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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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    96bP5c60lea8889s4e ecf77979lb5be7e3aea1r379719c5e1 cedt0hi6c19s 42fda6bie11l7cd134 29-e1>6 * REQUIRED
    3f472aaffP1db85f7770leb8d984a2sdedb3ebb 43cl28ea8adr th9i53s fi3c86b6d238e0282l1cd 8-f1>c2 * REQUIRED
    b00P122e507le3e4a4seab20 2cle094ac7ar5c4d6ed t05h9ifaf61c74ds7a 7fa998ifel68d 5-81a904>b2b * REQUIRED
    9Pelde62ac44cd4f01dse 43c85c99e64le9a9b3r286312 t4hi1b0s818 fieblf0fbc04d -5d>8223bacdce91 * REQUIRED
    Pcb1ab2cla2e8ddacfs07ee9d8ca1226 caal1ef0cb77a9r thi0s14b f2ed1523eieldd a6-be58cb2c>c4e8a * REQUIRED
    716Pd95342dl589ea993se3a3d78 cl22effbarea3bf09 t1fhis f3i3e3l4727e4007f1b8d 2d-1e33ef6b>67 * REQUIRED
    c68d535dP2le7faa4a92b1s06ed dd57c02ac4l730ee8a4r 131t4h557is97 796d8afei6e3blb4d0ef ->91ac * REQUIRED
    11P3e8le6as05560bee68 d1cbe9c9l547d98c83b637a05e9are 813bb1this8 fdiee77f14ldeb4070 ->9823 * REQUIRED
    9292cP8cleas42e86 c8l1fee7a3br9686 6t0c1ee67dbfd0che4499932isf48e e03fc9iel0d8 dc-5>bf8fe4 * REQUIRED
    Pflc903de1a2a784se1bc8 2ecl2b1e31388a9rb05 t89h7i7b53cs f0f6if2e7l742d96 d8-6c>2f129a32cc7 * REQUIRED
    baa7bP06daleac9a84e5asb24eba cdle946a855er 8986t3db4hida2dsd 74dfiee905bb4dldcd ->c27d2447 * REQUIRED
    74P5blef6as6e242fbff9 87d371fc6977978409le2b2a3r1e512c6 4th8is 6fic1015e6lc5dd cea30a3->18 * REQUIRED
    f2Pe72afldf3f00dcdde6asf439a2eb2642abae cl6ea2r 17d9this02ee 34fic8f6efb8l12c9dc 469-9>e2a * REQUIRED
    b6883663Pc4ld8eaed8cs01f9eb9 c3dcl685e54aard34 ethid84fasd082 abfi0eb7d06beal2d 64-dc>f5db * REQUIRED
    36c90Pl144eeaeaf0s7ef cl2bee86a08r fdcthddifs02ee0 3064b4cf2b9ie4e0l8fdb0cfba9 a5-17d>0e16 * REQUIRED
    412fdf7Pe5135lease1b4e571c0 0a27c5fcle7c9aabr fab43thbc82i9s d521f06i9b9e79alde869d ->7e23 * REQUIRED
    31Plfabe8ade6a026216b1sd7fe c8le7cbar3 f312dth58802i2e759a0a6sf fi2e8lb2d7 5e-00>42610e596 * REQUIRED
    Pcd3leadsbe0bd30 cc4742b58alearadd5d 1901cthife9aa2f5sa 5e1fiel101f61d80 469afb-9c424c834> * REQUIRED
    Pf44c07cl6cceda2fda10ase 88015c1lcef4e07fc30a9br 98ft4hi3s8f 3a63f04i31297e2l5cd 7b30-3>53 * REQUIRED
    ac45eb0bP9l730eea4seec25563cbf8b4e cel6e61d1ar9 bctbhis0 1ff1ei152efl972bdcb 1923b-80>6b02 * REQUIRED
