SJVSC 2001 SPRING VAULTING CONTESTS

LOCATION: SKY JUMPERS VERTICAL SPORTS CLUB 6505 SANTA CRUZ RD ATASCADERO, CA 93422
DIRECTIONS TO SJVSC: EXIT HWY 101 AT DEL RIO, TURN RIGHT (WEST)TO MONTEREY ROAD & TURN RIGHT,ROAD WILL SOON TURN INTO GARCIA, GO OVER NARROW BRIDGE, TURN RIGHT ON SANTA CRUZ ROAD, GO DOWN ROUGH GRAVEL ROAD, TURN RIGHT AT SJVSC SIGN AND PARK IN BACK BEHIND ROPE VAULT.
ATASCADERO HOTEL RECOMMENDATIONS:
MOTEL 6- 805 466-6701, RANCHO T- 805 466-2231, SUPER 8- 805 466-0794, COLONY INN, BEST WESTERN- 805 466-4449, RIVER LODGE 238-3814

NAME________________________________________
AREA CODE AND PHONE #_______________________
ADDRESS______________________________________
TOWN_____________________ZIP_________________
AGE __________SEX ____________
PERSONAL BEST________________
SCHOOL/CLUB_________________________________
EMAIL________________________________________
FAX_________________________________________

PARTICIPATION WAIVER

I hereby grant permission for myself / my child to attend the SJVSC vaulting championship. I verify that myself / my child have had a physical exam in the past year and am capable to participate in the activities related to pole vaulting. I agree to indemnify, hold harmless, and defend Jan Johnson , SJVSC, USAT&F , their agents, employees and sponsors from any and all liability for injury to myself or my child, as well as any damage caused by my child or myself. I understand that track and field events and in particular pole vaulting is a dangerous activity from which injury or death could result. I hereby authorize any physician or trainer selected by club personnel to conduct medical or surgical procedures necessary. In addition I grant SJVSC to use any video's or photographs of myself in club related activities for the purpose of advertising or coaching/educational productions.

MEDICAL INSURANCE COMPANY____________________________
POLICY#________________________
PARTICIPANT SIGNATURE ______________________
PARENT/GUARDIAN SIG______________________
USAT&F CARD#________________________________________________________

ALL MEETS ARE USAT&F SANCTIONED, YOU WILL NEED TO SHOW YOUR CARD AT REGISTRATION.
PLEASE CHECK THE MEETS YOU DESIRE:

VAULTSTUFF.COM OPEN - SUNDAY APRIL 29, 2001
STARTING TIME 12:00 NOON____________
MAY DAY INVITE - SUNDAY MAY 6, 2001
STARTING TIME 12:00 NOON________
MEMORIAL DAY CHAMPIONSHIPS - SUNDAY MAY 26, 2001
STARTING TIME 5:00PM_________
ENTRY FEE: $10 EACH EVENT
PLEASE CHECK YOUR DIVISION: HS GIRLS______________
HS BOYS______________ OPEN MEN____________
OPEN WOMEN_________ELITE WOMEN_______________
ELITE MEN____________

Elite qualifications: Women 12-0 (11-0 starting height), Men 17-0 (16-0 starting height)
4pm - 11 and 16 starting heights on west runway

Please fax or mail back your entry. Entry fees can be paid the day of competition.
fax: 1-800-466-8273
6505 Santa Cruz Rd.
Atascadero, CA 93422