TURKEY DAY POLE VAULT CLINIC
November 29 – December 1
Time to get ready for Indoor Season! New Heights Gym Track Club is hosting a pole vaulting clinic with collegiate coach David Butler from Rice University. Coach Butler has over 40 years of experience as a pole vaulter, educator, and coach. He is a member of the USA National Pole Vault Executive Staff, the USA National Pole Vault Summit Staff, and USA National Pole Vault Hall of Fame Committee. His accolades are far too great to list in one page.
With indoor season starting in January, this will be a great opportunity to not only jump indoors, but also introduce correct pole carry, plant techniques, run mechanics and gymnastics to the vaulters. The goal is to match correct run, pole, and grip height to each vaulter’s ability.
We will have a selection of poles on hand; but if the vaulter has access to poles, please bring them to the clinic. Only ¼” pyramid spikes allowed.
The clinic will be broken up into three sessions:
Day 1 – Friday, November 29
4:00 PM – 8:00 PM Jump for Heights & Evaluation (6” & 12” bars only)
Day 2 – Saturday, November 30
9:00 AM – Noon Alignment Jumping & Pole Carry Technique (short steps)
Noon – 1:00 PM Lunch break (bring lunch/drinks or bring money to buy lunch)
1:00 PM – 5:00 PM Vault and Run Mechanics, then Review
Day 3 – Sunday, December 1
10:00 AM – 1:00 PM Pole Vault Review, Discussion, & Questions
The cost for the clinic is $100/person. All vaulters must have current USATF membership. The Registration Deadline is November 21. It is suggested to bring about $40 for food, drinks, and snacks.
For more information, contact Shane LeLeux at 337-359-7314.
POLE VAULT STUDENT REGISTRATION
Student’s First Name: ___________________________ Last Name: ____________________________
USATF #: _____________ Personal Best Height: _______________ Years Vaulting: ____________
Sex: _____ Birthday: ________ School Attending: __________________________Grade: ________
Father’s Name: ___________________________ Mother’s Name: ______________________________
Home Address: _________________________________________________________________________
Home Phone: _______________ Father’s Cell: _________________ Mother’s Cell: ________________
Emergency Contact: _____________________________ Emergency #: __________________________
List any physical or psychological handicaps: _________________________________________________
List any chronic ailments or allergies: _______________________________________________________
Insurance Company: ________________________________________ Policy #: __________________
WAIVER OF RESPONSIBILITY AND MEDICAL RELEASE
I agree to abide by the rules of this organization and all applicable by-laws of USA Gymnastics and/or USA Track & Field. GYMNASTICS, TUMBLING, AND POLE VAULTING ARE POTENTIALLY DANGEROUS SPORTS AND CAN LEAD TO INJURY. I understand that New Heights Gym has an obligation to make the students and their parents aware of the risks and hazards associated with these sports. I understand that as a parent, I am responsible in making my child aware of the possibility of injury and to encourage my child to follow all safety rules and the coaches’ instructions. Students should never engage in activity without supervision. Students should wear appropriate attire for all activities. Students should not wear jewelry and should have hair under control so that vision is not impaired. Students should report to the coach anything that will compromise their ability to perform, such as being ill, angry, fatigued, frustrated, or on medication. Students should be able to communicate their comfort level with skills as they are presented and mastered. Students should not pursue skills or activities that exceed their current abilities. I assume full responsibility for my own safety and the safety of my child, understanding and accepting the risks involved with the sport. I agree not to bring any claim or suit against New Heights Gym, the owners, instructors, staff, guests, students, or any other parties on my behalf or on behalf of my child for any injury or harm sustained by any event short of criminal act, and then only the criminal shall be the subject of that claim or suit. I shall indemnify New Heights Gym, the owners, instructors, staff, guests, students, and any and all additional defendants covered by this agreement for all judgments, costs, attorney fees, and other expenses incurred as a result of a breach of this agreement. New Heights Gym, its owners, coaches, and other staff members will not accept responsibility for injuries sustained by a student during instruction, or open workouts, or in the course of any exhibition, competition, or clinic in which the child may participate. With the above in mind and being fully aware of the risks and possibility of injury involved, I consent to have my child participate in the programs offered by New Heights Gym. I understand that New Heights Gym staff members are not physicians or medical practitioners of any kind. I give the instructors, staff and responsible adults the power to authorize medical or other treatment of the student named below. I hereby release New Heights Gym staff to render first aid to my child in the event of injury or illness, and if deemed necessary, the calling of an ambulance for the said child.
Parent’s Printed Name: __________________________ Parent’s Signature: __________________________
Student’s Name: ____________________________________________ Date: __________________