IPVA - Sign-up & Monthly Online Payment

Winter Pole Vault Practice 2025-26 Sign-up & Monthly Online Payment
Location: UIndy

Dates: Dec 1st - Feb 25th

Days and Time: Monday and Wednesday nights 6-8pm.

Cost: $100 per month (twice a week)
$50 per month (once a week)

*New this year: each vaulter will have to sign-up for a USATF Membership ($30 per year) the membership with USATF handles the insurance for the club - UIndy made this mandatory for each vaulter.

Please contact us for more

information:

Tony Heath
Phone: 317-529-0939
Email: heath8042@hotmail.com
Vaulters Information
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number

Area CodePhone Number
Gender
Age
PR
School Name
USATF #
Payment
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IPVA - Winter Pole Vault Practice 2025-26 Monthly Payment. Twice a Week - Monthly$100.00

IPVA - Winter Pole Vault Practice 2025-26 Monthly Payment. Once a Week - Monthly$50.00

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