USA HIGH JUMP CLUB

 

2010 HIGH JUMP CLINIC

 

Ron Lee - Head Coach of USA High Jump Club & JSerra Catholic High School Jumps coach.

 

8^th - 12^th grade

 

Date: June 19, 2010

Time: 9 AM to 3 PM

Location: Trabuco Hills High School Track

Cost: $150.00

(Includes Club T-Shirt)

 

v   Deadline to Register - June 1, 2010

Space is limited! Sign up now!

 

v      Late Registration Fee after June 1, 2010 is $ 175 and it is based on space availability

 

Please bring a sack lunch, running shoes & spikes

 

Ø     There will be a High Jump competition the last hour and someone will be crowned King and Queen of the “Pit”.

 

Ø     The winners will receive “The Ultimate High Jump Manual” written by Coach Ron Lee and “High Jump Technique 101” DVD produced by Coach Ron Lee.

 

 

Please make check payable to USA High Jump Club

Mail check and completed registration form to:  28715 Los Alisos Blvd Suite 7-323, Mission Viejo, CA 92692.

 

Or, pay by credit card through Pay Pal at: www.usahighjumpclub.com/HighJumpCLinic

Please email, fax or mail payment receipt along with the completed registration form to [email protected] or (fax) 949-666-6132.

 

Registration deadline 6/1/10

 

For more information, please email us at [email protected]

 

Name:___________________________________________Age_______________

 

Address ___________________________________________________________

 

City _______________________________ State ______ Zip _________________

 

School ______________________________________Grade_________(in the fall)

 

Personal Best Mark _____________________Years of experience______________

 

Home phone: _____________________Cell phone: _________________________

 

DOB_________________________T-shirts size(circle one)      S      M     L        XL

 

E-mail addresse:________________________________________________________

 

Parent Name:__________________________Phone:________________________

 

Emergency Contact :

 

Name ___________________________Phone______________________________

 

Emergency Authorization: I give permission to the medical personnel selected by the camp director to order X-rays & routine tests for my child in the event I cannot be reached in an emergency.  I give permission to the physician selected by the camp director to hospitalize, secure treatment for, and to order injection and/or surgery for my child as named on the registration form.  I hereby waive and release USA High Jump Club, Coach Ron Lee and all personnel from all liability for any injuries or illness incurred while my child is participating in any activities associated with high jump training.  I will be responsible for any medical or other charges in connection with my child’s attendance.  I know of no medical or physical problem which may affect my child’s ability to safely participate in USA High Jump Club Clinic.

 

Parents Signature__________________________________________Date:__________________