COME TO SUMMER POLE VAULT CAMP...... and JOIN THE FUN WITH US !!!!!!!!!!!!!!
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The Hudson Valley "Flying Circus Pole Vault Club"..........PRESENTS..
The 2011 SUMMER POLE VAULT CAMPS for BOYS and GIRLS
ALL AGES ........ALL ABILITY LEVELS....ALL FUN
Our 2-Day Camps.....emphasis Safety....Progression and Technique for the
Beginners...Intermediate and Advanced High School & Middle School Athletes
PLACE: The Warwick Center for Pole Vault Development & Safety
1 Warwick Center Drive and Hoyt Road
Warwick, New York 10990
DATES: BOYS 2-DAY CAMP...Tuesday & Wednesday July 19-20,2011 12 Noon-4PM
GIRLS 2-DAY CAMP..Thursday & Friday July 21-22, 2011 12 Noon-4PM
COST: $185 per athlete......... Coaches come FREE!!!!
Includes...Camp T-Shirt...Booklet..CD-ROM "Dynamics of the Pole Vault"
PAYABLE TO: The HV Flying Circus,LLC
APPLICATIONS...WAIVER....CHECK TO: HV Flying Circus
176 North Church Street
Goshen, New York 10924
Applications also available at our web site....www.hvflyingcircus.com. Our Summer Camps SOLD OUT VERY FAST the past 3 years. Policy....First Registered...First Served.... Avoid the WAITING LIST....ENTER TODAY !!!!!!!!
CONTACT: Coach Hugh Cauthers at hcauthers@gmail.com
Coach Tim St.Lawrence at coachst@gmail.com
HV FLYING CIRCUS is a FULL SERVICE POLE VAULT CLUB..... with Team Clinics.....Symposiums....Private Individual Lessons....Club Meets....Winter Memberships......Pole Selection Consultation and Purchase. Join the FASTEST POLE VAULTING CLUB in AMERICA !!!!!!! JOIN THE FLYING CIRCUS THIS SUMMER and LEARN-TO-FLY !!!!!!!!!!1
2011 SUMMER POLE VAULT CAMP REGISTRATION
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Name ________________________________________ Male or Female ________________
Middle School or High School Team ________________________________________________
Ability Grouping....... BEST Pole Vault Performance Ever _________________________________
e-mail Address (Please Print Clearly) __________________________________________________
USATF Membership Card Number(Required) __________________________ (USATF.ORG)
Home Phone Number _____________________ Cell Phone Number __________________________
Emergency Contact Phone Number _____________________________________________________
Grade Next Fall Semester _____________ Fastest 100m Dash Performance ___________________
IMPORTANT: This is a participate at your own risk activity. SAFETY COMES FIRST>
Parent Consent/Participation Waiver:
I hereby grant permission for my child to join and participate in all activities of the Hudson Valley Flying Circus Pole Vault Club,LLC.I verify that my child has had a physical exam in the past year and is capable to participate in all activities related to this club. I agree to indemnity, hold harmless and defend Hugh Cauthers/Tim St.Lawrence/Hudson Valley Flying Circus Pole Vault Club,LLC,Warwick Valley central Schools and The Warwick Center and/or agents or employees from any and all liability for injury to my child,as well as any injury or damage caused by my child. Should medical treatment for my child be necessary,I hereby authorize any physician or trainer selected by club personnel to order and conduct medical treatment. I hereby grant permission for Hudson Valley Flying Circus Pole Vault Club,LLC to use any photography or videotape of related club activities for advertising or educational materials.
Parent/Guardian Signature _________________________________________ Date ____________________
The FLYING CIRCUS.............. WWW.HVFLYINGCIRCUS.COM