Featuring Lon Bedeaux from Arkansas State

Location: The First Academy, Orlando, FL

Dates: Monday, December 29^th 8:00 – 5:00

Tuesday, December 30^th 8:00 – 5:00

Wednesday, December 31^th 8:00 – 12:00 noon

Instructors: Bobby Haeck Former coach at South Lake High School and Owner of Pole Vault City

Lon Bedeaux Arkansas State University Pole Vault Coach and Instructor at Earl Bell’s Pole Vault Camps

Camp Mission Statement: This camp is designed to improve the abilities of high school pole vaulters through the watchful instruction of knowledgeable professionals. Our camp instruction is based on safety through a progression of drills that reinforce the basics of correct technique in the pole vault. Our program has been proven over the years to be extremely successful and safe. Each vaulter receives individual attention through the use of small group vault sessions and video review. Vaulters also receive valuable instruction on important aspects of the vault such as strength training, speed improvement, rules of the event, year round training design, injury prevention and rehabilitation, and vault video analysis.

Price: $250, which includes lunch (Monday and Tuesday), t-shirt, camp insurance, pole usage, and instruction. This is a day camp and each athlete is responsible for their own transportation to and from the facility on a daily basis. A $150 deposit, along with a completed entry form, waiver, and a copy of personal insurance card are required to reserve a spot at the camp. Make checks payable to Pole Vault City.

Poles: Pole Vault City will provide a large variety of poles, although it is recommended that vaulters bring their own poles. We do not guarantee that we will have the pole that you may need or want. We will also provide storage for the poles on Monday and Tuesday evenings.

Contact Info: If you have any questions or concerns about camp, feel free to contact Coach Haeck at 352.348.5930 or email at nolevault@comcast.net.

Mail Entry forms and information to :

Pole Vault City

Attn: Coach Haeck

27140 Loper St.

Yalaha, FL 34797

Camp Application

Name: ___________________________________________________________

Address: __________________________________________________________

City: _____________________________________________________________

State: _____________________ Zip Code: ______________________________

Home Telephone Number: ____________________________________________

Emergency Contact Name: ____________________________________________

Emergency Telephone Number: _________________________________________

School: ___________________________________________________________

Current PR: __________________________Grade Level____________________

Email address___________________________________ T-shirt size_________

Camp Waiver

In consideration of the acceptance of my child or ward to participate in the Pole Vault City Vault Camp hosted by

Pole Vault City, I agree, on behalf of my child or ward, to assume the risks of incidental to such

participation (which risks may include, among other things, muscle injuries and broken bones) and, on my own behalf,

on behalf of my child or ward, and on behalf of my and my child's or ward's heirs, executors and administrators, relase

and forever discharge the release parties defined below, of and from all liabilities, claims, actions, damages, costs

or expenses of any nature arising out of or in any way connected with the participation of my child or ward in such

activity. I further agree to indemnify and hold each of the released parties harmless against any and all such

liabilities including but not limited to, attorney's fees and disbursements. The released parties are Pole Vault City, Bobby Haeck, Lon Bedeaux, The First Academy, and any sponsors, their parent, related and affiliated companies, and the

officers, directors, employees, agents, representatives, successors and assigns of each of the foregoing entities. I

understand that this release and indemnity agreement includes any claims based on the negligence, action or inaction of

any of the above released parties and covers bodily injury (including death) and property damage, whether suffered by

my child or ward before, during or after such participation. I declare that my child is physically fit and has the

skill level required to participate in this particular camp. I further authorize medical treatment for said child or

ward, at my cost, if the need arises.

This Agreement shall be governed by the laws of the State of Florida and any legal action relating to or arising out of

this Agreement shall be commenced exclusively in the Circuit Court of the Ninth Judicial Circuit in and for Orange

County, Florida (or if such Circuit Court shall not have jurisdiction over the subject matter thereof, then to such other

court sitting in said county and having subject matter jurisdiction). I certify I am 18 years of age or older and that

I am entering into this Agreement as the Parent or Legal Guardian for a minor that is under 18 years of age.