KP ATHLETICS Application INDOOR POLE VAULT CLINIC SERIES SALINE Managed by Coach Dave Emeott Name__________________________________________________ And Coach Kevin Patterson Circle: Male Female WHAT: Pole Vault Clinic Coming to a Town Near you Age_________ Grade __________ WHERE: FEBRUARY 3rd, 2008 SALINE Middle School Email Address___________________________________________ 7190 N Maple Road Address_________________________________________________ Saline, MI 48176 TIME: 12:00-4:00pm City ______________________State ______Zip________________ WHO: ALL CURRENT, FUTURE AND Home(_____)_________________Phone(_____)________________ POTENTIAL VAULTERS School__________________________________________________ COST: $48.00 if received 2 weeks prior ($10 late fee) Personal record(competitive)________ Free for all coaches/parents Circle: Bending pole Stiff pole Souvenir T-shirt will be sold for $12 Parental consent/participation waiver ***While supplies last*** I hereby voluntarily hold harmless Saline Public Schools, KP Athletics, LLC, and all employees and workers from all liability Make checks payable to: for all types of damage or injuries, whether foreseeable or not, KP Athletics sustained by myself, my child and other family members while Mail to: participating, watching/traveling to or from this activity. I verify C/O Coach David Emeott that my child has had a physical exam in the past year and is 6740 Crystal Downes Dr. capable to participate in the activities related to the clinic. I Caledonia, MI 49316 understand that competing in a track & field event such as pole vaulting can be a potentially dangerous activity resulting in serious injury, paralysis, and even death. Parent or guardian signature date Participant signature date *Must be signed and dated before you can participate. Single Parent/Guardian Signature assumes consent by both Parents/Guardians. This clinic will provide a great experience for all levels of pole vaulters. In the past 10 years Coach Emeott has coached three 15’+ and three 14’+ males as well as four 11’+ females including 12 footers Breanna ATHLETES!!! Eveland (Ranked 10th nationally amongst all college and pro vaulters Find out what it takes to break through this year. with a leap of 14’5.5” in 2006) and last years Div. 1 and Midwest Meet Drills with and without pit Champion Abby Shanahan (currently vaulting for Kansas State). Coach Speed Development Emeott spends much of his time studying all aspects of the vault and is Gymnastics specific to PV truly passionate about the sport. Coach Emeott has been the Director of Safety Falcon Vault Camps for 10 years. Individual Instruction and critique from an excellent coaching staff Over the past 10 years Coach Kevin Patterson has proven himself to be one of Michigan’s top Pole vault coaches. He has coached several state What to bring? Poles, light snack, helmet(optional), champions in Div. 1 for Rockford High school as well as many top Running shoes, sweats, water bottle. performers from other schools. Champions Such as: Lisa Krupp, Christi Kettlehut, Bethany Hecksel, and many more have benefitted form his tutelage. Coach Patterson is also the Pole Vault Coach at Cornerstone Any questions please call Coach David University. Emeott 616-656-9510 or email him at: email@example.com KP athletics will be on site selling instructional DVD’s for $25 as well as everything track and field related. For other pole vault related events: Visit our web site at www.grandhavenbeachvault.com COACHES!!! This clinic will be great for the beginner as well as the state meet hopeful. Over the years our camps have been host to many leagues, regional and state champs. Our clinic is guaranteed to help your athlete focus on what it takes to succeed.