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Jumps Fest 2017 Registration

$0.00$40.00

Pole Vault and High Jump | USA Track & Field Sanctioned

Saturday, June 17, 2017 | Wichita State University Cessna Stadium | Wichita, Kansas

Competition begins at 9am. Certified Officials will conduct the events in accordance with USA Track & Field Rules.

Registration Fee

Registration fee of $40 includes an event t-shirt and sunglasses. Registration deadline of June 16, 2017. After June 10, late registrations will be accepted at the discretion of the Shocker Track Club.

Elite Athletes

Registration fee waived for Elite Athletes meeting minimum mark requirements. The registration form will automatically update if you meet the minimum requirements, but you must fill out the form completely and complete the checkout process in order to be registered. Minimum marks to waive entry fee:

Pole Vault: Women: ≥430 | Men: ≥550

More Information:

General Competition Info | Elite – Additional Info | Location & Event Day Details

Questions?

Pole Vault Questions: Contact Denis Fraizer at 316-680-0852 or polevault@shockertrackclub.com

High Jump, Long Jump, Triple Jump Questions: Contact Darren Muci at (316) 993-6824 or president@shockertrackclub.com


Click here for online conversion chart for marks.

Start Online Registration Here:

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General Athlete Information

Fields marked with an * are required

Click here for online conversion chart for marks.

W9 (Elite Athletes Only)

Complete the following Substitute W-9 if selecting the Elite Category to be eligible for prize money (if available).

Under penalty of perjury I certify that (1) The number shown on this form is my correct taxpayer identification number.  (2) I am not subject to backup withholding because (a) I am exempt from back withholding, or (b) have not been notified by the IRS that I am subject to backup withholding as a result of a failure to report all interest or dividents, or (c) the IRS has notified me that I am no longer subject to back withholding, and (3) I am a U.S. citizen or other U.S. person or resident alien.

Additional Athlete Information

Please complete for all Youth, Open, and Elite Athletes

Fun Athlete Information

Help the Meet Announcer - Complete the fields you are willing to share!

Waiver & Release of Liability

In consideration of being allowed to participate in SUMMER JUMPS FEST 2016, the undersigned acknowledges, appreciates, and agrees that: 1. The risk of injury involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation; and 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself, and on behalf of my heirs, assign personal representatives and next of kin, hereby release and hold harmless The Shocker Track Club, Inc, their officers, officials, agents and/or employees, other participants, sponsoring agencies, advertisers, sponsors, and, if applicable, owners and lessors of premises used to conduct the event (“releasees”), and in particular, Wichita State University with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise.  I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.  By signing below, I attest that I am physically fit and have trained sufficiently for this event. The Shocker Track Club, Inc. and its representatives, employees, and volunteers have permission to obtain immediate medical care and I consent to hospitalization, the performance of necessary diagnostic tests, the use of surgery, and/or the administration of drugs in an emergency. I understand that I am responsible for payment of medical expenses.

SKU: JF2016 Category: