Columbia Striders Winter Classic
Sanctioned Indoor Pole Vault Competition
Sunday, February 10, 2008 3:00 pm
Tolleycraft Warehouse, Kelso, WA
columbiastriders@yahoo.com
$20 with advance registration, $30 day of event
TWO VAULT PITS
Entry form:
Name: Age:
Current Email:
Club/College Affiliation:
PR within past year: Estimated Starting height:
Current USATF Number:
(You can obtain USATF# from http://www.usatf.org/ )
MUST HAVE 2008 USATF NUMBER TO PARTICIPATE
To enter, email this information to columbiastriders@yahoo.com
Entry fee is $20 if you email your entry by February 7.
$30 for day of meet registration.
Athletes who register by Feb. 7 will be place on a pre-registration list & will pay $20 on meet day.
Exact jumping groups & time schedule will be emailed out to participants on February 8.
Directions:
From I-5 take Exit 36 toward Longview.
Stay right, prior to bridge - take off ramp toward Kelso Industrial Area. (Comes soon)
Turn Right onto Talley Way
Drive until you see a Shell Station on your right.
To your left is the Tolleycraft Warehouse.
2205 Parrott Way, Kelso, WA 98626
Athlete Medical Release
I hereby authorize my child to participate in Columbia Striders Pole Vault Event on February 10, 2008. I agree to release & hold harmless the Columbia Striders, its coaches, spouses, event workers, USATF, and facility owners from any and all liability. I as the athlete and I, as parent/guardian, agree for the athlete, myself, and our heirs and personal representatives, to waive and release all claims for damages, expenses, or losses of any kind, now existing or hereafter arising, related to the athlete’s participation in this pole vault event. I further represent that to the best of my knowledge the athlete has no health problems or pre-existing conditions that would limit the athlete’s activity level, or participation in this vault competition. In case of injury or illness, necessary medical treatment is authorized.
____________________________________ _____________ ___________________________________ _____________
(Parent or Guardian Signature) (Date) (Athlete Signature) (Date)
BRING SIGNED RELEASE TO MEET – OR - Mail to: Bill Baker, 2655 38TH Avenue, Longview, WA 98632
2008 Winter Classic - 2/10/08 Kelso, WA
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