Pole Vault Elite Camp Registration

When: 2024, July 5th, 6th, 7th
More Details

Athlete's Name*

First

Last

Contact Email*

Email confirmation*

Phone*

Date of Birth*

day

month

year

Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Emergency Contact*

First

Last

Emergency Contact Phone

Emergency Contact Relationship*

High School *

High School Graduation Year*

Number of years Pole Vaulting*

Best Height In A meet*

Best Height Inches*

What do you want to get out of the camp?*

Accolades and Accomplishments

Favorite Pole Vault Memory

Favorite Vaulter

Registration will not be completed until payment has been submitted.

I understand the payment is non-refundable *

Yes

Total

Stripe

Name*

Address line 1*

Address line 2*

City*

State*

Zip code*