Victory Athletics Pole Vault Registration-2019
All information must be filled out in order to participate with Victory Athletics at all facilities.


LIABILITY RELEASE DOCUMENT -

https://docs.google.com/document/d/1FlxXVegD3AG1Bw8tXx3i9eMKsCCMjqka5IcjaKWMF0E/edit?usp=sharing

Athletes Name *
Your answer
E-mail *
Your answer
Phone Number
Your answer
Emergency Contact *
Person most likely to be available in case of emergency while with VAPV
Your answer
Emergency Contact Phone Number *
Your answer
Current School
Your answer
List any potential Health concerns
Example: Allergies, current injury concerns, etc...
Your answer
USATF Membership #
Your answer
Did I fill out the Liability Release? (please turn physical copy into Coach BJ or Coach Larry *
Required
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