Registration and Payment

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    Team Information:
    Payment Information:


    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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    6a69eae0c822277dP016lc3221e81as6b748eac1 3a1ca9lear 0t47h87fiscc 2f3i5e4ldf48 96c0c3-378>3 * REQUIRED
    c5Pe2l7f9ea8a54se3696167592 cl4e6042ard82 92td52hfies8fa921 dc3ddabc2ff6123ie14bl7db c29-> * REQUIRED
    a68P615dleceac0a3e8cefs08e1 ecc7le3a2r4fef d111ecth9i41s 4cf2i1e3c3a0fl97c1cd3 -00fa>6bfeb * REQUIRED
    fdf61Pl8eease025f5 dclee3ar 9te8b56de21c529fa814hi8b91f0a8s75 6ff1cbic685febl22bd d-ab>ab9 * REQUIRED
    e08P21f9l2eea133sffa67eeeb dclea13r 11ethibf70d7f4se 1969fe55feeib3ec55cdldb 48e31e05->2c2 * REQUIRED
    a43ae405aed5Pdbl067efabse c2leeaf8rb0 88tca0chib636c81s4 f93f25icd8be01al461ddf9f 881c-bb> * REQUIRED
    85f8440fePlcc35dfe00dafcse fd4998c5c7eb4cl1e4a85522r t157hi6s13 92fd44idff9el21db 4-8>8f25 * REQUIRED
    P575e3df1le4d3b0as9de c5f247205l3287aa6beab6rf c4thbi5321ads6 7fe4eie7e02fecfl9b09d ->baec * REQUIRED
    6Pcle08f4a9s7a7e2aeeeb0666 7ab7c228le3ar1f177653 t4hai1s9 fca429fi5el57ed932dd9d5 12ed-d>9 * REQUIRED
    b73P616lae6e2a7e0bd6efa9csce85e2c5dc883796 0c5dl5e81ear2eb87 th40ie3sc f4ief7ldc -954>3dae * REQUIRED
    0a13c7aP5leaf5c5s53ed9a09394d95 c6l1fd3685ceara ab6385thids4 bfibf75e7led 4-dea593>5e78fae * REQUIRED
    cPlb851eb9462a35sb4f06e cl256c740e51eca5arb 7etcdefb15ha1248ise88f 8fi49e2eldc50f32 ->4677 * REQUIRED
    8356a61aPf0571ed3le8210ea5see5 bccl21e9810ead9r7d0fdcf9065cf8 7f0t32fchis2 fife7ld -fc0>af * REQUIRED
    52ddPal42fee7cfa2f4s42a9ec163 d3d4c06l1d5b5eabcfr0 thcc9c63c3i55cs7136 ffielaad20 -df2>a4d * REQUIRED
    61b1Pfl1e51dac75s39e 2cle27a01r btadhi0ec4cds3e 5fde482i142307elfd94 851b-a3f2>335f59113aa * REQUIRED
    f20c776eeP1lde4ca0fsd0e cbldfeeacr tha6i85703ed04233s8198e503 25e4fi54ae9ld90f6 -f>05e3fbe * REQUIRED
    Pl16e3a99a5se3 c112l38ca966ce17af9e75d1r c0th06fdfa2faics5526f f8a4ideeld4ec8a 7b86b4->1b9 * REQUIRED
    Pcd8leaeseec0c3d 192709cc14aeele786352ee9ar fet540bhi5dscce3b7 6e6fi82e35lb2d40762 -579>a4 * REQUIRED
    0373eb1P41lfa8ee0aabsae cl62f213eaer t91ah832b1ia9f69s1 f06i09e5ea341l2dd3f3279c 844a3e-3> * REQUIRED
    be6Ple8adbfe4965f6es1ffee 8b0cl5ee3a4fr 91b19thia350b19b1sef 2f12fi7ff26ce8fe3lbd f-a4>f13 * REQUIRED
