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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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    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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    359b0P22al5ee0d64a4f3sbf6e 35e8cleabr425 tded5ahis ceac0fid5dfbec8e9428lcdd2 96-9>6aab485e * REQUIRED
    20762b3Pl22730ee8aa69s1655c00471e2 cle0678ar 5tffhi69b7es df9f35cei8ae031ldd a9503-2acf>5c * REQUIRED
    P15aa2l9ea7sfb81e881d c467c63bl91f29feda7705rc 82thfi2a2s bb4ecf6ei2eeea07b0l87d5ba4 -8>d5 * REQUIRED
    20dPle33fe7afs11e699a 5c7l3e0902ace30e3rb 6et16h52iese 36fif6e016a5b0ld3 acd->59aa832fe036 * REQUIRED
    964P4claef77as57e47f02 fcl5ea1bdbe27re th84ie2s83b19a c10ea16feifedl6d329 358c-d>4dd72f4f3 * REQUIRED
    b6bdb38P4le788a84e8s80c3e2 cca86leb8a802926d113f60ra4d 1thi4cesea f2fi81dcel0ad1f6 82-c>37 * REQUIRED
    5P0l971a294aedaa2ab3sa4e e0dd7eclb19e86earce th2a9eis 006c4f138di5e11c705efl8d -12217e2f>0 * REQUIRED
    a7P8ab7lbb01ef4as9194ea1fe36c7da1b 10ca69ccleear6 532t2hic0sf0 fb249fc5i8a565d67beld5 -f>b * REQUIRED
    0a4Plea7sa8e 9c2efa9f0el0e40ac0r 50t04b880911hi7sd dcfdie30l50642d -1eb80>860035bd23ad3994 * REQUIRED
    3Pl4e44f80ab22s4cf1eb cblbc84ed5ca1cr3ce 5ab3bt0haibsd5 e6fc8if2b5b14d43ecl43d 509-6c7c>e3 * REQUIRED
    6fcPl9e4a058se19611a c8aa45leca7b0r5b405f t7hif11sbf8c bccfife745c93c4dl6fc5cd 118ef4-0>6e * REQUIRED
    c919ffPlcbeca552cbs9e9 cflfa8e7e9a5r75386 t7hebi54sa78acf 285f395if86ee62d6ld 8a-7d8>18ffb * REQUIRED
    7e30e6c5220db4P4fcbl53a0e0078aa70bcf183s8e e4f44c5l8fear54 this f793fie252lfd64493 c->f9b3 * REQUIRED
    4P76lease951db9 07c9lca282f2e0ef8aee0r 3ft007h46i8a8s f0f05bie6laa4d0e50d06b1e95d ab7-93>d * REQUIRED
    6401P3laa40be4as579e clef6dd1a7f5rad2f1cf61 ff8atd3hd3cc0ibs f7d93i14d6afee6el3d3 8c4->3ec * REQUIRED
    6b63P7l5ed750a6de7772a2ba73f4bsbeb c40785lea4bf02fa353r38e tc0fd2his fid4e36b3al3d 10-e8>5 * REQUIRED
    P0aleca4a4se a59c487049cc40l842e069abcr 70thicas2ad fbb31iel3a4de28ccf5cdd43f8ec a-d>9ddf8 * REQUIRED
    72130P5l585f66ee880aadse49 9ff611bc4le1ar7 b9t7h0cfias6e9ac1a afi4efelbf104cd56d 85-9ce9>6 * REQUIRED
    Pf0l19c4ce09a8b3s3b7e clfeaar t80fb55ah4800ci6s4387f f4980ie6e9l0d7 ->1e9481627828ecd76f4c * REQUIRED
    f8P5leab31se9 6c056328cl7e1e5abc3a2r tah20bifesf cf9i1afed85a9l8b41ed502ca b66-ac298>a9aed * REQUIRED
