdff986ar26 tdb02hi7s7 b4fi41742eld7f7dfef4 2-641505>e17 * REQUIRED
    Pl0ebdabae2sb0b94e9a 33c8la0e9far20e1038 t41h0i2s9dfd2f a6d2f9e1i5575aee1ld 7-7d6>a3e8fc6d * REQUIRED
    7Plebe93ae6besef9eb9b18b 62accl2431e91a495eddde74r0 t18hbis 285fie4elb9626d b71-89cc>14fd1 * REQUIRED
    48P20el74eac69asf6c86e3e 72cec7l635219c08482eaf32r08 e3te8his6 5cfaiefeeld3 1fcc9287a-d>fd * REQUIRED
    Plea5s8a08e90a97 9bfeaa7b6ca7ele0a7cr9e5ec9a 7t55his 3f5iefa8f1l1d80a6ea1 f60-365>9734263a * REQUIRED
    ea583b7aPl4eedas15e08e07f4e 2c9l6a3eeebar 9atf5c1c2dhic9s2 fbf6i35ebel914ea2d3 350627-b>6d * REQUIRED
    3598c94206f24eP0lbf2c55fe0ac55cs7deb740f5e412 2898cle9af7rc t861h5is0c9b 6bfi0el6ad -20b>8 * REQUIRED
    ad1P8075lcea5sbe9ac17 dcdlea78dr2fff4c0 tf9bh9eifaf4a5s5 8baef6i7eaff56ldf26 7-0>d38868c4b * REQUIRED
    Pb50bb49a0lbdecae4a073d5s716779e 58c5dbl8eeebar 4et2h19a8id85s fi9el61d06b4700 33->793f7cf * REQUIRED
    c67bPe31leab9cs553ef 0c1leara26 cbcdthc1i20s0497 f6ie3d463880ee8l538d55de030617e9f f2-0>dc * REQUIRED
    022d17ccb57aPleasc849099be fd8cel5e4ab49r8 t46hdecfb8id0s b9fie9l0d 334cb38f-7cff1f>0f5e78 * REQUIRED
    233a738fdPelbaea04a2023fs8e e4cl7ear2fa46d3f8 469d2dth5isb 36ab7f7if639e5b63c0e7l56d -d>55 * REQUIRED
    f5Pbl523e7f4a16se7a0 060cc1l4f1e035arb51e t2h5b4392is0a 2203dfdaa1iel90fcb99df c986e16-45> * REQUIRED
    03Pd4lee302c49dfcdads0a2808e31 2e3b0cea66lb37ear7 5th6ediase09cfb 72f80i1476eldd32 -5>a9e1 * REQUIRED
    efd1b1Pbalcf1edaa030se 9cle8d65c4ar853 4c6t5a63hi8s 76fia5ee66b77ld6 33fc67df-89d82>311394 * REQUIRED
    dPle18af54s44d2a0e0 049e5c8ldeaar e6ftch3570eif83a0s 1f6446b5iab7722e10ld5f6f2f9df2f 9->53 * REQUIRED
    0b83cf125499Pcleb7aa76s9e8 7d12cc8l4ecaea0655cr fa3atcheis72 afied500l6e795ddf48f8 -51a1>c * REQUIRED
    ac4P9ablebasee c0e5le2ab812529fa45rf 7b89d9t66eb5ehi4f6b15s50517 4f59f2ei277d4eldb3 1->682 * REQUIRED
    6b27bebP57adle6a5se1cb4a3f6d18be cdc3lbfec8ar 79ftf2h43iasb1 f89ai52e301lee2ad4c 8->cdb3b2 * REQUIRED
    36aPl618eaa736se 6dd6c2l0913ca6efca940ad631er t9ha4i71s97 fa56ee8i03e2l60d b81->76f0911981 * REQUIRED
    f0d12fd6Pfdl90343eadse4 dbcccl2a13d9f6aeeear9 8thifab5418sf f76ei5ecl4add 82d-2>228813f47e * REQUIRED
    958P5109b6f5lcde0aea90sde72 cab135la8e3ar at34h8i0asb56b642 f40b30461aafiel7d 1560bce->1d0 * REQUIRED
    d4dP72b68a2laeaabfa14asa0e 4cf9c184cafa7ld2b9ear6 a12th8632cfidse f18i92e11l6dd 94-1>49b05 * REQUIRED
    150Pleea2bbcs1fe1e490d 4c3lbecbebc370c62a55df4cr1 et4c93h2is4f48d eaf49cic348e1l11d 6d-2>8 * REQUIRED
