First Annual Rodeo Pole Vault Clinic - DOC by WzmWYhF6

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									                                    Staff:
Ninth Annual “Rodeo”                    Roy D. Willits, Coach Mt.
                                         View, Tucson (18 years).            Athlete Name:
Pole Vault Clinic                       J. Croissant, Coach Salpointe
                                         CHS, Tucson (11 years)
When: Saturday February 21,
                                        Other staff may include: James
2009, 8:30am-4:30pm.                                                         Age:__________/Year in School:_______
                                         Truitt, CDO, and other local
Where: Canyon Del Oro HS.                coaches.                            Address:___________________________
Canyon del Oro High School          Equipment:                               __________________________________
25 W. Calle Concordia, Tucson, AZ
85737.                              Athletes need to bring appropriate
                                    workout clothes (dress warm!), running   Phone Number:_____________
Just west of Rte. 77/Oracle Road.
                                    shoes and spikes, poles if at all
                                    possible. We will provide water, pole    High School/Coach:__________________
Who: All vaulters or potential
vaulters, age 10 and over, any      vault pits, some poles, and other
level of experience.                equipment for vaulting drills.           Height/Weight:___________/__________

Cost: $40 for registrations         Schedule:                                Number of Years Vaulting: 0 1 2 3+
postmarked by 2/5 or called in by         8:30 Registration
2/6 (Wednesday), $50 for late or          9:00 Vault Session                 Current PR:_______________
walk-in registration.                     12:00-1:30 Lunch
                                          1:30-4:00 Vault Session            Fill out this form, and sign the   back,
Lunch IS included. Contact us for         4:30 Wrap Up                       and send with checks payable to
team discounts.                                                              Pole Pilots Track Club:
                                    pole pilots track club
http://www.polepilots.org           R. D. Willits, J. Croissant.             pole pilots track club
                                    Contact us at: 520-206-9322              R. D. Willits, J. Croissant.
                                    (voicemail), or jlc@u.arizona.edu.       1137 E. Edison Street
                                    1137 E. Edison Street                    Tucson, AZ 85719
                                    Tucson, AZ 85719
                                            We are Tucson’s only pole vaulting
Camps are an invaluable way to learn        club! Recent alumni include:
the pole vault. In a focused                                                               I hereby grant permission for myself/child to
environment surrounded by other             Clint Robison, Salpointe 2008. 5A State        attend the Pole Pilots Pole Vault Clinics. I
vaulters, you can really learn the event    Runner-Up. PR of 15’6. Now jumping at the      verify that I/my child had a physical exam in
                                            University of Kansas.                          the last year and am/is capable of participating
effectively.
                                                                                           in the activities related to pole vaulting. I agree
                                            Colin Witter-Tilton, Ironwood Ridge 2006       to indemnify, hold harmless, and defend Jen
We at Pole Pilots are committed to safe     4A State Champ, HS PR of 16’1, now jumping     Croissant, Roy D. Willits, Jr., Pole Pilots, CDO
instruction in vaulting fundamentals,       at the University of Oregon.                   High School, USAT&F, their agents,
and to providing techniques and                                                            employees, and sponsors from any and all
                                            Caitlin Clancy, CDO 2006,                      liability for injury to myself/child. I understand
strategies for long-term success in this,   4A State Champ, HS PR of 12’, now jumping      that track and field and in particular pole
and other track and field events.           at the University of Tulsa.                    vaulting and many of its related activities are
Besides clinics we hold regular                                                            potentially dangerous and could pose risk of
workouts for our vaulters. Contact us       Martin Nevarez, Casa Grande HS 2006            injury. Should medical attention be necessary,
for more information!                       5A State Champ, HS PR of 15’7, NJCAA           I hereby authorize any physician or trainer
                                            Champion (15’10) for CAC (2008). Now at        selected by club personnel to conduct medical,
                                            University of Maryland, Baltimore County.      first aid, or surgical procedures.
Support your local Pole Vaulters:           Erin Anderson, Mountain View 2001. PR of       I have read and understood, and I agree with
http://www.polepilots.org                   13’3 at the University of Arkansas, formerly   the informed consent and release outlined
                                            NJCAA Champ for Paradise Valley CC (2002,      above as it relates to myself/son/daughter.
                                            2003) with a PR of 12’7 and 4A HS state
                                            Champ, HS PR of 12’1.

                                            Connie Jerz, Tucson High 2000. 5A State        Participant’s
                                            Champ, former 5A State Record (12’2-1/2”).     signature:________________________
pole pilots track club                      USATF Jr. All-American 2000, 2001 (Long        Date:___________________
Roy D. Willits, J. Croissant.               Beach) U of A, 2003 NCAA Outdoor Runner
Contact us at: 520-206-9322                 Up, PR 14’1-1/2”.
(voicemail), or jlc@u.arizona.edu.                                                         Parent/Guardian’s
1137 E. Edison Street                                                                      signature:________________________
Tucson, AZ 85719                                                                           Date:___________________

								
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