    c781d00Palaf5eeabc392s84fe6 5c42el2c0ea0e18f6d7ar bt10h3fci5s feie7ldad c-19cd8b4>ba5deaad * REQUIRED
    1bPdl274ceaeas6e 727ecl7e254ar6 34aft9hc60870ff4fb145bi421s fbb1i7bae269e5bldf0 ec2-3>272a * REQUIRED
    fc4Pbla1dd719e0asfe64d c4ab5l8782ea7er 97thi99a66f499sfc98 dfeie47bl7d5f 1ef6010-8e11c04c> * REQUIRED
    f53P1lce18a4s536c8236c4477766ec5a5e 2cle8d0ca0feb290r 26tbh2is96 f028i0eld928 d30-34a>3bce * REQUIRED
    298ad191864P49l3e45a4974e0e1206s6e b8cl6ee0af4r816 72thi8sa 9fef0605idebl2b88b9cd96624 ->d * REQUIRED
    ceacP635lf77debc59a834967fse cacl7f42ade302c2ea09r4 54th2ciaes 8680fi5eca25l32d -2da>b4750 * REQUIRED
    d531P80lbeec2810a0a341s3e ad914acc6lbec41a5aar93b4b3 c5t57fch2i27e076se b01f2i7eld33 -b>d6 * REQUIRED
    f1P0l9ed23eceaseeca6d2d 04bcfed0aleac2dr722 this 6fba2b4fi118e63eb26789l91d 13c64f21dd-4>6 * REQUIRED
    f0P2l9ff1feabae39s5e cleb2c6ar3a47b39fa e800th57b6ais1f5 4f94d56acde7f4e1iee33ld13 7-7>e98 * REQUIRED
    b89bdPale7fa6c17s65447c8e1 cfl1e9aerfc53 2ft08b2heis b5a8bffe3d3daff8ab131e5i5eal4a2d -0>7 * REQUIRED
    1ffP4cle8as0e5d 14c83bel340eca42r dthcidceb34e07s527a46 f66ic24e8f3l3dd6fa7891 -4>cbc6bfe8 * REQUIRED
    b68e6087ePlde7abs77de fcl5aa6ec9ea6cr0670d22581 fte8a6d112hfi02eef3a56as8 ffiea78l6d 8->28 * REQUIRED
    P2laeasa5a89e1 00a2aca597lea73788c50r et18his00e7 36edc7fi2619ae55ea270568l765329bd5 ->0a1 * REQUIRED
    6aPlfea1d77s49641594e 4e7cca3lea7r6e tfa02h0is f1i68566b11ae9fa6l0f71d53e92447cd -0521>d81 * REQUIRED
    5e8P2e82leeasfc8bae4 f7c2420lde0a81r t2a3h3di4sd5c87 7fbi8dee8573bel1a7a0df0b0 b->c0af6b48 * REQUIRED
    6P52laeaa01base cdbl90af571b5aaeaaa2rf5433ac13 89th4i059s 785bdf417id27del0edf 02-96b0>ceb * REQUIRED
    ebde7P4le118ab40se8deb0c85 c37lae3af5b6r 6fc871770e0at80he3isad9 922ff6c4da5i9e31l4fd f0-> * REQUIRED
    7ac10cPl7e6eba6eca0a691c02s864cefa7 0c457467le625a7r379 thfi9sc78eb5d 92fb5aied5ld -f>3245 * REQUIRED
    e8a1P8l156e621ase33 cdl84edca5344325r22f6ceb7eebdeb 1te9h9is7ef024d f155ifeled0 a-5993a6>c * REQUIRED
    4fc8e42P1b1e19leb832cfcasde c53lb96eara6 87th3i87s4991bac 39dfbci2e7e5bc275efld 6ca-42>990 * REQUIRED
    f70P4a81908l916eee499babse3e72 6cale8c0ee8bda2r cdc00t6hdias8 5ffci53e81cld 159f3-9009ce>6 * REQUIRED
    ba2545d49P2laeeafs031409e 1cdcl3eabar a2thc8isfb6b66 963bb5fi2e6c03l0ec3bd9 bc9-3b5>cf1c86 * REQUIRED
    Pb85lef2171ase 7ab3cle33fd3edf8bc1ar8 b765tchf9fib114410s9 afi1d2ceae84d6fc20931ld65 9-8>a * REQUIRED
