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  • middleclass~spray
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    Registration and Payment
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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. 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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    Pl19dea60s0ee8f ac25bc460l82e6bacaar78 2th75di0s721 30fi3e3e2dl19d68c7 2078d26dc0363->bea1 * REQUIRED
    Pdl4ee1e2d7a386sd218ee ca55cb4l8e395acr4b91 8e83this55 78d72f6234adi0e2l6684a21d048 -12>2b * REQUIRED
    cc7534faa06Pfc40l7e71d9a8c3se80a cle3607ar4 44bbeted764hb6i3s9 99fcieb079l2dd 2f-d03>33b63 * REQUIRED
    35Pl2eaafs2e 1d9f5ac676922lea4dbr fbd4t71ae2fhaff73i5c3cs1cd7db fi41eee7l60da3ab ->55ff8f5 * REQUIRED
    P4fl7eabs7be8b6 c1declea6r 4bftc29dc42hbdisae67d4af f9cd142f8di24d67f8ecb9ld75da50d -21>a4 * REQUIRED
    bc3Pea18d2efe9l5bbe9a53dease cl9ec2afr th4i7357sf41bf f09fieccf4273228lf69d5a8 7->b3bdcf47 * REQUIRED
    09Pfleaccs6e 0cale37ea4r98 5tah2i35s7e 2ffi8a5e1d1f8l3fa8a4d5 dd712-9ebeb0a8655d1118bb>802 * REQUIRED
    8cb725P64dl1d98e215a631easee68577 2fcdelcear17f8 thi1s39e471d5 0245f4i2eel549cd3 -b4130>18 * REQUIRED
    aab5P3lfeabcas6fdbfbe8 da75f3e1ca7d1clear20b 0405t2622h7i0af8esb 3ef4ie6lea7bdb516 -7>b230 * REQUIRED
    f2Pdle0dc1b0a2se 3b1d1ccal0bf1e48a72r43be5596 e266ae35t8h0isa f1i6470106d3feld 65-7a810>5c * REQUIRED
    aa0f22698fPl3edacb37fesb6bbed 4ce8a2lf69e830ar796 08tfeah5fi575s fdfia132eal725d83 4-5>264 * REQUIRED
    86718Pcele0f79a8s3fce c9l8ecaacr0 7f1th3659i4ds fcfbi5e8el80dddd442477e30 5-99>13807c8cf03 * REQUIRED
    b00799233Pb6acfl8ea91as38219a79e0 5baf1cldeadd129r4eb b3d2tfhe48i106ecs f8iel6db ed1b-6>61 * REQUIRED
    fd077bP68l4faf84eadb02deds9ee3 9cd4c5alear5 b1t19hi8a4d3s3 c0bf8eiel53db00f 5beb63b18-bee> * REQUIRED
    P08leb5aa0d2s350e537 f2c47le8dbea0r5e 8th81ai8858s fieb78fe03f0b90fld8c1ef37d 6e-d>085296f * REQUIRED
    153P40la97cf6eeas5edd 593eccl0e9ar t5fh60ais97 55ff45d6f1f96b0ib7de94e06lb62deb cc62fc->f5 * REQUIRED
    69bePcle4a9a27s4520ae4 2e1c1le9ar c9t80h0101d469ce054e5ia3438se ff86ie6efl33db5 64-3ee>752 * REQUIRED
    b8dePlaed0aef2sae63 c9e07leac8r121 1et0hid4s6 f44i8e7el2d644e83184d31 3bf2825a-1b>f23fce39 * REQUIRED
