Class Registration

Skyjumpers Connecticut 2018 FALL Classes

8 Sundays (3 Classes): September 23, 30, October 7, 14, 21, 28, November 4, 118 Thursdays (1 Class): September 27, October 4, 11, 18, 25, November 1, 8, 15

To register for Fall Classes, please send an email to skyjumpersconn@hotmail.com indicating which class you want to register for, and mail this form and checks to: Russ VerSteeg, 3 Lathrop Lane, Norwich, CT 06360.  Sending the email is important.  Thank you. NOTE: OUR NEW EMAIL ADDRESS: skyjumpersconn@hotmail.com

Individualized instruction designed to provide an opportunity to pole vault in an atmosphere that emphasizes safety, fun, socialization, and participation. All classes held at 22 Lebanon Road, North Franklin, CT.

Name _____________________________________

Address____________________________________

                _____________________________________

Male _____ Female _______ Age _______

e-mail _________________________________________

Best telephone number _________________________

School ______________________________

2018 USATF Membership Number ____________________________

Grade  2018-19 _________________________________

Best Vaulting Height (Competition) _____________________

+ Thursdays (6:00 – 7:30 pm) _______

# Sundays (10:00 - 11:30 am) _______

# Sundays (11:30 am - 1:00 pm) ________

# Sundays (1:00 pm - 2:30 pm)

8 Classes: Cost $250.

# For Sunday classes, please make separate checks: 1) $125 to Russ VerSteeg and 2) $125 to Thames Valley Gymnastics.

+ For Thursday Class, please make separate checks: 1) $125 to Josh Fish and 2) $125 to Thames Valley Gymnastics.

 All participants must join USA Track & Field (www.usatf.org)(“membership” $20 online with a credit card) and Skyjumpers Connecticut (www.skyjumpersct.org) (“Register with us” print form and mail check for $20 payable to Skyjumpers Connecticut, 3 Lathrop Lane, Norwich, CT 06360).