High School Senior Recognition Vault

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Email *

Name *

Phone Number *

Address *

Age *

Gender *

Female

Male

Prefer not to say

Best Height in Competition *

Jump Group *

Please select which group you would prefer to jump in. Please note that you may not be guaranteed in that group as we will try to keep the groups even to run the meet efficiently.

Women 10' and under

Women 10'1 and above

Men 12' and under

Men 12'1 and above

Required

Wavier *

Wavier and Release of Liability: I hereby release, waive and covenant not to sue, and further agree to indemnify, defend and hold harmless Jerry A. Sessions, Arla G. Sessions, Landon Athletics L.L.C., Ethan L.L.C., event directors, host organizations and the facility, venue and property owners or operators upon this Halloween Vault Event; and any other organizers, promoters, sponsors, advertisers, coaches and officials for this event. I️ also hereby grant permission to Landon Athletics to use any photography and videotape of myself and/or child related to the Vault Barn activities for advertising or educational video materials

I️ agree

Required

Athlete Signature *

By signing you agree that all the above information is correct. You also agree to the terms of the wavier.

Parent Signature

If under the age of 18 a parent signature is required. If over the age of 18 please just type NA

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