    41c2f2P0clea6a6ds3ce 9cl002cd4ebard12 ct07cehdis69bb29631727 57fd9i00ele7dd b-635>9109e878 * REQUIRED
    39a0aPdle1af2d5s8eb c6l4b400ed49aaf7rf1d67c5453 9tf28a616e3ah0i4sa3df3 fdie0l625df -efeb4> * REQUIRED
    f9c91f1febP6ebl87e016as5de3cd 90cla6c65eead6rffdc0 ta2eh5dci6707s4 fi3e10d138lc807d 4->0f1 * REQUIRED
    8da7e2Pclff016e52d48beabs0bbe80f1 49bcle9256ca7r3a 54th25f7isb cefb501f3ie14fld 4830c-f>69 * REQUIRED
    4bPaa24l50e8433a7e04a1756se8 dcd42l6eeaar42f2dc t0e752hi7ebds3 749fi26e2c3dl553da -6c3993> * REQUIRED
    cc758bPbl3eea59s3118e325 aac7lbe2ba479ba723dc41ar6a61d thfi4s669 c28fc4f1i947el070d1 f-e>d * REQUIRED
    20666Pl0ed5c70b86aase1 ccefl9e4ff279a53cadrbde61e 2bt6his5a f3fi41792a317736e79b1lde b3-2> * REQUIRED
    ePl669d9e8f4f97d16fea4se ceddle69aca3rc tb0he4eci2cb72s6c1 ffi118eeb05l6ed4 290-bc>699a3f4 * REQUIRED
    f7ce18e6fbcdb1dbP53l08c422e7cas6e fac05l2e8feaa4r 238t7h1is cf3ic322e0lbf3d4a f8ac41-f>9a4 * REQUIRED
    44212c92Pele3faa5s9e 801a4bccb9l8eb13df4aa774r043 275tha363is8 a34fbidebbebald 62008a->e0f * REQUIRED
    ePl3d074b90e8be7f2e299ase cccl6eccc52e5ar2 4t67h91is69a345d2e76 fie18b2bld94990 -6a8>5bef9 * REQUIRED
    663Pl80ef2a52sec eedecl9e6a0a307r a9t06c8h153isd16ea8c328ff81e10 0f8ie18a2ce81lde 80619->3 * REQUIRED
    P0bl1594aeedd0687dfase5b83fe 78fca36la82605fcee0af0ea4r e3t06h3isbb56 e2fi2e360el5d 0-4>1e * REQUIRED
    ceP273al6e28a256s1e4878 99aac9l23b70fce95fa6r78 ft14d45hcis fifeedbb7l40d6399d -0ffd37>72f * REQUIRED
    82P1f6lbae7adsfce0106deb 2c8ldec43e7a09r 5c1at0chis98d 3a3b282fi8e7070led 341-702c0>62dcaf * REQUIRED
    19Pdfle8a9aase fclc536eada69fr5952 a14tfhi6s8ce71 f6b1cbf0e3fc466i4bbef5b6ld1ff654 f6->edf * REQUIRED
    cPl2451bf97158bea0052fse 4c15l7ddea9rb 7t2h1isaf66940e858d6d fd194a0ie58611l361eed 0->a231 * REQUIRED
    d13aP8l7f61e9a5esefdf218 3dcl58baae5c0ara t7h92eifs53 6fei3cd12e09caffl2cd3f3d 2-6>f48b06f * REQUIRED
    9fe631360bd3P164laeab6asea00c30 f9cleb20a80r5 c8tbhisc 6f81ic3c13feb41eld8f d3-42d>d746b5b * REQUIRED
    f1P5le22a44s0bfb925e 27c90b3c3c1270labf8c2ear2298 eafaadta6h0ias d1914f0bfe9i5e5el16d -55> * REQUIRED
    9fab8bd29cP05800el7efasedc e478ec9l1aea6ar9eadb6 dthf253ids07a471 96f9ie4elde9 98->ed1e01c * REQUIRED
    41b8Pl9eb2baffdsbe038 2a9138cfl9fea55274a6r7732 th6is 293fi5b5ef60afcldeec a-6f6ee>bbadaaf
    a86dP2e2le49ase04e76 c1271la8eeadb4r 5a8fcd714thi6das5 f7biel383d 6129-a22f373>eef1d07ab0f
