2010 Indiana State Pole Vault Camp

[SycamorePV]

2010 Indiana State University Pole Vault camp
June 15-17, 2010

Eligibility: All young men and women in the 6th through 12th grade (school year 2009-2010) who want to become better pole vaulters.

Check-In/Out: Check-in will be Tuesday, June 15 between 10:00am and noon in the Hulman memorial Student union. The first session begins at 1:30pm. Check out will be Thursday, June 17 following the early afternoon session (approx.3:00pm)

Residential/Day Camper Fees: Resident Camper fee is $275.00. This covers room and board, medical insurance, camp t-shirt, and instruction. A registration deposit of $100.00 must accompany your application with the balance being due at check-in. Day camper fee is $225.00. This covers the noon and evening meals, medical insurance, camp t-shirt, and instruction. A registration deposit of $50.00 must accompany your application with the balance being due at check-in.
To Enroll: Fill out the application and return it with your deposit. A detailed camp schedule, parental release form and medical release form will be sent following the receipt of application.

Transportation: Campers must provide their own transportation to and from camp.

Vaulting poles: Campers are encourged to bring their own pole vaulting poles to camp.

_________________________________________________________________________________________

Registration Information
☐ Resident ($275) ☐ Commuter ($225)

Camp: Pole Vault

Name:___________________________________________

Address:___________________________________________________________

City, State:______________________________ Zip:_________________ Phone:_(______)_________________________

Email:_______________________________________________

Date of Birth:_________________________ Age:______________ ☐ Male ☐Female

Grade in school for Fall 2010__________________

School Coach_____________________________________________________

T-shirt size : XS S M L XL XXL

Roommate pref:________________________________________________

Parent Signature:________________________________________________________________________

Make Checks Payable to: Jeff Maritn, Pole Vault Camp

Mail completed registration to:
Jeff Martin, Pole Vault Camp
401 N. 4th Street
Arena 111 - ISU Track Offices
Terre Haute, IN 47809