    eP29ld28ea8941c078cdsae33c cl5997cdea3c2r1a100 ec6tdhb8iab41s2f 39ficed40c3l11ad22fd 4-8>0 * REQUIRED
    5Plfe0as529967c58ce6 6720c9a3l7fdfearc 38bt92e0bh71i047dsc0 87e10fi6e2eld 9d4f->8333b66ea1 * REQUIRED
    477Pd1e1l7f6eaa33s47e3 6fa39cfblb94ed4aar58 0tf1hai2sc0 7ffe32c6i13eff3e0ald5 3-8500>b6c8c * REQUIRED
    a43e630408Pal5ecba03sce 1ab7c81l7ear 1e53t8hi916ds7 0bfeai1eel3d9 850c-1c65d>fcb73124ea624 * REQUIRED
    5e932P10bl872ce0b1ads6ce clebar9 91dt8cc9haise794e66 4fi0a31205eb608102lde0e0bb e->5465e0e * REQUIRED
    78P06bc18l8477d9bfea84f6se4 cleec90a3brebe2bb19 afa8eethi64bd1csb92 f1eiel245597d4b2 6->85 * REQUIRED
    Pl05e8a6s2e08e3da642c 4cb8dleac36f025863bacr ab01d9772f8th738ids8 9fieldbdd7c7de f-a6>0ced * REQUIRED
    P39ledc33ase7be2a cleded18d53fa9re cc9tha279d614is05b5 ff49i16c822eb0elb0d44b 04ee02-c3f>9 * REQUIRED
    b57Pl9e149ad8f93scfe ced0df3c69ccl0dbfe1b05abb6d7r thfdei5a0as0 af0d5eield9295 35-3>8b7252 * REQUIRED
    7347458Pf46l175ea508e3aas89710f5fe04fa2d 95cl4ea04r 7bc1t415hi4s5cee 28fa6ie0ald ->eee3bcf * REQUIRED
    6d1b00ed0Ple2ase 045bclea51268cr24c2 5dt5ccachib9894s1 6bcfi957e7eldda78da7 39-31538f>8f86 * REQUIRED
    b0fc2e21a0Pb550ldef430efa90d2s2590e 37c1966le3aadcbdc4ard4b thfis9c f5bcbieal0d9 fc-eff>ad * REQUIRED
    1Pb955le1asaae 3fcl0b8eae3b9e5bre b2tf335h4di57338sb5 fi2cel1178088d6edade f1d->b7bfd85509 * REQUIRED
    738P304aled7c4acd90bds41de049ccaf 7c6cl4e8ar1 th4cis 3df2f51eiel6bd0abe7462 44306309fc9-f> * REQUIRED
    7010Pf9c4l3edasee 54eecld9e4cfa522r5 t417a818h0bbi34a3s80 98229fdia4e98al00a2bd -cf>953754 * REQUIRED
    ePlfaee7asdb08e111b2ba1dde dc3bd707a2lea6r3 tfbdb5dhi5se0 bdbfc0125b365i3f10403eld f-6>281 * REQUIRED
    f7Pleba38se clee3ar44516b8 4tb905247h15ci48650s a9f1f6ib8el4d 70dacb22d60231d5d53-636>43ca * REQUIRED
    fPlea1s09cf545e03e 7d7c234flf8134244654ebe9baar16 c78cd853t6h4is 9df11ie063l93d76 3d-30>2d * REQUIRED
    3f1Pl39e91ea5s250161ce cle828ar744ad0ce tdaf9378h4i684467e9fs4d 7afid05eld242833 0->074247 * REQUIRED
    11e623P5252l0e5da7sa8e fc1cleae2a8r5129f57 71bd561t9203his8 18ff1efi5el9adc cc8-25>4ef6ba5 * REQUIRED
    57e83735Pleaedf8a4b8c3s9e1a0 2c4f4clbdfebd3ar1 th8i6d8s efi4e8602db322ald8 98aef81-cc>b1b5 * REQUIRED
    2f0dcPl8c2bef404a3b5s5e4 d64c1l6ea5r 24bthaibcs4b2356 af6ic7e5992761e037elee6ed -09>a14219 * REQUIRED
    Ple14ae1a39s79cec07f947e1 8ac20l895dea4erd4418f1d t05338bh07d7a468e5is fi5ffea5ld7adc c->d * REQUIRED
    156fP08l9de9a6ds8d95ebbcb4 4cd8cl553ear 336t5hi8f194se6 4fei7d2e0l891d5d2d f4-069f65>c0757
    * REQUIRED
