Skyjumpers Connecticut
Winter Class Application
Mail to: Russ VerSteeg 3 Lathrop Lane, Norwich, CT 06360
Individualized instruction
designed to provide an opportunity to pole vault in an atmosphere that
emphasizes safety, fun, socialization, and participation.
Name
_____________________________________
Address____________________________________
_____________________________________
______________________________________
Male
_____ Female _______ Age _______
e-mail
_________________________________________
Best
telephone number _________________________
School
______________________________
2010
USATF Membership Number ____________________________
Grade 2010-11 _________________________________
Best
Vaulting Height (Competition) _____________________
Sundays (11:30 am -1:00 pm) ________
Sundays (1:00-2:30) ________
Sundays (2:30-4:00) ________
Thursdays (5:30-7:00) ________ * One Wednesday: December 15
8
Classes: Cost $250. Please make separate checks: 1) $125 to Russ VerSteeg and
2) $125 to Thames Valley Gymnastics.
8 Sundays
December 12, 19, 26; January 2, , 9, 16, 23; February 6
8 Thursdays “ One
Wednesday
December 9, Wednesday December 15, 23, 30, January 6,
13, 20, February 3
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