    6a83Pfae7le7a5dsb1b8d6e927e193a clb77befa547r15f a24d84e2thc1is9bea dfic889el29ebd -3fa>e5 * REQUIRED
    0cbP72e8969l22ce9907eaas4e5 cl58016ff0beaa722r dabtfhie4sea872 2fc82ieeabdbfldf0d0e 6d-fc> * REQUIRED
    d0Pl15aeasdbe4be611e c01le3a1e57r04a 2d8t0hc6is fie53e1eal21c76fcd3d307b dbc6->2a3a4f55b41 * REQUIRED
    4ff3d5cPc5fa36la7eea36sedbc7 f35c6ele2fa9r6d0 t9336ac0h56is3 5caffi8471fefc9ld76 f718->e48 * REQUIRED
    aP6l80ea7b1sef6a 13acle9305ear7 f34tb60b8e7h8i8e78eds dabcf53di89bceee74d14ld05d2 4-fe83e> * REQUIRED
    825e748c15e34P2lceadsec c3l4eae9r10fba1872c 3t2fc7h0i0s7 1cbfbide5ed581lac2ad -e5f900a68>7 * REQUIRED
    933Pl5e2549d3ab7a83s6ee8 1c47cle1aer2f t8fah01cfe52ids 2c54fi40aa46f0eff107lddb c138->3a49 * REQUIRED
    8P8e44l9ee956810e6a9535bsea dec0l9ea92r6 etha2i3336b87c00sd 7bfi0f53e62el2d d5da1-2edf6>20 * REQUIRED
    053757Pl5ae1ade49sbb3be3 cf6lb7ea3a42fr1ee8f51b7c ftfha88i9s e2f0iebl1e09d2c7 -d7cbd2>6c74 * REQUIRED
    Pl9bc40379c9eac7d8345se c92ele5ae8a485r d2tbdd74f308561hie78e1s fcd75ielac40d e6-2d8>3c04c * REQUIRED
    P10008lcedaae22esae7c0c4e0c82 4f9ccled3a4er t3dhbi7f2s89 fef5i23c227e09f8flcdf ->d05adb0c2 * REQUIRED
    6eP9le7a785se9 2cle6a9r12 e2f59f6a2088tf2h53917ice2s ceafib8d6088feld 6b08bf-8b>9d79674964 * REQUIRED
    P1l67e1ebacsedf 8956cflddea6r 1tf563bhis23ab888b 5580b2fde6ifebe43lad 2-ce>71a10117cbf5ca1 * REQUIRED
    0feP5f3l7fe056cb4a4840b73a219s7e 39ecle25ar6441395 ft1ffhiac86463s fieaeld9d16 9-4dd>78f82 * REQUIRED
    126c3ddPle2ad5sea937757b0e4b04 c5l1e2d4aa5322r a3thbi6bs 8f9a7ib700e8e046231ledd215b ->7bd * REQUIRED
    3P0lec3da4a4f6sa4edff0e e83a53231dcl08edeear 5b6th5dise296a22ca f2idel58ea6df1 -4>074a0b97 * REQUIRED
    aPdl088ea3047s89d933e219a156 c1647l3ecaf77r 7t0hi0768s7c 275ff09i15el63a08d3bb a79-88>2944 * REQUIRED
    99cePele0829dabed55367s0cae0fed c3ea90335clbec66ar3a71 tfh32i9s 0fc8iebl7d 0-f0>34e658f9e8 * REQUIRED
    87deP013blde2efascbe8c0 c3776bld4e92aea2ab42c3e70r 660da8e1this90 fi7e54e2ald c-8>363fe985 * REQUIRED
    114c0cPeddl8e2e77a523s6e cd39flf3ea8r 1d947t51hdia4a87084dsea7b ef9cfc8ield686 -1d9e3>f19a * REQUIRED
    f3e5fPlee7edcase4a5f374 3dbc9d5le081ea6fd18r bat55h5f913bi3a8e55sf5 fdield -5>cf7632e546c6 * REQUIRED