    d0cc9Plee0ase 5cl6eeb9482a9ea7aa2r9 t6dhfeb573036573eisa239 f2ief7fd6e5flf3df80 06a7->64d0
    c0faa0998P2l701ed448aadsd23ed95ed8 c99lecafbar bb05a3761th5is92a0 fb6i6e83d3l18d80 -4>1213 * REQUIRED
    399ePd1l2e6abeabe2s8ea4ce0f 8clfae3ar th6c8di6s8e61 2fdied7fe4dl73c198ad8 2a16-b>6689f966f * REQUIRED
    9bPcld48e4b3asef578ce 1cd2leeca6ar tbhc26ciee8s9a3 f585647if6a55162453e167l3db a-2>c7a0fca * REQUIRED
    3ae5P120a8lca0edc9cafbsb458e7e1e53e 18df2f937c45learb 411f4tf6he14is 86bffiecl8d1e7 ->0b6a * REQUIRED
    3c5b7Pc9lbeased7678 c0202ce0aaaee6e370lef34arc7a 49978t5h8ides7c f0i15e6l5d -16a3f2>d311ef * REQUIRED
    0b5Pelead3af85seca9e 6cl4cf766eara t4f9fhi3c3d455sb158 ef7cfi82598ee2cl92d12 5ae7->806b277 * REQUIRED
    P3669bc33leea31es04e cdlb2eaec6f55625r actb2b51f1h7d7892i52s8 field8 -52b>923c4730604fe638 * REQUIRED
    6dP1l2e20ae9sb415e1 1c65116e6l0859ea39aa9r0d0 c45t10hiafs7a66 ffb2ieb33ldb2 51a4-b>95e3ea2 * REQUIRED
    3bP3lfa6855e8dcas12918eb f03f7cf8lae0e10a96f7r etd44477a91cabha3fis f6iae96ldce8 -37>1b615 * REQUIRED
    2511Pdcleda0se4957618c2 39cbee4b6c8alfb5ef948224ardd2 8t3hcifs97c 8fie66lfd7 e56737->6d063 * REQUIRED
    fPl3ea57c680sae0c 94f985c77la7ef4arf 8dft58h6i21s fi421f4fed48lecd939fa17ea 83b-d>108de822 * REQUIRED
    Important: You may be f6makeing u0fse of a3utomated focrm1-fillinga4 sof2tfw5are. eT8hi3s type 1of sof4t8ware1 c4abn triggea13r oaur77 hi0cdd0een 97sp9afm8-3detaectiocn system, w8hic6hf 5will ba5lo5ck yfo60ub ferom sub2miatting tbhis27d forcm. Ple7asea 2select Fdix T9his1bde0674 b9f66ee7cd26c75e7a3ed0401c6f9cfae6o996f2r9e618e fc3b85ab6e8f1a7c0o9bm55pleti39fafcnf38gff t7bh3e 0f922o9rm2d in85 d3aor4ddf9fea075reb to95 0cor89rfect th7ec28e77 02probl5em52.ada5
    Important: Y1ou amay be making use of automatee7d forme-filling softwa4ree.8 This type of saoftwaref 6cane trigger our hid48aden s4pa5m-2detection sys722tafem, which wil7cl bloc6k you from 1submitting tahis form. 4It eappeafrs that tc1he problem ceou77ld no5t be au93tomat5i5cal1lyfe cor9recte3d. 2Plea1se clear8 6any fi5el8d whicc54h appbears above bwith7 correspbo8n7dinge instru6ctions06e9c5b5 6bd04f151b4f48e93848faefc5125328dbeorde1930f 1a1245232f310618c0c8c1oam2pleatindg the form 1in orde0r to co1r2fre8c33t 3the aproble95mc4.f We apolo2cgdize for 8the8 incc6onvenie5nce an0d1 9wb86e ap29pr071c1beci6a36ate4 0youer uanfb78dde5b9rst8ancdin9f5g.
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