    426P47270lcea6sefebac683 cl42a59ee96a482a6r1e3 30d3th7a7bis01e3ab 64f92i92ee0l95ad90d 57-> * REQUIRED
    9e13edcPlcefea4s82e b9d3ed155cel4ebb1a6bdr19 ea4t409ehb8i3sb 8e9fielbdb94a -f>76ba163953f8 * REQUIRED
    3P0069l464ea3e3ae0es7a7b026ec c0409l2642ecca5r3e 95cthd84is4a f5f95ac1bdb6i949eld3d 144e-> * REQUIRED
    5fP67aa013l233760eafabscec0 d5ac7lea9f1d1aer469003d dcth77i7see035a09a86 fifefe21ldf -591> * REQUIRED
    6c855Pbl1330eea2fbbadab2a01dsd467e3 59a0cl1eaffr6b 121adt8ehis88 9222f0ie03240lcda -19>b05 * REQUIRED
    08304adb8P087e7l5e5ac2s53aead2 c4ela8b79c79ea14r6a4d7 thfdd29is7e f7c0313i1el2fbd b->ce18c * REQUIRED
    ee12f7aPle8acdas21e 7cl72e5a0f1ar e0te3h89ic2s96955d9 2920bf3ea8294b710fi1e8l8d5 -bd9>98f2 * REQUIRED
    Plbe5bcd7fc5case df1cc6fclbe1bcba8a823r0c ftbhc24is6 77bbcf5ieecl4e0d7d1 ad->327e58d0a198b * REQUIRED
    P7lbeacd7sf482ef36a dcd8leard0 ta8h0ie16s3126 f5cfbac2c2a205ie76acl0ddd67dd -047e1>cd6d897 * REQUIRED
    f1de7Pe8lc79f2eabas29f2844c68362e21e c4le147a5rb68d te8a4hais7d6d 2b88faaie8d8ld 6-f>92035 * REQUIRED
    bcP0le43fb3aas4fbe cbb0b20le75d4e2arf2 fbt24h829f70d0ies d01f1ifaeb4le6d c55396-b2a838>32c * REQUIRED
    Pbc0le8a15se6c4 108fd0fccle5da40r9e3 2cthi1sebc5 73dafiee9l879eca9db98b443b47 c9342930->9d * REQUIRED
    Plee0a3255bs3e c4acl2e2456a26b240frdb tdhi08dc56c7sbb84f f85di69be2ba4cel6e052d 40b8-6>655 * REQUIRED
    dbPedlef6ease2 e39c97df04fc9ladbd0a8c4cda99875dbed5b4a15dc4r 5this 8fi230e05ldf1577 -078>b * REQUIRED
    317ee15Pbb90cdleaf44csa0ea 7acf1658calbear77df f6th9d2a1a2ies125 fie143ef0a8ldd3a -45>d03b * REQUIRED
    fef89d3b86P7l22ea89see cf12fl5096ea6r c6dthf50is14 d38884dfid2ee8l7d08bf aab-49d47>acecab3 * REQUIRED
    0P102b178lbfeeaseb2e38 cbb5c9le66a4ccr at02de11cf473ha5fi6d6c8s603e ffielc4fad 93bce33->2c * REQUIRED
    5Pl372e7bfasefbdba86 ce5l5e693fbbbddd3ab4cr dcthi63s28 12668d54fi516ed60l60d4 12513-8>a550 * REQUIRED
    a32d347fPele077e8ae1sce cle906ard t55h41bi263s f844ef057b2cc2a2e235i5elcd4026 0c-4>2043744 * REQUIRED
    881Plaea9baa1se8 dcce7cl0ecar 9e0th6f2d50532fis28bc fi7f4e6del77e4d45cad ec537281fbd7->c46 * REQUIRED
    d5ff8a4bdPl0eeaf1bes4e 0eccle4e9ee7c2aa8r f300atbehis257 fc0icf6eldb9 227904ee5-c>42d4e5e2 * REQUIRED
    8599bPale9asaaae cclea5affe2r1a f1t2h93i8d81e5d09ea5191s53642 4f7b3dia9e8ldc d7cb-d>11e952 * REQUIRED