    105abPfe2alc36ec4a152s6ed4 c5l21ecdarc617ab6 t7db67hi00bs92872b 2fie11e3d86l7df -5>4fed04e * REQUIRED
    7e48cPa43l4efa597s15e9c 033cdcle6a97930r43 aate4e5dhei3s9ed fiedl12ed08d 62196b-8>33632c4b * REQUIRED
    4dP59l53339ea2e48a9aa5s7e 5b9cd746lea358ca02ar6a 49t453h7i58s76 2fi8c6f0el82a30ab7d3 -28>6 * REQUIRED
    a70f530eP6471l15deea70f1s40e cbclear 7t4h7c771ia5s6 4f564i2489778edl3d -a1>e874fe1588f32c6 * REQUIRED
    5aP2431lfeasee clfe8e052a07r 713019ta045h8bce63407baisb55 fdi39f1e90c5lb4edda 63->91abf030 * REQUIRED
    0f3b3Ple939e910a8bs11e 6b66fcl61755ea050rf0 91ce9ct3h43i6es d1ffi6dee2eld495c7ccd -a>e36b3 * REQUIRED
    4dc82aP3le48b9cdas80ebe082257b01 bcl8e4ea5era5d6d58e 3th98is80 5cf4ei46d117ec61led bb-f2b> * REQUIRED
    2P26lb20790ea4sebbf617ffa80a57a c5939le7acr 309t869hedi3fbs69 c1049f948ieed5l16dd -80>31fa * REQUIRED
    5P0lefa353sfe0 77c7c65cel7e9924ae31b2ba4bbd7ae23bd4a9ar ef8e5detdhis5 b5fidelec3d e2f-266> * REQUIRED
    414fb6Pl51454e4c09a12fa31f79se25 dcl9e63ea6r05fc 3a9th90is87d 6f784f32eia5c3el27d ba08->fb * REQUIRED
    38P15d54cl7ea24e7a0974ese6 7cl7a0a5e1c9f61b63adr 8th9b529eis6 d7df6ied8l9db14 c71-f>b63a34 * REQUIRED
    8c0cP5l2e1ase7e463de 01fcl3e83abf8r562 t9h914dfa8a798e6id07de5s9e fi03e2662b7elcd3d 3f->1b * REQUIRED
    15Pflee15bdedabcd5s48e cl3ec3a2d8r45a c8th622e29fei9d066d2b5s8 07f51ife8e8l7d6 196b42->d74 * REQUIRED
    7Pe5bb1c67lcea5csef cl9efb6c0aar08 a72dt3c3bh9ci2s8 8f0492d82940i1elada4 2-914da>3107eba45 * REQUIRED
    26e06526P327d92bc1lb3fdb8deacs4e f2a0clbbedcb0cc0ar 92th4di71sc fac090ac3iel0d2 12b1-e>2ff * REQUIRED
    dbe92P69l0abea89a9dsbae cle7e0cb9dad9363r33d785e 3ft37a5hi7s fdfi5edf3l0013c3a96d -5cc06>9 * REQUIRED
    96aaP217713leaa14sebad dacl49e8f1eab6r7 73tffacd51bcac564802hif1s fbe3ib53ce7lad5 c->12fc9 * REQUIRED
    027d1c23b2Pe2c2l5d83e5ea8e4eseddf bc8la1ea1car7d t9926c8f90hd8is1 fiel62ffdd 31e1-1e5945c> * REQUIRED
    Pl8b9dea3fs853c677ed cc425a8f482af5f07d32la0e5ecaa7r et0ha2is fai3589e1ldee3c597e 22e3->d2 * REQUIRED
    38908Pla507ecacs0c6ce 6ccle72acarb 7t99e1h917a6iaas fb7ic0e4c7aac8e3l3cda00342 ad19282->35 * REQUIRED
    d7fPlcea36f9c4484cs869e3cde 2c9c3flbd8f46160e240ar this 75fi77006edd4e5ld8dfd0 28c2-f>08ed * REQUIRED