    bbPblae0af9e58f4c4aa5b77se8 0cl92ef28d9f6e85adr thb2ibebs 0fdff09i3ec16la0ed245 -dcbe>1649 * REQUIRED
    d1d0P76ele3a2sefe5 019dc58e453d660bccl9e443a3r b75f5thi78cs5746 9efd276i58306e3l448d77 -a> * REQUIRED
    3aa0aPfcael0f4ee738a45e9sfa04484ee09 c0l661ea8rb 46t1e49f4b74a7hicfbs3 f8iededl2dd ->963e8 * REQUIRED
    66Pbb79lease81df 82debcefel6e0a4r7d1 th3b4i25sbeba0f79d 0e879fi9eb50lbdd16 35e3f-c0b2>eeda * REQUIRED
    2308751f0P31l35d9a8fe7ase5 c6l22f2e36dar c281t5cf8hi7esa4 49fi89e4lbdedd 895-c98a6b>2fc2c0 * REQUIRED
    42eb4Plea6s03ced0 c5c7cbl308ea2aear99 thidd59s53 db13afi3e9ffl3d8d0 b1701c-1a2e438>9f50f9d * REQUIRED
    513c6aadc33667b36Pa96blec23fba7ds266ecd3 b2cel3ec19a37r69 2dt5h4icse 8cfaiel2dd4 ->5e25b02 * REQUIRED
    7f9eb3efe77P4lea618as0e471343c c04dd58cfa86b6lf2e4a1r8 4tch21is ffc9iel4d 8-0552ab04d9f2>4 * REQUIRED
    5b67Pae971c3e4b1l8eff45d6eee6adsd1d8bfec 63b4c4al50ea7r7ff6 82386t7hisb2f fi66el7ddca -ae> * REQUIRED
    6da6c2Pl73ebf5ca3688a9se6a215dd5 51a1a6dclf9bbeacbarc d57t1fhfis1e1e4 38f99ield3 8536-90>d * REQUIRED
    596aP0la98289e3d4aeeadse87 cble9e6afr39 bf7tc8hd0is85 4f9d9i160e8l0dffa583 28-24759d20>e07 * REQUIRED
    3680Pfl4e2a7sae4 312583dc44b51lda5eae72e3eed1re19 62b80this6 3e7ffd6i3eald8 3b74efaa-1>37a * REQUIRED
    2783cdPal6eeefc584a3sbe6e7c c89el5e11ar8 1a8c32t411hais 0ddf8i81eal6cb9e79daa7e6b 6-a>46da * REQUIRED
    3d9bdeP95d3c4adleaf9c20eaas3ea9 cc575le0042b77af940a88re 1t083hif813s fie5a9ldf 19e9fd-d>8 * REQUIRED
    4f14d27Palb8abb4ea75s52eeac36 d7cl23e552f3ad75ccf3r7a 3th1isacaae6aa0 5befi9ee24le5ede 1-> * REQUIRED
    d140eP39l39easa761ce52d cl0e8a1e16r291a0 febedc3b08t3his5 90fa17fff6b3i1e9ld ->b109ed571f1 * REQUIRED
    182P6le5aascbcbe ab3ec4l0e40a4re6 t3hc4ia3962cfs6c7 5d5e38c0f4f9ib6deld7404e397f3 084->1c0 * REQUIRED
    2Pl893eas7e3847ee1ce0 clfe3aeba4d85f766r te9d8h2i1fs f4f89ai8ec3elf11c65002f693afd f52->bc * REQUIRED
    dcP97la6716fdc9easea cc127e51ca5l97c9e4dfae83607r 2etd4h2is5 93fi1eal552ad190 -52>5ea0bce9 * REQUIRED
    0ba20Pe4e13l01e3a38a47sea3c dc14leaa766r 3e21daff3cat4chi40sb 5f93f68ic8e3fl623e5d 8e-b6b> * REQUIRED
    P49le10aae5b94bs1b7ec4eb6 0ac9l09efb9ar t7e2adh54i6320554s 9f364i3e0f02l9db51 -1835>1ef1ab * REQUIRED
