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California Prep Track & Cross Country

STANISLAUS STATE POLE VAULT CAMP

WHAT:��������� POLE VAULT CAMP

WHO:������������ Male and female vaulters and coaches of all ages and abilities

WHERE:������ CSU STANISLAUS TRACK

WHEN:��������� Saturday, February 5, 2005

COST:���������� Coaches/Parents���������� $35����������������� Athletes���������� $45

CAMP DIRECTOR:����������� TOM BRENDA - CSU STANISLAUS POLE VAULT COACH

� 1 NATIONAL CHAMPION

� 4 ALL-AMERICANS

� 9 NCAA DIVISION II QUALIFIERS

� 4 CCAA CHAMPS

CAMP STAFF

Our staff will feature current and former STANISLAUS pole vaulters as well as other successful coaches.

CAMP OVERVIEW

The camp will include vaulting sessions, vault drills and training techniques as well as lectures on vaulting technique and training methods.� Most vaulting sessions will concentrate on basic technique from shorter and smaller poles.� Camps focus on all phases of the vault.� Some limited supplies of poles are available.� We encourage vaulters to bring their own poles.� Lunch will be provided.

APPLICATION DEADLINE

Apply as soon as possible.� Numbers are limited.�� Applications not guaranteed after 1 week prior to camp.

GENERAL INFORMATION

1. Check-In Locations: Warrior Track starts @ 8:30 will finish by 5 PM

2. You should bring t-shirts, workout gear, running shoes, spikes, poles, etc�

3.�������� Application, medical waiver and consent, insurance info must be completed and all appropriate signatures filled out to participate in camp.� Family health insurance must cover all campers.

STANISLAUS POLE VAULT CAMP

APPLICATION

NAME:��������� _______________________________________________

ADDRESS:��� _______________________________________________

CITY: ��________________ZIP______________SCHOOL������_________________

TELEPHONE:______________________E-MAIL________________________

PERSONAL INFORMATION:

HT.________WT.________AGE________SEX_______DATE OF BIRTH:__________________

LIABILITY DISCLAIMER

PARTICIPANT'S NAME:_________________________________________________

I do hereby grant to California State University, Stanislaus, the Trustees of the State University, the State of California, the Stanislaus State University foundation, the Stanislaus Department of Athletics, their officers, agents, and employees an unconditional release of liability for damages, however caused, to my property or person as a result of participation in the STANISLAUS POLE VAULT CAMP.

____________________________________����������� _____________

Parent/Guardian Signature������������������ Date

Mail to:����� Kim Duyst, Head Track & Field Coach

����������������������� California State University, Stanislaus

����������������������� 801 W. Monte Vista Ave.

����������������������� Turlock, CA 95382

����������������������� (209) 667-3312

����������������������� Make checks payable to:������������ CSU Stanislaus track and Field

����������������������� Questions:����� (209) 667-3312 or e-mail ����� [email protected]

����������������������������������������������������������������������������������� � ��������� [email protected]

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