Registration
Get a head start on your high school track season! Learn from the best pole vault program and coach in Northern Nevada in a controlled indoor environment. Learn the basic fundamentals of pole vaulting to prepare for your high school track season. This clinic is only open to current high school athletes. All poles and equipment will be provided. No experience necessary.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are you brand new to Pole Vault?*
If you do have experience, what is your PR height?
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*