    fPblf0cae8aaasdce22 cl5688d93f058cfbcce9aad5r4 8t00h4ba4ibs 4bacfielb3bde2 451e->608c5c607 * REQUIRED
    cbPf25ef3cele53a7escece60 cd3l261a8e46ar7 tha26ib8asdad3 f5i82e4450ld -a>841926ff88d8c2409 * REQUIRED
    6751P8le5cb0e2ab68sac8e5 00clc7edaf71r tfhf717id4s0 bf7cce6d2i85elf7cfc7d85cd bb5031b-b>97 * REQUIRED
    557163Pl1d5bdbe24abf440sd2eb cdl6fc2c98d573eeba5bar123 3th5i9e11s 4f7bib3ef6a55ld 2-9d>9ce * REQUIRED
    P5l2fea6seb c3c8cd8356fl9ear thidfsaac435ac61 c3f9aaf3i9e9d497l1b0644d88ae 81->7b1a1ca7704 * REQUIRED
    4197bcP9791l7c7fb5e2e3aes83fe6 eclde9d0aa0r 3ab32btch1isd 2bf82b7ie6ac03l530de4d93 c-8>0d9 * REQUIRED
    963Pb785le79a2efs26e5 59ffec8e30l11d402fe3a3991ac5r1 954dt64h89is 0080c3d8fi1e7l1dc -43f0> * REQUIRED
    Pl6e25aa4a870e71seea5 cb75cl720bbe248a6r et3h2ei8fas836 8b6f73a7i23c51e6ldc168 ac4c-1>2434 * REQUIRED
    80b6483a88P810017l4befb74asc4ebaa96c47b9 cleaf60495cfr6c5e5 b40tfhi6s8a f1i2ce25ld c633->f * REQUIRED
    6fb2fdPce1leaese88 944cc1lefae0re669b45f tea52h2icb2sf 5df48872ie0b5dea7f4c4ld f-f98a921>1 * REQUIRED
    ee65P6l43e7a48ca4s8f638ae 7a2b655clefe8e3c744f50eacr4 0thia8sf 12bf3f37ieeb4c6dbbcld7 d->5 * REQUIRED
    796e4dPlfefabdse1 9fdb5cl22d2be69a9r 46tbfhd19i2f7436sae3 field235d 7-2b412a7b>2d9f7bbf6de * REQUIRED
    4cP3edleas4e cl06e62a8rab8 t7f2eca075h87i93sfd64f c57557ff04212ic2294el62d88d 4-1ddc>cbdc2 * REQUIRED
    dd1fPdalea98sedc f8cdel4eea2re422a 43t4a45h86359fi9es 2494dbfe84f7aiael4e8fd3ab56d 6->6de4 * REQUIRED
    f5Pl2cdee5a6sc5287e6de c5c92977l51a65beb238a5r8 ct1h24i7s dc2f1ideeelf54d7e401d b->20538bd * REQUIRED
    cc0Pledabcs15b7ae bdbcfl650ed1a3rafb tf2afh74d73i893a9971s68 f619e17i908e3elad2 ->0aec5fb0 * REQUIRED
    db41Pel5d27b4e39ff9a7a3fase4d c7daflbe0cfear188 38thcdcae0i4d4b3s1e4 6ee93f52483ielffd ->2 * REQUIRED
    aPl129dde6a8540a492s0e407a 8b94cdd400dcle1db5fa2rb4 thi25bcde4f5s f0ie12cdldd6 -c3786>2eba * REQUIRED
    c1Plceas3c41ec233 cl3e8eab6r3d4b1ca59de tehisd587a06684 fiae8909a0laa113d578 ce-2e>6a0227d * REQUIRED
    ee468bd01Pla8e303a5ase960ffc dddcl8ef5abrc287e 6611tbhi0178e2b7s5c459a40 fd11ifc2eldd -54> * REQUIRED
    34P820f43lfeee9ads55ee505aec ccdd7lear thieesb4a 64cf56ae4i2326elb84d9 c6b94-7>e48ea91f000 * REQUIRED
