Big Throw & Vault Clinic RegistrationRegistration (JAR lobby) 9:00 a.m.
Staff Introductions 9:40 – 9:45
Warm-up 9:45 – 10:00
Session 1 10:00 – 12:00
Lunch Break 12:00 – 12:30
Session 2 12:30 – 2:30
Question and Answer 2:30 – 2:45
Supervision will be provided on site during lunch break.
Participants must bring their own lunch.
Participants should bring a water bottle.
All sessions will be held in JAR Arena and/or Lee Jackson Field.
Technical lectures, video analysis, drill development and actual pole vaulting will be included.
Throwers should bring throwing shoes.
Vaulters should bring their poles.
Our main objective is to provide the athlete or coach with a sound base of knowledge regarding the throws and vault to help them kick start the 2003 outdoor track and field season. Junior high, high school, college and masters athletes are welcome.
The University of Akron Big Throw and Vault Clinic provides secondary accident/medical insurance.
Return application/fee to:
Brian Forrester
Big Throw and Vault Clinic
The University of Akron
JAR Arena, Room 178
Akron, OH 44325-5201
Each participant must have a completed medical information/emergency authorization form on file with the clinic each year. The form is on the back of the clinic registration.
BRIAN FORRESTER – Clinic director and throwing events coach at The University of Akron. Brian uses an intensely enthusiastic and comprehensive approach to developing the throwers under his tutelage.
DENNIS MITCHELL - Head Track & Field Coach at The University of Akron. During his tenure, the program has made tremendous strides, boasting 14 All-American honors; a national champion and MAC team women’s team title. Was a national qualifier in the pole vault at Abilene Christian University. Was the USATF Assistant Pole Vault Development Chairman from 1995-2001. Currently, he is the Heartland region USATF Pole Vault Coach. For the last two years, he was the pole vault instructor at the USATF Junior Elite Development Camp at the San Diego Olympic Training Center and has instructed at the annual Pole Vault Summit in Reno. Prior to Akron, he coached at University of North Carolina (1991-1995) where he had two Pole Vault NCAA All-Americans and at Texas (1986-1991) where he had three All-Americans in the event.
MIKE HAMBRICK – Former throws coach at Slippery Rock University. Mike has coached several All-Americans in the throws. Currently, he is working with the throws at North Allegheny. As a Slippery Rock University thrower, Mike was a three-time PSAC Discus Champion and three-time National Qualifier. Still competing, he won the 1995, 1996, 1997 and 1999 Masters National Discus Title and placed second in the Master’s World Games.
TALBERT WEIMER – Was the 1995 PSAC shot put champion and is currently the girls’ throwing coach at Shelby High School. Talbert coached the 2002 Division II OHSAA girls’ discus champion.
JEANINE THOMAS – Currently a student assistant coach at The University of Akron will be working with the pole vaulters. She is the former school and MAC record holder and a USATF Junior All-American in the pole vault.
Several University of Akron throwers and pole vaulters will be assisting with instruction.
Big Throw & Vault Clinic RegistrationThis form must be completed prior to participation in The University of Akron Big Throw & Vault Clinic and must accompany your registration fee. Please complete information below legibly.
Name________________________________________Age_____
Address_______________________________________________
City___________________________St_______Zip____________
Parent/Guardian________________________________________
Home Work
Phone (______)_____________ Phone (_____)______________
Emergency Contact______________________________________
Emergency Contact Phone (______)________________________
School________________________________________________
Grade (circle one) 7th 8th FR SO JR SR Coach
Events with pr’s ________________________________________
_____________________________________________________
__________________________________________________________________________________________________________
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Please select the appropriate CLINIC:
_____ Throws ____ Vault
Application will not be processed without completed medical information and emergency medical authorization on reverse.
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For Office Use Only:
Check # _______ Date Rec’d _______ Amt Rec’d $______
This
form must be completed prior to participation in the 2nd Annual 
Big Throw & Vault Clinic. Please
complete information below legibly.
Allergic Reactions____________________________________________
Medication Presently Taking___________________________________
Check if known to have any of the following conditions:
[ ] Diabetes [ ] Hemophilia [ ] Epilepsy [ ] Heart Condition
Past illness or other information that would be useful in the event treatment is necessary_________________________________________
___________________________________________________________
I am aware of the risks, hazards and inherent dangers that may arise due to my child’s participation in The University of Akron Big Throw & Vault Clinic being held at JAR Arena and Lee Jackson Field on Saturday, March 22, 2003. In consideration for being allowed to participate in said activity, I hereby voluntarily assume all risk of death, accident or personal damage to my person or property and hereby release, waive and discharge The University of Akron, its instructors, agents and employees (collectively referred to as “UNIVERSITY”) from every claim, liability or demand of any kind, whether caused by the negligence of the UNIVERSITY or otherwise. This release shall be binding upon any heirs, administrators, executors and assigns of mine.
I further agree to indemnify the UNIVERSITY from any loss, liability, damage or cost they may incur due to my participation in said activity in any way whether caused by the UNIVERSITY or otherwise.
In the event of illness or injury resulting or arising directly or indirectly out of said activity, I hereby gives my consent and authorization for (1) the administration of emergency first aid care and treatment at the scene of an emergency by faculty, staff members or volunteers of UNIVERSITY or (2) the administration of any treatment deemed necessary by a licensed physician or dentist and (3) the transfer to any hospital reasonably accessible. This authorization is not intended to cover major surgery unless the medical opinions of two (2) licensed physicians or dentists, concurring in the necessity for such surgery, are obtained prior to the performance of such surgery.
I further declare and warrant that I am covered by sufficient medical and dental insurance and that such insurance will remain in effect during my child’s participation in said clinic.
___________________________________ _______________
Signature of Parent or Guardian Date
.