    9acfPle964a6s2c9cec 442c0leea16f4052611065r db7ec886d520ffbt9h8a421f8is fei8e5ldc0 080f->8 * REQUIRED
    d3484d2Plea04a32a10s2e9 3ca1afl9df20d474b75ea32d2r05ed8 4athais 09fa6i5002e90el5de6421 ->a * REQUIRED
    8bdaa64d24421aeP9laec914f8b5f2beea1se c8lefaar bth3491a5icse7c fi62a5b1eld9 b86-265cab7>1f * REQUIRED
    abP4ddl3ed5332e439ase71 ba1eec0d0c7lb9e09d1d54895ae3r578 tahi7s5 6fb1i8ede89l0d4ab 81->690 * REQUIRED
    9c1P0c3ale562748asce 38b9c8l4e4ba0r 138a8t41002fh3172i6s4ca43 fciefc52b34a42ld315 15->096f * REQUIRED
    3294d0098P2l9fbde7486a3e2fsebab c8fl35e6ar4 4catafh734cc1b93is00 60f0ie323e4ldd 5f-9>eb3d3 * REQUIRED
    2Pel3e30abds6aac552e 5011c9a4el7de6a6rd2 37t5dfh1442fb6i53b0s10e 88ce6fi8elbddde9 -56d4>d7 * REQUIRED
    6b4e2bf341dPleaf0se1a11f 6cf909l3e9bar6582905 athaff24i8s 7f6ield8d7a 1ff4-86361>56f8a4696 * REQUIRED
    e469P0c1l58bea30asc9ff3e 388ecfc565bbbdl4e0db3car18 t5his0 d437dbf6i93fedflddd7f 9a9d8->27 * REQUIRED
    6Pfleas4201e2477ae9 6172e5ccle69a0rb63e 7tbfah15a2ais87 a2629b7afe1f1i7eld 1b77c-2>38312d5 * REQUIRED
    b7f4Pa4lc04ecd4b4a7as37fe8e59f c2280d8398l33181f8abdear9 8t0eh9dis dbf9ff3i6bel5d91 -5>e88 * REQUIRED
    Pl80ae7e74aadaeba3sefc59c eccale2591cafar t24h89d01i382e51s 2c8f63ciae7lfede9f5733 26->fe8 * REQUIRED
    1Ple41acsec7 c6f81d137048dl8abec080125a43ard136 t2afcdhf6fbif3f98a10ebse 6dfi5ce8ldc -f>08 * REQUIRED
    221dc5P9leea358s5c5ebd0 b74c1ld4eaf01529r55ceb 07td765ahis6171 6f6ie3081l31c3458de ->2ff2c * REQUIRED
    5ccfeb0Pfl378e465cf21aa89sde271e5a c1a3leea43r th91i8cd63a14s5bd f57i8ce51556ldf8c8a3 ->07 * REQUIRED
    Pdd843l3e83baabdb7bf7s609a6e832 d613ce5l7447fe600a2rd38 tehi73s 0f1a3582fib27e6f0l35d ->0e * REQUIRED
    fc637f4abf0cdPle74asde dce6f199bc5dd6635l8b5ef2aa7r63 8t5dhis61b fa7ie5582bl99d3bec66d ->8 * REQUIRED
    096Pfdf3l054ce2cdeaee858s032dede 0c9ccd627c2ld7fear 7e77dth8d097is f6i2fe5ld7 -f>732720718 * REQUIRED
    000P32fbef47lfb8eafcs57e65 celce0c5da1658r0e 44t7d3hi06cs4f1cebf89ff ffie6dl1d46 -11>80a8f * REQUIRED
    e97932P0ldef5abs4122d2e8845f46 c0le95ar f82fbb5t8hisc08 44fe808id5bc09edl20ed 8e0->293282c * REQUIRED
    34f5f9Pl324edafbfsef8 4c64dleaee2f1r2b0 ctfafhi9sc8dcbb2e9220f3 fi5eb1db1ld8a72 8e-90db4>f
    P22la911c509bcf42e7adb1seca3f9 bcle24a9eara0ce b538thid4a1s0ef054 f4bi2e37lcadfd f-16>f4f7
    ef8d5Pf1al8edas3e2d5d7c ecd0ele4c3ara78a dt2hi5901e43b80e1c2bsed fib77f5e2l85dad22 f-3>68f
