UTPVA Blackout Vault Competition

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$10 Registration fees can be paid to "Utah Pole Vault Academy" with Cash, Check, or with Venmo (@KodyPierce33). Can be paid ahead of time or onsite. Free for UTPVA Athletes with current September or Fall Season Membership.

Get your best fluorescent attire ready!

First Name *

Last Name *

Sex *

Male

Female

Age *

Email Address *

Phone Number *

PR *

Memberships *

Check all that apply

UTPVA (must be a current monthly club member for the discount)

USPVA (must be able to provide proof of membership for the discount)

USATF (must be able to provide USATF membership number)

None

Required

USATF Membership Number *

If you have forgotten your USATF membership number or need to get one, please visit usatf.org before continuing. We are an official USATF club and all participants must have a USATF membership to participate in club activities to be covered by our liability.

I have filled out a Kojo Sports & UTPVA Liability Waivers *

To read through blank copies of the liability waivers, please visit our website utahpolevaultacademy.com . If you have not filled out these waivers yet print off the wavers and bring them with you to registration.

Yes

I will

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