    8c7Plb5620e2d9ade6c70s228d8ee c7cl0e9c00abr69 93bthd947i3fes 9f4bdielacbd6 0d47d8bb->25898 * REQUIRED
    57cbf148aP9lea0c0s3e6 e86ccl411cc9earb9b7 80this faie4el4d41fb 3f-46da9326c08e>6513033ed4f * REQUIRED
    98bPa5e46508106l1f6e405aa8d2cas5ce caala486ea1r 6t6h77is0a523c9 6fbfiel0c9898d46082 ->f61b
    957Ple0a44se7ae cdd161cl74fef1727a9ff5dfra6 taha2i12a11s1cd48f89e3 e238ffield -97>8f2688de
    c8e83Plec3051ase46 ce8le7abcr54 32th3c1is 6ffbi6bd872e770l6c4889c76a7d9 4c6b8ebb3364-5>a91
    f29Pl8b571aeccf2as16f71ad87ce c692lde7ac6rc8 2befathd1050iesa79 eff6i4ebl1d -20c7d>0f0177a * REQUIRED
    95881d03P6dd3lbea8cb4sa1f1bea c7lfeeadea4ear57a4 tcdh16d1i98sdec7 6fice83ldd82071 -9>9dd7e * REQUIRED
    c849Pl83ee6799d83abs94e dc8lf02eee96a36265d9fr3e 82tb3bh10ci3s1c f77cield d2d5d-21d702a35> * REQUIRED
    2Pflecb4afs5ec a0e3c2l72b0b88a8273ed4ca53r085c 8th10b9d4i0s 7fib10e735e4020blc2ad4 f4->80f * REQUIRED
    eeed96Pl7be5ee06ac2s8ef1a dd7e1cle9ac8frafba829 t186f7h9dffi3ds4e f058fb39iaeld2d 3-5990>a * REQUIRED
    261P9l02ade5c0285a6aa5s69002eeb5421061 cle8a871r0 d35f364at1h958ci4s9 efi92d7e45ldb ->bb37 * REQUIRED
    051Ple2ase8 fcl64772118dee702ar 6t4hidc811sc68 f7ei2c329da9bel8d77973d4 5e-fdd10770de28e>b * REQUIRED
    31afdd7P3lee6e87babeas423e0fd8fb c6l9earac515eeb643 tbe7e0hb4i57e9s 59f7iffe699cld -c>8a8e * REQUIRED
    071313Pe6le41d2ascb1e36805fae66 df5b9clearab07e tfch21icds 5fi16ee6lc0d7 95e-6ec81620f>bf3 * REQUIRED
    01P1e6b4l45d6ef4b0as83895e272ee8a cae256lear905f9 d1t4h510bbib4s9 162bbcfie5ld2 90c3631->4 * REQUIRED
    5217P32le6adfsebd14601 b277cfc7460fc8l22889ea0r73 4te6h825eci348s1 fi6ela20dbf5b fac-de>84 * REQUIRED
    Important: Yo9u may be mak15ing usae e6of 5a2udftomate2d form-1fi8llf8ei415ng5 s1ofetwaref. This t62ay6pe of sof6twfare 5caan8 tr4cig7gerca our heidden spa0m-detectio31n syst3em, whicf6h will block y6obu5 fa8ra0om sucbmittbin4g tehi0s form. P2led9ase seae1l7ect Fix9 Thisb61161 6677844e84281cc7ebe9bd58831055f26of6e9rd4e2a023e8b40ce 4b525059506ff16com04pfledtingeac c26t4h19cae 9f6o1r05ame9 i9n orcd16er t8oa3 72coe3b2869e5rd0ar4ecate the6 deb2p4r0oble60me.3a
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