Polebenders 2019-20 (December, January, February) Winter Season Registration
Registration is for the full three months of the winter months (December, January, February)

Session fees
1 session a week - $100 per month
2 sessions a week -$185 per month
3 sessions a week-$275 per month
PRIVATE LESSON: $30 per hour

Drop in fees -$25 per session (Drop in's should be approved by the coaching staff before an athlete comes to train.) There are no drop in's for Sunday's.

Session Times:
Sundays: 12-2PM, 2-4PM or 4-6PM
Tuesdays: 4:30-6:30PM or 6:30-8:30PM
Thursdays: 4:30-6:30PM or 6:30-8:30PM

December dates
**Each week of December only has 3 days, due to family obligations by the coaches. In December only, we ask that you pay using this structure: 1 day a week: $75 dollars, 2 days a week $140 for 3 days a week $200 for this month only.
Sunday: 12/1, 12/8, 12/15, (no classes 12/22 and 12/29)
Tuesday: 12/3, 12/10, 12/17, (12/24 no class)
Thursday: 12/5, 12/12, 12/19, (12/26 no class)

January dates:
Sunday: 1/5, 1/12, 1/19, 1/26
Tuesday: 1/7, 1/14, 1/21, 1/28
Thursday: 1/2, 1/9, (no class 1/ 16 because of Reno) 1/23, 1/30

February
Sunday: 2./2, 2/9, 2/16. 2/23
Tuesday: 2/4, 2/11. 2/18, 2/25
Thursday: 2/6, 2/13. 2/20. 2/27

SPEED AND AGILITY TRAINING at the CLUB
December, January, February Wednesday's from 6:00-7:00PM (except for Dec 25 and Jan 1 )
Cost $10 per session pay as you go
Limit 8 athletes per class
Winter payment method preferred *
Pole Insurance *
Monthly session options (select any and all days you will be attending) Maximum of 12 kids per session. Once the session fills you will be on a waiting list. **Changing sessions will not be possible, please select carefully!** *
Required
Athlete name (first and last name) *
Your answer
Parent name (first and last name) *
Your answer
Parent name (first and last name)
Your answer
Athlete email *
Your answer
Parent email *
Your answer
School attending 2019-20 *
Your answer
High School Graduation year (if applicable) *
Your answer
Current PR (or N/A if none) *
Your answer
Athlete phone number *
Your answer
Parent phone number *
Your answer
You are registered at USATF with the Polebenders Vault Club (USTF membership is required to vault at the club for insurance reasons) *
Did you join the GroupMe app for information about the club (This is the best way we can communicate with the group. Please have the app turned on to get notifications) *
Polebenders liability waiver, social media waiver, medical release waiver (found on our website polebendersvaultclub.com) *
Polebenders Policies and Code of Conduct *
Optional: Many kids drink water from the fridge. Please consider donating a case of water for the session. We will keep the water in the fridge for the kids. Thanks for considering.
Submit
Never submit passwords through Google Forms.
This form was created inside of Muskego-Norway Schools. Report Abuse