Victory Athletics Pole Vault Camp Sign Up
* = optional
Personal Information
First Name
Last Name
Email
Gender
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Male
Female
Date Of Birth:
Month
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
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Year
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1998
1997
1996
1995
1994
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1991
1990
1989
1988
1987
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1983
1982
1981
1980
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1974
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1970
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1968
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1961
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1949
1948
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1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
Home Address
City
State
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Alabama
Alaska
Arizona
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Colorodo
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Idaho
Illinois
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North Datoka
Ohio
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Tennessee
Texas
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Washington
Washington DC
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Other
Zip
Home Phone
Mobile Phone *
T-Shirt Size *
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Small
Medium
Large
X-Large
XX-Large
School Information
School Name *
School Level *
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College
High School
Jr High
Other
Graduation Year *
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2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Vault Information
USATF Member Number
Get your USATF card online at
www.usatf.org
Personal Record *
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4
5
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18
ft.
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0
1
2
3
4
5
6
7
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9
10
11
in.
Poles *
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I need to borrow poles
I will bring my own poles