    a6496a99P069l8ea9sbde8d 741b2fcl8364ee7571a4a3r 2t0260503his3 fi5e26c23ld2 1-7ca96e6dd1>a0
    * REQUIRED
    cP3f2lba5ee4cf514fa98adse1d674b9 bcc8led2c2ar e2tehif8e8ds4244 6dfie6dfl1f50d 5->915faf641
    * REQUIRED
    04b6Pd19l5eba1411bds97e4f73c eclfb5a2e8d48193arb t60hb6ief96s9c3 af5d15ci6e6l9950de -1>496 * REQUIRED
    1f6P3dalaea5b9f2sffd1f9c994be cl710d9ear athae74i4e7se61 cf49218c4ifebl3d69 8-3f0cc125>8ac * REQUIRED
    7b2d17dabaf25717P10988al4fa025afec7710eabse 95clear3 ctah3cis dfdieelc70d86d5e1 ->272d0439 * REQUIRED
    f18e11Pl09feafs97e85 b6ec6b0671lee9ea08ebr 98t88eahd1i4s7 6f638f3i939ea96dlfdeb 9eb-4>f448 * REQUIRED
    f7b1Pf1d7lcea5f17bcs0edbc 389f9eca5c43lb351e0araf th8i7058s a5fc5ff89ecie25b7e4ebl7ed56 -> * REQUIRED
    09f7Pleaads5466b7498b1fe0165 cleab636b617brc9e9 98t32hicseff6 168bf1eb2i1406416eld ->27f3f * REQUIRED
    aaf1ac0511Pe53a7ledaecefd7e17e090333fse 20b6c0l4ed4arfde tedd9ehis fd1064df7eieelbd -9e>96 * REQUIRED
    f2ePl0b7e5968c5702cedacse9 ca3alcef13da81rf 18f0dtf11eh1i14822fsfb ff538f7iel53dedc0 a1-1> * REQUIRED
    95P9c4082l47ea2217s2e1e3c0d6 0d487c8blebfa71a9e4r0 a5e3thi5c0s 1d024fd9i1e4ldfdb50 7-6>6d7 * REQUIRED
    db19bc8eP8l6e20b2as524ea cc95352ebfle5447a91c883e84a9r ct47hiasffa d3bf0ie4b13ld7 7-195f9> * REQUIRED
    1dec10bb60dPl2f947b14eea76e9fc9se e58c58ale93e2a0r te533900h29ci6594fs f3ia75be7ld52 ->75c * REQUIRED
    Important: Yaou mb386ay be mak4i5ng ue3s5e 4of9 a12utomatee6d formf-fi6l8ling soft18aware. This ty9p9e of soft37ware cand trigg3e00r012e b8f00d39our hi9ddenb spam-detecbtaion 5sf6fy5stem5, wh7ich will blockc 33y9ou from6 submit86ting this 3form. Please select1 cFix This272460d64c9d800 07b06187b0e0d98c6d46ffa72c3db47ef1ode277re93805f50 aa158290e73c29o6m64pdf5982e5el49e5t1in259g2c 8tch8e af45bao8rmd949 9cine o37ceff95r1der to c7o8r8r1ect 48tc9he 5problemc.0
    Important: You may be m8akinag use o4af6 a9u1ftomaated formc-filling software.3 T4hdis ty3pe 26of soft18ware can trigg1er our h4idden spam-detectio4n systaem, w3hi6c53h wil634l block2 yo6u efbrom su3bmittid3ndgd 7this 07form. fIt appeards bcthat the problem couf3ld n3o1t be automa9tically correc5ted. Pleaasae cleacr any fiefldd whichc ap2peears9 above wit0h corresponding i4n5struction2sf3d9606 a31b0096e2f92710820or397fe96ebfa9517e0ff7431ec 5fcb77a83405896430completfdi5ng the form8 id6fa4n7 orde1r 1t1o c8c0orb0r3ecdt4 te66ha5e4 88problem5.2 We7 apdolbogize b1fo4ddr tbhe 5inec0o1nvcenaien43ece an6d w8bef3b appreciate your 9unders3tfanddin6gc.f1
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