Maine Beach Vault Sept. 8 Reg. Form

[Russ]

THE INTERNATIONAL POLE VAULT CONSORTIUM

Any pole vaulter planning to participate in an IPVC exhibition must first be a member of USA Track and Field, also known as USATF. USATF is the governing entity over the sport of Track and Field in the USA, and operates with the intention to preserve and promote the traditions of the sport, as well as the safety of its participants.
All IPVC exhibitions are sanctioned and insured by USA Track and Field. Exhibition rules of conduct and sportsmanship follow those set forth by USATF.
MEMBERSHIP APPLICATIONS TO USATF CAN BE COMPLETED AT THE CHECK-IN TABLE PRIOR TO THE START OF ANY IPVC EXHIBITION.

____Saturday September 08, 2007, "Beach Vault East" exhibition on Long Sands Beach in York, Maine. Don’t wait to sign up! Open Runway at 9:00AM. Start Time at 11:00AM. Opening Height is 5 feet. Possible 5-alive format.



Please fill out the leading entry information:
Athlete ____________________________ Athlete's USATF # _____________
Gender ____________________________ Athlete's Club # ________________
Birth Date __________________________ School _______________________
Weight ____________________________ PV Coach _____________________
Parent/Guardian _____________________ Best Height____________________
(If under the age of 18) Achievments __________________
Address ____________________________ ______________________________
____________________________ ______________________________
Email ______________________________ ______________________________
House Phone # _______________________ ______________________________
Mobile Phone # ______________________ ______________________________


Assumption of Risk:
I recognize that Track and Field is a potentially hazardous activity. In exchange for submitting this entry, I for myself, my executors, administrators and assigns, do hereby release any rights and claims for damages I may have against USATF, USATF-New England, The International Pole Vault Consortium, Matthew Gault, and any and all sponsors and individuals involved with the presentation and conduct of this event, and I also certify that I am physically fit and sufficiently prepared to participate in this event.

Signature_________________________________ Date_______________________________
(Parent if less than 18)
Print Name_______________________________


Cost is $30.00 per athlete, College Athlete Cost is $20.00. Make checks payable to Mathew Gault, and mail to the address below.


Matthew Gault, IPVC Email: mtgault@metrocast.net
PO Box 1514 Phone (800) 884 4882
Laconia, NH 03247 Fax (603) 267 7280

[uconnvaulta]

if youa re a vaulter and are in the area you should get to this meet

It is a lot of fun and its on the BEACH!

ill be there gettin my jump on

[PVgoalie101]

it really is a blast. hopefully i'll be there as well!