Atlantic City, NJ - Vertical Adventures...Atlantic City, NJ The Biggest & Best Beach Vault In The...
Transcript of Atlantic City, NJ - Vertical Adventures...Atlantic City, NJ The Biggest & Best Beach Vault In The...
August 3-4, 2019
Atlantic City, NJ
The Biggest & Best Beach Vault In The
World Is Back For Our 11th Annual
Pole Vault Party On The Beach!
An Incredible Weekend Of Vaulting,
Music, Food, The Beach And The
Greatest Crowd At The Jersey Shore!
Mail Entry Form & Check Payable To:
Vertical Adventures
1 Sheffield Lane, Mt. Laurel, NJ 08054
Phone: (856) 231-0769 [email protected]
www.VerticalAdventures.org
*PayPal Available On Our Website
Parental Consent/Participation Waiver: I hereby grant permission for my child to participate in the Vertical Adventures’ Jersey Jumps
Beach Vault, to be held August 3-4, 2019 in Atlantic City, NJ. I verify that my child has had a
physical exam in the past year and is able to participate in the activities related to the
Vertical Adventures Jersey Jumps Beach Vault. I agree to indemnify, hold harmless and defend
Michael J. Pascuzzo, Nickolas Tyson, Vertical Adventures Track & Field, AACSP LLC, City of
Atlantic City, All Vertical Adventures Jersey Jumps Beach Vault Coaches & Staff, All Beach
Vault Sponsors and/or their agents or employees from any and all liability for injury to my
child, as well as any injury or damage caused by my child. Should medical treatment for my
child be necessary, I hereby authorize any physician, trainer or EMT selected by Beach Vault
personnel to order and conduct medical or surgical procedures necessary. I also understand
that an additional Waiver & Release of Liability will be e-mailed to me upon registration. I
understand that my child is NOT permitted to participate in the Vertical Adventures Jersey
Jumps Beach Vault unless & until this additional Waiver & Release of Liability has been
completed, Signed & returned to the event organizers!
Parent/Guardian/Participant Signature:
___________________________________Date:_________
Jersey Jumps Beach Vault 2019 Sponsors Athletic Bio / Stats / Credentials
Titles Won (if any) ___________________
__________________________________
Best PV Memory/Moment As An Athlete:
__________________________________
For The BEST Track & Field Summer
Camps, Clinics, Meets, Events &
Our Year-Round “Vertical Club”
Pole Vault & High Jump Club
Visit
www.VerticalAdventures.org
**Beach Vault Hotel Discounts**
For Reservations, Call
1-888-516-2215
Caesars Atlantic City
Group Code: SC08JJ9
Bally’s Atlantic City
Group Code: SB08JJ9
*Room Rates Expire July 19, 2019
Jersey Jumps Beach Vault
2019 Daily Event Schedule
*2019 H.S. Graduates Compete in High School Divisions*
Saturday, August 3
10am Runway #1
-High School Boys/Girls-Novice A
(PR Under 10’0”)
Runway #2
-High School Boys/Girls-Novice B
(PR 10’0” & Up)
-Masters Men/Women (Age 40 & Up)
*Afternoon Competitions On Saturday Are Rolling Starts!
Competitors Should Arrive 2 Hours Prior To Their Event!
1pm approx. Runway #1
-High School Girls-Championship
(PR 10’6” & Up)
Runway #2
-High School Boys Championship
(PR 13’0” & Up)
Sunday, August 4
10am Runway #1
-Elite Women (PR 13”0 & Up)
-College/Open Women (Any PR)
Runway #2
-Elite Men (PR 16’0 & Up)
-College & Open Men (Any PR)
2019 Vertical Adventures
Jersey Jumps Beach Vault Entry Form
Name___________________________________
Age________ Gender (circle) Male Female
School/Club_____________________________
Address_________________________________
Town_____________ State____ Zip Code_____
Cell Phone # (_____)______________________
*Required: Allows Us To Contact You If Necessary!
E-Mail Address:
_______________________________________
E-Mail Mandatory, Please Print Legibly! This Is Our
Primary Method Of Contact With ALL Participants!
T-Shirt Size (circle) S M L XL
Personal Best _______Feet _______Inches
Division Entered (circle)
H.S. Boys/Girls-Novice “A” (PR Under 10’0”)
H.S. Boys/Girls-Novice “B” (PR 10’0” & Up)
H.S. Girls Championship H.S. Boys Championship
Elite Women Elite Men Masters M/W
College & Open Women College & Open Men
Registration Fee
____ $69 (If Received By July 15)
____ $89 (If Received July 16 thru July 25)
____ $99 (If Received July 26 thru August 1)
____ $119 (August 2 thru Day Of Event)
*Club Coach Discounts (SAME Envelope by 7/25)
5-9 Vaulters Only $60 each
10-15 Vaulters Only $55 each
16-19 Vaulters Only $50 each
20 or more Vaulters Only $45 each Over —->
Your Beach Vault Entry Includes:
-Pole Vault Competition -Jersey Jumps Beach Vault T-Shirt
-Vertical Adventures Discounts -Great Music & Swimming
-Loaner Poles Available, If Needed
Olympic Gold Medalist & World Record Holder, Jenn Suhr Set
The Jersey Jumps Record Of 15’1” Winning The 2015 Event!
Museum Quality Engraved Awards To
-H.S. Championship Winners (Boys & Girls)
-Elite Division Winners (Men & Women)
-College/Open Winners (Men & Women)
-Masters Men