Class Registration

Skyjumpers Connecticut 2017 FALL Classes

8 Sundays (3 Classes): September 24, October 1, 8, 15, 22, 29, November 5, 12

8 Tuesdays (1 Class): September 26, October 3, 10, 17, 24, 31, November 7, 14

To register for Fall Classes, please send an email to skyjumpersct@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.

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 ______________________________

2017 USATF Membership Number ____________________________

Grade  2017-18 _________________________________

Best Vaulting Height (Competition) _____________________

+ Tuesdays (6:30 – 8:00 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 Tuesday Class, please make separate checks: 1) $125 to Kaylan Pickford 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).