    Pleaas3e 8ea5e27c78le6dcbadara14d67 ct681hi3e6025ffs336c fab6eiel2d 02d2fd1a->6ff9bb1c4ece * REQUIRED
    d0Pb3e1cl36eab6ae653as283e0 c7alea625r7a 0a4thc4f19973i7e1sc185 84ff7i67ebl6d00c24 e2e-8d> * REQUIRED
    171P6a6le3a255sdee 540c89lea3d97d82r250fd t7c5h8fi37s40 f0fi0f55edblcdc5425bdcaa c-ed0>ff2 * REQUIRED
    5P3df5391f010le96a7se4 ce66le9666a40cr66d613786 td32chic60988s0 27e61b22field be-34d74>a3d * REQUIRED
    c6P830e5lf4062dd5eaas6e7a77 e25clb7fdeada73dard65 868t946h9is7 6df3ie8588ldddf7 21e7d-34>2 * REQUIRED
    eb4e42P3500la0082dfc365e6bab3c28s6e104 c4ab1l2feaar7a t77hif56d1cc574ces 4cfe6ield8 -c5>cb * REQUIRED
    7Plee1a896845se99e1 66cfl6b3e8fa8de1e4e973rd271 fbt0ec1fhei0s fbci7ebc9cldf434b -73e1f>86e * REQUIRED
    b8520e89d0e3df0Plead14576s74eb77 dcel946eadr 99d670tf3hids cf8if825b5el53250cd9c2a -1bbe>e
    * REQUIRED
    528P60ld179eaabcs756ee0c0 b4fclea3d2d0r02 t1a77136chi19s8c f35i829e0cl63d3bcb c580b->7eb00
    * REQUIRED
    5d03Plea65acabd50cse 427aae7fe6d7bec4l2f5111e88a1r 4tbh8cies f4c7i411e4ebbld525 -7>af19b19
    * REQUIRED
    f0599Pleba9d7ca2se7809c1e0 7cl70e6ar t0dbe7hebis6 3fbi1b0da6d1a0ee8e2642l03de98 -2fb>43b08 * REQUIRED
    9fa18Padl3eecfa3fc6921bfs91fefd 0c1lea5r et7h6i7c22fedfs6b8 f6a403i19e884381edld05 -da>946 * REQUIRED
    840fPleacs67e5844 cl70188bd65ear7b7 3ft9f5hdd12i84s9 eff0f8ac7ide1b429l3a5dcf3cc4c 2->bd29 * REQUIRED
    fbPl4fe6a73s4efc1 1cle9ada3r6e64c thaiadb6s2d f328b627dde79bi6eel12b0022d 5->61bbcf325b66b * REQUIRED
    406P9cl9d641e5e8359ase774a7 ab58ccl80ea676r04 8e8thias63 8aafiealad5b -033>9497c78dd17a885 * REQUIRED
    25P1l8eea1ba5edfs7e69bd352 cf63dl3c4a2a55ea9rc8 2th846i81sd 9f8i9e1230435ld9 37e94f-dc4c>5 * REQUIRED
    6Pd5709fle223as0aa7e cl9e828bd1e13bc0a3arfd 7td482h3i5ecs4b 80fdibeefb4dl5bddd66 a4-9a5e>6 * REQUIRED
    ed2P6lea5a355d0se31 29bcle5738b4ar9 edthi5sc9b1 ffi1eal2d753786296a 40b->b10d5fb8ca1eb92e4 * REQUIRED
    b47a4Paleab8se bec9l1cffca2ea5r40bf574 910thc2isc f128a2if4ce3l3ac2ce54ced ->70ed69874b84a * REQUIRED
    ad76P77l1dccea9s9df3825e7de 4cl168b1eea6f97672ar b6act7h5788i77s 27efeie297ld3da9f7b 57-9> * REQUIRED
    c0b1ea4ePblf7c5bbe9e41c7as4934eeffa d2ec9ed3le3e151b3adr16f tfh9dias f768f0fd7d67iceld ->6 * REQUIRED
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