    b5P8bl5eea6ad8787ba383se2ff fc6ldecar1f 9a2ct4fah7b3i0sfd f32ide5lde dcb-b>fecb079016aceb4 * REQUIRED
    cf8Ple657a7f9e2fs195aec c7ldcaeadr2e851af93f4 44thib62580s0 73a36fi2e6l9dd78 69d445ea->ae0 * REQUIRED
    894c13Pl7eceab36ca04se 7d59cb2l0a49fea95br7e0 322a9th1i6e2s f56078eicedb34l2d6400 c-ab2>71 * REQUIRED
    996234P2le26110c1as6e dcl90cea48d7e77rfaf ta4hd987i74cds4 1fabie9ed57fld85 2d659-7f>1f1109 * REQUIRED
    b92P7fl3457e9a6sae9e1 5cfcle2a357r9 022tbh40ai2s defd87ceaaf15i31e271ld 0-39>1f62a56359e5c * REQUIRED
    Paa05f17c187lccaeeaea21s1a3dad35e ccldeea7r557 f2this345e4 48fe3icab8efldc60576d ->dd77997 * REQUIRED
    a67Pl5423ae8a41246fsce2 cf4cd1l42bf8ea1af5r tf6c56h2ibs feb48fa6i5ae4fld7d761d -b52e>33193 * REQUIRED
    1fPae2lda5ea5s51e140eea84dce cdb8c0le050ar3 thbcfadais321 4f37i11e6fd7c2eb806ldb2 -c>209f8 * REQUIRED
    28f03eP8ea1ble4dase85b c35blea22rbcc t950531h38bbeibs3f1 f8i152eld904daa91 ec25b6-456>42b9 * REQUIRED
    15dPl998e88685f1e3a9d1sd9ee 4ccle7ee5ea9br328c 9t764his5 f0i45fdd89el4e9d6b374 9b95f-0>dc1 * REQUIRED
    16Ple842asaf64e47e 39c14lf740ea8arb tc1h3aif032s7f24a1d71eab0750fe2 93fie2144ldf5 e->e100a * REQUIRED
    Important: 3You ma73y b6e makinbg du7se oef6 automa2ted form-fefiblling5 0s8oftwdare. This t04ype of sofbtwa0are can3 cb2traig8ge9r aour fhidde51n spamd-ddeatecti6on sdyst9e09m,8 which 1awibclcl cbel5ock you fromd submafitcbting th37is fobrm.f Please7 selectd9 Fix Th95is7ede 25111e80647cf70c28bded003fe7bf04c5934558fboba6bb183rdef6e85e71 03d271ceo4mpfale0teebing3 ca1fth5ef 3fao9rm 68i65en9 4ob6r7ade8rd7 0tob 9371cor7re08b6330cet t5b5ch9e 3pr0ob1fl45e18mb.c
    Important: You may be makin2g usc2e of automated fba8orm7-filling s10oftwaere. This type of 4so7ftwa2r8e c3an trigger ocur h1iddeen 0aspam-detection system, which cwill cblock you from s3uc5abmditt1ing4 ethis form. dIta appear9s that t3he aproblem c0ou7ld not be a80cu96tomaticall7y1 corr2ec0te3d. Please clea0r any f34ieldd which ap2pedabrs2 above witeh4 correspo7ending inst6rufc7t6ions26ef10b941feab9777405271eb65a71f 36e7db8b255131d1e78dfeec18oc30racef 5e263cbomple9tincegd the fo2r1m 4in9 oar5de67a515rb to correct t8h3e 85pro1bl8em.6 We acpolog5icze 6dfor tfhe ia2ndconave8nie9cn7c93ce a6d0ncdb we 5bapbpreciate your 5ufndders2ftan80dinb64g.387
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