Registration

PLEASE NOTE the date listed is the general scheduler and NOT the date of your free class. Once we receive this form, we will give you a call to get the best date scheduled for you. This is the first step to giving pole vault a try at JNS Sports in Reno, NV. This is for anyone ages 10 and up This is for brand new, never tried pole vaulting before, to those with some experience and want to check out what our gym and program is like. During your free class our coaches with work with your child and then discuss the best options for them at the gym. We offer beginning and intermediate classes as well as club/competitive teams.

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:


Current Age of Child*
Has your child pole vaulted before? *
If YES, then please describe their past experience and height cleared.

Additional Information: