2nd annual Score Vault
Sponsored by KP Athletics
What: Pole Vault Competition
Where: Outside The Score Restaurant and Sports Bar
5301 Northland Dr.
Grand Rapids, MI 49525
When: Sunday, August 9th 2009
Who: All Pole-Vaulters young and old are invited!
Cost: $25(includes $10.00 non-refundable application fee) for all entries post marked no later than August 1st, 2009(late fee is $10).
Awards for all division winners.
Divisions:
Tentative Time schedule:
Sunday: 10:00a.m. Ages 14 & Under Boys & Girls
11:30a.m. 15& 16 Girls
1:00p.m. 15 & 16 Boys
2:30p.m. 17 & 18 Girls
4:30p.m. 17 & 18 Boys
6:00p.m. College/Open
Your vault may start later but will not start earlier. There will be a 30-min. warm up session between each vault session. If you have any questions please contact:
Phone Email
Coach Kevin Patterson (Rockford) 616-560-7204 KPATTER341@AOL.COM
Coach David Emeott (Kentwood) 616-656-9510 David.emeott@kentwoodps.org
The Score Restaurant and Sports Bar is Grand Rapids premier location for Sports related food and fun. With fantastic food, over 50 HD TV’s, pool tables, basketball hoops, darts, games, and state of the art sound system, it is the place to be!
The Pole Vault location is just north of The Score, located on a nice grassy area, with a little shade from the trees that overlook a refreshing lake. The dining deck(located next to the competition area) will be open for dining pleasure!
www.thescore-restaurant.com
Score
Vault
Entry Form
(make copies, give one to a friend)
Name___________________________________________________
Phone______________________
Address__________________________________________
City_________________State__MI___Zip_________
Email(printclearly!)_______________________________________________
Division:_____ _________________________
Age (day of the vault) _______
Personal best in competition _______
A possible starting height for you: _____
Parental consent/participation waiver:
I hereby grant permission for my child to attend the Score Vault. I verify that my child has had a physical exam in the past year and is capable to participate in the activities related to the clinic. I realize that pole vaulting is a potentially dangerous activity that could result in serious injury, paralysis, and even death. I agree to indemnify, hold harmless and defend Dave Emeott, Kevin Patterson, KP Athletics,LLC, volunteers, Plainfield Township, The Score Restaurant and Sports Bar and/or their employees from any liability and negligence for injury to my child, as well as any injury caused by my child. . I also hereby grant permission to KP Athletics, LLC to use any photography and videotape of myself and/or child related to Score Vault activities for advertising, promotional, sales, or educational video materials.
Participant Signature Date
Parental Signature(if under 18)* Date
*Single Parental Signature implies consent for both parents and/or legal guardians.
We will contact you via email (preferred) or phone with the exact location and any changes to the schedule.
Entry Fee(includes $10.00 non-refundable application fee) ($25.00)__________
Score Vault DVD includes Shipping ($20.00) __________
Total Enclosed
Make all checks payable to: KP Athletics, LLC
62 Chelsea Ct.
Rockford, MI 49341
Score Vault - Aug 9, 2009
Moderator: rainbowgirl28
- rainbowgirl28
- I'm in Charge
- Posts: 30435
- Joined: Sat Aug 31, 2002 1:59 pm
- Expertise: Former College Vaulter, I coach and officiate as life allows
- Lifetime Best: 11'6"
- Gender: Female
- World Record Holder?: Renaud Lavillenie
- Favorite Vaulter: Casey Carrigan
- Location: A Temperate Island
- Contact:
- rainbowgirl28
- I'm in Charge
- Posts: 30435
- Joined: Sat Aug 31, 2002 1:59 pm
- Expertise: Former College Vaulter, I coach and officiate as life allows
- Lifetime Best: 11'6"
- Gender: Female
- World Record Holder?: Renaud Lavillenie
- Favorite Vaulter: Casey Carrigan
- Location: A Temperate Island
- Contact:
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